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KinderCare Learning Centers #1468

Inspection · 2023-12-04

Date
2023-12-04
Complaint Related
No
Licensing Inspector
Jessica Eason
(804) 629-7489
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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
8VAC20-790 Subsidy Regulations

Inspector Notes

A monitoring inspection was conducted today between 9:30am and 11:45am. There were70 children present, with 11 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 during circle time, dancing, and center time. A total of 7 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

10
Standard 8VAC20-780-130-A
Based on review of children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child first day of attendance.
Evidence:
The record for child #2 (first day of attendance7/9/23) does not have documentation of receiving immunizations.
Plan of Correction: All records will be reviewed for compliance and missing information will be added to the file.
Standard 8VAC20-780-140-A
Based on review of children's records the center did not contain a complete record for each child enrolled in the program.
Evidence:
The record for child #2,4,5 did not contain documentation of a physical examination within 30 days of attendance. Child #2 first day of attendance 7/9/23. Child #4 first day of attendance 7/7/23. Child #5 first day of attendance 6/6/22.
Plan of Correction: All records will be reviewed for compliance and missing information will be added to the file.
Standard 8VAC20-780-160-C
Based on review of staff records, at least every two years from the date of the initial screening, staff did not obtain and submit the records of a tuberculosis (TB) screening.
Evidence:
The records for staff #1 and #2 did not contain the results of follow-up tuberculosis (TB) screening. Documentation was expired.
Plan of Correction: Create a list to track expiring TB documentation.
Standard 8VAC20-780-245-L
Based on discussion with staff #3 there is not always one staff member on duty who has obtained within the last three years instruction in performing the daily health observation(DHO) of children.
Evidence:
Staff #3 confirmed only one staff member is daily health observation trained.
Plan of Correction: A staff member will complete the required training and we will ensure someone is DHO trained at all times.
Standard 8VAC20-780-280-B
Repeat Violation
Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevented access by children.
Evidence:
The laundry room door located in Preschool Discover 1 was not locked. Potential hazardous materials were accessible to children.
Plan of Correction: Retrain staff to ensure that the door is always locked.
Standard 8VAC20-780-350-B-2
Based on observation, staff to children ratios were not met.
Evidence:
In the Toddler classroom, there was not a ratio of one staff to five children. There was one staff to six children aged 16-24 months.
Plan of Correction: We will ensure ratios are always met. Corrected during inspection.
Standard 8VAC20-780-370-5
Based on review of infants daily schedule infants who can not turn themselves over and are awake were not placed on their stomachs for 30 minutes a day. Evidence
Infant #1 had no documentation of tummy time for the week of 11/27/23.
Plan of Correction: We will retrain staff to ensure all tummy time is being recorded.
Standard 8VAC20-780-550-B
Based on review of emergency procedures, the emergency preparedness plan was not updated and reviewed and updated.
Evidence:
The emergency preparedness plan was last updated 9/12/22.
Plan of Correction: I will review and update if necessary.
Standard 8VAC20-780-550-G
Based on a review of emergency procedures, there was no documentation of emergency evacuation drills conducted July 2023 - November 2023.
Evidence:
Emergency evacuation drills were not documented from July 2023 to November 2023.
Plan of Correction: All drills will be completed as required.
Standard 8VAC20-780-60-A
Based on review of children's records, the center did not maintain a complete record for each child enrolled in the program.
Evidence:
The record for child #2 did not contain documentation that the original proof of identity was reviewed.
The record for child #4, 6 & 7 did not contain documentation of complete emergency contact information.
The record for child #7 did not contain documentation if there were persons authorized to pick up child.
Plan of Correction: All records will be reviewed to ensure compliance.