Kid’s World Learning Center - Ironbridge

***Repeat Violation*** Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #5 was not signed and dated.”

Rule 8VAC20-780-150-B.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been signed by a physician, physician’s designee, or an official of the local health department.

“Staff #5 did not have the TB screening documentation signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

***Repeat Violation*** A tuberculosis (TB) screening is required every two years from the last screening.

“Board Member #1’s updated screening was 88 days late.”

Rule 8VAC20-780-160-C.

The food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“In the infant room, two bottles were observed without a date or label that identifies the owner.”

Rule 8VAC20-780-560-G.

When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.

“In the infant room, one child was observed in a highchair without the protective belt fastened.”

Rule 8VAC20-780-570-A.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“In the school age room, a record of daily attendance was not completed for each child in attendance.”

Rule 8VAC20-780-80-A.

***Repeat Violation*** The center is required to have employees undergo a background check every five years.

“1. Staff #1?s repeat Sworn Statement was completed over 1 year and 7 months late. 2. Staff #1?s repeat National Fingerprint check was completed over 1 year and 6 months late. 3. Staff #1?s repeat Central Registry was completed over 1 year and 6 months later.”

Rule 22.1-289.035-A. From a complaint.

***Repeat Violation*** A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2?s repeat TB screening was completed over two months late.”

Rule 8VAC20-780-160-C. From a complaint.

A staff record shall be kept for each staff person that contains documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“Staff #1, staff #2, and staff #3, all identified as assistants, did not have documentation of education and experience required for the job position on file.”

Rule 8VAC20-770-70-A.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The record of child #2 and child #3, under the age of two years, did not have an updated immunization record in file. An updated immunization record was due for child #2 seven months ago and child #3 five months ago.”

Rule 8VAC20-780-130-E.

Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine.

“An infant room staff member changed a child’s diaper and did not wash the child’s hands with soap and water.”

Rule 8VAC20-780-500-A.

Diapering area surface shall be cleaned with soap and at least room temperature water and sanitized after each use and disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“1. In room #2, a staff member did not clean or sanitize the diaper changing surface. 2. In room #2, a staff member did not use a foot-operated trash can and had to use their hands to touch the exterior surface of the trash can to dispose of diapers.”

Rule 8VAC20-780-500-B.

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.

“There was no allergy care plan on file for child A’s peanut allergy. This was overdue by 2 months.”

Rule 8VAC20-780-60-A-8.

Each restroom area provided for children shall: Be equipped disposable towels or an air dryer within reach of children.

“In bathroom #1, bathroom #2, bathroom #3 did not have disposable towels or an air dryer.”

Rule 8VAC20-780-320-B. From a complaint.

The center is required to have employees undergo a background check every five years.

“The most recent national criminal background check for staff #8 was overdue by 82 days.”

Rule 22.1-289.035-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“On the infant and toddler playground, one fence board was broken surrounding the heating and cooling system.”

Rule 8VAC20-780-270-A.

Staff shall complete the departments health and safety update course annually.

“The record for staff #1 did not have documentation of completing the annual health and safety update course for 2024.”

Rule 8VAC20-790-600-F.

** REPEAT VIOLATION** Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“The record for child #5, who has been enrolled for 45 days, did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

The center is required to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Each report shall be signed by a physician, his designee, or an official of a local health department.

“The record for child #3 did not have an immunization report signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

A tuberculosis (TB) screening is required every two years from the last screening.

“1. The record for staff #1 had documentation of an updated TB screening completed 85 days after the required due date. 2. The record for staff #3 had documentation of an updated TB screening completed 175 days after the required due date. 3. The record for staff #5 had documentation of an updated TB screening completed 178 days after the required due date.”

Rule 8VAC20-780-160-C.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The allergy list posted was dated June 6, 2024. The list included children who no longer attended the center.”

Rule 8VAC20-780-40-M.

The center is required to have an emergency preparedness plan that contains all components.

Rule 8VAC20-780-550-B.

The center is required to meet vehicle safety standards set by the Department of Motor Vehicles to assure the safety of children.

“1. Vehicle #1 had a Virginia registration that was overdue by 127 days. The administrator was unable to locate the updated registration for vehicle #1, at the time of inspection. 2. Vehicle #2 had a Virginia safety inspection sticker that was overdue by 127 days. The administrator acknowledged that the inspection sticker was overdue.”

Rule 8VAC20-780-580-B.

Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment.

“Evidence: 1. The records for staff #2 (employed: 3/25/24) and staff #4 (employed: 3/25/24) did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry finding were not obtained.”

Rule 8VAC20-770-60-C-2.

Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for child #2 (enrolled: 2/16/24) did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #1 (enrolled 4/15/24) and child #2 (enrolled: 2/16/24) did not have documentation of physical examination with in 30 days after the first day of attendance.”

Rule 8VAC20-780-140-A.

Based on observation, the facility failed to prevent enclosure in a confined space that a child cannot freely exit himself.

Rule 8VAC20-780-410-2.

Based on observation and interview, the cribs in room #1 were not identified for use by a specific child.

“Evidence: The cribs in the infant room are not labeled for specific children. Staff #6 stated that the cribs did not have labels that identify a specific child.”

Rule 8VAC20-780-440-B.

Based on observation, the center did not ensure that staff and children washed their hands as required.

“Evidence: In room #1, staff #2 was observed changing a child’s diaper. Once completed, staff #2 did not wash her hands or the hands of the child.”

Rule 8VAC20-780-500-A.

Based on observation, the center did not ensure that the surface of high chair trays were sanitized using a spray disinfectant solution before and after each use for feeding.

“Evidence: In room #1, three high chair trays were covered in crumbs. No children were observed eating at the time. Staff #2 and staff #6 did not sanitize the high chair tray after used for feeding.”

Rule 8VAC20-780-560-J.

Based on observations, the center did not ensure that no child shall eat or drink while walking around.

“Evidence: In room #1, one child was observed drinking a bottle and walking around the room.”

Rule 8VAC20-780-560-M.

Based on observation and interview, the center did not ensure that when a child is placed in an infant seat, the protective belt shall be fastened securely.

“Evidence: In room #1 at approximately 9:45am child D was sitting in a bouncy seat. Child D pulled themselves forward in the chair. Child D did not have the protective belt fastened. Child D fell forward, and the bouncy seat fell on top child D.”

Rule 8VAC20-780-570-A.

Based on record review, the center did not ensure that each staff record contains all required information.

“Evidence: The record for staff #4 (employed: 3/25/24) did not contain documentation of two or more references before employment.”

Rule 8VAC20-780-70.

Based on interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts.

“Evidence: Staff #1 stated that she tells toddlers please don’t hit or you will sit in time out.?”

Rule 8VAC20-780-400-B. From a complaint.

Based on staff interviews, the licensee did not ensure that when time out is used as a behavior guidance technique that it shall not be used with infants or toddlers.

“Evidence: During an interview on December 21, 2023, staff #1 reported using time out as a behavior guidance technique when a toddler bites or hits.””

Rule 8VAC20-780-400-C. From a complaint.

Based on interview, the center failed to ensure that roughly handling a child was forbidden.

“Evidence: During interview, on December 21, 2023, staff #1 stated that she has grabbed the face of a toddler to get them to stop biting.”

Rule 8VAC20-780-410-1. From a complaint.

Based on record review, the center did not ensure that all staff complete the annual health and safety update course.

“Evidence: The record for staff #3 (last health and safety training: 08/13/2021), did not have the updated annua health and safety training.”

Rule 8VAC20-790-600-F.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The record for child #5 (enrolled 03/06/23) did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: In the bathroom of room #2, one area of the wall had peeling paint exposing drywall. In room #3, the cabinet door was off of one hinge and not secure.”

Rule 8VAC20-780-270-A.

Based on record review, the licensee did not ensure that there was a minimum of two shelter-in-place drills practiced, yearly.

“Evidence: The facility did not have documentation of two shelter-in-place drills for the 2022 year.”

Rule 8VAC20-780-550-E.

Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

“Evidence: The facility did not have documentation of a lockdown drill for the 2022 year.”

Rule 8VAC20-780-550-F.

Based on a review of the facility’s injury reports, all required information was not documented.

“Evidence: A sample of a child injury reports from the months of February, March, and April were reviewed. Nine reports did not include; date and time parents were notified, and six reports did not have staff and parent signatures or two staff signatures and three reports did not have documentation of how parent was notified.”

Rule 8VAC20-780-550-P.

Based on record review and interview, the center did not have documentation of an updated central registry findings for one staff member.

“Evidence: The record for staff #1 (date of last CR 3/02/17) did not have documentation of a completed updated Central Registry.(CR). 2. A member of management stated that the CR had been sent for the update.”

Rule 22.1-289.035-A.

Based on observation, the center failed to obtain the required ratio in one classroom.

“Evidence: 1. In classroom #2, 10 children under 16 months of age were observed with two teachers. The ratio for birth to 16 months is one staff or every four children. 2. Administrative staff confirmed that classroom #2 was not in ratio.”

Rule 8VAC20-780-350-B-1.

Based on record review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

“Evidence: Staff #1 stated that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

Rule 8VAC20-780-40-K.

Based on review of staff records, the facility did not ensure staff completed the Annual Virginia Health and Safety Updated training for child care staff required annually of subsidy vendors their staff.

“Evidence: 1. The record for staff #2, staff #3, staff #4, and staff #6 did not have documentation of the required training. 2. Administration stated the training has not been completed.”

Rule 22VAC40-665-580-H.

Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment.

“Evidence: 1. The records for staff #5 (start date: 3/28/2022), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #5. The records did not contain documentation of any further contact.”

Rule 8VAC20-770-60-C-2.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #1 (date of enrollment 8/25/21) and child #3 (date of enrollment 3/11/21), did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on observation, the center did not ensure that staff washed their hands with soap and running water after coming a diaper change.

“Evidence: In classroom #3, a staff member was observed changing a diaper. After the staff member changed the diaper, staff member did not wash their hands with soap and running water.”

Rule 8VAC20-780-500-A.

Based on observation and staff interview, the licensee did not ensure the prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Evidence: T 1. There was three bottles of infant formula that was not dated or labeled with the child’s name. 2. Staff confirmed the bottles were not labeled.”

Rule 8VAC20-780-570-E.

Based on review of children’s records, the facility did not ensure each child’s record contained all required information.

“Evidence: The records for child #2 (date of enrollment 3/04/2022), did not have documentation of proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: 1. The record for staff #1 (date of hire 09/02/21), did not contain documentation of one of the two references before employment.”

Rule 8VAC20-780-70.