KinderCare Learning Center - Cedar Fork

***Repeat Violation*** The center is required to have employees undergo a background check every five years.

“Staff #1 did not have an updated sworn disclosure or affirmation. It was overdue by 29 days.”

Rule 22.1-289.035-A.

***Repeat Violation*** 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 immunization record for child #1, who had been enrolled for 13 days.”

Rule 8VAC20-780-130-A.

***Repeat Violation*** 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 for child #4, who had been enrolled for 10 months.”

Rule 8VAC20-780-140-A.

***Repeat Violation, Systemic Deficiency *** A tuberculosis (TB) screening is required every two years from the last screening.

“1. Staff #3 did not have an updated TB screening and was overdue by 23 days. 2. Staff #4?s TB screening was completed 85 days late.”

Rule 8VAC20-780-160-C.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“On August 24, 2026, between the hours of 6:30 AM to 8:00 AM, there were no staff in attendance with daily health observation training.”

Rule 8VAC20-780-245-L.

***Repeat Violation*** The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“1. The playground shed has chipped and peeling paint, deteriorating wood and two screw heads protruding out within reach of children. 2. The outdoor electrical box cover had peeling paint within reach of children. 3. The doorway between the infant and toddler rooms had a threshold coming away from the floor posing a tripping hazard. 4. There were two grills without secure lids containing charcoal on the playground within reach of children. The grill lids were laying beside the two grills.”

Rule 8VAC20-780-270-A.

Cribs shall be identified for use by a specific child.

“Four infants were in attendance, and two infant cribs were not labeled for use by a specific child.”

Rule 8VAC20-780-440-B.

***Repeat Violation*** Staff shall wash their hands with soap and running water after any contact with body fluids.

“Staff #1 was observed wiping a child’s nose and did not wash their hands with soap and water.”

Rule 8VAC20-780-500-A.

***Repeat Violation*** Centers must keep a separate record for each child enrolled that contains all of the required information.

Rule 8VAC20-780-60-A.

A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance. The agreement shall include all required components.

Rule 8VAC20-780-90-A.

Any teacher or other person employed in a child day program, who have reason to suspect child abuse or neglect, are required to immediately report to the local Department of Social Services of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department’s toll-free child abuse and neglect hotline.

Rule 63.2-1509-A. From a complaint.

***Repeat Violation*** Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“The immunization record for child #1 (2 years) was not signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B. From a complaint.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A. From a complaint.

The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E. From a complaint.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-B. From a complaint.

The following actions or threats thereof are forbidden: Physical punishment, striking a child, roughly handling or shaking a child.

Rule 8VAC20-780-410-1. From a complaint.

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 immunization record for child #1, who had been enrolled for 32 days.”

Rule 8VAC20-780-130-A. From a complaint.

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 32 days.”

Rule 8VAC20-780-140-A. From a complaint.

Centers must keep a separate record for each child enrolled that contains all of the required information.

“Child #1 did not have documentation of viewing proof of the child’s identity and age and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and it was overdue by 32 days.”

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

The center is required to obtain documentation of a negative tuberculosis (TB) screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“1.Staff #5, staff #7, and staff #8 had documentation of a TB screening completed more than 30 days prior to hire.”

Rule 8VAC20-780-160-A.

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

“1. Staff #1?s updated screening was 11 months over due. 2. Staff #2?s did not have documentation of an updated TB screening and was overdue by more than two months.”

Rule 8VAC20-780-160-C.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“1. The playground shed has several screw heads sticking out away from boards. 2. The outdoor wooden flower box is broken and unstable. 3. One toilet is covered by a trash bag and unable to be used.”

Rule 8VAC20-780-270-A.

Hazardous substances must be in a locked place that prevents access by children.

“1. In the toddler classroom, the cleaning solution and sanitizing solution were in an unlocked cabinet, within reach of children. 2. On vehicle #1, one container of disinfectant wipes; on vehicle #2, two containers of Clorox wipes; and on vehicle #3 one container of Clorox wipes were being stored unlocked and within reach of children.”

Rule 8VAC20-780-280-B.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present.

“The center did not have a current list of allergies for children enrolled at the center.”

Rule 8VAC20-780-40-M.

Staff shall complete the departments health and safety update course annually.

“1. Staff #1, staff #2, staff #4, and staff #6 did not have documentation of the annual health and safety course. 2. Staff #3?s health and safety update course was overdue by two months.”

Rule 8VAC20-790-600-F.

Staff shall complete the departments health and safety update course annually.

“1. Staff #1, staff #2, and staff #6 have not completed the Virginia Annual Health and Safety update since 2020. 2. Staff #3 did not have documentation of the Virginia Annual Health and Safety update for 2024 or 2025.”

Rule 8VAC20-790-600-F.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #1 was overdue by two years.”

Rule 22.1-289.035-A.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization report for child#4, enrolled for 6 days was not signed by a physician, his designee, or an official of the local health department.”

Rule 8VAC20-780-150-B.

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

“Staff #3 did not have documentation of an updated TB screening which was overdue by 162 days.”

Rule 8VAC20-780-160-C.

Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities.

“The record for Staff #5, employed for over two months did not have documentation of orientation training.”

Rule 8VAC20-780-240-B.

The following actions or threats thereof are forbidden: Enclosure in a small confined space or any space that the child cannot freely exit himself; however, this does not apply to the use of equipment such as high chairs, when used with children preschool age or younger for their intended purpose.

“Child #5 (23 months old) was observed strapped in a highchair while staff prepared lunch and during group activities such as singing and story time. Staff stated that child #5 will not sit at the table and climbs on everything.”

Rule 8VAC20-780-410-2.

Children’s hands shall be washed with soap and running water after toileting.

“Diapering was observed and children did not wash hands after their diaper change.”

Rule 8VAC20-780-500-A.

Each center shall maintain a separate record for each staff person that contains all of the required information.

“1. The record for Staff ##5, employed for over two months, did not have documentation of the education and/or certification required by the job position and two references to character, reputation, and competency.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1, employed for eight months, did not current certification in CPR. Staff #4, employed for four months, did not have current certification in CPR.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. Staff #1, employed for eight months, did not current certification in first aid. Staff #4, employed for four months, did not have current certification in first aid.”

Rule 8VAC20-790-600-D-2.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. The record for Staff #1, who had been employed for eight months, did not have documentation of a requested or a completed central registry search. Staff #5, who had been employed for seven months did not have documentation of a requested or a completed central registry search.”

Rule 22.1-289.035-B-3.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The records for Child #1 and Child #2 did not contain updated immunization records. The children have been attending the center for eight months. Child #1 and Child #2 are under two years of age.”

Rule 8VAC20-780-130-E.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. A large plastic toy bin with multiple cracks in it was located on the playground. The red shed located on the playground contained peeling paint on the door and door frames.”

Rule 8VAC20-780-270-A.

22.1-289.035-A

“Based on a review of seven staff records, observation, and documentation review, the center did not ensure two staff obtained required background checks every five years. Evidence: 1. The record for Staff #5 (date of employment 10/22/2018) contained documentation of a central registry findings dated 10/22/2018. 2. A letter stated portability not available. 3. Central registry findings, national fingerprint based criminal history and Sworn Statement are required to be updated at least every five years.”

Rule 22.1-289.035-A.

8VAC20-780-270-A

“Based on observations and interview, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: 1. A heavy coat of dust covered the vent in the School Age Classroom 2. The two red sheds located on the playground contained large patches of peeling paint. 3. Children were observed on the playground during the inspection.”

Rule 8VAC20-780-270-A.

8VAC20-790-600-D-1

“Based on review of five staff records, the vendor did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) within 90 days of the date of employment. Evidence: 1. The record for Staff #5 (Date of Employment) did not contain current certification in CPR. 2. A member of management confirmed the center is in the process of scheduling a CPR training.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Based on review of five staff records, the vendor did not ensure all staff who work directly with children obtained current certification in first aid within 90 days of the date of employment. Evidence: 1. The record for Staff #5 (Date of Employment) did not contain current certification in first aid. 2. A member of management confirmed the center is in the process of scheduling a first aid training.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-240-A

“Based on review of five staff records and interview, the center did not ensure one staff member completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: 1. The records of Staff #5 (Date of Employment 10/20/2023) did not contain documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment. 2. A member of management stated Staff #5 has begun the training but has not completed it as of 01/22/2023.”

Rule 8VAC20-780-240-A.

8VAC20-780-70

“Based on review of five staff records and interview, the center did not maintain the required documents for one staff member. Evidence: 1. The records for Staff #4 (Date of Employment 06/05/2023)did not contain documentation of staff completing required orientation. 2. A member of management stated orientation was completed with Staff #4, but the form could not be located.”

Rule 8VAC20-780-70.

8VAC20-780-410-1

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-780-130-A

“Based on review of five children’s records and interview, the center did not obtain documentation of the immunizations required by the State Board of Health before two children began attending the center. Evidence: The records for Child #2 (first date of attendance 09/12//2022) and Child #5 (first date of attendance 04/10/2023) did not contain documentation of immunizations. A member of management confirmed this information during the inspection.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of five children’s records and interview, the center did not obtain a physical examination by or under the direction of a physician for two children before or within 30 days after the first day of attendance. Evidence: The records for Child #2 (first date of attendance 09/12//2022) and Child #5 (first date of attendance 04/10/2023) did not contain documentation of physical exam. A member of management confirmed this information during the inspection.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Based on observations and interview, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The paint on two red doors on the storage units located on the playground was peeling. A member of management stated the maintenance team has already been contacted and requested to fix the doors.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

Rule 8VAC20-780-290-A-3.

8VAC20-780-130-A

“Based on review of five children’s records, the center did not obtain documentation of required immunizations prior to one child attending the center. Evidence: The record for Child #1 (first date of attendance 12/11/22) did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of five children’s records, the center did not obtain documentation of the physical examination by or under the direction of a physician within the required timeframe. Evidence: The record for Child #1 (first date of attendance 12/11/22) did not contain documentation of a physical exam.”

Rule 8VAC20-780-140-A.

Based on observations, the center did not ensure all hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevented access by children.

Rule 8VAC20-780-280-B.

Based on review of seven staff records, the center did not obtain a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff #5 (hire date 09/07/2021) contained documentation that the staff member had resided outside of the state of Virginia within the preceding five years. There was not a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years.”

Rule 22.1-289.035-B-4.

Based on review of seven staff records, the center did not obtain a completed sworn statement or affirmation prior to employment for one staff member.

“Evidence: The record for Staff #4 (hire date 5/26/2010) did not contain a completed sworn statement.”

Rule 8VAC20-770-60-B.

Based on review of seven staff records, the center did not ensure a central registry finding was obtained within 30 days of beginning employment for two staff members.

“Evidence: The records for Staff #3 (hire date 4/17/2003) and Staff #4 ( hire date 5/26/2010) did not contain central registry findings.”

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

Based on review of seven staff records, the center did not obtain documentation of negative tuberculosis screening for one staff member.

“Evidence: The record for Staff #1 (hire date 09/07/2021) did not contain documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

Based on review of seven staff records, the center did not obtain results of a follow-up tuberculosis screening for one staff member.

“Evidence: The record for Staff #2 (hire date 02/28/2002) contained a tuberculosis screening dated 03/06/2019. Tuberculosis screening are required to be updated at least every two years from the date of prior results.”

Rule 8VAC20-780-160-C.

Based on observation, the center did not ensure all areas and equipment were kept in a clean, safe and operable condition.

“Evidence: 1. One of the toilet’s seats in the Preschool bathroom was missing the seat. A bolt was extended out where one side of the toilet seat should have been connected. 2. Boards around the trees located on the School Age playground were sticking up approximately three to four inches in the corners, creating a pinching and tripping hazard. 3. The soft pad wrapped around the basketball goal on the playground was ripped and exposing the foam.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure all hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children.

“Evidence: 1. The diaper changing table located in the Discovery Preschool classroom was unlocked. Inside the unlocked diaper changing table were over five cleaning materials. 2. A cabinet in the Pre-K classroom was unlocked. Two cleaning agents were located inside the cabinet. 3. The doors leading to the kitchen were unlocked. There unlocked cleaning chemicals sitting on the sink area.”

Rule 8VAC20-780-280-B.

Based on observation and interviews, the center did not ensure a current written list of all children’s allergies was dated and kept confidential in each room or area where children are present.

“Evidence: The licensing inspectors asked the staff in the classrooms if they had a written list of all children’s allergies. The staff stated they did not have a printed allergy list. The licensing inspectors looked for posted written allergy lists and could not find it.”

Rule 8VAC20-780-40-M.

Based on review of seven children’s records, the center did not obtain the required information for two children.

“Evidence: The record for Child #1 and Child #2 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on review of seven children’s records, the center did not obtain a written care plan for two children 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: The records for Child #1 and Child #3 indicated both children have a food allergy. The records did not contain a written allergy action plans.”

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

Based on review of three children’s records and interview, the center did not ensure documentation of a physical exam was obtained prior to or within the first 30 days of one child attending the center.

“Evidence: The record for Child #1 (started attending center on 06/07/2021) did not contain documentation of a physical exam. A member of management confirmed this information.”

Rule 8VAC20-780-140-A.