KinderCare Learning Center #301044

8VAC20-780-150-B

“Repeat Violation: The immunization record shall be signed by a physician, his designee, or an official of a local health department. The immunization record for child A was not signed by a physician/designee, this was overdue by 3.5 years. The immunization record for child C was not signed by a physician/designee, this was overdue by 1 year.”

Rule 8VAC20-780-150-B.

The center must follow their policy for medication administration.

“There was expired emergency medication at the center for child B . The medication expired 2 months ago.”

Rule 8VAC20-780-240-D.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There was furniture, toys and pillows in front of the emergency exit door in the toddler classroom. There was signage on the door stating that this was an emergency exit and do not block.”

Rule 8VAC20-780-270-A.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence to include time when parents were notified.

“The center is not documenting the time of day parents were informed of injuries to their child(ren).”

Rule 8VAC20-780-550-P.

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

“The immunization records for Child A and Child B were not signed by the physician/designee. This information was not provided for 8 months for child B and by several years for child A.”

Rule 8VAC20-780-150-B.

Repeat Violation: Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation must be signed by a physician , their designee or an official of the health department.

“The tuberculosis test for staff A and B were not signed by a physician, this information was overdue by 10 months for staff A and by 5 weeks for staff B.”

Rule 8VAC20-780-160-A.

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“A spray bottle of sanitizing solution, and a container of baby oil were unlocked in a cabinet in the schoolage classroom.”

Rule 8VAC20-780-280-B.

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 documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“The current written allergy/sensitivity/diet restriction list in the infant room was dated June 2025 and not the current December 2025 list.”

Rule 8VAC20-780-40-M.

Medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Antacid tablets were stored unlocked in a cabinet in the schoolage classroom.”

Rule 8VAC20-780-510-L.

Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that:

“On 12/4/25 at approximately 2:04 pm, staff A left 15- two-year-old children alone in their classroom at naptime. The children were discovered unsupervised by a staff at approximately 2:30 pm.”

Rule 8VAC20-780-340-F.

In order to promote the child’s physical, intellectual, emotional, and social well-being and growth, staff shall interact with the child and one another to provide needed help, comfort, and support.

“On 12/4/25 at approximately at 2:30 pm, a two year old child was sitting on their cot during naptime crying. There were no staff in the classroom and the child was not provided the needed comfort, support or help.”

Rule 8VAC20-780-400-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.

“There was no immunization record on file for child B which was overdue by 2.5 months and for child A which was overdue by at least 2 weeks.”

Rule 8VAC20-780-130-A.

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 records for child C and D were not signed by a physician/designee.”

Rule 8VAC20-780-150-B.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The screening/test must be signed by a physician/designee or health department.

“There was no physician/designee signature on staff A’s tuberculosis test, which was overdue by 6 months.”

Rule 8VAC20-780-160-A.

Orientation training shall be appropriate to the age of the children in care and include all of the following facility specific topics.

“Orientation training was not documented for staff B, which was overdue by 6 months.”

Rule 8VAC20-780-240-C.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“On “the field” playground there was a pile of debris in one corner, the debris consisted of broken garden furniture, broken toy pieces and lids. This debris was accessible to children on the playground, This debris has been in the corner of the playground since the summer.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-M

“Repeat Violation: 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 documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. 1. Child A has a diagnosed food allergy to nuts however this allergy was listed as a sensitivity on the posted list.”

Rule 8VAC20-780-40-M.

The center failed to follow their written playground safety procedures which include active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children.

“On “the field” playground there were 3 children, three years of age on one end of the playground playing in a pile of debris which consisted of broken furniture and toys.. The teacher was on the opposite end of the playground and failed to come over to intervene or redirect the children. The staff failed to adequately scan the playground nor circulate amongst all the children.”

Rule 8VAC20-780-40-N.

8VAC20-780-60-A-8

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

A central registry background check must be requested prior to employment.

“Staff A’s central registry background check had not been submitted prior to employment as the staff was employed one day prior to the center submitting for the background check.”

Rule 22.1-289.035-B-3.

Medication administration shall be performed by a person who has satisfactorily completed a training program for this purpose approved by the Board of Nursing.

“There was no staff present who had Medication Administration Training for at least 2 hours when children were in care and medications were on site.”

Rule 8VAC20-780-245-J.

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“The two doors to the storage closet were unlocked and contained over 20 containers of paints and various cleaning agents.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

Cribs shall be identified for use by a specific child.

“There were no names of 3 cribs used by infants.”

Rule 8VAC20-780-440-B.

The center’s procedures for administering medication shall include the duration of the parents authorization for medication, provided that it shall expire or be renewed after 10 work days. Long term prescription drug use may be allowed with written authorization from the child’s physician and parent.

“The parent duration for an emergency medication expired on 9/1/24 and had not been renewed for child A. There was no parental authorization for a non prescription medication for child A.”

Rule 8VAC20-780-510-E.

After the first license, annual approval from the health department is required.

“The health inspection was dated 1/17/23, which is overdo by 6 months.”

Rule 8VAC20-780-260-B.

When an authorization for medication expires, the center must notify the parent for the need of the medication to be picked up within 14 days or the parent must renew the authorization. If the authorization hasn’t been renewed nor picked up, the center must dispose of the medication.

“Medication authorization for child A expired on 5/13/24 , the medication authorization had not been renewed, nor picked up nor disposed of as of 7/29/24.”

Rule 8VAC20-780-510-P.

8VAC20-780-280-B

“Hazardous substances shall be kept locked. Seven containers of disinfectants and cleaning agents were stored in an unlocked closet in the Transitional Kindergarten classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“A current written list of all children’s allergies, sensitivities, and dietary restrictions shall be in each room. Child A has an egg and lentil allergy as documented in the file. The eggs were identified as a sensitivity on the list and the lentils were not included on the written list.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-P

“When authorization for medication expires, the parent shall pick the medication up within 14 days or the parent must renew the authorization or the medication shall be disposed of by the center. The parent and physician authorization for an emergency medication for child B expired on 3/10/24. The emergency medication had not been renewed, picked up or disposed of.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A-8

“A written care plan for each child with a diagnosed food allergy by a physician is required. There was no written care plan on file for the egg and lentil allergy for child A.”

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

8VAC20-780-400-A

“Based on interviews and a review of video footage, it was determined that the center’s staff failed to promote a child’s well-being and growth when the staff failed to interact with a child with needed help, comfort and support. Evidence: On 11/7/23 at approximately at 9m during circle time, staff A can be seen on video footage sternly telling child A to put their shoes back on after the toddler had taken them off. The voice tone was harsh and not intended to constructively redirect the toddler.”

Rule 8VAC20-780-400-A.

8VAC20-780-410-1

“Based on a review of video footage and interviews, it was determined that a staff physically punished a toddler. Evidence: On 11/7/23 at approximately 9 am, staff A threw a baggie of flash card pieces at child A to get their attention and to direct the child to put their shoes and socks back on. The baggie hit the child in the leg/foot area.”

Rule 8VAC20-780-410-1.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-400-B

“Based on staff interviews, the facility failed to provide behavioral guidance that is constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior. Evidence: on 9/13/2022 between approximately 3:00-3:30 pm, staff #1 and staff #2 repeatedly yelled at child #1 (age 4) in the restroom, when the child’s urine accidently got on the wall. Staff reportedly yelled, “You peed on the wall! You peed on the wall!” Child #1 was crying and stating “I did not pee on the wall.””

Rule 8VAC20-780-400-B.

8VAC20-780-410-7

“Based on staff interviews, it was determined that staff used a forbidden action - punishment for toileting accidents. Evidence: on 9/13/2022 between approximately 3:00-3:30 pm, staff #2 grabbed child #1 (age 4) by the wrist, placing the child’s hand on a wall that was wet with urine, and wiping the child’s hand all over the urine while yelling, “You peed on the wall! You don’t pee on the wall!””

Rule 8VAC20-780-410-7.

8VAC20-780-330-B

“Based on observation, it was determined that the facility failed to ensure adequate resilient surfacing and a fall zone free of hazardous obstacles under and around all playground equipment as required. Evidence: On the Toddlers/Twos playground there were two slides approximately three feet from each other and less than six feet from the shade structure poles. There was a riding toy directly next to one of the slides in the fall zone. There was a seesaw on the cement sidewallk.”

Rule 8VAC20-780-330-B.

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: Staff changed a baby’s diaper and set them on the floor to play, without washing the child’s hands or their own hands afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-580-B

“Based on record review and observation, the facility did not ensure that they had documentation of an annual safety inspection as required by the Department of Motor Vehicles. Evidence: One of the buses used by the facility had a safety inspection that expired on 6/30/22.”

Rule 8VAC20-780-580-B.