Bon Air KinderCare

8VAC20-780-410-1 Complaint related: Yes

“Based on documentation review and interviews, it was determined that a staff used the forbidden action of rough handling of children to correct the behaviors of children. Evidence: On July 19, 2024, the parent of C1 entered the center’s gym and observed S1 grabbing C1?s face in a rough manner while addressing a behavioral issue. The licensing inspector interviewed center staff and reviewed records including a coaching form competed by center director. The form documented that ?S1 grabbed a child by the jaw to get the child’s attention to not do something, the parent of the child saw this, and (S1) was seen in my office. Discussions were had of the discipline policy and the right way to talk to children. (S1) read over the employee handbook and the code ethics handbook.?”

8VAC20-780-400-B Complaint related: Yes

“Based on review of video provided by the center and staff interviews, it was determined that a staff failed to provide behavioral guidance that shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflict. Evidence: On April 19, 2024, C1 was having an emotional meltdown in the DSP2 classroom that included crying, kicking and flinging a toddler chair in the classroom. S1 used the center’s I-Pad and videoed C1?s behavior and sent it to the child’s parent through the center’s app to show the parent the child’s behavior. During the video, S1 did not provide any behavioral guidance to the child.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The records for S5, employed 04/22/2024 and S7, employed 04/15/2024 did not contain a sworn disclosure statement.”

8VAC20-780-140-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 C2, enrolled 09/10/2023 contained a physical examination report dated 10/30/2023.”

8VAC20-780-210-A

“Based on record review, the provider failed to ensure that program leaders shall meet all the required qualifications. Evidence: Staff records for S1, employed 03/04/2024, S2 employed 03/18/2024, and S10, employed 08/21/2023 did not have documentation to demonstrate how the staff meets program leader qualifications.”

8VAC20-780-240-B

“Based on staff record review, the provider failed to ensure that staff completed orientation training required by 8VAC20-780-(3)-240-C prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The staff records for S2, employed 03/18/2024, S4, employed 12/21/2023, S5, employed 04/22/2024, S6, employed 04/22/2024, S7, employed 04/15/2024, and S8, 04/15/2024 did not contain documentation of orientation.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that seven of thirteen 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 S1, employed 03/04/2024 did not document a tuberculosis (TB) screening. The record for S3, employed 05/20/2024 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 03/06/2024. The record for S7, employed 04/15/2024 did not document a tuberculosis (TB) screening. The record for S8, employed 04/15/2024 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 10/27/2023. The record for S9, employed 10/02/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 11/18/2023. The record for S11, employed 03/29/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 10/26/2023. The record for S13, employed 06/23/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 08/18/2022.”

8VAC20-780-40-M

“Based on observation, the center failed to maintain a current written list of all children allergies, sensitivities, and dietary restrictions that is dated and kept confidential. Evidence: Licensing inspector observed the child allergy lists posted in Pre-K and the Discovery Pre-School 2 classrooms were dated for February 2024 and May 2024. The Pre-K classroom list was not current.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that one of ten contained required documentation. Evidence: The record for child, C7, enrolled 04/24/2023 did not contain documentation of viewing proof of the child’s identity and age.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 03/18/2024 did not contain findings of a central registry search. The record for S7, employed 04/15/2024 did not contain findings of a central registry search. The record for S8, employed 04/15/2024 did not contain findings of a central registry search. The record for S13, employed 06/23/2023 did not contain findings of a central registry search.”

8VAC20-780-130-A

“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 C2, enrolled 09/10/2023 documented immunizations on 10/30/2023. The record for C3, enrolled 08/27/2023 documented immunizations on 08/29/2023.”

8VAC20-780-560-J

“Based on observation, the provider did not ensure that tables be sanitized before and after food being consumed by children. Evidence: Licensing inspector observed the DSP-1 classroom children having a snack and the tables not being sanitized afterwards before starting a craft activity.”

8VAC20-780-510-L

“Based on observation, the provider failed to ensure that a medication was kept in a locked place. Evidence: Licensing inspector observed a bottle of Infant Tylenol on the program directors? desk and the office door was open and accessible to children.”

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 records for child, C4 enrolled 11/29/2022, C6, enrolled 01/16/2023, C7, enrolled 04/24/2023, C8, enrolled 11/28/2022, C9, enrolled 12/05/2022 did not document annual confirmation of required information in the record.”

8VAC20-780-70

“Based on record review, the provider did not keep the required records for three of thirteen staff. Evidence: The records for S2, employed 03/18/2024, S5, employed 04/22/2024, and S13, employed 06/23/2023 did not document information about any health problems that may interfere with fulfilling the job responsibilities and emergency contacts.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff S13, employed 06/23/2023 did not have results of a national criminal background check prior to the first day of employment.”

8VAC20-780-130-E

“8VAC20-780-(2)-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 C2, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 10/30/2023. The record for C3, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 08/29/2023. The record for C5, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 06/26/2023. The record for 6, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 01/11/2023.”

8VAC20-780-240-E

“Based on staff record review, the provider failed to ensure that staff within 30 days of the first day of employment complete orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: Staff records for S1, S2, S3, S4, S5, S6, S7, S8 did not document the orientation training in first aid and CPR.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The records for S5, employed 04/22/2024 and S7, employed 04/15/2024 did not contain a sworn disclosure statement.”

8VAC20-780-140-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 C2, enrolled 09/10/2023 contained a physical examination report dated 10/30/2023.”

8VAC20-780-210-A

“Based on record review, the provider failed to ensure that program leaders shall meet all the required qualifications. Evidence: Staff records for S1, employed 03/04/2024, S2 employed 03/18/2024, and S10, employed 08/21/2023 did not have documentation to demonstrate how the staff meets program leader qualifications.”

8VAC20-780-240-B

“Based on staff record review, the provider failed to ensure that staff completed orientation training required by 8VAC20-780-(3)-240-C prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The staff records for S2, employed 03/18/2024, S4, employed 12/21/2023, S5, employed 04/22/2024, S6, employed 04/22/2024, S7, employed 04/15/2024, and S8, 04/15/2024 did not contain documentation of orientation.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that seven of thirteen 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 S1, employed 03/04/2024 did not document a tuberculosis (TB) screening. The record for S3, employed 05/20/2024 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 03/06/2024. The record for S7, employed 04/15/2024 did not document a tuberculosis (TB) screening. The record for S8, employed 04/15/2024 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 10/27/2023. The record for S9, employed 10/02/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 11/18/2023. The record for S11, employed 03/29/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 10/26/2023. The record for S13, employed 06/23/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 08/18/2022.”

8VAC20-780-40-M

“Based on observation, the center failed to maintain a current written list of all children allergies, sensitivities, and dietary restrictions that is dated and kept confidential. Evidence: Licensing inspector observed the child allergy lists posted in Pre-K and the Discovery Pre-School 2 classrooms were dated for February 2024 and May 2024. The Pre-K classroom list was not current.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that one of ten contained required documentation. Evidence: The record for child, C7, enrolled 04/24/2023 did not contain documentation of viewing proof of the child’s identity and age.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 03/18/2024 did not contain findings of a central registry search. The record for S7, employed 04/15/2024 did not contain findings of a central registry search. The record for S8, employed 04/15/2024 did not contain findings of a central registry search. The record for S13, employed 06/23/2023 did not contain findings of a central registry search.”

8VAC20-780-130-A

“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 C2, enrolled 09/10/2023 documented immunizations on 10/30/2023. The record for C3, enrolled 08/27/2023 documented immunizations on 08/29/2023.”

8VAC20-780-560-J

“Based on observation, the provider did not ensure that tables be sanitized before and after food being consumed by children. Evidence: Licensing inspector observed the DSP-1 classroom children having a snack and the tables not being sanitized afterwards before starting a craft activity.”

8VAC20-780-510-L

“Based on observation, the provider failed to ensure that a medication was kept in a locked place. Evidence: Licensing inspector observed a bottle of Infant Tylenol on the program directors? desk and the office door was open and accessible to children.”

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 records for child, C4 enrolled 11/29/2022, C6, enrolled 01/16/2023, C7, enrolled 04/24/2023, C8, enrolled 11/28/2022, C9, enrolled 12/05/2022 did not document annual confirmation of required information in the record.”

8VAC20-780-70

“Based on record review, the provider did not keep the required records for three of thirteen staff. Evidence: The records for S2, employed 03/18/2024, S5, employed 04/22/2024, and S13, employed 06/23/2023 did not document information about any health problems that may interfere with fulfilling the job responsibilities and emergency contacts.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff S13, employed 06/23/2023 did not have results of a national criminal background check prior to the first day of employment.”

8VAC20-780-130-E

“8VAC20-780-(2)-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 C2, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 10/30/2023. The record for C3, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 08/29/2023. The record for C5, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 06/26/2023. The record for 6, under the age of 2 years did not contain additional immunizations due within six months of immunizations in the record dated 01/11/2023.”

8VAC20-780-240-E

“Based on staff record review, the provider failed to ensure that staff within 30 days of the first day of employment complete orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: Staff records for S1, S2, S3, S4, S5, S6, S7, S8 did not document the orientation training in first aid and CPR.”

8VAC20-780-350-B-1 Complaint related: No

“Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required. Evidence: Based on review of the ?Child Supervision Record (CSR) dated 04/19/2024 documented at 8:30 a.m. there were 15 children in the Infant II room with 3 staff (S1, S2, and S3) Based on observation the center did not maintain the ratio of 1 staff to four children in the Infant II room on 04/23/2024. The licensing inspector entered the Infant II room at approximately 8:19 a.m. and observed 13 infants being cared for by 3 staff members. The staff acknowledged the room was out of ratio when licensing inspector entered the room as well as other times on other days. A fourth staff member entered the classroom at approximately 8:23 a.m.”

8VAC20-780-340-A Complaint related: Yes

“8VAC20-780-340-A Complaint Related Based on interviews and written documentation, the provider failed to ensure a child’s care, protection, and guidance. Evidence: The licensing office received notification of a child injury that occurred at the center on 11/09/2023. Staff, S2 stated that child, C1 (age 2) woke up from a nap with a large red mark on his cheek that looked like a bite mark. The incident report completed by S2 dated 11/09/2023 at 2:56 p.m. documented ?I didn?t see anything when I changed before nap, but when he woke up, he had a large red mark on his check that looks like a bite mark.? S2 reported sending a picture of the child’s face with the notification to the parent of the injury through the center’s communication application. Staff, S1reported receiving an email from the parent of C1 on 11/13/2023; the parent reported the child had been taken to the hospital for treatment after the incident and the medical report identified the injury as a bite mark. Incident reports document child, C2 (age 2) biting other children on thirteen occasions during the months of September, October, and November 2023. Incident reports document child, C3 (age 2) biting other children on three occasions in October and November 2023.”

8VAC20-780-80-B Complaint related: No

“Based on interview and review of a report of child injuries, the provider failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: The department was notified by a local agency representative on 11/13/2023 of a child injury that occurred on 11/09/2023 while the child was under the supervision of the center and the child was taken to the hospital by a parent. The department received the required notification report from the center on 11/27/2023.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that two of ten records contain required information. Evidence: The record for C1, enrolled 11/28/2022, did not contain a second emergency contact for the child if the children’s parents could not be located. The record for C3, enrolled 11/28/2022, did not contain documentation of viewing proof of the child’s identity within 7 days of enrollment. The proof was viewed 12/22/2022.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff S4, employed 02/08/2023, did not have results of a national criminal background check prior to the first day of employment. The record did not contain results of a criminal record check. The record for S7, employed 03/27/2023, did not have results of a national criminal background check prior to the first day of employment. The results were dated 04/03/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to obtain a central registry finding within 30 days of employment. Evidence: The record for S3, employed 11/28/2022, did not contain findings of a central registry search within 30 days. The results are dated 01/11/2023. The record for S7, employed 03/27/2023, did not contain findings of a central registry search.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of sixteen staff submitted 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 S5, employed 03/29/2023 did not document a tuberculosis (TB) screening within the required time frame. The record did not contain any results. The record for S7, employed 03/27/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 05/04/2023. The record for S8, employed 11/14/2022 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 08/04/2021 was more than 30 days old at the time of employment.”

8VAC20-780-70

“8VAC20-780-70-8 Based on record review, the provider failed to keep required staff records for each staff person. Evidence: Staff records for S1, S2, S11, S12, S13, S14, S15, and S16 did not include the date of separation from employment.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that two of ten records contain required information. Evidence: The record for C1, enrolled 11/28/2022, did not contain a second emergency contact for the child if the children’s parents could not be located. The record for C3, enrolled 11/28/2022, did not contain documentation of viewing proof of the child’s identity within 7 days of enrollment. The proof was viewed 12/22/2022.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff S4, employed 02/08/2023, did not have results of a national criminal background check prior to the first day of employment. The record did not contain results of a criminal record check. The record for S7, employed 03/27/2023, did not have results of a national criminal background check prior to the first day of employment. The results were dated 04/03/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to obtain a central registry finding within 30 days of employment. Evidence: The record for S3, employed 11/28/2022, did not contain findings of a central registry search within 30 days. The results are dated 01/11/2023. The record for S7, employed 03/27/2023, did not contain findings of a central registry search.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of sixteen staff submitted 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 S5, employed 03/29/2023 did not document a tuberculosis (TB) screening within the required time frame. The record did not contain any results. The record for S7, employed 03/27/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 05/04/2023. The record for S8, employed 11/14/2022 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 08/04/2021 was more than 30 days old at the time of employment.”

8VAC20-780-70

“8VAC20-780-70-8 Based on record review, the provider failed to keep required staff records for each staff person. Evidence: Staff records for S1, S2, S11, S12, S13, S14, S15, and S16 did not include the date of separation from employment.”

8VAC20-780-570-E

“Based on observation, the provider failed to ensure all prepared infant formula was dated for each child. Evidence: Infant bottles observed in the Infant II and Infant III room were not clearly labeled with the date.”

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 December 2022 ? January 2023 did not document the number of staff participating in the drills.”

8VAC20-780-520-C

“Based on observation, the provider failed to ensure that all diaper cream was labeled with the child’s name. Evidence: A container of diaper cream ?Diaper Balm? in the Infant III room was not labeled with a child’s name.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A utility closet located in a walkway of center used by children going to the playground was unlocked and contained large buckets building supplies such as joint compound, wall panel adhesive, and tile adhesive with warnings to keep out of reach of children. 2. Multiple open bags of tile floor mortar with warnings to keep out of reach of children were stored beside the infant buggies on the outside walkway of the center. 3. A container of hydrogen peroxide cleaning disinfectant wipes was observed in an unlocked cabinet over the children toilet and accessible to children in the Pre-K classroom.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 8 of 27 records contained the required information. Evidence: 1. Record for S1, employed 09/06/2022 did not contain documentation demonstrating the individual possessing 6 months of supervised programmatic experience to serve as a Program Leader. 2. Record for S3, employed 09/19/2022 did not contain documentation demonstrating the individual possessing 6 months of supervised programmatic experience to serve as a Program Leader. 3. Record for S9, employed 10/11/2022 did not contain verification of education background (no diploma or transcript). 4. Record for S11, employed 09/06/2022 did not contain the name of the person checking the references. 5. Record for S15, employed 09/06/2022 did not contain did not contain health information required by 8VAC20-780-160.A (results of TB screening). 6. Record for S16, employed 09/06/2022 did not contain documentation demonstrating the individual possessing 6 months of supervised programmatic experience to serve as a Program Leader. 7. Record for S17, employed 09/06/2022 did not contain documentation demonstrating the individual possessing 6 months of supervised programmatic experience to serve as a Program Leader. 8. Record for S20, employed 09/06/2022 did not contain documentation demonstrating the individual possessing 6 months of supervised programmatic experience to serve as a Program Leader and did not document the address of a person to be notified in an emergency.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that five of five records contained the required information for each child enrolled. Evidence: The records for C1, C2, C3, C4, and C5 did not contain the parental work phone numbers, when applicable.”