KinderCare Learning Center - Pocoshock

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

“Staff #2’s updated screening was due over a month ago and had not been completed as of the day of inspection.”

Rule 8VAC20-780-160-C.

Repeat Violation:Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine.

“Staff #6 was observed changing a child who had an accident before snack. The staff did not ensure the child washed their hands with soap and water after changing.”

Rule 8VAC20-780-500-A.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child #6 was onsite, but the medication authorization had expired over 30 days ago. The medication had been administered since the authorization expired. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Complaint related/Repeat Violation/Systemic Deficiency: The required ratio for children birth to 16 months is one staff per four children.

“Staff to Child ratio sheet for the infant classroom on 5/29/2026 had documentation of the following: 1. Two staff supervising 10 infants (birth to 16 months old) from 8:35am-10:25am 2. Three staff supervising 16 infants (birth to 16 months old) from 10:25am- approximately 11:44am 3. Three staff supervising 14 infants(birth to 16 months old) from 11:44am-12:20pm 4. Three staff supervising 13 infants(birth to 16 months old) from 12:20pm- approximately 2:10pm”

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

Complaint Related/Systemic Deficiency: The required ratio for children ages 16 months-24months is one staff per five children.

“Staff to Child ratio sheet for the Toddler classroom on 5/29/2026 had documentation of the following: 1. One staff supervising 6 toddlers(16-24 months old) from 7:52am-8:02am 2. One staff supervising 7 toddlers(16-24 months old) from 8:02am-8:45am 3. One staff supervising 8 toddlers(16-24 months old) from 8:45am-9:26am 4. One staff supervising 9 toddlers(16-24 months old) from 8:45am-10:36am”

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

Complaint Related/Systemic Deficiency: The required ratio for children ages 2 year old ? 3 year old is one staff per eight children.

“Staff to Child ratio sheet for the Two’s classroom on 5/29/2026 had documentation of the following: 1. One staff supervising 9 two year old’s (24-36 months old) from 9:03am-9:10am 2. One staff supervising 10 two year old’s (24-36 months old) from 9:10am-9:35am 3. One staff supervising 11 two year old’s (24-36 months old) from 9:35am-9:55am 4. One staff supervising 12 two year old’s (24-36 months old) from 9:55am-10:39am 5. One staff supervising 11 two year old’s (24-36 months old) from 10:39am ? approximately 4:00pm”

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

Complaint Related/Systemic Deficiency: The required ratio for children ages 3 years old ? school age eligible is one staff per ten children.

“Staff to Child ratio sheet for the Preschool classroom on 5/29/2026 had documentation of the following: 1. One staff supervising 11-17 preschool children (ages 3-5 years old) from 8:52am-10:11am 2. Two staff supervising 24-28 preschool children (ages 3-5 years old) from 10:15am-12:30pm”

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

Complaint Related: For preschool age children , during designated rest period follow the following staff to child ratio: one staff per 20 children.

“On 5/29/2026, staff to child ratio sheet found one staff member supervising 24-28 preschool children during rest time from 12:30-3pm.”

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

8VAC20-780-350-B-1

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

8VAC20-780-350-B-1

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

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. The file for S5 employed for 9 days did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

“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. The refrigerator in the infant room had a spilled red substance and the freezer had unidentified debris in the compartment. The dustpan used in the infant room had unidentified debris caked on the pan, the pan had a noxious odor, and gnats were flying around.”

Rule 8VAC20-780-270-A.

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually. The information in the record of C5 was due 08/01/2025.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a manner that neither the staff member’s hand nor the soiled diaper touches the exterior surface on the disposal can. A staff member in the infant room was observed changing a diaper and dispose of the diaper in a trash can that required the staff to touch the can with their hands and with the diaper.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-O

“The center shall notify parents by the end of the day of any known minor injuries. Injury report dated 11/07/2025 documented parental notification on 11/10/2025.”

Rule 8VAC20-780-550-O.

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. S1, employed for 28 days did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

8VAC20-780-240-B

“Staff shall complete orientation training required by 8VAC20-780-240.C prior to working alone with children and no later than seven days of the date of assuming job responsibilities. S1, employed for more than 7 days, did not have documentation of required orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 08/12/2025, C1 was out of sight and supervision for approximately 3-5 minutes. The child was found in a classroom alone by another staff member standing on top of a table turning the lights in the classroom on and off.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 08/12/2025, a 4-year-old child was out of sight and supervision for approximately 3-5 minutes. C1 was found alone in a classroom by a staff member, who was not his classroom teacher.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-B-1

“The required ratio for children ages birth to 16 months is one staff per four children. Licensing inspector while in the infant room pm 08/27/2025 observed the center’s Child Supervision Record (CSR) and that at 2 p.m. staff documented 13 children with 2 staff supervising.”

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

8VAC20-780-400-B Behavior guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflict.

“It was reported to licensing during staff interviews on 08/27/2025 and 09/04/2025 that S1, on multiple occasions threatened C1 (two years old) ?to pop? and ?to call C1?s father? as a consequence for the child’s misbehavior in the classroom.”

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

8VAC20-790-600-F

“Staff shall complete annually the department’s health and safety update course. The record for S5 did not contain documentation of this annual training since 09/20/2023.”

Rule 8VAC20-790-600-F.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for a child under the age of two years. C5 under the age of 2 years old and enrolled for 10 months did not have documentation of additional immunizations in the file.”

Rule 8VAC20-780-130-E.

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 C4, who has been enrolled for five months.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for C3 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-260-A

“The center shall provide an annual fire inspection report. The last inspection for the center was more than 12 months ago. The last inspection was dated 04/09/2024.”

Rule 8VAC20-780-260-A.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and water or wipes before and after eating. Multiple children were observed having finished eating their snacks in the 16-month classroom and no hands were washed afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-530-A

“At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid. S4 was observed in a 16-month old classroom supervising children without a current certification in CPR and first aid.”

Rule 8VAC20-780-530-A.

8VAC20-780-560-M

“Children shall not be allowed to drink or eat while walking around. Licensing inspector observed two children walking with a bottles in their mouths and drinking in the 16-month classroom. A child was observed picking up food from the floor while walking around and eating it.”

Rule 8VAC20-780-560-M.

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 C4, enrolled for 5 months, was missing the documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Records shall be kept for each staff person that contains all of the required information. The records for S1, S2, S3, and S4 did not contain information about any health problems that may interfere with fulfilling the job responsibilities and contact information of a person to be notified in an emergency. The record for S4 contained 1 of 2 required references to character, reputation, and competency checked prior to employment.”

Rule 8VAC20-780-70.

8VAC20-780-40-E

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

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child. The center was unable to locate C1’s file and injury report during the inspection and C1 had been enrolled for over 4 months.”

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

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. The infant room was observed to have: the diaper changing table was caked with unidentified debris; multiple crib sheets were stained, yellowed, torn, and had an unidentified debris on them; carpets were stained, and there was debris on top of carpet, dirt and bug carcasses between carpets; and a live bug was observed on floor near where the children’s dining table and chairs.”

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

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: threatening physical punishment. S1 acknowledged threating children with physical punishment ?Do I need to go get your bottom?, and then slapping her own legs making spanking sounds.”

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

8VAC20-780-410-5

“The following acts or threats are forbidden: withholding food and drink. S1 was observed by another staff withholding milk at breakfast from children because they were spilling it.”

Rule 8VAC20-780-410-5. From a complaint.

Based on record review, the provider failed to ensure that staff receive annually the Department’s Health and Safety update course.

“Evidence: The record for S3 documented completion of the training on 03/11/2023 and 08/29/2024. The record for S4 documented completion of the training on 01/21/2020 and 08/31/2024. The record for S5 documented completion of the training on 06/06/2022 and 08/30/2024. The record for S6 documented completion of the training on 02/27/2023 and 08/30/2024.”

Rule 8VAC20-790-600-F.

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that two of six staff shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S4 are dated 10/05/2021 and 01/19/2024. The TB screenings for S5 are dated 05/23/2022 and 08/26/2024.”

Rule 8VAC20-780-160-C.

Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for C11, enrolled 02/05/2024 documented immunizations on 06/03/2024.”

Rule 8VAC20-780-130-A.

Based on child record review, the provider failed to 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: The record for C10, enrolled 04/01/2024, did not contain a physical examination. The record for C11, enrolled 02/05/2024, contained a physical examination dated 05/13/2024.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S7, employed 04/04/2024 did not document a tuberculosis (TB) screening within the required time frame. The screenings were completed 01/27/2024 and 06/08/2024.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S6, employed 02/13/2024 contained a certificate of completion of the Virginia Preservice Training dated 06/08/2024.”

Rule 8VAC20-780-240-A.

Repeat Violation

“Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: Discovery Preschool room: diaper changing table cracked and splintered. Toddlers? room: wooden chair rail missing a section exposing raw wood. Preschool room: peeling paint on windowsill and stains on area rug. Infant room: siding outside the window shattered with sharp edges.”

Rule 8VAC20-780-270-A.

Repeat Violation

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Staff, S8, reported that the injury prevention plan has not been updated.”

Rule 8VAC20-780-40-J.

Repeat Violation

“Based on observation and interview, the center failed to assure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Licensing inspector observed a bottle of liquid children’s allergy medication in the center’s medication box that did not contain a child’s name. S8 was unable to confirm the identify of the child to whom the medication was prescribed.”

Rule 8VAC20-780-510-G.

Repeat Violation

“Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated February, March, April, and May 2024 did not document: the method used for notification of the drill; the number of staff participating; and special conditions simulated; problems encountered, if any; and weather conditions for emergency evacuation drills.”

Rule 8VAC20-780-550-G.

Repeat Violation

Rule 8VAC20-780-550-P.

8VAC20-790-600-D-1

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

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-770-40-D-1-b

Rule 8VAC20-770-40-D-1-b.

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C7, under the age of 2, enrolled 12/31/2022 did not contain additional immunizations due within six months of immunizations in the record dated 03/22/2023.”

Rule 8VAC20-780-130-E.

8VAC20-780-150-B

“Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunizations for child, C7 dated 03/22/2023 were not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to ensure that S5 obtained a follow up tuberculosis screening every two years. Evidence 1) The most recent tuberculosis screening contained in the file of S5 was dated 9/27/21. 2) S6 acknowledged that the tuberculosis screening for S-5 was more than two years old.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-B

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-40-J

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Staff, S6, the administrator on duty during the inspection reported that the injury prevention plan has not been updated.”

Rule 8VAC20-780-40-J.

8VAC20-780-420-E-3

“Based on child record review, the provider failed to document at least annually parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child, C1, C6, and C7 did not document annual confirmation of required information in the record. C1, enrolled 12/21/2028 the last annual confirmation of information was dated 11/30/2020; C6, enrolled 08/22/2022, no update noted in record; and C7, enrolled 12/31/2022, no update noted in record.”

Rule 8VAC20-780-420-E-3.

Based on observation and interview, the center failed to assure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: Licensing inspector observed a plastic bag labeled with the name of child, C6, that contained an unlabeled prescribed emergency medication. The medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. S6 reported not having the pharmacy labeled box that contained this information.”

Rule 8VAC20-780-510-G.

Based on observation and interview, the center administered a prescription medication without written authorization of the parent and that was not maintained in the original labeled container from the pharmacy.

“Evidence: Licensing inspector observed a tube of ointment labeled by the manufacturer as a prescribed medication in the infant classroom. S7 indicated that the ointment was for child, C5 and that it had been administered to the child. Licensing inspector requested the written authorization signed by the parent for the prescribed medication and the original labeled container. S7 reported not knowing the ointment was a prescribed medication, did not have the labeled container, or a written authorization from the parent to administer the prescribed medication.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-D

“Based on review of the drill record, the provider failed to implement a monthly practice evacuation drill. Evidence: The drill record did not document practice evacuation drills between January ? July 2023.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-G

“Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated August, October, and November 2023 did not document: the method used for notification of the drill; the number of staff participating; the number of children participating; problems encountered, if any; and weather conditions for emergency evacuation drills.”

Rule 8VAC20-780-550-G.

Based on review of injury reports, the provider failed to document required information.

“Evidence: Licensing inspector reviewed incident reports dated July 2023 ? December 2023. Six of six injury reports for July 2023, six of six injury reports for August 2023, five of five injury reports for September, two of two in November, and one of one in December failed to document the date and time when parents were notified of the injury.”

Rule 8VAC20-780-550-P.

(Repeat Violation)

“Based on child record review, the provider failed to ensure that one of six records contained the required information for each child enrolled. Evidence: The record for child, C4, enrolled 09/25/2023 did not document: viewing proof of the child’s identity and age; health information required by 8VAC20-780-130 (immunizations); and health information required by 8VAC20-780-140 (physical examination)”

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

Based on review of six staff records and interview, the center did not request the results of a sex offender registry check and a search of founded complaints of child abuse or neglect within the required timeframes from all the states in which the one staff member had resided in the preceding five years.

Rule 22.1-289.035-B-4.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

Based on review of documentation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on staff interviews and documentation review, the center failed to ensure that the center’s activities, services, and facilities are maintained in compliance with 1the center’s own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E.

60-A Based on review of six children’s records, the center did not obtain the required information for one child.

Rule 8VAC20-780-60-A.

Based on review of six children’s records, the center did not have a written allergy action care plan for one child diagnosed with a food allergy, to include instructions from a physician regarding the steps to take in the event of an allergic reaction.

“Evidence: The record for Child #4 (first date of attendance 02/21/2023) indicated the child has a diagnosed food allergy. Two staff members stated the written allergy action care plan had been requested but the family has not provided the document as of 06/21/2023.”

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

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-770-60-C-2

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