International Kids House

At least every two years from the date of the first initial screening or testing shall obtain and submit the results of a follow-up tuberculosis (TB) screening.

“At the time of inspection there was no documentation of results of Staff #3’s subsequent TB screening. Staff #3’s most recent TB screening expired 37 days ago.”

Rule 8VAC20-780-160-C.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“At the time of inspection, there were no staff members on duty who have obtained within the last three years instruction in performing the daily health observation of children.”

Rule 8VAC20-780-245-L.

After the first license, annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

“The center’s most recent health inspection was conducted two years ago.”

Rule 8VAC20-780-260-B.

Areas of the center, outside, shall be maintained in a safe condition.

“A tree stump and roots were observed protruding from the ground in the middle of the playground posing a tripping hazard.”

Rule 8VAC20-780-270-A.

Sandboxes with bottoms which prevent drainage shall be covered when not in use.

“During the inspection, the sandbox on the playground was uncovered and was not in use.”

Rule 8VAC20-780-330-E.

Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“The center’s injury prevention procedures were not updated annually.”

Rule 8VAC20-780-40-J.

Repeat violation

“Each center shall maintain 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 center does not have a written care plan on file for Child #2 (age: 3 years) who has documented food allergies. Child #2 has been enrolled for over two months.”

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

All applicants for employment shall submit to fingerprinting prior to employment.

“Staff #1 was employed for 21 days before results of fingerprinting were received.”

Rule 22.1-289.035-B-2.

Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment.

“Staff #1 did not submit documentation of a TB screening at the time of employment. Staff #1 was employed for 28 days before the TB screening was completed.”

Rule 8VAC20-780-160-A.

Orientation training shall include the following facility specific topics: prevention of abusive head trauma, including procedures to cope with distraught children, prevention of and response to emergencies due to food and other allergic reactions and prevention and control of disease.

“Staff #1’s orientation training did not include prevention of abusive head trauma, including procedures to cope with distraught children, prevention of and response to emergencies due to food and other allergic reactions and prevention and control of disease. Staff #1 has been employed for three months.”

Rule 8VAC20-780-240-C.

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed an approved medication administration training (MAT) program.

“Child #2 (age: 3 years) has been prescribed an emergency medication. At the time of the inspection, Child #2 was not in the care of a staff member or independent contractor who has satisfactorily completed an approved MAT program.”

Rule 8VAC20-780-245-J-3.

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. This list shall be dated and kept confidential in each room or area where children are present.

“The center did not have an allergy list posted in each room or area where children were present. There are two children who have food allergies.”

Rule 8VAC20-780-40-M.

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.

“A medication belonging to Child #2 was observed on-site during the inspection. The authorization for the medication expired five months ago. The medication was not disposed of by the center.”

Rule 8VAC20-780-510-P.

Documentation shall be maintained of emergency evacuation drills.

“At the time of inspection, there was no documentation of an emergency evacuation drill for November 2025.”

Rule 8VAC20-780-550-G.

Each center shall maintain 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.

“Child #3 (age: 3 years) has a documented food allergy. The center does not have a written care plan for Child #3 on file.”

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

The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff #1’s record was missing one out of two references. Staff #1 has been employed for three months.”

Rule 8VAC20-780-70.

Each child shall have a physical examination before the child’s attendance or within 30 days after the first day of attendance.

“Child #3, who has been enrolled for over 30 days, did not have a physical examination on file at the time of inspection.”

Rule 8VAC20-780-140-A.

Based on record review, the Virginia Department of Education (VDOE) sponsored orientation course was not completed by 1 out 2 staff members within 90 days of employment.

“Evidence: Staff #2 (start date: 10/11/2019) did not complete the VDOE sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on record review and interview, documentation of orientation training was not kept at the center.

“Evidence: 1. Staff #3 confirmed that Staff #2 received orientation training. 2. At the time of inspection, Staff #2 did not have documentation of orientation training on file.”

Rule 8VAC20-780-240-I.

Based on record review, 1 out of 2 staff did not complete annually a minimum of 16 hours of training.

“Evidence: Staff #3 confirmed that Staff #2 (start date: 10/11/2019) did not complete annual training.”

Rule 8VAC20-780-245-A.

Based on observation and record review, the center did not ensure that at least one staff in each classroom or area where children are present have a current certification in cardiopulmonary resuscitation (CPR), to include an in-person competency demonstration and a current certification in first aid.

“Evidence: At the time of inspection, there were no staff on site who had a current certification in cardiopulmonary resuscitation (CPR), to include an in-person competency demonstration and a current certification in first aid.”

Rule 8VAC20-780-530-A.

Based on record review, not each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: Staff #2?s (start date: 09/01/2022) tuberculosis screening was completed on 07/21/2022.”

Rule 8VAC20-780-160-A.

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

“Evidence: 1. There were two metal chairs on the playground that were rusting and had chipped and peeling paint. 2. There was cracked plastic on the windowsill of the log cabin play structure on the playground. 3. There was cracked plastic on both benches of the plastic picnic table located on the playground.”

Rule 8VAC20-780-270-A.

8VAC20-780-240-C

“Based on interview, orientation training does not include all of the required topics. Evidence: 1. Orientation training does not include policies regarding lockdown procedures. 2. Orientation training does not include policies for preventing abusive head trauma and procedures for handling distraught children.”

Rule 8VAC20-780-240-C.

8VAC20-780-245-L

“Based on interview, there is not always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: The program director confirmed that none of the staff have current Daily Health Observation training.”

Rule 8VAC20-780-245-L.

8VAC20-780-530-A-1

“Based on interview, there is not at least one staff in each classroom with current CPR certification. Evidence: Staff #2 is the only staff member in the ‘Juniors’ classroom. Staff #2 does not have current CPR certification.”

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

8VAC20-780-530-A-2

“Based on interview, there is not at least one staff in each classroom with current first aid certification. Evidence: Staff #2 is the only staff member in the ‘Juniors’ classroom. Staff #2 does not have current first aid certification.”

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

8VAC20-780-550-A

“Based on interview, the centers written emergency preparedness plan does not include facility readiness for lockdowns. Evidence: When asked, the program director confirmed that the center has not yet established lockdown procedures in case of an intruder.”

Rule 8VAC20-780-550-A.