VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: April 23, 2018

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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 32.1 Report by person other than physician 63.2 General Provisions. 63.2 Child Abuse and Neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced monitoring inspection was conducted today from 11:00am-3:30pm. There were 68 children (infants-5yrs.) directly supervised by 17 staff. The physical plant, 5 staff records, 6 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, playing with small manipulative toys, napping and eating lunch. Diapering and hand-washing procedures were also observed. There was an abundant supply of materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Soto at maria.soto@dss.virginia.gov or (571) 835-5058.

Violations:

Standard #:	22VAC40-185-130-B
Description:	Based on Based on record review, documentation of an immunization update (once every six months for children under the age of two years) was not obtained for a child in care. Evidence: Child#7 has an immunization record on file that was last updated on 4/6/2017. Child#8 has an immunization record on file that was last updated on 1/30/2017.
Plan of Correction:	We requested immunization record updates last week from all parents.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, the center did not have complete children's records. Evidence: Child#5's record did not have proof of identification verification. Child#6's record is missing the father's work telephone number.
Plan of Correction:	We will reach out to the parents to provide the information.
Standard #:	22VAC40-185-280-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 toddler's classroom a bottle of floor cleaner, and all purpose cleaner were observed in an unlocked closet. In the two's classroom a container of baby powder that the manufacturer has labeled: "keep out of the reach of children" was observed on a lower shelf of an unlocked closet.
Plan of Correction:	We will place a lock on that door tomorrow.
Standard #:	22VAC40-185-350-C
Description:	Based on observation, and staff interviews, ratios were not maintained in the toddler's classroom. Evidence: The toddler's classroom had 5 children with one staff member during the inspection. Upon checking ages of children in the classroom, it was determined that child#3 and child#4 were 15 months of age, which required the group to go by the infants to 16 months old ratio of 4 to 1.
Plan of Correction:	We will make sure that an additional teacher is in the classroom until the children turn 16 months old.
Standard #:	22VAC40-185-510-A
Description:	Based on review of medications, it was determined that medications were not maintained in accordance with procedures. Evidence: Child#1 has an emergency prescription medications on-site without a medication authorization form completed and signed by the parent and the physician. Child#2 has an emergency medication on-site that does not match the medication listed on the authorization form. The physician signed medication authorization form lists Epipen Jr. as the medicine authorized. The medication present is a generic Epinephrine 0.3 mg.
Plan of Correction:	We will provide parents with an authorization form today and we will have them update the information for the medication.