Kings Kids Child Care

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The two indoor A/C units mounted on the wall in the infant to PreK space were dripping water due to condensation into tubs on the floor. The tubs had several inches of standing water in them. These tubs were in close proximity to electrical outlets on the wall.”

Rule 8VAC20-780-270-A.

8VAC20-780-140-A

“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 2 began attending on year ago. The record provided did not include the results of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-260-B

“Annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements. The most recent health department environmental sanitation inspection provided was dated Jan 16, 2025.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was aerosol air freshener in the unlocked cabinet under the sink in the girls bathroom. There was a small liquid ant bait tile on the window sill in the infant classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Staff 2 exited the infant classroom, leaving two infants in cribs unattended for 2 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-M

“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 documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. The written list of all children’s allergies was incomplete as child 6, with a life threatening food allergy, was not included on the list. The allergy list was not dated.”

Rule 8VAC20-780-40-M.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. A prepared infant bottle in use in the infant room was not labeled with the child’s name.”

Rule 8VAC20-780-570-E.

8VAC20-780-240-B

“Repeat violation Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record provided for staff 1 did not have documentation that staff 1 received the required orientation training no later than seven days of the date of assuming job responsibilities. Staff 1 was on duty with the children during the inspection.”

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-350-C

Rule 8VAC20-780-350-C.

8VAC20-780-360-A

Rule 8VAC20-780-360-A.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting. Staff 1 did wash a child’s hands after changing his diaper on the changing table in the infant classroom.”

Rule 8VAC20-780-500-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 changing table shall be only used only for diapering or cleaning children. Staff 1 changed a toddler’s diaper in the rest room where there were no cleaning or sanitizing agents to clean/sanitize the changing table after the diaper was changed. Staff 2 placed the box in which the match game was stored on the changing table in the toddler classroom.”

Rule 8VAC20-780-500-B.

8VAC20-780-70

“Repeat violation Staff records shall include all required documentation. The record for staff 1 did not include the date of employ or the job title.”

Rule 8VAC20-780-70.

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. On 11/24/2025, staff did not ensure that care and protection of children when child 1 sustained an injury to the lip. Staff 1 and 3 confirmed the child’s injury however were unaware how the injury occurred and failed to follow up with investigation and/or reporting.”

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

8VAC20-780-350-C

Rule 8VAC20-780-350-C. From a complaint.

8VAC20-780-550-O

“Repeat Violation The center shall notify the parent by the end of the day of any known minor injuries. Child 1 sustained an injury requiring treatment with ice on 11/24/2025. Staff confirmed the injury and treatment however the parent was not notified of the child’s injury.”

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

8VAC20-780-550-P

“Repeat Violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. Child 1 sustained an injury requiring treatment with ice on 11/24/2025. Staff confirmed the injury and treatment however there was no written record of the child’s injury.”

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

8VAC20-770-60-B

“An employee of a licensed child day program must not be employed until the facility has the person’s completed sworn statement or affirmation. Staff 2 was employed for ten days before the facility obtained a completed and signed sworn statement.”

Rule 8VAC20-770-60-B.

8VAC20-780-130-F

“The center shall obtain documentation of additional immunizations once between each child’s fourth and sixth birthdays. The most recent immunization update for child 3, 16 months old, is dated January 2025.”

Rule 8VAC20-780-130-F.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening obtained within 30 days prior to hire. Staff 2 obtained a tuberculosis screening 2 1/2 months prior to hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Staff shall obtain a tuberculosis screening at least every two years. The most recent tuberculosis screening provided for staff is dated 12/1/2022.”

Rule 8VAC20-780-160-C.

8VAC20-780-210-A

“Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet the required qualifications. The record provided for staff 2 did not include documentation to meet program leader qualifications.”

Rule 8VAC20-780-210-A.

8VAC20-780-240-B

“Repeat violation Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record provided for staff 1, employed and assuming job responsibilities for over two months, did not include documentation that staff 1 completed orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The record provided for staff three included documentation of only six hours of annual training in the past year.”

Rule 8VAC20-780-245-A.

8VAC20-780-510-E

“Repeat violation The center’s procedures for medication do not include the duration of parent authroizations and methods to prevent the use of outdated medication. The medicine to be administered to child 4 during an allergic reaction expired five months ago. The facility did not have a procdure to monitor expiration dates of medication.”

Rule 8VAC20-780-510-E.

8VAC20-780-560-F

“Repeat violation When centers choose to provide meals and snacks, they shall follow the most recent, age appropriate nutritional requirements of the child and Adult Care Food Program of the United States Department of Agriculture (USDA). During the inspection, only water and animal crackers were served to the infants and toddlers for afternoon snack.”

Rule 8VAC20-780-560-F.

8VAC20-780-70

“Repeat violation The staff records kept for each staff person shall include the hire date and job title and documentation that at least two references as to character, reputation and competency were obtained. The record provided for staff 1 did not include the hire date or job title. The record provided for staff 2 did not include documentation that any references were obtained.”

Rule 8VAC20-780-70.

8VAC20-780-60-A

“Repeat violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the names, addresses and telephone numbers of each parent and the names, addresses and telephone numbers of two persons to be contact in an emergency when a parent cannot be reached. The record provided for child 3 did not contain the name, address and telephone number of one parent. The record provided for child 4 contained only one emergency contact person.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-A

“Repeat Violation 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. The record provided for child 3, in care for one month, did not include documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“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 attending. Child 3 has been in attendance for 40 days and the record does not include documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening prior to coming into contact with children. Staff 3 did not obtain a tuberculosis screening until after being employed for ten days.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 3 was employed for 24 days before completing orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-290-A-3

“Electrical outlets shall have protection covers. An electrical outlet within reach of children was not capped in the preschool area.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care. Staff 1 did not know the required staff top child ratio for their grouping of seven children for whom the youngest child was 20 months old.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-D

“The center shall ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. During the inspection, staff 3 was on duty alone with the infants. Staff 3 is not program leader qualified.”

Rule 8VAC20-780-340-D.

8VAC20-780-350-B-2

“Repeat Violation The staff to child ratio for children from 16 months is one staff person for every five children. During the entire 2 1/2 hour inspection, Staff 1 was on duty with seven children of whom the youngest was twenty months old.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Staff 1was heard repeatedly using a loud voice expressing impatience and displeasure with the behavior of the children. Staff 1’s angry, irritated voice continued through lunch service as she reprimanded two year old and toddler children for using their hands to eat instead of utensils.”

Rule 8VAC20-780-400-B.

8VAC20-780-560-F-4

“Children three years of age and younger may not be offered foods that are considered to be potential choking hazards. Two and three year old children were served meatballs that were not cut up and were of a size to be choking hazards.”

Rule 8VAC20-780-560-F-4.

8VAC20-780-560-L

“Staff shall sit with children during meal times. None of the staff on duty sat with the children during lunch.”

Rule 8VAC20-780-560-L.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation The staff records shall include the job title. The record provided for staff 3, employed 6 months, did not include the job title.”

Rule 8VAC20-780-70.

8VAC20-780-140-A

“Repeat violation Based upon review of children’s records, the facility has not ensured that each child’s record includes documentation of a physical examination by or under the direction of a physician within 30 days prior to attending. Evidence: According to the record provided, child 1 began attending on 11/21/2022. The record did not include the results of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-350-B-2

“Based upon observation and staff interview, the facility has not ensured that there is one staff for every five children from 15 months - 24 months. Evidence: 1. Upon arrival of the inspector at 9:07 AM until departure of the inspector at 11:10 AM, there were seven children the youngest of whom was 17 months old with staff 3. 2. Staff 1 acknowledged that two staff were unable to come to work today.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-420-E-3

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

8VAC20-780-50-A

“Based upon review of documentation, parent interview and staff interview, the facility has not ensured that children’s records are treated confidentially. Evidence: 1. Behavior records reviewed in the record of child 1 included the names of other children involved. 2. Parent interview revealed that written behavior records given to the parent included the names of other children involved. 3, Staff 1 acknowledged that behavior records provided to parents included the first names of other children involved.”

Rule 8VAC20-780-50-A.

8VAC20-780-550-O

“Based upon review of written minor injury records, the facility has not ensured that they notify parents by the end of the day of any known minor injuries. Evidence: 1. An injury record dated 1/8/2024 for child 4 documented that the parent was not notified of the child’s injury until the next morning, 1/9/2024 at 7:30 AM. 2. An injury record dated 1/24/2024 for child 5 was not signed by the parent until 1/25/2024.”

Rule 8VAC20-780-550-O.

8VAC20-780-550-P

“Based upon review of the written records of children’s injuries, the facility has not ensured that the record includes all required documentation. Evidence: An injury record dated 2/14/2024 did not include the time and how the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“Based upon review of staff records, the facility has not ensured that staff obtain current cardiopulmonary resuscitation (CPR) certification within 90 days of employ. Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in CPR.”

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

8VAC20-790-600-D-2

“Based upon review of staff records, the facility has not ensured that staff obtain current first aid certification within 90 days of employ. Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in first aid.”

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

8VAC20-780-130-A

“Based upon review of children’s records, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required immunizations. 2. The record provided for child 4, who began attending on 10/13/2023, did not include documentation of the required immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based upon review of children’s records, the facility has not ensured that they have obtained documentation that each child has received a physical examination by or under the direction of a physician prior to or within 30 days after attending the center. Evidence: The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required physical examination..”

Rule 8VAC20-780-140-A.

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has the appropriate diaper disposal system that is either foot-operated or used in such a way that neither a staff members hands nor the soiled diaper touches the exterior of the disposal system during disposal. Evidence: The lid on the foot operated diaper disposal system in the girls’ bathroom opens the lid only 1 inch which does not allow a diaper to be disposed without touching the exterior surface.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based upon review of the medication stored for administration to children, the facility’s procedures for administering medication do not include that there must be written parental permission for medication to be received for potential administration to children. Evidence: There was an albuterol inhaler stored for potential administration to child 1. There was on written parental authorization for the albuterol to be administered, if needed.”

Rule 8VAC20-780-510-E.

8VAC20-780-60-A

“Based upon review of children’s records, the facility has not ensured that each child’s record includes the date the child began attending. Evidence: The record provided for child 2 did not include the child’s first date of attending.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-440-B

“Based upon observation and staff interview, the facility has not ensured that cribs are identified for use by a specific child. Evidence: 1. A child was observed sleeping in a crib that was not identified for this child. 2. Staff 5 stated that the child just turned 12 months and was supposed to be sleeping on a cot. the child’s name had been removed from the crib.”

Rule 8VAC20-780-440-B.

8VAC20-780-450-A

“Based upon observation and staff interview, the facility has not ensured that during the designated rest period cots have linens consisting of a top cover and bottom cover. Evidence: 1. In the preschool nap room, a child was observed sleeping without a top and bottom cover. Another child had only a bottom linen and was using a coat as a cover. 2. Staff 1 acknowledged that these two children did not have the required top and bottom linen.”

Rule 8VAC20-780-450-A.

8VAC20-780-245-L

Rule 8VAC20-780-245-L.