Eukarya King’s Cubs (Cameron)

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 did not request a search of the child abuse and neglect registry or sex offender registry from one state for Staff #3, who has been employed for three years and is working with children.”

Rule 22.1-289.035-B-4.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. One child’s prescription medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. The medication has been at the center for three weeks.”

Rule 8VAC20-780-510-G.

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 one of the required qualifications. Staff #1, Staff #4 and Staff #5 did not complete all the required training to be lead teacher. Staff #2’s record does not demonstrate how he/she meets lead qualifications. All four staff records list the staff as lead. Staff #1 and Staff #2 were acting as lead in a classroom the day of the inspection.”

Rule 8VAC20-780-210-A.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. Two bottles in the infant room were not dated and labeled with the child’s name.”

Rule 8VAC20-780-570-E.

8VAC20-780-270-C

“In inside areas occupied by children, the temperature shall be maintained no lower than 68?F. During the week of January 13, 2025, the temperature in the infant room, youngest child age five months, was not maintained at a minimum of 68?F for at least three days during which the room temperature dropped from 64?F to 58?F.”

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

8VAC20-790-530-C

“Daily attendance records of arrival and departure of each child in care as it occurs, must be maintained in a written hard copy record. In the Beautiful Butterfly classroom the written attendance for the day had not been completed by 12:45 PM. In the Brave Bears classroom the written attendance had not been completed since 10/15/2024 at arrival.”

Rule 8VAC20-790-530-C.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle labeled bleach water was hanging above the changing table area in the Unique Unicorn waddler classroom. Container of Clorox wipes with warning labels, ?Keep out of reach of children,? was on an open shelf, out of reach of children, in the Dizzy Dinos three-year-old restroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-P

“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 6 was onsite, but the medication authorization had expired three 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.

Based on record review and interview, the center failed to ensure staff completed the department’s health and safety update course annually.

“Evidence: The record for staff 5, start date 8/16/22, has no documentation of completing the department’s health and safety update course. The director verified staff 5 has not completed the course.”

Rule 8VAC20-790-600-F.

Based on observation, the center failed to ensure the care, protection, and guidance when supervising children.

Rule 8VAC20-780-340-A.

(REPEAT VIOLATION AND SYSTEMIC VIOLATION) Based on interview, the center failed to ensure each grouping of children have at least one staff member who meets the qualifications of a program leader or program director.

“Evidence: 1. Staff 5 was one of the staff in the Dancing Dinosaurs classroom and staff 6 was one of the staff in Busy Bees classroom. Interview with the director revealed that there were no staff members meeting the qualifications of a program leader or program director in the Dancing Dinosaurs or Busy Bees classrooms.”

Rule 8VAC20-780-340-D.

Based on observation and a review of the center’s policies and interview, the licensee failed to ensure the center’s activities were in compliance with the center’s own policies and procedures required by these standards.

Rule 8VAC20-780-40-E.

Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for one out of five staff records reviewed.

“Evidence: 1. The record for staff 4 documents the start date as 7/5/23. The record did not contain central registry findings. 2. The director verified the center did not have central registry findings for staff 4.”

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

Based on record review and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance for one out of five children records reviewed.

“Evidence: 1. The record for child 1 documents the first day of attendance as 6/19/23. There was no physical examination documentation in the record. 2. The director verified the center did not have documentation of a physical examination for child 1.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present.

“Evidence: The center was unable to provide documentation that one of the three staff in the infant room met the program lead or program director qualifications in the infant room.”

Rule 8VAC20-780-340-D.

Based on observation, the center failed to date and label prepared infant formula with the child’s name.

“Evidence: In the Waddlers classroom a bottle of prepared infant formula was in the refrigerator that was not dated or labeled with the child’s name.”

Rule 8VAC20-780-570-E.

Based on record review and interview, the center failed to keep all the required information for staff records.

“Evidence: 1. The record for staff 4 did not have documentation of orientation. 2. Staff records did not have documentation to demonstrate each staff member possessed the education, certification, and experience required by the job position. 3. Staff records did not have documentation of first aid and CPR certification as required by the responsibilities held by the staff member.”

Rule 8VAC20-780-70.

Based on interview, the center failed to maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“Evidence: 1. The parent of child 1 stated on 8/16/23 after pick up at 3:30 PM, the child she noticed a scratch on his face. The parent stated she did not receive an injury report. 2. Staff 1 stated an injury report was not sent home with the parent regarding the injury on 8/16/23.”

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

Based on interview and observation of the playground, the center failed to ensure children under 10 years of age always are within sight and sound supervision of staff.

“Evidence: 1. Three children, age three, left through a gap in the fence in the playground. The staff saw the children leave and immediately went to get the children. The fence is tall and staff could not see the children through the fence. 2. Staff 1 stated she saw the children squeeze through the fence and immediately asked for help from coworkers to go get the children. They did not look over the fence and watch the children until someone was able to get to the them.”

Rule 8VAC20-780-340-F.

Based on record review and interview, the center failed to obtain all required information for a child’s record.

“Evidence: 1. The record for child 1 was reviewed. The record did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The director verified they only had the parents contact information.”

Rule 8VAC20-780-60-A. From a complaint.

Based on record review and interview, the center failed to ensure a child’s immunization record was obtained before attending the center.

“Evidence: 1. The record for child 1 documented the first date of attendance as 2/13/23. There is no immunization documentation in child 1’s record. 2. The director verified the start date and stated the center had not received the immunization record for child 1 as of the date of the inspection on 3/7/23.”

Rule 8VAC20-780-130-A.

Based on observation and interview, the center failed to post 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center in a visible place at each telephone.

“Evidence: 1. An inspection of the center was completed on 3/7/23. The emergency numbers were not posted in a visible place at each telephone. 2. The director asked the staff member at the front desk and she pulled the numbers from a shelf beside her desk stating she had not posted them.”

Rule 8VAC20-780-550-I.

Based on record review and interview, the center failed to 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.

“Evidence: 1. The record for child 3 was reviewed on 3/7/23. The parent documentation listed a food allergy for peanuts. The physical listed food allergies for peanuts, bananas and avocados. The first day of attendance was listed as 3/9/21. There was no allergy care plan in the child’s record. 2. The director stated the parents had not provided an allergy care plan for child 3.”

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

Based on record review, the center failed to ensure all staff has current certification in CPR.

“Evidence: 1. The record for staff 3 was reviewed. The employment date was 4/18/22. There was not documentation in staff 3’s record of completing training in CPR. 2. The record for staff 4 was reviewed. The CPR certificate in staff 4’s record expired 8/22. 3. 3. The director verified neither staff 3 or staff 4 have a current CPR certification.”

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

Based on record review, the center failed to ensure all staff has current certification in first aid.

“Evidence: 1. The record for staff 3 was reviewed. The employment date was 4/18/22. There was not documentation in staff 3’s record of completing training in first aid. 2. The record for staff 4 was reviewed. The first aid certificate in staff 4’s record expired 8/22. 3. The director verified neither staff 3 or staff 4 have a current first aid certificate.”

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

Based on record review and interview, the center failed to ensure new staff has a central registry finding within 30 days of employment.

“Evidence: 1. The record for staff 4 has the employment date as 10/12/20. There is no finding for central registry in the record. A note in the file shows the central registry request was mailed 7/31/20. 2. The director verified a finding of central registry could not be found.”

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

Based on record review and interview, the center failed to ensure staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment that was completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record for staff 3 shows the employment date as 4/18/22. The documentation of the TB results is dated 5/26/21. 2. The director verified the 5/26/21 TB is the only TB documentation for staff 3 the center has.”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center failed to ensure staff completed a minimum of 16 hours of annual training appropriate to the age of children in care.

“Evidence: 1. The record for staff 1 contained documentation of 11 1/2 hours of annual training for the timeframe of 10/12/21-10/11/22. 2. The record for staff 4 contained documentation of 14 hours of annual training for the timeframe 10/12/21-10/11/22.”

Rule 8VAC20-780-245-A.

Based on observation, record review and interview, the center failed to ensure each group of children had at least one staff member who meets the qualifications of a program leader.

“Evidence: 1. In the Kind Koalas classroom staff 2 and staff 6 were the teachers present. 2. The record for staff 2 was reviewed and there was no documentation showing qualifications for a program lead. 3. The director stated due to a staff member out there is no staff with lead teacher qualifications in the Kind Koalas classroom.”

Rule 8VAC20-780-340-D.

Based on observation, the center failed to ensure prescription diaper ointment was kept in a locked place.

“Evidence: In the Kind Koalas classroom a prescription diaper ointment was stored on the open shelf above the changing table.”

Rule 8VAC20-780-510-L.

Based on record review, observation and interview, the center failed to ensure at least one staff in each classroom has a current certification in CPR and first aid.

“Evidence: 1. In the Friendly Frog classroom staff 4 was the only teacher present. 2. In the Eager Elephants classroom staff 3 and staff 5 were present. 3. The director stated staff 3, 4 and 5 do not have current CPR and first aid certification.”

Rule 8VAC20-780-530-A.

Based on record review and interview, the center failed to monthly practice evacuation drills.

“Evidence: 1. The evacuation drill log did not contain documentation of an evacuation drill being completed for the months of March, May and July in 2022. 2. The director verified evacuation drills were not completed those months.”

Rule 8VAC20-780-550-D.

Based on an interview and review of medication and medication authorizations for two children, the center did not ensure that two medication authorizations were available to staff for one child.

“Evidence: 1. A prescription emergency medication and a non-prescription emergency medication were observed for Child A. There was no written parental authorization present for either medication. 2. During interview, a staff member reported the parental authorizations for the medications were not present.”

Rule 8VAC20-780-510-F.