VIRGINIA DEPARTMENT OF SOCIAL SERVICES

KinderCare Learning Center - Chester
4021 West Hundred Road
Chester, VA 23831
(804) 796-1464

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: Nov. 16, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on November 16, 2023 with center staff. There were 52 children present, ranging in ages from 3 months to 5 years, with 10 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 6 child records and 11 staff records were reviewed. The children were having rest, eating afternoon snack, playing outdoors, and playing with age appropriate activities and toys. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Due to number of repeat violations and violations related to background checks, an Intensive Plan of Correction (IPOC) will be required Time of today?s inspection: 1:00 p.m. to 6:00 p.m. Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	Repeat violation Based on review of eleven staff records, the facility failed to have employees complete background checks in accordance with the Code of Virginia every five years. Evidence: 1. The record for Staff 2 contained the results of a fingerprint national criminal record check dated 03/26/2018 and a sworn disclosure statement dated 01/31/2018. 2. Staff 2 was observed working and being counted in the staff-to-child ratio during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-2
Description:	(Repeat violation) Based on review of eleven staff records, the facility failed to have applicants undergo a national criminal background check prior to employment. Evidence: Staff 10 (date of employment 9/5/2023) and Staff 11 (date of employment 9/5/2023) did not have documentation of a completed national criminal (fingerprint based) background check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on review of four staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: 1. Staff 7 (date of employment (3/18/2022) indicated on the sworn disclosure statement dated 3/21/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required. 2. Staff 9 (date of employment 10/20/2022) indicated on the sworn disclosure statement dated 10/20/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on review of eleven staff records, the facility employed staff without having the person?s completed sworn disclosure statement. Evidence: Staff 1 (date of employment 12/1/2022) did not complete a sworn disclosure statement until 3/28/2023. Staff 3 (date of employment 11/11/2022) did not complete a sworn disclosure statement until 3/28/2023. Staff 6 (date of employment 10/28/2022) did not complete a sworn disclosure statement until 11/15/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	(Repeat violation) Based on review of eleven staff records, the facility failed to have a central registry finding (CPS check) on file for each staff within 30 days of employment. Evidence: Staff 1 (date of employment 12/1/2022), Staff 3 (date of employment 11/11/2022), Staff 10 (date of employment 9/5/2023), and Staff 11 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. 2. Staff 6 (date of employment 10/28/2022) did not have a completed search of the central registry until 7/7/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on review of eleven staff records, the facility failed to ensure each staff member submits documentation of a negative tuberculosis (TB) screening from each staff at the time of employment and prior to direct contact with children. Evidence: Staff 3 (date of employment 11/11/2022) did not have documentation of a TB screening.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on review of eleven staff records, the facility failed to ensure staff members obtain and submit documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB screening dated 06/19/2019. Staff 4 had a TB test dated 1/22/2021. Staff 8 had a TB test dated 3/29/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	(Repeat violation) Based on review of six children?s records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian. 2. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 have diagnosed food allergies, but do not have documentation of a written allergy action plan completed by the physician on file. The written care plan should 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. Each child is listed on the Master Allergy List located in the facility - dated November 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of eleven staff records, the facility failed to keep required records for each staff person. Two references as to character, reputation, and competence should be checked before employment. Evidence: Staff 3 (date of employment 11/11/2022) did not have documentation of a second reference on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	Based on review of eleven staff records, the center did not ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff 1 (date of employment 12/1/2022), Staff 3 (date of employment 11/11/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), and Staff 9 (date of employment 10/20/2022) did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-B
Description:	Based on review of eleven staff records, the facility failed ensure staff complete orientation prior to the staff member working alone with children. Evidence: Staff 6 (date of employment 10/28/2022), Staff 10 (date of employment 9/5/2023), and Staff 11 (date of employment 9/5/2023) did not have documentation of having completed orientation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-J
Description:	Based on documentation review and staff interview, the facility failed to ensure that any child for whom medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements as described in 8VAC20-780-245.J.1 for medication administration. Evidence: Child A (date of enrollment 11/13/2023) has diabetes medications to be administered on site. None of the staff caring for the child are certified in Medication Administration Training - Diabetes. Management stated that none of the staff have MAT ? Diabetes certification.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-A
Description:	Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 11/18/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on review of inspection reports, the facility failed to ensure that an annual health inspection was conducted by the appropriate health official having jurisdiction. Evidence: The last health inspection on file was dated 6/3/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-D
Description:	Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the toddler room stored a spray bottle containing disinfectant and a spray bottle with soap alongside with bagged food and snacks.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-E
Description:	Based on review of 18 medications, the facility failed to have procedures for administration of nonprescription medications, consistent with the manufacturer's instructions, for age, duration, and dosage. Evidence: Child B, age 2, has a non-prescription medication that states ?do not use unless directed by a doctor?. There was no physician authorization on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-I
Description:	Based on review of 18 medications, the facility failed to ensure medication is administered by a staff member or an independent contractor who meets the requirements in 8VAC20-780-245 J. Evidence. Two medications had been administered to Child A by staff who do not have Medication Administration Training ? Diabetes on 11/13/2023, 11/14/2023, 11/15/2023, and 11/16/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-P
Description:	Based on review of 19 medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Authorizations that are completed by parents shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. Evidence: 1. The following medication authorizations expired after 10 work days and the medications were not returned for: Child B ? completed by parent only 6/14/2023, Child C - completed by parent only 8/31/2023, Child D - completed by parent only 10/9/2023, Child E - completed by parent only 4/18/2023, Child F - completed by parent only 4/21/2023, Child G - completed by parent only 4/28/2023, Child H - completed by parent only for 6/12/2023 to 6/16/2023, Child I - completed by parent only 6/23/2022, Child J - completed by parent only completed 3/8/2023, Child K - completed by parent only 1/26/2023, Child L - completed by parent only 4/11/2023, Child M - completed by parent only 4/4/2022, Child N - completed by parent only 8/7/2021, and Child O - completed by parent only 1/27/2023. 2. Child D, Child F, Child G, Child I, Child J, Child K, Child L, Child M, and Child O no longer attend the center and the medication was not returned or destroyed as required. The medications were on site. 3. The medication for Child C expired 1/2023, the medication for Child K expired 12/2022, and the medication for Child M expired 2/2023
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A-1
Description:	Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 7 were alone with 5 infants, but neither have documentation of current CPR on file. Staff 5 and Staff 10 were alone with 5 toddlers, but neither have documentation of current CPR on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-530-A-2
Description:	Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 and Staff 7 were alone with 5 infants, but neither have documentation of current first aid on file. Staff 5 and Staff 10 were alone with 5 toddlers, but neither have documentation of current first aid on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-G
Description:	Based on review of the emergency drill log, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in October 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.