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Karter School of Cascades

Inspection · 2022-10-26

Date
2022-10-26
Complaint Related
No
Licensing Inspector
Miranda Wright
(571) 596-3661
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 Staffing and Supervision.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations.

Inspector Notes

An unannounced self-reported investigation was initiated on October 21, 2022, due to concerns of forbidden actions. This visit was conducted jointly with a local agency on October 26, 2022, in the morning between 10:30 am and 11:30 am. The investigation included interviews with center management, a review of children's records, staff records, and video footage. Based on the preponderance of evidence gathered, violations were cited. Additional violations were cited that were found during the course of the investigation and were not part of the original report. For violation details, please refer to the Violation Notice. If you have any questions, please e-mail me at kristy.atanackovic@doe.virginia.gov.

Violations

5
Standard 8VAC20-780-40-E
Based on video observation and a review of the center?s written policies, it was determined the center failed to comply with its own policies and procedures as it relates to behavior guidance.

Evidence:

1. On October 21, 2022, Staff #1 is seen on video pushing Child #1 (4-year-old), which causes the child to fall and hit the back of their head on a wooden chair after the child is seen pushing into them.

2. Staff #1 failed to adhere to the center?s written policy for the discipline of children, which states: ?Our number one tool for inappropriate behavior is redirection. Redirection requires the team member to guide the child to the appropriate behavior.?
Plan of Correction: The teacher was immediately terminated on 10/21, prior to notifying licensing, CPS, and the police.

All Karter Staff were retrained.
Standard 8VAC20-780-40-K
Based on staff interviews, the center failed to develop written procedures for the prevention of shaken baby syndrome or abusive head trauma.

Evidence:

1. There was no documentation of written procedures for the prevention of shaken baby syndrome and abusive head trauma.

2. Staff #2 confirmed the center did not have written procedures for the prevention of shaken baby syndrome and abusive head trauma.
Plan of Correction: Both policies were written. These policies were reviewed and signed by all Karter Staff. Additional training was also provided.
Standard 8VAC20-780-400-B
Based on video observation, the center failed to use behavioral guidance that was age and stage-appropriate, and constructive in nature.

Evidence:

1. On October 21, 2022, Child #1 (4-year-old) is seen running towards Staff #1 and pushing into them. Staff #1 pushed Child #1, which resulted in Child #1 falling and hitting their head on a wooden chair. Staff #1 stated "Don?t push me, that?s what you get,? walked away, and did not render aid to Child #1.

2. Staff #1?s method of behavior guidance with Child#1 was not age and stage-appropriate, and constructive in nature.
Plan of Correction: The teacher was immediately terminated on 10/21, prior to notifying licensing, CPS, and the police.

All Karter Staff were retrained.
Standard 8VAC20-780-410-1
Based on video observation, the center failed to maintain compliance relating to forbidden actions involving physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercising as punishment.

Evidence: On October 21, 2022, Staff #1 is seen on video pushing Child #1 (4-year-old), which causes the child to fall and hit the back of their head on a wooden chair. After pushing Child #1, Staff #1 is heard on video saying, ?Don?t push me, that's what you get." Staff #1 walked away and rendered no aid to the child.
Plan of Correction: The teacher was immediately terminated on 10/21, prior to notifying licensing, CPS, and the police.

All Karter Staff were retrained.
Standard 8VAC20-780-550-P
Based on record review, the center failed to maintain compliance relating to injury reporting.

Evidence:

1. The injury report stated that Child # 1 hit their head on a wooden chair; however, the report provided no documentation as to how or why Child #1 hit their head.

2. The injury report stated the parent of child #1 was notified at 1:00 pm. However, according to documents provided during the investigation, the parent was called at 1:20 pm.
Plan of Correction: All Karter Staff were retrained on incident reporting.
View original record on Virginia Department of Social Services