KinderCare Learning Center

Staff shall wash their hands with soap and running water: After any contact with body fluids; Before preparing or serving food or beverages

“Staff A was observed assisting a child with changing and replacing a bandage while wearing gloves. After completing the task, Staff A did not remove the gloves and wash their hands with soap and running water prior to returning to serve snack.”

Rule 8VAC20-780-500-A.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“The center did not maintain required documentation for an injury sustained by Child A on 5/22/2026.”

Rule 8VAC20-780-550-P.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A. From a complaint.

The center must maintain the required staff to child ratio of 1 staff to 5 children for ages 16 months up to 24 months.

“On 5/12/2026 from 7:08 a.m. to 7:18 a.m., the toddler classroom had 15 children supervised by two staff members. The youngest child present was 18 months old, resulting in the classroom being over ratio by 5 children”

Rule 8VAC20-780-350-B-2. From a complaint.

Staff shall promptly inform parents when persistent behavioral problems are identified.

“From approximately February 2026 through May 2026, in the toddler classroom, Child A exhibited ongoing behavior problems including pushing/hitting peers, climbing furniture, taking toys, and throwing items in which the child had to be monitored closely by staff throughout the day. Staff did not promptly notify the child’s parents following these repeated behavioral incidents.”

Rule 8VAC20-780-420-B. From a complaint.

(REPEAT VIOLATION) 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.

“Child A enrolled for over 3 months did not have a physical on file.”

Rule 8VAC20-780-140-A.

Staff shall complete orientation training prior to the staff members working alone with children and not later than seven days of the date assuming the job.

“Documentation of orientation training was not available for Staff #2, who had been employed for over two weeks.”

Rule 8VAC20-780-240-B.

(REPEAT VIOLATION) Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include but not be limited to visible cracks.

“1. The slide on the older children’s playground had two cracks at the base of the slide. 2. In the pre-kinder classroom, there is peeling paint in the block area, peeling paint behind the soap dispenser near the sink and the wall behind the sink has visible dirt and residue.”

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus.

“The fall zones on the larger playground did not have adequate mulch.”

Rule 8VAC20-780-330-B.

Any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children.

“1. One van used for daily use for school age children had registration that expired over 8 months ago. 2. One van used for daily use for school age children had an inspection that expired 1 month ago. 3. One van used for used for daily use for school age children had an inspection that expired 5 months ago.”

Rule 8VAC20-780-580-B.

The center shall ensure that during transportation of children the following information is in transportation vehicles: Emergency numbers.

“Two out of three vans used daily for transportation did not have children’s emergency numbers kept in the vehicles.”

Rule 8VAC20-780-580-C.

All staff who work directly with children shall have within 90 days of the date of employment Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“The CPR training on file for Staff #1, employed 9 years, did not have an in-person competency demonstration.”

Rule 8VAC20-790-600-D-1.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“On 4/21/2026 while outside on the playground, Staff A inappropriately used physical contact to redirect Child A (Age 4) away from the window. Staff A used her hand to nudge the side of the child’s head approximately 2 to 3 times.”

Rule 8VAC20-780-400-B.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On 3/6/2026, Child A (4 years) was left in the Pre-K classroom unsupervised and not within sight and sound supervision for approximately 5-7 minutes until discovered by another staff member walking by the classroom.”

Rule 8VAC20-780-340-F.

Centers shall be in compliance with the center’s own policies and procedures required by these standards.

“The center’s policy is that teachers perform name-to-face checks on their Child Supervision Records to ensure children are accounted for during the day. Teachers must look at each child’s face to verify they are checking the correct child on their list. Staff A did not look at the face of Child A before marking the child accounted for, therefore the child was left unsupervised in the classroom for approximately 5-7 minutes.”

Rule 8VAC20-780-40-E.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child B, enrolled for over 1 year and 1 month, does not have immunizations on file.”

Rule 8VAC20-780-130-A.

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

“Child D (Age 2 years) has not had updated immunizations in over 1 year 11 months.”

Rule 8VAC20-780-130-E.

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.

“Child A, enrolled for 1 year and 1 month, does not have a physical on file.”

Rule 8VAC20-780-140-A.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include but not be limited to visible cracks.

“The slide on the older children’s playground had two cracks at the base of the slide.”

Rule 8VAC20-780-270-A.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up-to-date.

Rule 8VAC20-780-420-E-3.

Medication, including staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“In the Pre-K classroom, there is lunch bag on a high shelf belonging to staff that had prescribed medication showing in the front pocket.”

Rule 8VAC20-780-510-L.

8VAC20-780-400-B

Rule 8VAC20-780-400-B.

Roughly handling a child is a forbidden action.

“1. On 4/8/2025, Child A was sitting on the floor, Staff A was seen grabbing Child A roughly by their arm and pulling the child up by their arm from the floor. 2. On one occasion, Staff A was observed pulling Child B’s (Age 4 years) ponytail and lowered the child to sit next to them by pulling the child’s ponytail.”

Rule 8VAC20-780-410-1.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“1. The written list of all children’s allergies, sensitivities, and dietary restrictions was not current in the Two’s Classroom. There were 3 children missing. 2. The written list of all children’s allergies, sensitivities, and dietary restrictions was not current in the Infant B Classroom. There was 1 child missing.”

Rule 8VAC20-780-40-M.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water before eating meals and snacks. Staff did not wash two infant’s hands before feeding them a bottle.”

Rule 8VAC20-780-500-A.

8VAC20-780-340-A

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-80-B

“Based on interviews and a review of documentation, the center failed to inform the department’s representative of an injury to a child that occurred while the child was under the supervision of the center and required outside medical attention. Evidence: On 1/9/2024, child #2 sustained a “nursemaid” elbow injury that required medical attention. Staff confirmed that they did not complete the online IROMT form or notify the Department.”

Rule 8VAC20-780-80-B. From a complaint.

8VAC20-780-330-B

“Based on an inspection of the large playground, it was determined that the mulch under and around play equipment was not resilient. Evidence: The depth of the wood chips was measured in three spots around the center composite play structure on the preschool/school age playground. All three spots measured less than six inches in depth.”

Rule 8VAC20-780-330-B.

8VAC20-780-500-B

“Based on observation, the facility failed to ensure that all diapering procedures were followed, as required. A nonabsorbent surface (changing table) shall be used for diapering children under three years of age. Evidence: In the two’s classroom, staff was observed changing a child standing up in the bathroom, and placing their diaper/pullup on the floor. Staff stated that the child was two years old.”

Rule 8VAC20-780-500-B.

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The Licensing Inspector observed 10 containers of germicidal and disinfectant solution containers in the room identified as “Staff”. The door to this room was unlocked.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-E

“Based on observation and interview with administrative staff, it was determined that medication authorization from the parent had not been renewed every 10 work days nor was their a physician authorization for the long term medication. Evidence: The parents written authorization was for an antihistamine medication for child #1 on 9/15/23. The parent had not renewed this authorization every 10 work days nor was their a long term authorization for this medication from a physician.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-I

“Based on observation and interview with administrative staff, it was determined that prescription medication was not maintained in the original, labeled container. Evidence: The Licensing Inspector observed an Epinephrine for child #1 not in its original pharmacy container and prescription label. The center reported that they did not have the original labeled container.”

Rule 8VAC20-780-510-I.

8VAC20-780-510-L

“Based on observation and interview, it was determined that medication was not kept locked. Evidence: The Licensing inspector observed unlocked medication ( Epinephrine, allergy medication) in the Discovery ( 2/3 year old) classroom for child #1. The medications were stored in an upper cabinet.”

Rule 8VAC20-780-510-L.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant A classroom, there were two cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-780-270-A.

8VAC20-780-340-A

“Based on interviews, and review of documentation, it was determined staff did not always ensure the care and protection of all children. Evidence: Interviews revealed that on 11/21/2022, infant #1 (5 months old) was inadvertently fed another infant’s bottle containing formula. Both bottles were labeled and dated, but similar in appearance. Staff stated that infant #1 brought four bottles to the center, drank three bottles, and had two full bottles left at the end of the day. Documentation revealed that infant #1 was fed three times that day.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-A

“Based on interviews and review of documentation, the facility failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: On 7/26/2022, between approximately 5:30-6:00 pm, staff #1 was vacuuming the floor under a table in the school age classroom. Child #1 (age 5) was under the table and their hair was sucked up into the vacuum. Staff #1 stopped the vacuum when they heard the child scream, pulled the child’s hair out of the vacuum, and consoled the crying child.”

Rule 8VAC20-780-340-A.

8VAC20-780-550-P

“Based on interviews and review of documentation, the facility failed to maintain a written record of children’s minor injuries on the day of occurrence. Evidence: on 7/26/22 between approximately 5:30-6:00 pm, child #1 received a minor injury and an accident report was not written on the day of occurrence.”

Rule 8VAC20-780-550-P.

8VAC20-780-140-A

“Based on a review of five children’s records, the center did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance or within 90 days grace period for a documented homeless child. Evidence: the record for child #3 (date of first attendance: 10/7/2021) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on review of five staff records, the center did not have documentation of a tuberculosis (TB) test/ screening for staff at the time of employment and prior to coming into contact with children. Evidence: the record for staff #2 (date of hire: 3/14/2022), staff #3 (date of hire: 6/13/2022 ) and staff #4 (date of hire: 5/16/2022) did not have documentation of a TB test/screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were located above food utensils and single-service food articles. Evidence: in the school age classroom and three’s classroom bottles of cleaning and sanitizing solutions were observed on a shelf above disposable cups, plates and plastic eating utensils.”

Rule 8VAC20-780-280-D.

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that staff wash their hands with soap and water as required. Evidence: staff in the two’s classroom were observed changing a child’s diaper and then updating the tablet before washing their hands.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the facility failed to ensure that diapers are 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. Evidence: staff in the two’s classroom were observed disposing of a diaper using their hand to open the trash can lid and not their foot.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-F

“Based on observation, the center did not have a current menu listing the foods to be served as required. Evidence: the menu that was posted in the kitchen was dated: 6/22/2020, was not posted in a conspicuous place or provided to parents, per staff, and there was no menu from the previous week kept on file.”

Rule 8VAC20-780-560-F.

22.1-289.035-B-4

“Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #2, (date of hire: 9/22/2021) who indicated they lived out of state in the past five years, did not contain documentation of an Out of State Sex Offender Registry check or an Out Of State Criminal History Name Check prior to employment.”

Rule 22.1-289.035-B-4.

8VAC20-780-510-L

“Based on observation, and staff interview, not all medication was stored in a locked place using a safe locking method that prevents access by children. Evidence: two emergency medications were stored in a plastic bag inside a backpack hanging on a hook near the exit door to the playground in the two’s class.”

Rule 8VAC20-780-510-L.

8VAC20-780-60-A

“Based on review of five child records, it was determined that not all records contained all required information. Evidence: the record for child #2 did not contain the name, address or phone number for a second emergency contact or documentation of health information as required by 8VAC20-780-140. The records for child #1 and child #4 did not contain documentation of health information as required by 8VAC20-780-150.”

Rule 8VAC20-780-60-A.