Kiddie Kingdom, Inc.

22.1-289.035-B-1

“The center shall obtain a complete sworn statement prior to the employee’s first day of employment. 1. The record of staff #1, employed for three months, did not contain documentation of a signed sworn statement. 2. The record of staff #2, employed for two months, did not contain documentation of a signed sworn statement.”

Rule 22.1-289.035-B-1.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. A prescription medication for child #6 was observed with no written authorization available to staff.”

Rule 8VAC20-780-510-F.

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have, current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Staff #1 and staff #5 were observed supervising a group of preschool children, neither had current CPR certification.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have, current certification in first aid. Staff #1 and staff #5 were observed supervising a group of preschool children, neither had current first aid certification.”

Rule 8VAC20-780-530-A-2.

22.1-289.035-B-3

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician designee, or an official of the local health department. The record of staff #5: contained a tuberculosis screening dated two months prior to employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record of staff #2, employed for four months and 10 days, did not have documentation of completing the Department of Education-sponsored orientation.”

Rule 8VAC20-780-240-A.

8VAC20-780-245-J

“Staff members caring for any child for whom emergency medications have been prescribed must have the appropriate Medication Administration Training. Child #6 has an emergency seizure nasal spray medication on site, but there are no staff certified in the Medication Administration Training for Seizure Rescue Nasal Spray Course.”

Rule 8VAC20-780-245-J.

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. The medication authorization for child #7 expired 12 weeks ago. The medication was on site and had not been administered.”

Rule 8VAC20-780-510-P.

8VAC20-780-70

“Repeat The center shall maintain staff records for each staff person that contains all required documentation. The record of staff #2, employed for four months and 10 days, did not contain documentation of two references as to character and reputation as well as competency, were checked before employment or volunteering.”

Rule 8VAC20-780-70.

22.1-289.035-A

“Repeat The center is required to have employees undergo a background check every five years. The central registry background check for staff #4 was overdue by six months.”

Rule 22.1-289.035-A.

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all required information. 1. The record of staff #1, employed for two months, did not contain the required documentation of two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2. The record of staff #1, employed for two months, did not contain documentation that the individual possesses the required orientation.”

Rule 8VAC20-780-70.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain 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.

“The record of child #7, diagnosed with a food allergy, did not contain a written allergy care plan.”

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

Based on a review of five staff records and interviews, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment.

“Evidence: The sworn statement in the record of Staff #4, employed on 09/18/23, was completed on 10/06/23. During interview, a member of management reported Staff #4 completed the incorrect form at the time of employment and a new sworn statement was completed on 10/06/23. Documentation of the previous form could not be located.”

Rule 8VAC20-770-60-B.

Based on review of staff records and interview, the center did not ensure a repeat criminal history check was completed every five years.

“Evidence: The record for Staff #11 (date of hire: 7/17/2013) documented a criminal history check dated 6/27/18 which is beyond 5 years. No additional information was provided.”

Rule 22.1-289.035-A.

Based on record review and interview, the center did not ensure each child had a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“Evidence: 1. The record of Child #3 (date of enrollment:10/05/22) did not contain documentation of a physical examination. 2. During an interview, the center director acknowledged the record did not document a physical examination.”

Rule 8VAC20-780-140-A.

Based on review of staff records, the center failed to ensure that every two years from the date of the initial testing or screening, staff members obtain and submit the results of a tuberculosis test or screening.

“Evidence: 1. The record for Staff #4 documents tuberculosis test dated 9/15/20 and 12/6/22. The repeat test or screening was due no later than 9/15/22.”

Rule 8VAC20-780-160-C.

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

“Evidence: 1. A wall in the junior kindergarten room had missing baseboard trim approximately 12-15 inches in length, exposing peeling paint accessible to children.”

Rule 8VAC20-780-270-A.

Based on record review, the child day center did not maintain a written record of children’s injuries that contained all required information.

“Evidence: 1.The record for Child #1 documented incident reports dated 8/21/23 and 8/23/23. 2.The 8/23/23 incident report did not contain the date and time that the parent was notified of the injury and documented the signature of one staff. A second staff signature or parent signature was required. 3. The 8/21/23 and 8/23/23 incident reports did not document future action to prevent recurrence of the injuries.”

Rule 8VAC20-780-550-P. From a complaint.

Based on a review of five staff records and interview, the vendor did not ensure one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The CPR certification in the record of Staff #5, employed on 09/12/22, was obtained on 03/08/23. 2) During interview, a member of management confirmed Staff #5 did not have current certification in CPR within 90 days of the date of employment.”

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

Based on a review of five staff records and interview, the vendor did not ensure one staff member had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The first aid certification in the record of Staff #5, employed on 09/12/22, was obtained on 03/08/23. 2) During interview, a member of management confirmed Staff #5 did not have current certification in first aid within 90 days of the date of employment.”

Rule 8VAC20-790-600-D-2.

Based on a review of five staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment.

“Evidence: 1) The central registry finding in the record of Staff #5, employed on 09/12/22, was dated 11/03/22. 2) During interview, a member of management confirmed the results of the central registry for Staff #5 were received more than 30 days after employment. The record did not contain documentation of any further contact with the Office of Background Investigations, and the staff member had been continuously employed.”

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

Based on a review of five staff records, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: The TB screening in the record of Staff #5, employed on 09/12/22, was completed on 09/20/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A.

Based on a review of five staff records, the center did not ensure one staff member had a tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing.

“Evidence: The most recent TB screening in the record of Staff #1, employed on 08/10/20, was completed on 12/06/22. The previous TB screening on file expired on 08/03/22.”

Rule 8VAC20-780-160-C.

Based on a review of five staff records and interview, the vendor did not ensure one staff member who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1) The record for Staff #4, employed on 08/01/22, had a CPR certification that expired on 11/20/22. 2) During interview, management confirmed the CPR certification for Staff #4 was expired.”

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

Based on a review of five staff records and interview, the vendor did not ensure one staff member who works directly with children had current certification in first aid appropriate to the ages of children in care.

“Evidence: 1) The record of Staff #4, employed on 08/01/22, had a first aid certification that expired on 11/20/22. 2) During interview, management confirmed the first aid certification for Staff #4 was expired.”

Rule 8VAC20-790-600-D-2.

Based on a review of five staff records and interview, the vendor did not ensure one staff member who works directly with children completed the department’s health and safety update course annually.

“Evidence: 1) The record of Staff #1, employed on 10/28/20, did not have documentation of the department’s health and safety update course. 2) During interview, management confirmed the staff member did not complete the required training annually.”

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment.

“Evidence: 1) The record of Staff #2, employed on 05/23/22, did not contain the results of a central registry finding. 6) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #2. The record did not contain documentation of any further contact with the Office of Background Investigations, and the staff member had been continuously employed.”

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

Based on a review of five children’s records and interview, the center did not obtain documentation that two children had received the immunizations by the State Board of Health before the children attended the center.

“Evidence: 1) The immunization documentation in the record of Child #2, date of attendance 09/06/22, was dated 09/12/22. 2) The immunization documentation in the record of Child #3, date of attendance 09/13/22, was dated 09/26/22. 3) During interview, management reported the immunizations for Child #2 and Child #3 were submitted after the children attended the center.”

Rule 8VAC20-780-130-A.

Based on a review of five children’s records and interview, the center did not obtain a physical examination for one child before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1) The record of Child #3, date of attendance 09/06/22, did not contain documentation of a physical examination by or under the direction of a physician. 2) During interview, management reported the center did not have documentation of a physical examination for Child #3.”

Rule 8VAC20-780-140-A.

Based on a review of four children’s records, the center did not obtain documentation that one child had received the immunizations by the State Board of Health before the child attended the center.

“Evidence: 1) The immunization documentation in the record for Child #2, enrolled on 10/26/21, was dated 11/05/21. 2) During interview, a member of management reported the immunization records for Child #2 were submitted after the child attended the center.”

Rule 8VAC20-780-130-A.

Based on a review of two medications and interviews, the center did not ensure that one medication authorization was available to staff during the entire time it was effective for one out of two children.

“Evidence: 1) A prescription medication was observed for Child #5 and no written parental authorization was present for this medication. 2) During interview, a member of management reported the written parental authorization for this medication was not present.”

Rule 8VAC20-780-510-F.