Western Branch KinderCare

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The record for staff 1, employed for 3 months, does not contain a signed sworn statement.”

Rule 22.1-289.035-B-1.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening that has been completed within the past 30 days of the date of employment. The TB screening for staff 1 was completed 4 months prior to her date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The most recent documented TB screening for staff 2 is dated 8/15/22, which is outside of the two-year follow-up requirements.”

Rule 8VAC20-780-160-C.

8VAC20-780-70

“Staff records shall contain all the required information. The record for staff 1, employed for 3 months, does not contain documentation of orientation to the job position.”

Rule 8VAC20-780-70.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child 1, who had been enrolled for over two years.”

Rule 8VAC20-780-140-A.

8VAC20-780-350-B-2

“The required ratio for 16 months up to 24 months is 1 staff per 5 children. The toddler classroom was over the ratio of 1 staff per 5 children on 12/10/25 and 12/12/25, with up to 8 children in care with only 1 staff. The amount of time the classroom was out of ratio on these dates varied from 10 minutes up to 20 minutes.”

Rule 8VAC20-780-350-B-2. From a complaint.

8VAC20-780-350-B-3

“The required ratio for 2-year-old children is 1 staff per 8 children. The 2-year-old classroom was over the ratio of 1 staff per 8 children on 12/8/25, 12/9/25, 12/10/25, 12/11/25 and 12/12/25, There were times when there were up to 14 children in care with only 1 staff and times with up to 18 children in care with only 2 staff. The amount of time the classroom was out of ratio on these dates varied from 17 minutes up to 46 minutes.”

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

8VAC20-780-350-B-4

“The required ratio for 3-year-old children up to school age eligible is 1 staff per 10 children. The multi-age classroom was over the ratio of 1 staff per 10 children on 12/9/25 and 12/11/25, with up to 13 children in care with only 1 staff. The amount of time the classroom was out of ratio on these dates varied from 35 minutes up to 1 hour and 35 minutes.”

Rule 8VAC20-780-350-B-4. From a complaint.

8VAC20-780-350-C

Rule 8VAC20-780-350-C. From a complaint.

8VAC20-780-130-A

“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, who had been enrolled for over a month, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Repeat Violation The center shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There was no documentation of a physical examination in the record for child 1, who has been enrolled for over one month.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 1’s updated TB screening was due one year ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child 1, enrolled for over a month, does not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

The center shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There was no documentation of a physical examination in the record for child 1 or child 2, who had both been enrolled for six months.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure that the results of the required physical examination were received using either the current form required by the Virginia Department of Health or physician’s form.

“Evidence: 1. The physician’s form indicated that child 1 had received a physical exam however, no results or relevant information was included. 2. Administrative staff confirmed that no additional documentation was on hand that would provide additional information and the results of the physical exam for child 1.”

Rule 8VAC20-780-150-A.

Based on review and staff interview, the center did not prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.

“Evidence: 1. The bus used to pick up children from public school, on the afternoon of the inspection, did not have any written information regarding potential shelters, hospitals and evacuation routes pertaining to each site frequently visited or routes frequently driven by center staff. 2. Administrative staff looked through the bus, emergency bag and attendance notebook and confirmed this information was not in the vehicle.”

Rule 8VAC20-780-550-K.

Based on review and interview, the center failed to ensure that during the transportation of children emergency numbers for 911 or local police/fire and poison control were in the transportation vehicle.

“Evidence: 1. The phone numbers for poison control and 911 or local emergency services were not in the bus used to pick up children from public school on the afternoon of the inspection. 2. Administrative staff viewed the center bus with the inspector and confirmed that the emergency phone numbers for 911 and poison control were not available in the vehicle or attendance notebook.”

Rule 8VAC20-780-580-C.

Based on record review and interview, the center did not ensure that all employees shall undergo a background check every five years after the initial check is completed.

“Evidence: 1. The most recent central registry search result for staff 1 is dated 12/1/17. Staff 1 was due for an updated central registry search in December 2022. 2. The center director confirmed that the central registry search results for staff 1 is expired.”

Rule 22.1-289.035-A.

Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. The record for child 3 (date of enrollment: 7/10/22) does not contain documentation of a physical examination. 2. The center director confirmed that the record for child 3 is lacking documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on observation and interview, the center did not ensure that any vehicle used by the center for transportation of children met all safety standards set by the Department of Motor vehicles.

“Evidence: 1. The center’s bus used to transport children has an inspection sticker that expired in October 2022. 2. The center director confirmed that the bus used by the center to transport children has an expired inspection sticker.”

Rule 8VAC20-780-580-B.

Based on record review and interview, the center did not ensure that children’s records contain all the required information.

“Evidence: 1. The record for child 1 (date of enrollment: 11/28/22) contains one name, address and phone number of a designated person to call in an emergency if a parent cannot be reached, where two are required. 2. The record for child 2 (date of enrollment: 9/11/22) does not contain documentation of viewing proof of the child’s identity and age. 3. The center director confirmed that the records for child 1 and child 2 are lacking the above required information.”

Rule 8VAC20-780-60-A.

Based on playground observation and measurement, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“Evidence: 1. The mulch surrounding the climbing equipment and slides on the playground measures approximately 1 inch in all areas, where 6 inches are required. 2. The center director confirmed that there is not at least 6 inches of resilient surfacing surrounding the playground equipment.”

Rule 8VAC20-780-330-B.

Based on observation and interview, the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: 1. The hands-free, foot operated trash can used to dispose of soiled disposable diapers in the two year old classroom is not working; therefore, staff have to lift the lid of the bin with their hands in order to dispose of soiled diapers. 2. The staff in the two year old classroom confirmed that the hands-free trash can used to dispose of soiled disposable diapers is broken.”

Rule 8VAC20-780-500-B.