The Kensington School, LLC

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center must request these checks prior to the employees first day of employment. The out of state criminal history check request for Staff #3 was dated two weeks after the employees first day of employment.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2 TB was dated eight months prior to date of employment and Staff #5 TB was dated forty-two days prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Two children in the infant room, under 12 months of age, were placed in swings for their nap.”

Rule 8VAC20-780-440-G.

Medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“The cabinets containing medications were not kept locked using a safe locking method in the Classroom#6, #10, #11.”

Rule 8VAC20-780-510-L.

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The provided health department approval was dated 10/6/2023.”

Rule 8VAC20-780-260-B.

8VAC20-780-350-B-3

“The required ratio for children 2 years old is one staff per eight children. Staff #6 was observed supervising eleven children (youngest child 2 years & 3 months) on the outdoor playground.”

Rule 8VAC20-780-350-B-3.

8VAC20-780-60-A

“A written care plan is required 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 #2, who has been enrolled for 13 months, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

Based on observation, licensee did not ensure the climbing portions of indoor slides and climbing equipment over 18 inches shall not be over bare flooring.

“Evidence: In the School age area, there was climbing equipment the highest point was 2 feet. The equipment was over laminate floor.”

Rule 8VAC20-780-430-F.

Based on observation and staff interview, the licensee did not ensure there areas and equipment of the center, inside and outside was maintained in a clean safe and operable condition.

“Evidence: The fence on the the older children playground the gate that seprates the playground had a crack which could cause snagging or pinching point.”

Rule 8VAC20-780-270-A.

Based on observations, the licensee did not ensure hazordous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In classroom 13 and 15, there was handsanitizer that was not kept in a locked place. Confirmed by staff during the tour.”

Rule 8VAC20-780-280-B.

Based on observation, the licensee did not ensure the diapering surface was used only for diapering or cleaning children.

“Evidence: In classroom 8, there was a bag on the diapering surface.”

Rule 8VAC20-780-500-B.

Based on record review and staff interview, the licensee did not ensure all staff records contained all required documents.

“Evidence: Staff #2 hire date 10/14/2023 did not have documentation of completed references.”

Rule 8VAC20-780-70.

Based on observation, the licensee did not ensure diapering area was a nonabsorbent surface for diapering or changing; and he diapering surface shall be used only for diapering.

“Evidence: In classroom 5, their was one tear on the diapering surface. In classroom 10, there was a two bags full of clothing on the diapering surface in the bathroom. In Classroom 8, there was mats laying on top of the diapering surface. In classroom 7, there was plastic green bucket on top of the mats.”

Rule 8VAC20-780-500-B.

Based on record review, the licensee did not ensure the child day center obtained a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Evidence: The record for staff #2, date of hire 6/23/2022 did not include the results of a criminal record check for the state of New Hampshire, where he had lived within the last 5 years. The criminal record was not conducted prior to employment as required. The record for staff #4, date of hire 9/19/2022 did not include the results of a criminial history record check and central registry record check for the state of Massachuseets, where he had lived within the last 5 years.”

Rule 22.1-289.035-B-4.

Based on staff interview and record review, the licensee did not ensure each staff member submits 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’s designee, or an official of the local health department.

“Evidence: Staff #1 (start date 02/17/2023) the TB provided was 03/15/2023 . Documentation was not completed with in last 30 calendar days of the date of employment. Staff # 5 ( start date 1/16/2023) the TB provided was 01/18/2023. Documentation was not completed with in last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on record review and staff interview, the licensee did not ensure there were two references completed for each staff .

“Evidence: The center was unable to locate documentation of two reference with results for Staff# 6 ( hire date 09/13/2022).”

Rule 8VAC20-780-70.

Based on observation, playground surfacing measurements taken, the program did not ensure that adequate resilient surfacing (depth of six inches) was maintained under/surrounding the outdoor playground equipment.

“Evidence: 1. Observation and resilient surfacing measurements, taken on this date, determined that the resilient surfacing surrounding the 2 playground composites that include slides and climbing apparatus and the playground stepping pods were approximatley 2 inches depth.”

Rule 8VAC20-780-330-B.

Based on record review and staff interview the licensee did not ensure documentaiton was maintained of two shelter place drills annually.

“Evidence: There was only one shelter in place drill documented for 2021. Confimred by Staff.”

Rule 8VAC20-780-550-G.

22VAC15-30-180-A

“Based on review of records, one of nine staff records reviewed did not have documentation of a negative TB screening within 21 days of employment. Evidence: During the inspection conducted on October 24, 2012, the record for staff #9 (start date 7/27/2012) does not have a TB test.”

Rule 22VAC15-30-180-A.

22VAC15-30-350-B

“Based on observation and inspection of the facility, the licensee failed to ensure that all hazardous substances were kept in a locked place that prevented access by children. Evidence: During the inspection conducted on October 24, 2012, the licensing inspector observed hand sanitizer in four out of eight classrooms that were labeled “warning... keep out of reach of children”.”

Rule 22VAC15-30-350-B.

22VAC15-30-440-E-1

Rule 22VAC15-30-440-E-1.

22VAC15-30-585-C

“Based on observation, the licensee failed to ensure diaper ointment is stored inaccessible to children. Evidence: During the inspection conducted on October 24, 2012, the licensing inspector observed diaper cream ointments stored in a basket under the diaper table in the 5 month-11 month classroom. The ointments were accessible to children.”

Rule 22VAC15-30-585-C.

22VAC15-30-610-M

“Based on review, the licensee failed to ensure that the written record for each child’s injuries included required information. Evidence: 1. During the inspection conducted on October 24, 2012, five out of five injury reports were missing the time that the parents were notified. 2. During the inspection conducted on October 24, 2012, three out of five injury reports were missing any future action to prevent recurrence of the injury.”

Rule 22VAC15-30-610-M.