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Karter School of One Loudoun

Inspection · 2023-12-18

Date
2023-12-18
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted on 12/18/2023 from 9:25am to 12:50pm. At the time of entrance, 51 children were in care with 10 staff members present. Children were observed in circle time, washing hands, working on puzzles at the table, having morning snack and going on a walk in a buggie. The infants were observed being changed, washing hands, sitting in a bouncy seat and playing under an infant mobile. (5) staff and (5) children records, allergy action plans, the physical space, evacuation drills, medications and attendance records were reviewed. The site was clean and organized. Interactions between the children and staff were positive.

Areas of non-compliance are identified in the violation notice.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use staff names; list staff by positions only.

Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website.

Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations

9
Standard 8VAC20-780-140-A
Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of attendance.
Evidence:
1. Child #2 (start date 8/21/2023) did not have documentation of a physical prior to or within 30 days of attendance.
Plan of Correction: The parent of Child A was again
reminded to provide the
appropriate Health Form and was
given a time frame on when to
submit it, as it is urgent.
Standard 8VAC20-780-270-A
Repeat Violation
Based on observation, equipment of the center inside was not maintained in a safe and operable condition.
Evidence:
1. In the bowling room, a blue sofa had a rip approximately 2 inches long that was covered by tape.
Plan of Correction: A blue repair patch was
ordered after the last
inspection and was
applied to the rips on the
blue sofa.
Standard 8VAC20-780-40-M
Based on review, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan and kept confidential in each room or area where children are present.
Evidence:
1. In classroom 119A and in the back school age classroom, the allergy list did not have a cover sheet and the child's allergies and/or food preferences were visible.
2. Child K had an allergy action plan for a food allergy and was listed as only having a food preference.
Plan of Correction: A cover sheet was placed
on both allergy lists in room
119A and in Afterschool; all
other rooms were checked.
Allergy list was updated to
include Child K?s allergy
and food preference.
Standard 8VAC20-780-500-B
Based on observation, the center did not follow all diaper changing requirements.
Evidence:
1. In classroom 119A, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system.
Plan of Correction: A new step to open trash
can was immediately placed
in the bathroom of
classroom 119A after the
inspector left.
Standard 8VAC20-780-510-P
Repeat Violation
Based on review of medication, the center had medications that had not been returned to
the parent or disposed of after 14 days of an authorization expiring.
Evidence:
1. Child J had one emergency medication authorization that expired on 9/25/2023 and had not been returned to the parent of disposed of within 14 days.
Plan of Correction: Medication was sent home
with parent and was asked to
provide new medication as
soon as possible.
Standard 8VAC20-780-540-E
Based on observation and interview, the center did not have a working battery operated radio in the building.
Evidence:
1. The center had a radio, but did not have batteries to operate it.
Plan of Correction: The batteries were taken out by a
staff member and were not put
back. New batteries were
purchased along with new
portable battery operated radios
(3 of them).
Standard 8VAC20-780-60-A
Based on record review, children's records did not have complete information.
Evidence:
1. Child #3 and Child #4 did not list previous child care and schools attended by the child in their record.
2. Child F had an allergy action plan dated 8/18/2022 and did not have confirmation of up to date information in the child's file at least annually.
Plan of Correction: Child 3 & 4?s parents were
contacted to verify previous child
care information and it was added
to the appropriate place in their
record.
Child F?s parents were contacted
to provide the latest and most
updated allergy action plan as
soon as possible.
Standard 8VAC20-780-60-A-8
Based on review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. Child A (For another school) L, Child E (Not signed by a doctor), Child H (None available) did and Child I (None available) did not have an action plan at the center for the child's diagnosed food allergy.
Plan of Correction: Every parent was immediately
notified of the missing
documentation (FARE form)
and asked to submit it within a
timely manner to complete the
child?s allergy file.
Standard 8VAC20-780-70
Based on record review, staff records did not include all required information.
Evidence:
1. Staff #4 (Date of hire 12/04/2023) had two references dated 12/06/2023 and 12/11/2023.
Plan of Correction: Going forward, the date of a
staff member?s orientation is
the noted date of hire. Also,
references will be collected
prior to orientation date.
View original record on Virginia Department of Social Services