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KinderCare Learning Centers - Skipwith

Inspection · 2023-02-21

Date
2023-02-21
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

A renewal inspection was conducted on 2/21/2023 with two licensing inspectors being on site from approximately 9:30 am to 3:26 pm. The center director and center staff were available throughout the inspection to answer any questions. There were 103 children present, ranging in ages from 2 months to 4 years, with 16 staff supervising. The inspectors reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The center is equipped with toys, supplies and items were available to children. Medication is administered when required and medication and medication authorizations were reviewed.

During the inspection, the children and staff were observed participating in a variety of activities to include outdoor play. Interviews were conducted with staff and areas of the facility were inspected to include all classrooms, bathrooms and the playground areas.

A total of 10 child records and10 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.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names, list staff by positions only.

If you have any questions about this inspection, please contact the Licensing Inspector at 804-929-3771.

Violations

12
Standard 8VAC20-770-60-C-2
Based on review of staff records and interviews, the center did not ensure that staff had central registry findings within 30 days of employment.
Evidence:
1. Staff #1 (employment date: 2/7/22) record documents central registry findings dated 3/10/22, which is beyond 30 days of employment.
2. Staff #4 (employment date: 1/18/23) record did not document results of a central registry findings.
3. Staff # 3 (employment date: 11/22/22) record documents central registry findings dated 2/6/23, which is beyond 30 days of employment.
4. Staff #9 (employment date: 11/8/22) record documents central registry findings dated 2/6/23, which is beyond 30 days of employment.
5. Additional information was not provided regarding the central registry findings being out of compliance for the staff.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
immunizations required by the State Board of Health before the child attended the center.

Evidence:
The records for Child #5, Child #6 and child #7 did not document immunizations required by the State Board of Health
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Based on record review and interviews, the center did not ensure each child had a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

Evidence:
1. The record of Child #1 (date of enrollment: 2/22/22) contained documentation of a physical examination dated 6/22/22, which is beyond 30 days of the first day of attendance.
2. The record of Child # 6 (date of enrollment: 9/4/22) did not contain documentation of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review and interviews, the center did not ensure each staff member submitted a negative tuberculosis screening.

Evidence:
1. The record of staff #2 (employment date: 10/26/22) did not contain documentation of a tuberculosis screening.
2. The record of staff #4 (employment date: 1/18/23) did not contain documentation of a tuberculosis screening.
3. The record of staff #5 (employment date: 11/20/19) did not contain documentation of a tuberculosis screening.
4. The record of staff #7 (employment date: 1/9/23) did not contain documentation of a tuberculosis screening.
5. The record of staff #10 (employment date: 11/15/21) did not contain documentation of a tuberculosis screening.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on review of staff records and interviews, the center did not ensure staff completed, The Virginia Department of Education- sponsored orientation course within 90 calendar days of employment.

Evidence:
1. Staff #1 (employment date: 2/7/22) record did not document completion of The Virginia Department of Education-sponsored orientation.
2. Staff #2 (employment date: 2/7/22) record did not document completion of The Virginia Department of Education-sponsored orientation.
3. Staff #3 (employment date: 11/22/22) record did not document completion of The Virginia Department of Education-sponsored orientation.
4. Staff #7 (employment date: 1/9/23) record did not document completion of The Virginia Department of Education-sponsored orientation.
5. Staff #10 (employment date: 11/15/21) record did not document completion of The Virginia Department of Education-sponsored orientation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Based on record review and interviews, the center did not ensure staff completed orientation training no later than seven days from the date of assuming job responsibilities.

Evidence:
1. The record of staff #2 (employment date: 10/26/22) did not contain documentation of completed orientation training as required by the Standards.

2. The record of staff #4 (employment date: 1/18/23) record did not contain documentation of completed orientation training as required by the Standards.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence:
1. The Preschool / Pre-K playground had a yellow slide with exposed sharp plastic on the edge of the slide shoot.
2. The entrance to the slide had a piece of cardboard taped to the slide to prevent children from entering the slide. However, the piece of cardboard was lifted which could possibly allow entrance.
3. There were two broken ball carts that had several rusted areas, peeling and chipped paint within the reach of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation and interview, the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There were 3 bottles containing cleaning solution stored in an unlocked cabinet in toddler room B where children were in care.
2. During an interview, Staff #5 observed and acknowledged the cleaning solutions were not properly stored and locked in toddler room B.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Based on observations, the center did not ensure that playground equipment had resilient surfacing that complies with the minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials.

Evidence:
1. The slides located on the center?s preschool playground did not have enough resilient surfacing throughout the fall zones. Fall zones are defined as the areas underneath and surrounding equipment that requires a resilient surface.
2. The center had approximately 0 to 6 inches of wooden mulch, decomposed mulch and dirt throughout the fall zones on the preschool ground.

3. The equipment required a minimum of 6 inches of resilient material underneath and around the slides and in the fall zones.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-C
Based on observation, interviews and record review, the center did not ensure that used diaper creams had written parent authorizations and labeled with child?s name.

Evidence:
1. There were 2 diaper creams that had expired parent authorizations. The infants' records did not contain current written parent authorizations.
2. There were 3 diaper creams that had no parent authorizations. The infants' records did not contain written parent authorizations.
3. There was 1 diaper cream that was not labeled with a child?s name on it.
4. During observations and interviews, Staff #5 and Staff #11 acknowledged the diaper creams and authorizations were out of compliance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-E
Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child's name.

Evidence:
The refrigerators in the infant rooms contained a total of 11 infant bottles with no dates and 3 bottles with no name.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review and interviews, the center did not ensure the record for each child enrolled contained all the required information.

Evidence:
1. The record for child #5 (date of enrollment:1/23/23), Child #6 (Date of enrollment:9/4/22) did not document signed written agreements between the parents and the center as required by 8VAC20-780-90.
2. The records for Child #5, Child #6 and Child #7(date of enrollment: 2/18/22) did not include documentation of viewing proof of identity and age.
3. The record for Child #4 (date of enrollment: 2/21/23) and Child #9 (date of enrollment: 11/22/22) did not document 1 of the 2 required names of designated people to call in an emergency, if a parent cannot be reached.
4. The record for Child #10 (date of enrollment: 11/2/21) did not document child updates and confirmation of up-to-date information as required by 8VAC20-780-420 E.3.
5. The record for Child #6 and Child #7 did not have documentation of a written allergy care plan. Both Child #6 and Child #7 had documented diagnosed food allergies.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services