Eukarya King's Cubs (Cameron)

8VAC20-780-340-D

“(REPEAT VIOLATION AND SYSTEMIC VIOLATION) Based on interview, the center failed to ensure each grouping of children have at least one staff member who meets the qualifications of a program leader or program director. Evidence: 1. Staff 5 was one of the staff in the Dancing Dinosaurs classroom and staff 6 was one of the staff in Busy Bees classroom. Interview with the director revealed that there were no staff members meeting the qualifications of a program leader or program director in the Dancing Dinosaurs or Busy Bees classrooms.”

8VAC20-780-40-E

“Based on observation and a review of the center's policies and interview, the licensee failed to ensure the center's activities were in compliance with the center's own policies and procedures required by these standards. Evidence: 1. The center's safe sleep policy indicates that staff members are required to complete online training regarding preventing shaken baby syndrome and safe sleep practices and staff members are required to follow the guidance that is given in these trainings at all times. Interview with staff 7 confirmed that the policy does not allow infants sleeping on Boppy pillows or having blankets. 2. In the Kind Koalas infant room, a three month old infant was observed sleeping on the floor on a Bobby pillow with a security blanket over the infants face.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure the care, protection, and guidance when supervising children. Evidence: 1. A three and month old infant in the Kind Koalas infant room was observed sleeping on the floor on a Boppy pillow with a security blanket over the infant's face. Three staff observed the infant and took no actions. A a few minutes later a different staff member moved the security blanket off the infant's face but did not remove the blanket. The blanket was not removed and the infant was not moved from the Boppy pillow until the inspector intervened. 2. The warning label on the Boppy pillow states the following: -Never allow baby to sleep on the Boppy pillow.”

8VAC20-790-600-F

“Based on record review and interview, the center failed to ensure staff completed the department's health and safety update course annually. Evidence: The record for staff 5, start date 8/16/22, has no documentation of completing the department's health and safety update course. The director verified staff 5 has not completed the course.”

8VAC20-780-340-D

“(REPEAT VIOLATION AND SYSTEMIC VIOLATION) Based on interview, the center failed to ensure each grouping of children have at least one staff member who meets the qualifications of a program leader or program director. Evidence: 1. Staff 5 was one of the staff in the Dancing Dinosaurs classroom and staff 6 was one of the staff in Busy Bees classroom. Interview with the director revealed that there were no staff members meeting the qualifications of a program leader or program director in the Dancing Dinosaurs or Busy Bees classrooms.”

8VAC20-780-40-E

“Based on observation and a review of the center's policies and interview, the licensee failed to ensure the center's activities were in compliance with the center's own policies and procedures required by these standards. Evidence: 1. The center's safe sleep policy indicates that staff members are required to complete online training regarding preventing shaken baby syndrome and safe sleep practices and staff members are required to follow the guidance that is given in these trainings at all times. Interview with staff 7 confirmed that the policy does not allow infants sleeping on Boppy pillows or having blankets. 2. In the Kind Koalas infant room, a three month old infant was observed sleeping on the floor on a Bobby pillow with a security blanket over the infants face.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure the care, protection, and guidance when supervising children. Evidence: 1. A three and month old infant in the Kind Koalas infant room was observed sleeping on the floor on a Boppy pillow with a security blanket over the infant's face. Three staff observed the infant and took no actions. A a few minutes later a different staff member moved the security blanket off the infant's face but did not remove the blanket. The blanket was not removed and the infant was not moved from the Boppy pillow until the inspector intervened. 2. The warning label on the Boppy pillow states the following: -Never allow baby to sleep on the Boppy pillow.”

8VAC20-790-600-F

“Based on record review and interview, the center failed to ensure staff completed the department's health and safety update course annually. Evidence: The record for staff 5, start date 8/16/22, has no documentation of completing the department's health and safety update course. The director verified staff 5 has not completed the course.”

8VAC20-780-550-P Complaint related: Yes

“Based on interview, the center failed to maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. The parent of child 1 stated on 8/16/23 after pick up at 3:30 PM, the child she noticed a scratch on his face. The parent stated she did not receive an injury report. 2. Staff 1 stated an injury report was not sent home with the parent regarding the injury on 8/16/23.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance for one out of five children records reviewed. Evidence: 1. The record for child 1 documents the first day of attendance as 6/19/23. There was no physical examination documentation in the record. 2. The director verified the center did not have documentation of a physical examination for child 1.”

8VAC20-780-70

“Based on record review and interview, the center failed to keep all the required information for staff records. Evidence: 1. The record for staff 4 did not have documentation of orientation. 2. Staff records did not have documentation to demonstrate each staff member possessed the education, certification, and experience required by the job position. 3. Staff records did not have documentation of first aid and CPR certification as required by the responsibilities held by the staff member.”

8VAC20-780-340-D

“Based on record review and interview, the center failed to ensure in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: The center was unable to provide documentation that one of the three staff in the infant room met the program lead or program director qualifications in the infant room.”

8VAC20-780-570-E

“Based on observation, the center failed to date and label prepared infant formula with the child's name. Evidence: In the Waddlers classroom a bottle of prepared infant formula was in the refrigerator that was not dated or labeled with the child's name.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for one out of five staff records reviewed. Evidence: 1. The record for staff 4 documents the start date as 7/5/23. The record did not contain central registry findings. 2. The director verified the center did not have central registry findings for staff 4.”

8VAC20-780-550-P Complaint related: Yes

“Based on interview, the center failed to maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. The parent of child 1 stated on 8/16/23 after pick up at 3:30 PM, the child she noticed a scratch on his face. The parent stated she did not receive an injury report. 2. Staff 1 stated an injury report was not sent home with the parent regarding the injury on 8/16/23.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance for one out of five children records reviewed. Evidence: 1. The record for child 1 documents the first day of attendance as 6/19/23. There was no physical examination documentation in the record. 2. The director verified the center did not have documentation of a physical examination for child 1.”

8VAC20-780-70

“Based on record review and interview, the center failed to keep all the required information for staff records. Evidence: 1. The record for staff 4 did not have documentation of orientation. 2. Staff records did not have documentation to demonstrate each staff member possessed the education, certification, and experience required by the job position. 3. Staff records did not have documentation of first aid and CPR certification as required by the responsibilities held by the staff member.”

8VAC20-780-340-D

“Based on record review and interview, the center failed to ensure in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: The center was unable to provide documentation that one of the three staff in the infant room met the program lead or program director qualifications in the infant room.”

8VAC20-780-570-E

“Based on observation, the center failed to date and label prepared infant formula with the child's name. Evidence: In the Waddlers classroom a bottle of prepared infant formula was in the refrigerator that was not dated or labeled with the child's name.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for one out of five staff records reviewed. Evidence: 1. The record for staff 4 documents the start date as 7/5/23. The record did not contain central registry findings. 2. The director verified the center did not have central registry findings for staff 4.”

8VAC20-780-60-A Complaint related: No

“Based on record review and interview, the center failed to obtain all required information for a child's record. Evidence: 1. The record for child 1 was reviewed. The record did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The director verified they only had the parents contact information.”

8VAC20-780-340-F

“Based on interview and observation of the playground, the center failed to ensure children under 10 years of age always are within sight and sound supervision of staff. Evidence: 1. Three children, age three, left through a gap in the fence in the playground. The staff saw the children leave and immediately went to get the children. The fence is tall and staff could not see the children through the fence. 2. Staff 1 stated she saw the children squeeze through the fence and immediately asked for help from coworkers to go get the children. They did not look over the fence and watch the children until someone was able to get to the them.”

8VAC20-780-60-A Complaint related: No

“Based on record review and interview, the center failed to obtain all required information for a child's record. Evidence: 1. The record for child 1 was reviewed. The record did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The director verified they only had the parents contact information.”

8VAC20-780-340-F

“Based on interview and observation of the playground, the center failed to ensure children under 10 years of age always are within sight and sound supervision of staff. Evidence: 1. Three children, age three, left through a gap in the fence in the playground. The staff saw the children leave and immediately went to get the children. The fence is tall and staff could not see the children through the fence. 2. Staff 1 stated she saw the children squeeze through the fence and immediately asked for help from coworkers to go get the children. They did not look over the fence and watch the children until someone was able to get to the them.”

8VAC20-780-60-A-8

“Based on record review and interview, the center failed to obtain a written care plan 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. Evidence: 1. The record for child 3 was reviewed on 3/7/23. The parent documentation listed a food allergy for peanuts. The physical listed food allergies for peanuts, bananas and avocados. The first day of attendance was listed as 3/9/21. There was no allergy care plan in the child's record. 2. The director stated the parents had not provided an allergy care plan for child 3.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to ensure a child's immunization record was obtained before attending the center. Evidence: 1. The record for child 1 documented the first date of attendance as 2/13/23. There is no immunization documentation in child 1's record. 2. The director verified the start date and stated the center had not received the immunization record for child 1 as of the date of the inspection on 3/7/23.”

8VAC20-780-550-I

“Based on observation and interview, the center failed to post 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center in a visible place at each telephone. Evidence: 1. An inspection of the center was completed on 3/7/23. The emergency numbers were not posted in a visible place at each telephone. 2. The director asked the staff member at the front desk and she pulled the numbers from a shelf beside her desk stating she had not posted them.”

8VAC20-780-60-A-8

“Based on record review and interview, the center failed to obtain a written care plan 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. Evidence: 1. The record for child 3 was reviewed on 3/7/23. The parent documentation listed a food allergy for peanuts. The physical listed food allergies for peanuts, bananas and avocados. The first day of attendance was listed as 3/9/21. There was no allergy care plan in the child's record. 2. The director stated the parents had not provided an allergy care plan for child 3.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to ensure a child's immunization record was obtained before attending the center. Evidence: 1. The record for child 1 documented the first date of attendance as 2/13/23. There is no immunization documentation in child 1's record. 2. The director verified the start date and stated the center had not received the immunization record for child 1 as of the date of the inspection on 3/7/23.”

8VAC20-780-550-I

“Based on observation and interview, the center failed to post 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center in a visible place at each telephone. Evidence: 1. An inspection of the center was completed on 3/7/23. The emergency numbers were not posted in a visible place at each telephone. 2. The director asked the staff member at the front desk and she pulled the numbers from a shelf beside her desk stating she had not posted them.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure all staff has current certification in CPR. Evidence: 1. The record for staff 3 was reviewed. The employment date was 4/18/22. There was not documentation in staff 3's record of completing training in CPR. 2. The record for staff 4 was reviewed. The CPR certificate in staff 4's record expired 8/22. 3. 3. The director verified neither staff 3 or staff 4 have a current CPR certification.”

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure all staff has current certification in first aid. Evidence: 1. The record for staff 3 was reviewed. The employment date was 4/18/22. There was not documentation in staff 3's record of completing training in first aid. 2. The record for staff 4 was reviewed. The first aid certificate in staff 4's record expired 8/22. 3. The director verified neither staff 3 or staff 4 have a current first aid certificate.”

8VAC20-780-245-A

“Based on record review and interview, the center failed to ensure staff completed a minimum of 16 hours of annual training appropriate to the age of children in care. Evidence: 1. The record for staff 1 contained documentation of 11 1/2 hours of annual training for the timeframe of 10/12/21-10/11/22. 2. The record for staff 4 contained documentation of 14 hours of annual training for the timeframe 10/12/21-10/11/22.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff 3 shows the employment date as 4/18/22. The documentation of the TB results is dated 5/26/21. 2. The director verified the 5/26/21 TB is the only TB documentation for staff 3 the center has.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to ensure new staff has a central registry finding within 30 days of employment. Evidence: 1. The record for staff 4 has the employment date as 10/12/20. There is no finding for central registry in the record. A note in the file shows the central registry request was mailed 7/31/20. 2. The director verified a finding of central registry could not be found.”

8VAC20-780-340-D

“Based on observation, record review and interview, the center failed to ensure each group of children had at least one staff member who meets the qualifications of a program leader. Evidence: 1. In the Kind Koalas classroom staff 2 and staff 6 were the teachers present. 2. The record for staff 2 was reviewed and there was no documentation showing qualifications for a program lead. 3. The director stated due to a staff member out there is no staff with lead teacher qualifications in the Kind Koalas classroom.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure prescription diaper ointment was kept in a locked place. Evidence: In the Kind Koalas classroom a prescription diaper ointment was stored on the open shelf above the changing table.”

8VAC20-780-530-A

“Based on record review, observation and interview, the center failed to ensure at least one staff in each classroom has a current certification in CPR and first aid. Evidence: 1. In the Friendly Frog classroom staff 4 was the only teacher present. 2. In the Eager Elephants classroom staff 3 and staff 5 were present. 3. The director stated staff 3, 4 and 5 do not have current CPR and first aid certification.”

8VAC20-780-550-D

“Based on record review and interview, the center failed to monthly practice evacuation drills. Evidence: 1. The evacuation drill log did not contain documentation of an evacuation drill being completed for the months of March, May and July in 2022. 2. The director verified evacuation drills were not completed those months.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure all staff has current certification in CPR. Evidence: 1. The record for staff 3 was reviewed. The employment date was 4/18/22. There was not documentation in staff 3's record of completing training in CPR. 2. The record for staff 4 was reviewed. The CPR certificate in staff 4's record expired 8/22. 3. 3. The director verified neither staff 3 or staff 4 have a current CPR certification.”

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure all staff has current certification in first aid. Evidence: 1. The record for staff 3 was reviewed. The employment date was 4/18/22. There was not documentation in staff 3's record of completing training in first aid. 2. The record for staff 4 was reviewed. The first aid certificate in staff 4's record expired 8/22. 3. The director verified neither staff 3 or staff 4 have a current first aid certificate.”

8VAC20-780-245-A

“Based on record review and interview, the center failed to ensure staff completed a minimum of 16 hours of annual training appropriate to the age of children in care. Evidence: 1. The record for staff 1 contained documentation of 11 1/2 hours of annual training for the timeframe of 10/12/21-10/11/22. 2. The record for staff 4 contained documentation of 14 hours of annual training for the timeframe 10/12/21-10/11/22.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff 3 shows the employment date as 4/18/22. The documentation of the TB results is dated 5/26/21. 2. The director verified the 5/26/21 TB is the only TB documentation for staff 3 the center has.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to ensure new staff has a central registry finding within 30 days of employment. Evidence: 1. The record for staff 4 has the employment date as 10/12/20. There is no finding for central registry in the record. A note in the file shows the central registry request was mailed 7/31/20. 2. The director verified a finding of central registry could not be found.”

8VAC20-780-340-D

“Based on observation, record review and interview, the center failed to ensure each group of children had at least one staff member who meets the qualifications of a program leader. Evidence: 1. In the Kind Koalas classroom staff 2 and staff 6 were the teachers present. 2. The record for staff 2 was reviewed and there was no documentation showing qualifications for a program lead. 3. The director stated due to a staff member out there is no staff with lead teacher qualifications in the Kind Koalas classroom.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure prescription diaper ointment was kept in a locked place. Evidence: In the Kind Koalas classroom a prescription diaper ointment was stored on the open shelf above the changing table.”

8VAC20-780-530-A

“Based on record review, observation and interview, the center failed to ensure at least one staff in each classroom has a current certification in CPR and first aid. Evidence: 1. In the Friendly Frog classroom staff 4 was the only teacher present. 2. In the Eager Elephants classroom staff 3 and staff 5 were present. 3. The director stated staff 3, 4 and 5 do not have current CPR and first aid certification.”

8VAC20-780-550-D

“Based on record review and interview, the center failed to monthly practice evacuation drills. Evidence: 1. The evacuation drill log did not contain documentation of an evacuation drill being completed for the months of March, May and July in 2022. 2. The director verified evacuation drills were not completed those months.”

8VAC20-780-510-F

“Based on an interview and review of medication and medication authorizations for two children, the center did not ensure that two medication authorizations were available to staff for one child. Evidence: 1. A prescription emergency medication and a non-prescription emergency medication were observed for Child A. There was no written parental authorization present for either medication. 2. During interview, a staff member reported the parental authorizations for the medications were not present.”

8VAC20-780-510-F

“Based on an interview and review of medication and medication authorizations for two children, the center did not ensure that two medication authorizations were available to staff for one child. Evidence: 1. A prescription emergency medication and a non-prescription emergency medication were observed for Child A. There was no written parental authorization present for either medication. 2. During interview, a staff member reported the parental authorizations for the medications were not present.”