VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Karter School of One Loudoun
44799 Saranac Street
Ashburn, VA 20147
(703) 955-5337

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: May 16, 2024

Complaint Related: 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 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed the classroom trash cans for diapers and accessibility.

Comments:

An unannounced monitoring inspection was conducted on 5/16/2024 from 8:35am to 3:30pm. At the time of entrance, 75 children were in care with 20 staff members present. Children were observed during coloring, listening to the teacher read a book, playing in Montessori and lesson, working on worksheets, playing with play dough, scissors and glue work, circle time, playing outside and playing in centers. The infants were eating a snack, playing on the floor, being fed a bottle, being held, listening to the teacher sing a song and listening to music in the infant classroom. (10) staff records, and (5) children?s records, the physical space, evacuation drills, medication, the injury prevention plan and attendance records were reviewed. Interactions between the children and staff were positive. Areas of non-compliance are identified in the violation notice. Repeat violations were found and are identified within this report. 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:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff records, the center did not obtain the central registry findings within 30 days of employment for one staff member. Evidence: 1. Staff #5 (Date of hire 1/02/2024) did not have the central registry findings in their file . 2. Staff #7 (Date of hire 3/07/2024) did not have the central registry findings in their file . 3.Staff #8 (Date of hire 3/04/2024) had a central registry finding dated 5/05/2024 and was received after more than 30 days of hire.
Plan of Correction:	Administration will ensure that all central registry forms are submitted prior to hire date. If results are not received after 10 days, administration will consistently follow up to check on status. Central registry findings for Staff #5 and Staff #7 were found the day after the unannounced inspection and added into the staff's file.
Standard #:	8VAC20-780-140-A
Description:	Repeat Violation 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 #5 (start date 7/17/2023) did not have documentation of a physical prior to or within 30 days of attendance.
Plan of Correction:	Child #5's family was contacted immediately after inspection. They provided the necessary physical and it was added to the child's file. All new enrollments going forward will be asked to submit the child's physical on the first day. If not received, start date is subject to be pushed back, no exceptions.
Standard #:	8VAC20-780-160-A
Description:	Based on review of staff records, the center did not obtain the documentation of a negative tuberculosis screening prior to hiring and within 30 days of employment. Evidence: 1. Staff #4 (Date of hire 5/06/2024) had a tuberculosis screening or test dated 5/13/2024 and was received after the hire date..
Plan of Correction:	Administration will ensure that a TB test is submitted as a part of the onboarding process, prior to the hire date. If a TB test is not within 30 days of the staff's hire date, they will be asked to get a new test prior to their first day of employment.
Standard #:	8VAC20-780-60-A-8
Description:	Repeat Violation 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. Four children were listed on the allergy list that had diagnosed food allergies without a written care plan for each child at the center.
Plan of Correction:	Administration immediately sent out a reminder to all center families regarding the requirement of a written care plan, FARE form, for any child that had a listed allergy. For those families who were missing this form, they were contacted directly and were asked to submit a form within the next 10 school days so that it would not impact their current enrollment.
Standard #:	8VAC20-780-70
Description:	Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 (Date of hire 4/29/2024) did not have two references in their file. 2. Staff #7 (Date of hire 3/07/2024) had only one references and needed one more for their file. 3. Staff #9 (Date of hire 4/22/2024) did not have two references in their file.
Plan of Correction:	Administration will ensure that two references are given prior to the hire date. If two references are not received, start date is subject to be pushed back, no exceptions.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation, the center failed to cover all unused electrical outlets accessible to children under five years of age with child resistant protective covers. Evidence: 1. In Room 120 A, the outlet cover was not slid over to protect the unused electrical outlet from children. The staff member stated the outlet cover does not work.
Plan of Correction:	Immediately upon inspection, an outlet cover was placed to provide proper coverage. Staff was reminded to let Administration know if items are not in proper operation so that it could be immediately fixed.
Standard #:	8VAC20-780-500-B
Description:	Repeat Violation Based on observation, the center did not follow all diaper changing requirements. Evidence: 1. In classroom 120A, 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. 2. In classroom 112A Bathroom, 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:	New trashcans that are foot operated were ordered for all classrooms that require any type of diapering. They were delivered and placed into each classroom, including 120A and 112A, on 5/21/24.