Kids -N- Us Inc.

8VAC20-780-130-A

“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 #1 has been attending the center for more than nine months. There were no immunization records in the child’s record.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Child #1 has been attending the center for more than nine months. There was no physical evaluation in the child’s record.”

Rule 8VAC20-780-140-A.

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. The staff in classroom 1 have not been using soap and water to clean the diapering surface prior to sanitizing it after each use. Staff #6 said, ?we don’t use soap and water.? The staff in classroom #4 have not been cleaning the diapering surface with soap and water and sanitizing it after each use. Staff #8 has been using wipes rather than a spray disinfecting solution as required.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-J

Rule 8VAC20-780-560-J.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. None of the bottles in infant room were dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-260-B

“The center is required to obtain annual approval from the health department or approvals of a plan of correction, for meeting requirements for their water supply and sewage disposal system. The center had not obtained a Report of Environmental Sanitation in the last year.”

Rule 8VAC20-780-260-B.

Based on review of five staff records and interview, the center did not ensure that two staff members completed the department’s health and safety update course annually as required.

“Evidence: 1. Staff #3?s date of employment was 10/20/20. The most recent documentation of completion of the department’s health and safety update course in the record was dated 2/06/23. 2. Staff #4?s date of employment was 12/14/21. The most recent documentation of completion of the department’s health and safety update course in the record was dated 2/22/22. The Program Director acknowledged that Staff #3 and Staff #4 had not taken the class annually as required.”

Rule 8VAC20-790-600-F.

Based on observation of two buses used to transport children and interview, the center did not maintain one bus in a safe condition as required.

“Evidence: Every seat in one bus had multiple large cracks that could entangle skin or snag the clothing of children. The Program Director acknowledged that the bus had been used within the last two weeks to transport children and that the seats were not maintained as required.”

Rule 8VAC20-780-270-A.

Based on review of children’s records and interview, the center did not request at least annually parent confirmation that the required information is in the records.

“Evidence: 1. Date of enrollment for Child #1 was 09/06/2022. The last documented update of emergency contact information was dated 03/01/2022. 2. Date of enrollment for Child #4 was in 2022. The last documented update of emergency contact information was dated 11/20/2022. 3. Date enrollment for Child #5 was 12/05/2022. The last documented update of emergency contact information was dated 11/28/2022. 4. The Program Director acknowledged that they did not obtain updated information annually as required.”

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

Based on review of children’s records and interview, the center did not maintain children’s records as required.

“Evidence: The record of Child #3 did not include the name, address, and phone number of two designated people to call in an emergency if the parent cannot be reached. The record of Child #3 did not include the names of persons authorized to pick up the child. The Program Director acknowledged that the information was not maintained in the child’s file as required.”

Rule 8VAC20-780-60-A.

Based on review of children’s records and interview, the center did not include required information in their written agreement with the parents in the child’s record.

Rule 8VAC20-780-90-A.

8VAC20-780-240-I

“Based on interview and review of staff records, the center did not obtain documentation of orientation training for a staff member. Evidence: 1. The record for staff 5 with a hire date of 7/24/2023 completed orientation training but did not have record of the training.”

Rule 8VAC20-780-240-I.

8VAC20-780-270-A

“(Repeat Violation) Based on observation and interview, the applicant did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. Two of the center’s buses were inspected. Multiple areas on the seats were observed where the vinyl was cracked and torn, exposing the foam cushioning.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“(Repeat Violations) Based on a tour of the physical plant, the facility failed to ensure that all hazardous substances are kept in a locked place. Evidence: 1. In the two’s classroom, a cabinet in the bathroom was not locked. There was a can of Lysol Disinfectant Spray, and Purcell Professional Surface Disinfectant.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“(Repeat Violation) Based on record review, the center did not ensure that children’s records were complete. Evidence: 1. The record for child 1 with an enrollment date of 3/31/2014, did not contain documentation of an annual update. 2. The record for child 2 with an enrollment date of 10/21/2019, did not contain documentation of an annual update. 3. The record for child 3 with an enrollment date of 7/17/2023, did not contain documentation of parent contact information, the parent’s work contact, and the child’s physician contact information.”

Rule 8VAC20-780-60-A.

8VAC20-780-340-F

“Based on review of documentation and interviews with staff, it was determined that staff failed to ensure that children under the age of 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. A child identified to be a 3-year-old was seen returning from the restroom down the hall unsupervised. 2. Staff was aware that the child was in the restroom, but the child was not within site and sound of staff.”

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

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands were washed before the meal with soap and running water or a disposable wipe. Evidence: 1. In classroom #3, the inspector observed the children being sent to the table for snack time. The children did not wash their hands with soap and running water or a disposable wipe prior to eating their snack. 2. Staff verified that the children did not wash their hands with soap and running water or a disposable wipe before snack time.”

Rule 8VAC20-780-500-A. From a complaint.

8VAC20-780-560-J

“Based on observation, the center failed to ensure that tables were sanitized before snack. Evidence: In Classroom #3, the inspector observed the children eating snack before the tables was sanitized.”

Rule 8VAC20-780-560-J. From a complaint.

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. The first step on Bus #1, is lose. The front of the step as a strip that is approximately 4-5 inches long, that has separated from the step. 2. The director was aware that the step was lose and stated that the step will be repaired.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on observation and interviews, it was determined that there was an insufficient amount of resilient surfacing in the use zone of the playground equipment and the area surrounding equipment. Evidence: 1. Under the yellow slide on the preschool playground, there is approximately 1-2 inches of mulch.”

Rule 8VAC20-780-330-B.

8VAC20-780-550-P

“Based on record review of a sampling of written record of children’s serious and minor injuries, injury reports did not contain all required documentation. Evidence: 2 of 3 minor injury reports reviewed were missing future action to prevent injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on review, and interview with the director, two of five children’s records did not contain complete emergency contact information. Evidence: 1. The record for child # 1, did not include an address or telephone number 1 of 2 emergency contacts. 2. The record for child # 5, did not contain a name, address, or contact number for 1 of 2 emergency contacts.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the four year old classroom, there was a bottle of peroxide cleaner and bleach water stored on the counter. 2. In the school age room there was a can of Ajax cleaner and bleach water stored on top of a shelf.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“Based on record review, the provider did not maintain complete children’s records. Evidence: 1. Child #2 and Child # 4 were missing work phone number and place of employment of each parent. 2. Child # 2?s file did not have the name and phone number of the physician documented.”

Rule 8VAC20-780-60-A.

8VAC20-820-120-E-2

“Based on observation of the programming space, some required posting was not posted. Evidence: The center failed to post their most recent inspection. Inspection posted for 9/15/2021. Last inspection was 4/26/2022”

Rule 8VAC20-820-120-E-2.

22.1-289.035-B-2

“Based on a review of records and interview on April 26, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of staff #2 (hired 10/3/19) contained documentation of fingerprints dated 10/16/19. Administration acknowledged the fingerprints were late.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on a review of staff records and interview on April 26, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #1 (hired 6/7/21) contained documentation of central registry results dated 9/7/21. 2. The record of staff #2 (hired 10/3/19) contained documentation of central registry results dated 11/12/19. 3. Administration acknowledged the central registry checks were late.”

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

8VAC20-780-140-A

“Based on a review of records and interview on April 26, 2022, the center did not ensure to obtain documentation of a physical examination by or under the direction of a physician for each child before the child’s attendance or within one month after attendance. Evidence: The record of child #2 (enrolled 3/1/22) did not contain documentation of a physical. Administration acknowledged the physical was missing.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Based on a review of records and interview on April 26, 2022, the center did not ensure that immunizations received shall be signed by a physician, his designee, or an official of the local health department. Evidence: The record of child #2 (enrolled 3/1/22) contained immunizations that were not signed by a physician, designee, or an official of a local health department. Administration acknowledged the immunizations weren’t signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A-2

“Based on a review of staff records and interview on April 26, 2022, the center did not ensure each staff member completed tuberculosis screening within the last 30 calendar days prior to beginning employment. Evidence: The record of staff #4 (hired 12/14/21) contained documentation of a tuberculosis screening dated 10/18/21. Administration acknowledged the screening was more than 30 days old.”

Rule 8VAC20-780-160-A-2.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Based on observation and interview on April 26, 2022, the center did not ensure that staff’s hands are washed with soap and running water before and after a diaper change. Evidence: 1. In the infant room, Staff #4 was observed to change a child’s diaper without washing her hands before the diaper change. Staff #4 then immediately changed another child’s diaper and did not wash her hands before the diaper change. Staff #4 acknowledged she did not wash her hands before the diaper change.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interview on April 26, 2022, the center did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: 1. In the infant room, staff #4 was observed to change a child on the diaper table. The staff didn’t clean and sanitize the diaper table after the diaper change and immediately changed another child. Staff #4 acknowledged she didn’t clean and sanitize the diaper table after each diaper change.”

Rule 8VAC20-780-500-B.