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KinderCare Learning Center #765
437 Knoll Street, NW
Vienna, VA 22180
(703) 938-7040

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: March 14, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed ways for staff to be more engaged with the children during free choice classroom time.

Comments:
An unannounced monitoring inspection was conducted today. There were 62 children in care, with a total of 10 staff members assigned to their direct supervision. The children were observed playing at the shaving cream table and the sand table, playing a size matching game, listening to stories, completing math work, assembling puzzles, and preparing for lunch. The children were served meatloaf, mashed potatoes, apples/applesauce, and milk for lunch to day. This inspection was completed between approximately 9:45 am and 11:45 am. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-370-5
Description: Based on staff interviews, it was determined that infant daily "tummy time" is not recorded as required. Evidence: It was reported to the Inspector that "tummy time" is given to all infants who require it, for at least 30 minutes daily. However, upon reviewing a random selection of the most recent daily report sheets, it was determined that on most days there was no documentation of "tummy time," and on a few occasions "tummy time" was recorded but the total amount of time was less than 30 minutes. On these days, the documented amount of time varied between 10 and 15 minutes.

Plan of Correction: I will address the documentation of tummy time directly with the Infant staff again. I will put a management plan in place to ensure that daily tummy time is always accurately recorded.

Standard #: 22VAC40-185-500-A
Description: Based on observations, it was determined that one child did not wash her hands after using the bathroom. Evidence: The Inspector observed a three year old child exit the bathroom without washing her hands. The child's teacher was unaware of the fact that she did not wash her hands until the Inspector made her aware of the situation.

Plan of Correction: The child was immediately asked to return to the bathroom and wash her hands. Staff will be reminded to closely monitor the children when they leave the bathroom to make sure they always wash their hands.

Standard #: 22VAC40-185-510-A
Description: Based on a review of children's medications, it was determined that one medication has expired, four authorizations were not completed correctly, and one incorrect medication was on site. Evidence: 1. One child's long term prescription medication expired on 2/29/2016. 2. Three long term medication authorization forms did not include the physician's signature. 3. One medication authorization form did not include documentation showing the end date for the authorization. 4. One medication authorization form indicated a specific medication name to be administered to the child, however the generic form of the medication was on site.

Plan of Correction: 1. The parent has already been asked to bring a new medication. 2. The parents will be asked to provide correctly completed medication authorization forms. 3. The parent will be asked to bring the exact medication that is listed on the authorization form.

Standard #: 22VAC40-185-510-N
Description: Based on a review of children's medications, it was determined that one child's medications were neither returned to the parent nor disposed of within 14 days of the child's withdrawal. Evidence: One child withdrew in January, 2016; however the child's two medications were still on site.

Plan of Correction: The parent has been asked many times to pick up the medications. I will properly dispose of the medications today.

Standard #: 22VAC40-185-520-A
Description: Based on observations, it was determined that one child's over-the-counter hair care products were stored in a manner that did not keep them inaccessible to the children. Evidence: In the 2's classroom, one child's two bottles of hair care products were stored inside the child's cubby.

Plan of Correction: The items were moved immediately during the inspection.

Standard #: 22VAC40-191-50-A-2-a
Description: Based on a review of background checks, it was determined that one staff person does not have a satisfactory Child Protective Services (CPS) registry check on file. Evidence: There is no complete CPS check for staff C. After management staff submitted the CPS background check request, the request form was returned because it was incomplete. After correcting the form, management staff never returned the request form for completion, therefore there are no CPS background check findings for this staff person.

Plan of Correction: I will return the request form today.

Standard #: 22VAC40-191-60-D-1
Description: Based on a review of background checks, it was determined that management staff did not follow-up with the appropriate agencies when the background checks for one new staff member were not received within 30 days. Evidence: The Child Protective Services (CPS) registry check and the Criminal Record Check (CRC) requests for staff person B were submitted on 2/9/16; however, the results from these background check requests have not yet been received. Management staff did not conduct Social Services and the State Police to determine why the results have not yet been received.

Plan of Correction: I will contact both agencies today.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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