Kaye Kare Child Care Center

REPEAT VIOLATION The center is required to obtain a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“The center had not submitted search of central registry for staff #1, who lived out of state within 5 years of hire date.”

Rule 22.1-289.035-B-4.

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

“Peeling paint and chipped/broken tiles in classroom and hallway, that are in use by children.”

Rule 8VAC20-780-270-A.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #4, employed for more than a year, did not have documentation of requesting a central registry check or criminal history check from a state lived in 5 years prior to hire, as listed on Sworn Statement..”

Rule 22.1-289.035-B-4.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #4, who has been actively working at the center for the past year, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

A written care plan is required for each child 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.

“Child #4, who has been enrolled for a month, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-7.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #4, who has been actively working at the center for the past 5 months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At the time of inspection, the attendance record in 2-3yo classroom did not have any record of children in attendance and electronic record system had 9 children signed in and there were 12 children present in the classroom.”

Rule 8VAC20-780-80-A.

22.1-289.035-B-1

“A sworn statement or affirmation disclosing whether employee has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they have been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth is to be completed prior to employment and by end of 30th day for employees. Staff #3 did not have a completed Sworn Disclosure statement in their file, has been employed for 3 years.”

Rule 22.1-289.035-B-1.

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.

“Child #4, who had been attending for two weeks, did not have documentation of an immunization record on file. Child #6 and child #7 who have been attending for a month, did not have documentation of updated immunization record on file. DOL immunizations was prior to children turning 2 years old.”

Rule 8VAC20-780-130-A.

After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for Water supply, Sewage disposal system and Food service.

“The center did not have annual environmental sanitation report. Date of last report 10/6/2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-550-B

“The emergency preparedness plan shall contain procedural components for plan review and update. The center did not have documentation that the emergency preparedness plan had been reviewed or updated in the past year.”

Rule 8VAC20-780-550-B.

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all of the required information. Child #1 (enrolled 3 months) and Child #4 (enrolled 2 weeks) records were missing name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #4’s record was missing documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on record review the child day center did not obtain fingerprint results for an employee, prior to hire date. Evidence: Fingerprint results for Staff #2 (DOH: 1/5/2024) were not obtained until 1/18/2024,”

Rule 22.1-289.035-B-2.

8VAC20-780-510-E

“Based on observation, the center did not follow their procedure for preventing use of outdated medication. Evidence: Medication for Child #7 expired 2/2024.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-F

“Based on record review, the center did not have medication authorization for medication on site. Evidence: Medication (EpiPen) prescribed for Child#6 kept on site, did not have medication authorization signed by MD and parent.”

Rule 8VAC20-780-510-F.

8VAC20-780-70

“Based on record review, references for staff#2 were not checked before employment. Evidence: References for staff hired 1/9/2023, two references were completed 1/16/2023.”

Rule 8VAC20-780-70.

Based on record review, the center did not obtain documentation of additional immunizations once every six months for a child under the age of two years.

“Evidence: Child #1’s record contain immunization records that were last updated on 7/14/2020.”

Rule 8VAC20-780-130-E.

Based on observation, a ratio of 1 staff to 5 children was not maintained in a classroom where the youngest child was 23 months of age.

“Evidence: At approximately 10:02am, Staff #1 was observed on the playground. When the inspector entered the two’s classroom at approximately 10:11am, there were 10 children with Staff #2. Staff #1 returned to the classroom at approximately 10:18am. The classroom was out of ratio for approximately 16 minutes.”

Rule 8VAC20-780-350-C.

Based on record review, interview, and observation, the center did not operate within the terms of their current license issued by the department.

“Evidence: The center is currently licensed for children ages 2 years- 12 years of age. Child #6 was enrolled in the center on 09/05/2023, they were 21 months of age.”

Rule 8VAC20-780-40-E.

Based on review, a staff member did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. Staff #2 (DOH: 1/19/2023) did not have current certification in cardiopulmonary resuscitation (CPR).”

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

Based on record review, a staff member did not have current certification in first aid appropriate to the ages of children in care.

“Evidence: Staff #2 (DOH: 1/19/2023) did not have current certification in first aid training appropriate to the ages of children in care.”

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

Based on record review, children’s records did not all contain required information.

“Evidence: Child #3’s record is missing the father’s work phone number.”

Rule 8VAC20-780-60-A.

Based on record review, the center did not obtain documentation of a negative tuberculosis(TB) screening/testing for a staff member at the time of employment and prior to coming into contact with children.

“Evidence: Staff #1’s (DOH: 11/28/2022) record does not contain TB screening/testing documentation.”

Rule 8VAC20-780-160-A.

Based on record review, children’s records did not all contain required information.

“Evidence: 1.Child #2’s record is missing the address for both emergency contacts. 2.Child #4’s record is missing the parents’ place of employment.”

Rule 8VAC20-780-60-A.

Based on record review, the center did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Staff #1’s (DOH:11/28/2022) record does not contain documentation to verify that two or more references were checked before employment.”

Rule 8VAC20-780-70.

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

“Evidence: 1. The boy’s bathrooms had large areas of the stall walls covered with rust. The rust was rough to the touch and could cut children’s clothing and/or skin. 2. A broken soap dispenser was observed in the boys? bathroom located on the lower level of the facility. 3. Three tiles were missing on the second floor hallway next to the water fountain.”

Rule 22VAC40-185-270-A.

Based on observation, cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Four containers of disinfectant Clorox wipes were observed being stored on a shelf inside a closet in the Little Tykes classroom # 111. The door to the closet had a lock, but the closet door was not locked during the inspection. In the Little Tykes classroom # L21, 4 containers of fluid absorbent were observed in an unlocked upper cabinet.”

Rule 22VAC40-185-280-B.

Based on observation of the Preschool classroom, the center did not ensure that all children 10 years of age or younger are always within actual sight and sounds supervision.

Rule 22VAC40-185-340-F.

Based on observation, the center did not ensure staff-to-children ratios were maintained whenever children are in care.

Rule 22VAC40-185-350-B.

Based on review of medication records, the center did not obtain a current written allergy care plan for each child with a diagnosed food allergy.

“EVIDENCE: Child #1’s did not include a current food allergy care action plan. The allergy care plan for Child #1 expired on 3/5/2022.”

Rule 22VAC40-185-420-E-3.