Kids World

The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“Staff #1 was employed for 5 days before the center obtained the results of an out of state criminal history record check and a sex offender registry check.”

Rule 22.1-289.035-B-4.

REPEAT VIOLATION Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #1 was employed for 5 days before a TB screening was obtained.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION A search of the central registry ( CPS ) shall be requested prior to the individuals first day of employment.

“Staff #2 was employed for 8 days before a request for a CPS check was mailed. The request was returned for incompletion and was not resubmitted until 6 months after date of hire.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician.

“The TB screening for Staff #2 was dated more than 30 days prior to date of employment.”

Rule 8VAC20-780-160-A.

Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities.

“The record for Staff #1, employed for 17 days, did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B.

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

“One of the childrens restrooms on the lower level had rust along the edges of the stall dividers.”

Rule 8VAC20-780-270-A.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room where children are present.

“Child #1, enrolled for more than 2 years, had food allergies and dietary restrictions that were not indicated on the written list accessible to staff. The posted list in the childs classroom was not dated.”

Rule 8VAC20-780-40-M.

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes: identity of the person conducting the drill; date and time of the drill; method used for notification; number of children and staff participating; special conditions simulated; time it took to complete; and any problems encountered. For emergency evacuation drills only, weather conditions shall be documented.

“The provider stated an emergency evacuation drill was conducted for the month of March but it was not documented in the centers drill log for review. A second shelter-in-place drill was not documented for 2025.”

Rule 8VAC20-780-550-G.

Staff records shall contain documentation that 2 or more references as to character and reputation as well as competency were checked before employment.

“The record for Staff #1, Staff #2, and Staff #3 did not contain documentation of a second reference check.”

Rule 8VAC20-780-70.

The center is required to obtain a completed sworn disclosure statement prior to the employees first day of employment.

“Staff #1 had been employed for 8 days before a sworn disclosure statement was obtained.”

Rule 22.1-289.035-B-1.

The center must request a search of the central registry ( CPS ) prior to the employees first day of employment.

“Staff #2 had been employed for 3 weeks before a CPS search was requested.”

Rule 22.1-289.035-B-3.

The center is required to obtain a completed national criminal background check (fingerprints) prior to the employees first day of employment.

“The center obtained fingerprint results for Staff #1 and Staff #2 after their first day of employment. Staff #1 had been employed for 14 days and Staff #2 had been employed for 6 days before results were obtained.”

Rule 22.1-289.036-B-2.

Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #1 had a TB screening dated 14 days after date of employment. Staff #2 had a TB screening dated 7 days after date of employment.”

Rule 8VAC20-780-160-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 steps to be taken during a suspected or confirmed exposure or reaction to the allergen.

“Child #1 and Child #2 have a confirmed food allergy. At the time of the inspection, the written care plan for Child #1 had been expired for more than 30 days and a new plan had not been obtained. Child #2 did not have a written care plan.”

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

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 #1 was in attendance for almost two months before the center obtained documentation of immunizations.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 day safer the first day of attendance.

“Child #1, enrolled for 2 years, did not have documentation of a physical.”

Rule 8VAC20-780-140-A.

Based on record review, a staff member did not have national fingerprint check results prior to employment.

“Evidence: Staff #1 has a date of hire as 7/1/2024. The fingerprint check was received 7/9/2024.”

Rule 22.1-289.035-B-2.

Based on record review, documentation of a Tuberculosis screening was not submitted at the time of employment.

“Evidence: Staff # 1, with a hire date of 7/1/2024, had a Tuberculosis screening dated 7/8/2024.”

Rule 8VAC20-780-160-A.

Based on record review, staff did not 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.

“Evidence: Staff #1, with a hire date of 7/1/2024 did not have documentation of orientation on file.”

Rule 8VAC20-780-240-B.

Based on observation and interview, the center did not 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. This list was not kept in each room or area where children are present.

“Evidence: Allergy lists were not posted in every classroom. Center staff stated allergy lists were only posted in classrooms where a child with an allergy was enrolled.”

Rule 8VAC20-780-40-M.

Based on observation, over-the-counter sunscreen was not stored inaccessible to children under five years of age.

“Evidence: Child #3 had a bag hanging in the hallway that contained sunscreen, making it accessible to children.”

Rule 8VAC20-780-520-B.

Based on observation, over-the-counter insect repellent was not stored inaccessible to children under five years of age.

“Evidence: Child #3 had a bag hanging in the hallway that contained insect repellent, making it accessible to children.”

Rule 8VAC20-780-520-D.

Based on observation, food provided from home was not clearly dated and labeled in a way that identifies the owner.

“Evidence: 1) The Monarch classroom had food from home that was not dated. 2) The Bamboo classroom had food from home that was not labeled with a child’s name or dated.”

Rule 8VAC20-780-560-G.

Based on record review, the center did not have documentation of viewing proof of the child’s identity and age.

“Evidence: Child # 4 (DOE: 3/10/2022) did not have documentation of proof of identity and age.”

Rule 8VAC20-780-60-A.

Based on record review and interview, 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.

“Evidence: Child #2 has a documented food allergy that requires the use of an EpiPen. The Allergy Healthcare Plan on file had an expiration date of 10/28/2023. The center did not obtain a new plan.”

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

8VAC20-780-60-A-8

“Repeat Violation Based on a review of children allergies, the center has not obtained a written care plan to include the physician’s signature for each child with a diagnosed food allergy. Evidence: Child #1 has a allergy care plan but it is not signed by the physician. The child has an emergency medication on file for the food allergy.”

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

8VAC20-780-70

“Based on a review of staff records, 2 staff do not have documentation of at least 2 references before employment. Evidence: Staff # 1, date of employment 11/1/2023 and staff #3, date of employment 8/28/20223 do not have documentation of at least 2 references on file.”

Rule 8VAC20-780-70.

8VAC20-780-160-A

“Based on a review of staff records, staff have not obtained documentation of a tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: Staff #2, date of employment 5/5/2023 did not have a tuberculosis screening within 30 days of employment. The TB screening was dated 2/7/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Based o observation, 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. Evidence: Cleaning supplies were found in the 2’s classroom under the sink in an unlocked cabinet. There were children in the classroom this date.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A-8

“Based on a review of children allergies, the center has not obtained a written care plan to include instructions from a physician for each child with a diagnosed food allergy. Evidence: Child #1 does not have a allergy care plan with physician instructions for the food allergy identified in the child’s record. The child has an emergency medication on file for the food allergy.”

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

8VAC20-790-600-F

“Based on a review of staff training, staff have not annually taken the department health and safety update course. Evidence: The following staff have not taken the department’s health and safety update training; Staff #1no record of previous 3 hour training, staff #2 no record of previous 3 hour training and staff #3 last 3 hour training 8/2021”

Rule 8VAC20-790-600-F.

8VAC20-780-240-A

“Based on a review of staff records, 1 staff has not completed the Department of Education orientation course within 90 calendar days of employment. Evidence: Staff #1, date of employment 9/27/2021 has not completed the 10 hour Department of Education orientation course.”

Rule 8VAC20-780-240-A.

8VAC20-780-160-A

“Based on a review of staff records, documentation of negative tuberculosis screening was not submitted at the time of employment and prior to coming into contact with children. Evidence: The following staff did not have TB screening at the time of employment and coming into contact with the children, all three staff were observed supervising children this date; Staff # 2, date of employment 8/15/2022, staff # 4, date of employment 8/3/2022 and staff #5, date of employment 8/1/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on a review of staff records, staff have not completed the required orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The following staff was observed supervising children this date and there was no documentation of orientation training; Staff # 4, date of employment 8/3/2022 and staff #5, date of employment 8/1/2022.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-J

“Based on a review of staff records, medications and director interview, there is no staff employed that is trained in the administration of medication. Evidence: There is one child needing emergency medication for food allergies. There is no one employed that has completed the required training in medication administration of the epi pen medication.”

Rule 8VAC20-780-245-J.

8VAC20-780-510-I

“Based on a review of medications, the center has not obtained written authorization from the parent and physician to administer [prescription medication. Evidence: Child #1 has a prescription epi pen for food allergies, there is no written authorization from the parent or physician to allow the medication to be administered.”

Rule 8VAC20-780-510-I.

8VAC20-780-520-C

“Based on physical plant observation, diaper ointment was not kept inaccessible to the children. Evidence: The diaper ointments in the toddler class were observed accessible to children in a unlocked cabinet under the changing table.”

Rule 8VAC20-780-520-C.

8VAC20-780-570-E

“Based on observation of the prepared infant formula bottles, bottles were not dated. Evidence: Two children’s prepared bottles were observed in the refrigerator, not dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-70

“Based on a review of staff records, documentation that two references were obtained for each staff was not maintained. Evidence: There was no documentation of two references for the following staff; Staff # 4, date of hire 8/3/2022 and staff #5, date of hire 6/17/2022.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.