VIRGINIA DEPARTMENT OF SOCIAL SERVICES

KinderCare Learning Center - Pocoshock
2621 Pocoshock Boulevard
North chesterfield, VA 23235
(804) 276-6554

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: June 17, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

If a child is enrolled but is not attending regularly, the child?s file should remain in compliance with 8VAC20-780-60. Assure that food allergy and anaphylaxis emergency care plans are signed by parents and prescribing professional and maintained with the emergency medications.

Comments:

An unannounced inspection was conducted on 06/17/2024 from approximately 9:05 a.m. to 12:50 p.m. There were 64 children present and 12 staff supervising. The inspection focused on the review of areas of non-compliance that resulted in the issuance of a provisional license. The provider has requested early compliance. Child and staff records, emergency drills, medications, and physical plant were reviewed. There were repeated violations found during the inspection. Information gathered during the inspection determined non-compliance with applicable standards or law. Please sign and 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. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellingtonsconiers@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C11, enrolled 02/05/2024 documented immunizations on 06/03/2024.
Plan of Correction:	Children must have required paperwork before/at time of enrollment.
Standard #:	8VAC20-780-140-A
Description:	Based on child record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for C10, enrolled 04/01/2024, did not contain a physical examination. The record for C11, enrolled 02/05/2024, contained a physical examination dated 05/13/2024.
Plan of Correction:	Management will request copy of updated physical within first 30 days of enrollment.
Standard #:	8VAC20-780-160-A
Description:	Based on staff record review, the provider failed to ensure staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S7, employed 04/04/2024 did not document a tuberculosis (TB) screening within the required time frame. The screenings were completed 01/27/2024 and 06/08/2024.
Plan of Correction:	S7 had received current TB shot in January. Management will ensure that staff has updated TB prior to start date.
Standard #:	8VAC20-780-40-J
Description:	Repeat Violation Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Staff, S8, reported that the injury prevention plan has not been updated.
Plan of Correction:	Injury plan has since been discussed with staff as ways to prevent injuries from occurring. Injury prevention plan will be reviewed and documented monthly.
Standard #:	8VAC20-780-240-A
Description:	Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S6, employed 02/13/2024 contained a certificate of completion of the Virginia Preservice Training dated 06/08/2024.
Plan of Correction:	Employee has completed training.
Standard #:	8VAC20-780-270-A
Description:	Repeat Violation Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: Discovery Preschool room: diaper changing table cracked and splintered. Toddlers? room: wooden chair rail missing a section exposing raw wood. Preschool room: peeling paint on windowsill and stains on area rug. Infant room: siding outside the window shattered with sharp edges.
Plan of Correction:	Wooden chair was disposed of. Work orders were placed for peeling paint and siding outside infant room.
Standard #:	8VAC20-780-510-G
Description:	Repeat Violation Based on observation and interview, the center failed to assure that medication shall be labeled with the child?s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Licensing inspector observed a bottle of liquid children?s allergy medication in the center?s medication box that did not contain a child?s name. S8 was unable to confirm the identify of the child to whom the medication was prescribed.
Plan of Correction:	Medication belonged to a disenrolled child. Medication was disposed of. Medication will be labeled properly to ensure name of child, medication, dosage, and time(s) to be given.
Standard #:	8VAC20-780-550-G
Description:	Repeat Violation Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated February, March, April, and May 2024 did not document: the method used for notification of the drill; the number of staff participating; and special conditions simulated; problems encountered, if any; and weather conditions for emergency evacuation drills.
Plan of Correction:	Forms were printed and were put into place 06/17/2024. Documents are being utilized.
Standard #:	8VAC20-780-550-P
Description:	Repeat Violation Based on review of the center?s written record of children serious or minor injuries the center failed to document the date and time when parents were notified of the injuries. Evidence: The written record for serious or minor injuries for C6 dated 03/18/2024, did not document the time when the parent was notified of the injuries and how the parent was notified of the injury. The written record for serious or minor injuries for C7 dated 05/13/2024 did not document the time when the parent was notified of the injuries, how the parent was notified of the injury, and the staff and parent signatures. The written record for serious or minor injuries for C12 dated 03/01/2024, 03/13/2024, and 03/15/2024, did not document the time when the parent was notified of the injuries and how the parent was notified of the injury.
Plan of Correction:	Staff has been retrained on how to fill out incident to address all required information on the form. Management will assist if needed to ensure that parents pick-up section is documented.