VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Karter School of Cascades
21290 Springlake Court
Sterling, VA 20166
(703) 430-8657

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: July 19, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations

Technical Assistance:

Discussed with Director: Medications.

Comments:

An unannounced renewal inspection was conducted on 7/19/2023 from 9:30 am-11:45 am. There were 196 children supervised by 35 direct care staff. The physical plant, 5 staff records, 15 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, tabletop activities, reading books, and napping. Diapering and hand-washing procedures were also observed. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on record review and interview, the center did not obtain documentation of the required immunization record. Evidence: 1. Child #2 did not have documentation of an immunization record that is required by the State Board of Health before their first day of attendance. 2. Child #2 start date is 11/02/2022.
Plan of Correction:	-Parent was notified on 7/19/23 and she requested paperwork from the pediatrician on 7/19/2023. -Paperwork will be received by 8/1/2023.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, the center did not obtain documentation of a physical for each child within 30 days of enrollment. Evidence: 1. Child #2 did not have documentation of a physical examination. 2. Child #2 start date is 11/02/2022
Plan of Correction:	-Parent was notified on 7/19/23. Parent requested paperwork from the pediatrician on 7/19/2023. -Paperwork will be received by 8/1/2023.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and interview, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #16's written care plan did not include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	Parent of Child #16 was notified on 7/19/23 and we requested the FARE form be signed by the child?s pediatrician. Parent requested paperwork from the pediatrician on 7/19/23. Date to be Corrected: -Paperwork will be received by 8/1/2023.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Five spray bottles of sanitizer were found in an unlocked cabinet over a counter in the Florence classroom.
Plan of Correction:	-Cabinet was locked during the inspection. -Corrected on 7/19/2023.