KinderCare Learning Centers #765

8VAC20-780-560-O

“When food is prepared to which a child in care is allergic, staff shall take steps to avoid cross contamination to prevent an allergic reaction. There was no reminder in the kitchen to be aware of cross contamination for allergens.”

Rule 8VAC20-780-560-O.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information; Documentation of child updates and confirmation of up-to-date information in the child’s record. Child #1’s record update was overdue by 5 months.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff B did not have a completed national criminal background check on file prior to working at the center.”

Rule 22.1-289.035-B-2.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. One child record did not contain updated immunizations every six months until the age of two years. Child #4 had no updated immunizations on file.”

Rule 8VAC20-780-130-E.

8VAC20-780-350-Q

“Repeat Violation With a parent’s written permission and a written assessment by the program director and program leader, a center may choose to assign a child to a different age group. Two child records did not include required documentation of assessments by the director to assign them to a different age group. (Children #3. 4)”

Rule 8VAC20-780-350-Q.

8VAC20-780-40-I

“The center shall develop written procedures for injury prevention. An injury prevention plan could not be located during the inspection.”

Rule 8VAC20-780-40-I.

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent to a child provided those drugs that were maintained in the original, labeled container. One prescription medication at the center did not have the prescription label attached to the box. (Child #6)”

Rule 8VAC20-780-510-I.

Each Center shall maintain a separate record for each child enrolled that includes a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #1’s allergy action plan from the physician cannot be followed as a medication listed to administer does not have a completed authorization form on file.”

Rule 8VAC20-780-60-A.

8VAC20-780-350-B-3

“Complaint Related Based staff statement and observation of video, a ratio of 1 staff to 8 children aged two years old was not maintained. Evidence: 1. At approximately 10:45 on 7/26/24 11 children from a 2 years old room were on the playground with 2 staff. 2. Staff A left the playground to take 2 children to the bathroom, leaving Staff B with 9 children on the playground. 3. Staff A stated they left the playground with 2 children.”

Rule 8VAC20-780-350-B-3. From a complaint.

8VAC20-780-500-B

Rule 8VAC20-780-500-B. From a complaint.

8VAC20-780-550-P

“Complaint Related Based on a review of an injury report, the information on the report did not accurately reflect the injury. Evidence: 1. Staff A completed an injury report for Child #1 for an injury that occurred 7/26/24. Staff A was unaware of the circumstances of the injury and reported the child’s hand had been scraped. The child actually had a mulch splinter embedded in their hand. 2. The accident report form does not include all required components. Staff present are not listed.”

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

8VAC20-780-80-B-2

Rule 8VAC20-780-80-B-2. From a complaint.

8VAC20-780-270-A

“Complaint related Repeat Violation Based on observation, the center was not maintained in a clean, safe and operable manner. Evidence: 1. Mice droppings were observed in the following areas of the center: a. The kitchen, along the baseboards on all walls and under the sink. b. The Pre-K room by the door to the kitchen and along the wall with the bathroom. 2. Management confirmed a problem with mice.”

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

8VAC20-780-350-B-1

“Complaint related Based on observation a ratio of 1 staff to 4 children for children aged Birth up to 16 months was not maintained. Evidence: The Infant room was out of ratio with 9 infants and two staff from 9:00AM - 9:08AM.”

Rule 8VAC20-780-350-B-1. From a complaint.

8VAC20-780-80-A

“Systemic Deficiency Repeat Violation Based on observation, the center did not maintain a written record of daily attendance that documented arrival of children as it occurred. Evidence: 1. The Two’s room did not have attendance completed at 9:00AM, with 12 children present. 2. The 3’s room and Pre-K rooms combined on the playground did not have attendance documentation with the group at approximately 8:50 AM. Two children arrived to the group at that time. Attendance documentation was in the classroom, and not completed.”

Rule 8VAC20-780-80-A. From a complaint.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-350-B-2

Rule 8VAC20-780-350-B-2.

8VAC20-780-410-1

“Based on interviews, children were roughly handled. Evidence: 1. One June 18, 2024 two children (aged 20 months and 17 months) exited the Toddler room through an open, exterior door. Staff B stated when she realized the children were not in the room, she ran to grab them and closed the door. Staff demonstrated the hold. 2. Witness #1 stated they observed the staff member, grab the children, yell at them, pull them into the classroom and slam the door.”

Rule 8VAC20-780-410-1.

8VAC20-780-350-C

“Based on observation, when children were in ongoing mixed aged groups, the ratio applicable to the youngest child was not applied. Evidence: 1. Child #1 (23 months old) was moved to the 2?s-1 classroom. The applicable ratio was 1:5 (staff:child). There was 1 staff with 8 children present in the room. 2. Children #2 (2 years old) and # 3 (2 years old) were moved to the Preschool 3 room. The applicable ratio was 1:8 (staff:child). There were 2 staff with 17 children present in the room.”

Rule 8VAC20-780-350-C.

8VAC20-780-350-Q

Rule 8VAC20-780-350-Q.

8VAC20-780-440-B

“Based on observation and staff statement, cots were not identified for use by a specific child. Evidence: Rest cots in the Toddler room were not identified for use by specific children with any identifying labels such as names or numbers.”

Rule 8VAC20-780-440-B.

8VAC20-780-440-E

“Based on observation, there was not 12 inches of space between occupied cots. Evidence: 1. Multiple rest cots in the Toddler room had less than 2 ?of space between the cots. Multiple cots were touching each other at the head and foot of cots next to each other. 2 cots were touching on the sides. 2. 4 cots in the 3?s room were touching at the foot of one cot and the head of the next one.”

Rule 8VAC20-780-440-E.

8VAC20-780-80-A

“Repeat Violation The center did not maintain an attendance sheet for each group of children that documented arrival and departure from the group. Evidence: (DATE) 1. The attendance sheet in the 2?s -2 room reflected 2 children as departed from the room. (Children #3, 4) 2. Child #4 was marked as departed to another room but was not moved. 3. Child #2 had departed the 2?s-2 room; however, was marked as present in the 2?s-2 room.”

Rule 8VAC20-780-80-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-360-A

“Based on observation, activities for children were not age and stage appropriate. Evidence: Children were sitting on the carpet in the 4?s classroom for approximately 15 minutes, while 1 staff member prepared/set up for lunch, and a second staff corrected the attendance sheet to accurately reflect the classroom attendance. Children were hitting each other, rolling around on the carpet and each other with no staff interaction.”

Rule 8VAC20-780-360-A.

8VAC20-780-400-B

Rule 8VAC20-780-400-B.

8VAC20-780-560-F

“Based on observation, children were not allowed second helpings of food. Evidence: During lunch, a child asked a staff member for a second of mango. The staff member replied, ?there was no more mango?.”

Rule 8VAC20-780-560-F.

8VAC20-780-560-L

“Based on observation, staff did not sit with children during meals. Evidence: During lunch in the 4?s classroom, no staff members were sitting with children during the meal. Staff were setting out rest cots and cleaning up.”

Rule 8VAC20-780-560-L.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-530-A-1

“Based on a review of records, staff did not have documentation of certification in cardiopulmonary resuscitation (CPR) from an acceptable provider that included an in-person competency demonstration. Evidence: 3 of 3 records reviewed contained documentation from the National CPR foundation, an online only CPR course. (Staff A,B,C)”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

“Based on a review of records, staff did not have documentation of certification in first aid certification from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 3 of 3 records reviewed contained documentation from the National CPR foundation, an online only course. (Staff A, B ,C)”

Rule 8VAC20-780-530-A-2.

8VAC20-780-160-A

“Based on a review of records, one staff record does not contain documentation of a negative tuberculosis(TB) screening result prior to employment and within the last 30 calendar days. Evidence: The TB screening documentation on file is dated 7/22/21. Staff transferred from a different center that is not in the same LLC. (Staff A Date of Hire: 01/23/23).”

Rule 8VAC20-780-160-A.

8VAC20-780-420-E-1

“Based on a review of daily records for infants, time spent on their stomachs has not been documented. Evidence: 2 of 2 infant records reviewed. did not include documentation of ‘Tummy Time” for either infant.”

Rule 8VAC20-780-420-E-1.

8VAC20-780-550-P

“Based on a review of injury reports, all required information was not documented. Evidence: 10 injury reports were reviewed. 7 of 10 did not include documentation of when the parent was notified of the injury. “At pick up” is not an acceptable time, as this time may vary.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on a review of records, one child records does not include all required components. Evidence: 1 of 4 child records reviewed did not contain acceptable documentation of having viewed a Proof of Birth document. Documentation on file was for a Social Security number. (Child 1)”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on a review of records, 2 staff records do not contain documentation of a nationwide fingerprint search, prior to employment. Evidence: 2 of 2 staff records reviewed did not have new fingerprint results on file. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on a review of records, 2 staff records do not include documentation of a completed (SDS) prior to employment, Evidence: 2 of 2 staff records reviewed did not include a SDS prior to employment at this facility. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with a new SDS being completed. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on a review of records, 2 staff records do not contain documentation of a completed Central Registry Search ( CPS ) within 30 days of employment. Evidence: Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)”

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

8VAC20-780-440-B

“Based on observation, cots are not identified for use by specific children. Evidence: The cots in the 2’s rooms and the preschool room were not labeled with names for use by specific children.”

Rule 8VAC20-780-440-B.

8VAC20-780-440-E

“Based on observation, there is not 12 inches of space between occupied cots in the 2’s room. Evidence: At approximately 2:40PM the younger 2’s room was observed to have 8 children resting on cots. There was not 12” of space between all occupied cots on the carpeted area.”

Rule 8VAC20-780-440-E.

8VAC20-780-500-A

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation disposable diapers were not disposed of in a leakproof or plastic- lined storage system that is foot operated. Evidence: In the Toddler room, LI observed a staff member using her hand to open the diaper disposable container. The container is a foot operated trash can; however, the can is placed on an elevated container where the foot operated pedal cannot be used.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-F

“Based on observation and staff statement, children were not allowed second helpings of food listed in the USDA’s child and adult care meal plans. Evidence: LI observed a child in the Preschool room ask for more snack. The staff member replied there was no more snack available.”

Rule 8VAC20-780-560-F.

8VAC20-820-120-E-2

“Based on observation, the results of the most recent inspection were not posted. Evidence; No inspection report is posted at the facility.”

Rule 8VAC20-820-120-E-2.

8VAC20-780-440-B

“Based on direct observation, cribs are not identified for use by a specific child. Evidence: 1 of the cribs, in use, in the Infant room was not labeled for use by a specific child.”

Rule 8VAC20-780-440-B. From a complaint.

8VAC20-780-550-G

“Based on a review of records, there was no documentation maintained of the Shelter-in-place drills conducted for the past year. Evidence: No Shelter-in-place drills were recorded for 2021 in the log/record book.”

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

8VAC20-780-550-P

“Based on a review of injury reports, all required components were not completed on the report. Evidence; 2 of 2 reports reviewed did not include the time when parents were notified. *1 of 2 had no time listed. The space was blank. *1 of 2 had “at pick up” listed. Pick up times may vary.”

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

8VAC20-780-60-A

“Based on a review of records, children’s records do not contain all required information. Evidence: *1 of 3 children’s records reviewed did not contain documentation of the signature of the person viewing the Proof of Birth documentation, or the date the document was viewed. (Child 2) * 2 emergency contacts listed do not contain the address for the contacts.(Child 3)”

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

8VAC20-780-80-A

“Based on a review of the attendance for one class, an accurate attendance was not maintained. Evidence: The Preschool classroom attendance sheet reflected 16 children in care. There were 17 children present. The iPad also in use did not show the 17th child as present.”

Rule 8VAC20-780-80-A. From a complaint.