KinderCare Learning Centers-385

8VAC20-780-510-M

“Medication, shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to the children. In room B, the key used to lock the storage cabinet containing children’s medication was observed in the cabinet key lock and was accessible to children.”

Rule 8VAC20-780-510-M.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was documentation of only one drill conducted in 2025.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Injury reports were reviewed and 3 out of 5 were missing information regarding the time or how a parent was notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Snack time was observed for 14 children in classroom F and none of the children washed their hands or used a disposable wipe before eating”

Rule 8VAC20-780-500-A.

8VAC20-780-60-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 the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #4, who has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. 1.In classroom A at approximately 1:55 p.m. on 8/20/2025, there were 18 children present but only 17 were marked present on the attendance record. 2.In classroom B at approximately 1:55 p.m. on 8/20/2025, there were 19 children present but only 17 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

(Repeat Violation) Based on staff record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course.

“Evidence: The record for Staff #7 did not include the required annual 3-hour health and safety update course. .”

Rule 8VAC20-790-600-F.

Based on observation and staff interviews, the licensee did not ensure the required first aid kits shall include all required items.

“Evidence: The first aid kit used for field trips did not include a thermometer and a first aid instructional manual.”

Rule 8VAC20-780-540-C.

Based on observation and staff interviews, the licensee did not ensure emergency supplies shall be required at the center and be available on field trips.

“Evidence: There was not a an ice pack or cooling agent available on the bus the children use for fieldtrips.”

Rule 8VAC20-780-540-D.

Based on observation and staff interviews, the licensee did not ensure that when centers choose to provide meals or snacks, they shall have a menu listing the food to be served for meals and snacks during the current one-week period.

“Evidence: The menu posted for the current week did not include lunch and center director confirmed they serve lunch daily.”

Rule 8VAC20-780-560-F.

Repeat Based on staff record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course.

“Evidence: The record for Staff #2 did not include the required annual 3-hour health and safety update course. .”

Rule 8VAC20-790-600-F.

Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department

“Evidence: The immunization for Child #1 did not include a physician or designated individual’s signature.”

Rule 8VAC20-780-150-B.

Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children.

“Evidence: Staff #2 began working on 6-28-2023 and TB screening was dated 9-30-2022. Staff #2 did not have a negative TB screening prior to employment.”

Rule 8VAC20-780-160-A.

Based on observation, staff interview and record review, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care.

“Evidence: On 2-27-2024, in the toddler room, there were 8 children (ages 14 months to age 20 months) with only 1 staff.”

Rule 8VAC20-780-350-B-1.

Based on observation and provider interviews, the licensee did not ensure that tables shall be sanitized before and after each use for feeding.

Rule 8VAC20-780-560-J.

Repeat Based on record review and staff interviews, license did not ensure that children’s records contained all required information.

“Evidence: The record for Child #1 did not include a second emergency contact (name, address and phone number), the proof of identity.”

Rule 8VAC20-780-60-A.

Based on record review and staff interviews, license did not ensure that children’s records contained a written agreement between the parent and the center that shall be in each child’s record by the first day of the child’s attendance.

Rule 8VAC20-780-90-A.

Based on staff record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course.

“Evidence: The record for Staff #3 did not include the required annual 3-hour health and safety update course. The most recent was dated 2-24-2020.”

Rule 8VAC20-790-600-F.

Based on observation and staff interviews, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: In the Preschool classroom, Child #1 has a food allergy (milk) and was observed in care. Child #1 was not listed on the food allergy/ sensitivity list in the preschool classroom.”

Rule 8VAC20-780-40-M.

Based on observation and staff interview, the licensee did not ensure cots/mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“Evidence: In the Preschool Room 3 out of 14 children did not have a bottom cover on their cot.”

Rule 8VAC20-780-450-A.

Repeat Based on record review and staff interviews, license did not ensure that children’s records contained all required information.

“Evidence: The following records were missing information as listed below; 1.Child #1, Child #3 and Child 4 were missing the employment location and phone numbers for both parents listed. 2.Child #1 has a diagnosed food allergy (milk) and there was not a written care plan, 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.

Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record

“Evidence: 1.The record for Staff #5 did not include documentation to demonstrate the individual possesses the education and certification required by the job position. 2.The record for Staff #1 did not have documentation of the required 16 hours of annual training as there was only 6 hours of training available for review.”

Rule 8VAC20-780-70.

Based on record review and staff interview the licensee did not ensure to obtain a copy of the results of a criminal history record information check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Evidence: Center Director confirmed that they had not obtained an out of state criminal history check or an out of state child abuse and neglect record check for South Carolina where staff #4 (hire date 2-1-2021) had lived within the last five years.”

Rule 22.1-289.035-B-4.

Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department.

“Evidence: Center Director confirmed the most recent copy of the health inspection available for review was date 7-16-2021.”

Rule 8VAC20-780-260-B.

Based on document review and staff interview the licensee did not ensure injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“Evidence: Center Director confirmed they did not have an annual updated injury prevention plan.”

Rule 8VAC20-780-40-J.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.

“Evidence: Center Director confirmed there was not a written abusive head trauma policy available for review.”

Rule 8VAC20-780-40-K.

Based on record review, 2 out of 5 children’s records did not contain all required information.

“Evidence: The Center Director confirmed the records listed below are missing the following information; 1.The record for child #1 did not include one parent’s employment location and phone number. 2.The records for children #1 through #5 did not include previous childcare information.”

Rule 8VAC20-780-60-A.

22.1-289.035-A

“Based on record review and provider interview, the licensee did not ensure, all staff had obtained updated background checks as required every 5 years. Evidence: Staff records were reviewed and 1 out of 7 did not have an updated Sworn Statement. The most recent Sworn Statement for Staff #5 was dated 12-19-2017. Staff #5 was observed working during the inspection.”

Rule 22.1-289.035-A.

8VAC20-780-140-A

“Based on record review and provider interview, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child’s first day of attendance; or within 30 days after the first day of attendance. Evidence: The record for child #1, (first date of attendance 11-8-2022) did not include documentation of a physical.”

Rule 8VAC20-780-140-A.

Based on record review and provider interview, the licensee did not ensure the physical examination included the signature of a physician, his designee, or an official of a local health department

“Evidence: The record for child #6, (first date of attendance 8-1-2022) did not include a physicians or designated individuals signature.”

Rule 8VAC20-780-150-B.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.