Kiddie Academy of Midlothian

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child #7 was onsite, but the medication authorization had expired over 6 weeks ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“The wall on the right side of the toddler classroom was observed with visible chipped and peeling paint located within reach of children.”

Rule 8VAC20-780-270-A. From a complaint.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #1 was alone with a group of four children in the toddler classroom and did not have a current certification in CPR or first aid.”

Rule 8VAC20-780-530-A. From a complaint.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #6 central registry check was requested 11 days after their first day of employment. Staff #8 central registry check was requested 9 days after their first day of employment.”

Rule 22.1-289.035-B-3.

**Repeat Violation** The diapering area shall have the following: A nonabsorbent surface for diapering or changing shall be used.

“The changing pad in room 2A (toddlers/two year olds) was observed with tears on both sides making the surface absorbent.”

Rule 8VAC20-780-500-B.

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 #8, who had been attending for six months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #2, 17 months old, last documented immunization was over 6 months ago.”

Rule 8VAC20-780-130-E.

8VAC20-780-500-B The diapering area shall have a nonabsorbent surface for diapering or changing.

“The changing pad in room 2A (toddlers/two year olds) was observed to have two rips, one on each side of the pad, making the surface absorbent. The changing pad in room 2B (2 year olds) was observed to have one rip, making the surface absorbent.”

Rule 8VAC20-780-500-B.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #5 was overdue by nine months.”

Rule 22.1-289.035-A.

**Repeat Violation** 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 #9, who has been enrolled for 8 months, has a diagnosed food allergy and did not have a written care plan in their file. Child #10, who has been enrolled for 8 months, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-7.

Based on observations, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. During the inspection, an electrical outlet and outlet cover were observed protruding from the wall about ? an inch in the Preschool A classroom. 2. During the inspection, the refrigerator in the infant classroom was observed with a broken handle. 3. Staff acknowledged the electrical outlet and stated it has not been noticed prior to inspection. Staff acknowledged the broken handle on the refrigerator.”

Rule 8VAC20-780-270-A.

Based on review of child records, the center did not ensure each child record contained documentation of work phone numbers for each parent.

“Evidence: 1. The records for 5 children did not contain any work phone numbers for parents listed.”

Rule 8VAC20-780-60-A.

Based on review of children’s records and documentation, the center did not obtain 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.

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

Based on review of staff records, the center did not ensure each record contained documentation to demonstrate the employees possesses the education, certification and experience required by the job position.

“Evidence: 1. The record for staff #8 states their position is a lead teacher, however, the record did not include documentation of her education. 2. The director acknowledged not knowing that verification of her education was needed.”

Rule 8VAC20-780-70.

Based on review of classroom video provided by the center, staff interview, and documentation, it was determined that staff used the forbidden action of rough handling of children.

“Evidence: On November 16, 2023, S1 roughly handled child, C1 by grabbing C1 from a bike on the playground by her left arm causing an injury. The child was taken to the hospital for treatment.”

Rule 8VAC20-780-410-1.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S6 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S6, employed 08/02/2023 did not contain a sex offender registry check prior to the 1st day of employment.”

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Peeling wall paint was observed in the Infant, Toddler, 2-A, and 2-B classrooms within reach of children.”

Rule 8VAC20-780-270-A.

8VAC20-780-440-A

“Based on observation, the provider failed to ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Occupied cots were observed in the 2-A, 2-B, and pre-K B classrooms that were not 12 inches apart.”

Rule 8VAC20-780-440-A.

8VAC20-780-500-A

“Based on observation, the provider failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Licensing inspector observed staff member in the infant room diapering an infant. The staff member failed to wash the child’s hands with soap and running water after diapering.”

Rule 8VAC20-780-500-A.

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for C10 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due March 2023 before the child became 2 years old.”

Rule 8VAC20-780-130-E.

Based on staff record review, the provider failed to ensure that two of seven staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment.

“Evidence: The record for S3, employed 03/03/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 06/13/22 was more than 30 days old at the time of employment. The record for S6, employed 04/12/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 06/30/2022 was more than 30 days old at the time of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S5, employed 01/23/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

Rule 8VAC20-780-240-A.

Based on child record review, the provider failed to ensure that four of ten records contained the required information for each child enrolled.

“Evidence: The record for S4 did not contain documentation of a second emergency contact. The record for S5 did not contain documentation of viewing proof of the child’s identity and age and two emergency contacts. The record for S7 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3. The record for S10 did not document a second emergency contact for the child.”

Rule 8VAC20-780-60-A.