KCE Champions @ Lake Taylor Elementary

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.

“There was no documentation of immunizations in the record for child #5, present during this inspection.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician.

“There was no documentation of physical exam in the record for child #5, present during inspection.”

Rule 8VAC20-780-140-A.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 of this subsection.

“There were no staff on site during this inspection with child #2, who has a diagnosed food allergy and is prescribed an epi-pen.”

Rule 8VAC20-780-245-J-3.

When centers choose to provide meals or snacks a menu listing of foods to be served for meals and snacks during the current one-week period.

“There was no menu posted for the current one-week period. The menu posted was dated for September.”

Rule 8VAC20-780-560-F.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the first date of attendance.

“There was no documented first date of attendance in the 5 children’s records reviewed.”

Rule 8VAC20-780-60-A.

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.

“There was no allergy plan for child #2, who was in care.”

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

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due 3 months ago and had not yet been completed.”

Rule 8VAC20-780-160-C.

The center shall implement a monthly practice evacuation drill.

“Evacuation drills were practiced October-December 2025 but not documented.”

Rule 8VAC20-780-550-G.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, who has been actively working at the center for the past 4 months, did not have 1 of the 2 completed reference verifications on file.”

Rule 8VAC20-780-70.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

“The record for child #3 did not contain the father’s work phone number. The record for child #4 did not contain the mother’s work phone number and the city and state for the two emergency contacts.”

Rule 8VAC20-780-60-A.

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.

“There was no written care plan for child #5, diagnosed with a food allergy. Child #5 was in care during this inspection.”

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

The center shall have a written emergency preparedness plan that contains all of the required information.

“The plan at the center did not contain site specific information.”

Rule 8VAC20-780-550-A.

The center shall maintain a written record of children’s serious and minor injuries that contains any future action to prevent recurrence of the injury.

“There injury report for child #1 did not contain any future action to prevent recurrence.”

Rule 8VAC20-780-550-P.

22.1-289.035-A

“Based on record review and interview it was determined the center did not conduct a central registry search every five years for each staff person. Evidence: 1. The record for staff #2(hired 9/18/18) did not contain documentation of an updated central registry search. The documentation available s dated 10/16/18. 2. Staff #1 confirmed that the central registry search results in the record for staff #2 were dated 10/16/18.”

Rule 22.1-289.035-A.

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure each child had a physical examination by or under the direction of a physician within the required time frame. Evidence: 1. The record for child #1, present during this inspection, did not contain documentation of a physical exam. 2. Staff #1 confirmed that the record for child #1 did not contain documentation of a physical exam.”

Rule 8VAC20-780-140-A.

22.1-289.011-F

“Based on record review and interview it was determined the center did not post the results of the last inspection. Evidence: 1. There was no inspection posted. 2. Staff confirmed the last inspection report was not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-530-A

“Based on record review and interview it was determined the center did not ensure that at least one staff in each classroom or area where children are present had current certification in CPR and first aid. Evidence: 1. The record for staff #1 and staff #2 did not contain documentation of current certification in CPR and first aid. 2. Staff stated that the their certification in CPR and first aid had expired.”

Rule 8VAC20-780-530-A.

8VAC20-780-550-I

“Based on observation and interview it was determined the center did not have the required emergency numbers posted in a visible place at each telephone. Evidence: 1. There were no emergency numbers posted. 2. Staff confirmed the emergency numbers were not posted.”

Rule 8VAC20-780-550-I.

8VAC20-780-550-C

“Based on observation and interview it was determined the center did not ensure that the emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children. Evidence: 1. The map posted did not contain the required routes. 2. Staff confirmed the routes were not on the map.”

Rule 8VAC20-780-550-C.