Inspection · 2022-09-07
Date
2022-09-07
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
(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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 9/07/2022 from 10:08am to 12:40pm. At the time of entrance, 52 children were in care with 12 staff members present. Children were observed doing the following: reading books with the teacher, making hair with pipe cleaners, playing with table toys, and measuring the children?s height in circle time. The infants were being fed bottles, being held, playing on the floor, listening to the teacher read a story and sleeping in cribs. Interactions between the children and staff were positive. A selection of staff and children records, the physical space, medications, allergy action plans, evacuation drills and attendance records were reviewed. The outside playground was not inspected due to the weather. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.
Violations
14Standard 22.1-289.035-B-2
Based on review of five staff records, the center did not have the fingerprint results in the staff file for one staff member.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have the fingerprint results at the center during the inspection.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have the fingerprint results at the center during the inspection.
Plan of Correction: 1.Staff #1 was a transfer employee fromanother KinderCare, however, that location
falls under a different LLC. Staff #1 wasfingerprinted under new entity on 9/12/22.
Please allow 30 days for results.
falls under a different LLC. Staff #1 wasfingerprinted under new entity on 9/12/22.
Please allow 30 days for results.
Standard 8VAC20-770-60-B
Based on review of five staff records, the center did not have a completed sworn statement or affirmation from one staff member.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have a completed sworn statement or affirmation at the center during the inspection.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have a completed sworn statement or affirmation at the center during the inspection.
Plan of Correction: 1. Staff #1 was a transfer from another KinderCare, however, that location falls
under a different LLC. New hire paperwork was initiated on 9/7/22 for the new entitiy.
2. Sworn Statement will commence on Staff #1 New Start Date. Please allow 30
days for results.
under a different LLC. New hire paperwork was initiated on 9/7/22 for the new entitiy.
2. Sworn Statement will commence on Staff #1 New Start Date. Please allow 30
days for results.
Standard 8VAC20-770-60-C-2
Based on review of five staff records, the center did not have a central registry finding within 30 days of employment.
Evidence:
1. Staff #2 (start date 7/27/2022) had record that the central registry was sent on 7/26/2022, but did not have the results.
Evidence:
1. Staff #2 (start date 7/27/2022) had record that the central registry was sent on 7/26/2022, but did not have the results.
Plan of Correction: 1. Staff #2 Central Registry was completed on 8/302022. We will follow guidelines for State Requirements of a 30 day result timeline.
Standard 8VAC20-780-130-E
Based on review of children's records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years old.
Evidence:
1. Child #1 was under the age of 2 years old and had the center had an immunization record dated 12/17/2021.
2. Child #3 was under the age of 2 years old and had the center had an immunization record dated 12/01/2021.
Evidence:
1. Child #1 was under the age of 2 years old and had the center had an immunization record dated 12/17/2021.
2. Child #3 was under the age of 2 years old and had the center had an immunization record dated 12/01/2021.
Plan of Correction: 1. Parents were notified and are required to bring updated School Entrance Health Forms.
Standard 8VAC20-780-160-A
Based on review of five staff records, the center did not have documentation of a negative tuberculosis screening for each staff member.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have a tuberculosis screening at the center during the inspection.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have a tuberculosis screening at the center during the inspection.
Plan of Correction: 1. Staff #1 was a transfer employee fromanother KinderCare, however, that location falls under a different LLC. New Hire paper- work was initiated on 9/7/2022 for the new entity. TB test was completed on 9/9/2022.
Standard 8VAC20-780-270-A
Based on observation, equipment of the center, inside were not maintained in a safe and operable condition.
Evidence:
1. In the Discovery Preschool 1 classroom, a purple soft step had cracks in the material and was coming off on the edge.
2. In the Infant C classroom, 2 orange soft steps had missing fabric and the red triangle was coming unsewn and approximately half of the triangle was not attached to the stairs.
Evidence:
1. In the Discovery Preschool 1 classroom, a purple soft step had cracks in the material and was coming off on the edge.
2. In the Infant C classroom, 2 orange soft steps had missing fabric and the red triangle was coming unsewn and approximately half of the triangle was not attached to the stairs.
Plan of Correction: 1. Item was removed fromclassroom.
2. Item was removed from classroom.
2. Item was removed from classroom.
Standard 8VAC20-780-280-B
Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevent access by children.
Evidence:
1. In the Discovery Preschool I classroom, 2 glade spray bottles and 4 disinfectant surface cleaners were under a sink in a sliding cabinet that was open approximately 1 inch on each side and was not locked. One bottle of cleaner was under the changing table and not locked. The slide opened when pulled.
2. In the Discovery Preschool 2 classroom, A restroom cleaner was under the diaper changing table. The sliding cabinet was not locked.
3. In the Discovery Preschool B classroom, 2 cleaning spray bottles were in an unlocked cabinet.
Evidence:
1. In the Discovery Preschool I classroom, 2 glade spray bottles and 4 disinfectant surface cleaners were under a sink in a sliding cabinet that was open approximately 1 inch on each side and was not locked. One bottle of cleaner was under the changing table and not locked. The slide opened when pulled.
2. In the Discovery Preschool 2 classroom, A restroom cleaner was under the diaper changing table. The sliding cabinet was not locked.
3. In the Discovery Preschool B classroom, 2 cleaning spray bottles were in an unlocked cabinet.
Plan of Correction: 1. Hazardous Substances were moved immediately to a safe place with locks.
2. Work Orders were generated on 9/7/22 to repair/replace locks.
2. Work Orders were generated on 9/7/22 to repair/replace locks.
Standard 8VAC20-780-350-B-2
Based on observation and review of the written attendance record, the center did not maintain the required supervision ratio of staff to children in the Discovery Preschool "C" classroom.
Evidence:
1. On 9/06/2022, the Discovery Preschool "C" classroom (This is a 2 year old classroom with one Toddler- Child A - DOB 11/01/2020) had 6 children with 1 teacher from approximately 8:40am to approximately 8:52amand then 7 children with 1 teacher from approximately 8:52am to approximately 4:16pm when the youngest child (Child A) left.
2. On 9/07/2022, the Discovery Preschool "C" classroom had 6 children with 1 teacher from approximately 8:56am to approximately 10:28am when 1 child was moved to the Two's A class.
Evidence:
1. On 9/06/2022, the Discovery Preschool "C" classroom (This is a 2 year old classroom with one Toddler- Child A - DOB 11/01/2020) had 6 children with 1 teacher from approximately 8:40am to approximately 8:52amand then 7 children with 1 teacher from approximately 8:52am to approximately 4:16pm when the youngest child (Child A) left.
2. On 9/07/2022, the Discovery Preschool "C" classroom had 6 children with 1 teacher from approximately 8:56am to approximately 10:28am when 1 child was moved to the Two's A class.
Plan of Correction: 1. Child was a new student and upon informal assesment during the orientation process, the decision was made with parent consent to place child in our Discovery Preschool classroom at 22 months old. The child was immediately moved during licensing inspection to ensure proper ratios were met per licensing
inspector.Parent has since agreed for him to join our Toddler classroom until his 2nd birthday
inspector.Parent has since agreed for him to join our Toddler classroom until his 2nd birthday
Standard 8VAC20-780-50-A
Based on observation, staff records were not treated confidentially.
Evidence:
1. The supplemental page from 1/14/2021 inspection was posted for the public to view. This page is considered confidential.
Evidence:
1. The supplemental page from 1/14/2021 inspection was posted for the public to view. This page is considered confidential.
Plan of Correction: 1. Supplemental Page was removed to a confidential location.
Standard 8VAC20-780-510-G
Based on review of medication, child #1 had a prescription medication, but it was not labeled with the child's name, name of the medication, the dosage amount and the time or times to be given.
Evidence:
1. Child #1 had a medication without the prescription label or prescription box.
Evidence:
1. Child #1 had a medication without the prescription label or prescription box.
Plan of Correction: 1.Medication was removed immediately and new forms with instructions were
provided with original packaging and with affixed perscription labels, were sent home for family to complete.
provided with original packaging and with affixed perscription labels, were sent home for family to complete.
Standard 8VAC20-780-510-H
Based on medication review, nonprescription medication was not in the original container with the direction label attached.
Evidence:
1. Child #1 had a nonprescription medication that was not in the original container with the direction label attached. The child's name was not on the box.
Evidence:
1. Child #1 had a nonprescription medication that was not in the original container with the direction label attached. The child's name was not on the box.
Plan of Correction: 1. Parents were notified and required to provide new medication in original package.
2.Label with child's name was made.
2.Label with child's name was made.
Standard 8VAC20-780-510-P
Based on medication review, when an authorization for medication expires and the parent does not pick up the medication within 14 days or renew the authorization. the center did not disposed of the medication.
Evidence:
1. Child #2 had a medication at the center. The authorization was signed by the parent on 8/01/2022 and did not have a doctor's signature. The form had expired and the medication was not returned or authorization was not updated within 14 days.
Evidence:
1. Child #2 had a medication at the center. The authorization was signed by the parent on 8/01/2022 and did not have a doctor's signature. The form had expired and the medication was not returned or authorization was not updated within 14 days.
Plan of Correction: 1. Medication was immediately disposed.
Standard 8VAC20-780-520-C
Based on observation, when using diaper ointments and creams, all requirements were not met.
Evidence:
1. In the Discovery Preschool 2 classroom, 5 diaper creams were under the changing table and were accessible to children. The sliding cabinet was not locked.
Evidence:
1. In the Discovery Preschool 2 classroom, 5 diaper creams were under the changing table and were accessible to children. The sliding cabinet was not locked.
Plan of Correction: 1. Topical Ointments were moved out of reach of children immediately and moved
permanently to a secured area.
permanently to a secured area.
Standard 8VAC20-780-70
Based on interview, the center did not have a staff record kept for each staff person.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have a staff record. Staff A stated she transferred from another center and had not received the file yet.
Evidence:
1. Staff #1 (start date 9/01/2022) did not have a staff record. Staff A stated she transferred from another center and had not received the file yet.
Plan of Correction: 1. Staff #1 was a transfer employee fromanother KinderCare, however, that location falls under a different LLC. New Hire paperwork was initiated on 9/7/2022, so employee will have all new paperwork under new entitiy. Please allow 30 days for results.