VIRGINIA DEPARTMENT OF SOCIAL SERVICES

KinderCare Learning Centers #1542
1802 Old Reston Avenue
Reston, VA 20190
(703) 709-8416

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Dec. 27, 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 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

A discussion was held with management regarding documenting staff training. Hot water was not available in the afterschool classroom, was available in the bathroom.

Comments:

A monitoring inspection was conducted today between 8:40am and 12:00pm. There were 39 children present, with 12 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed arriving, playing with table toys, singing, circle time, morning snack and a diaper change was observed. A total of 5 child records and 5 staff records were reviewed. 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. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-780-130-E
Description:	REPEAT VIOLATION Based on review of children?s files, not all records contained the required immunizations once every six months for child under the age of two years. Evidence: The record for child #1, (under two years of age) did not contain an updated immunizations record every six months. The last record was dated 3/2023.
Plan of Correction:	The parent will be contacted to obtain the updated immunization record. We will make sure to get an updated record every six months for all children under the age of two.
Standard #:	8VAC20-780-160-C
Description:	Based on review of staff records, not all records contained the required documentation of an updated negative tuberculosis screening every two years. Evidence: The record for staff #1, did not have documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Screening in record expired 7/2023.
Plan of Correction:	Staff will get her TB screening completed and documentation will be placed in their record. We will track TB expirations to ensure they are expired.
Standard #:	8VAC20-780-40-J
Description:	Based on review of centers injury prevention procedures, the procedures were not updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: There was no documentation of injury prevention procedures for review during the inspection.
Plan of Correction:	The plan will be reviewed and updated are needed. It will be reviewed annually and all updates will be made.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the 3B classroom, hazardous substances were located in an unlocked diaper changing table, making them accessible to the children.
Plan of Correction:	Corrected during the inspection. All hazardous substances will be kept locked up and inaccessible to the children.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, each restroom did not contain the required items. Evidence One bathroom in the afterschool classroom did not contain toilet paper.
Plan of Correction:	Corrected during the inspection. Staff will inspection bathrooms daily to ensure compliance with required supplies.
Standard #:	8VAC20-780-370
Description:	Based on review of children?s electronic daily records and conversation with staff, there is no documentation for infants who cannot turn themselves over being placed on their stomachs (tummy time) a total of 30 minutes each day. Evidence There was no documentation of tummy time for infants for cannot turn themselves over.
Plan of Correction:	Staff will be retrained and tummy time will be recorded in their electronic record.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, a child?s hands were not washed with soap and running water after toileting/diaper change. Evidence: Observed in the toddler classroom after having their diaper changed, the child?s hands were not washed,
Plan of Correction:	All staff will be retrained during the staff meeting on the requirements for hand washing.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the diapering surface was not sanitized after diapering. Evidence: Observed in the toddler classroom, the diapering surface was not sanitized after a diaper change.
Plan of Correction:	All staff will be retrained on the proper cleaning and sanitizing procedures.
Standard #:	8VAC20-780-510-F
Description:	REPEAT VIOLATION Based on review of medications, not all medications had required authorization from a physician and parent for administration. Evidence: The medications for child #2 and #3 did not have authorization from a physician and parent to administer the medication.
Plan of Correction:	Parents were emailed again today 12/27/2023 to bring in the authorizations. Medications will be sent home, if proper authorization is not received.
Standard #:	8VAC20-780-520-A
Description:	Based on review of topical medications, an over-the-counter skin products was kept beyond the expiration date of the product. Evidence: A diaper cream that expired 6/2022 was located in the toddler classroom.
Plan of Correction:	The diaper cream was removed during the inspection. Staff will be assigned to monitor topicals.
Standard #:	8VAC20-780-550-B
Description:	Based on review of center?s emergency preparedness plan (EPP), the plan was not complete or updated annually. Evidence: The plan contained out of date information, did not include relocation procedures or the date of the last update.
Plan of Correction:	The emergency preparedness plan will be reviewed and updated annually.
Standard #:	8VAC20-780-550-P
Description:	Based on review of the center?s written record of children's serious and minor injuries, the records did not contain all the required information. Evidence: The center?s written record of children?s serious and minor records did not include the date and time when parents were notified any future action to prevent recurrence of the injury and documentation on how the parent was notified.
Plan of Correction:	We will begin immediately using the correct incident/accident report that contains all the required information.
Standard #:	8VAC20-780-560-M
Description:	Based on observation, children did not remain seated while eating or drinking. Evidence: A child in the 2A classroom was observed running and running while eating an orange slice.
Plan of Correction:	Staff will be retrained on meal procedures during staff meeting.