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KinderCare Learning Center - Chester

Inspection · 2022-02-16

Date
2022-02-16
Complaint Related
No
Licensing Inspector
Tara Barton
(804) 381-8487
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 (22VAC40-191)

Inspector Notes

This inspection was conducted by licensing staff using an alternate hybrid protocol.

A renewal inspection was initiated and concluded on February 16, 2022. The licensing inspector was onsite from approximately 10:45am until 1:45pm. The director assisted the inspector during the inspection. There were 36 present ranging in ages from six months to five years, with seven staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of three child records and three 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.

Violations

6
Standard 8VAC20-780-160-C
Based on review of three staff records, the center did not ensure one staff member updated submitted results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening.

Evidence:
The record for Staff #3 (08/17/2015) contained documentation of a tuberculosis screening dated 04/05/2018. Staff #3 confirmed the documentation of the tuberculosis screening dated 04/15/2018 is the most current tuberculosis screening.
Plan of Correction: An updated tuberculosis screening will be completed this week.
Standard 8VAC20-780-240-A
Based on review of three staff records, the center did not ensure two staff members completed the Virginia Department of Education-sponsored orientation course with 90 calendar day of beginning employment.

Evidence:
The records for Staff #1 and Staff #2 indicated staff were hired on 10/18/2021. The record did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. Staff #3 stated Staff #1 and Staff #2 had not completed the course as of February 16, 2022.
Plan of Correction: I will have Staff #1 and Staff #2 complete the required training.
Standard 8VAC20-780-270-A
Based on observation, the center did not ensure all areas and equipment were maintained in a clean, safe and operable condition.
Evidence:
1. Three tricycles on the playground were missing pedals, leaving a metal spoke protruding approximately three inches which could entangle clothing or snag skin.
2. The playground fence on the right side of the building was missing the top rail. The chain link fence was bent forward creating components that could entangle clothing and snag skin.

2. The playground fence on the right side of the building was missing the top rail. The chain link fence was bent forward creating components that could entangle clothing and snag skin.
Plan of Correction: I will submit a work order requesting to these items repaired or replaced.
Standard 8VAC20-780-280-B
Based on observation and interview, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children.

Evidence:
The door to the room across the main office was propped open. Multiple cleaning containers was sitting on a shelf in the room. The cleaning products were not locked. Staff #3 confirmed this during the inspection.
Plan of Correction: We will move the cleaning chemicals to a locked cabinet.
Standard 8VAC20-780-510-G
Based on review of one medication, medication authorization and interview, the center did not ensure one medication was labeled with the child's name, the name of medication, the dosage amount and the time or times to be given.

Evidence:
The prescription medication was present at the center for one child attending the center. The prescription medication was observed in a clear zip lock bag and did not have pharmacy label attached. The director confirmed the pharmacy label was not present at the center.
Plan of Correction: I will send the medication home with the parents and ask they return the medication with a pharmacy label attached.
Standard 8VAC20-780-60-A-8
Based on record review and interview, the center did not obtain a written allergy action care plan for two children with a diagnosed food allergy.

Evidence:
The records for Child #1 and Child #3 indicated each child had been diagnosed food allergy. The records did not contain a written care plan for each diagnosed food allergy, including 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. Staff #3 confirmed this information during the inspection.
Plan of Correction: We will give the families the allergy action plan to have the doctors to complete and add to the record.
View original record on Virginia Department of Social Services