Kid-Konnection Child Development Center

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

“COMPLAINT RELATED Based on staff interviews, the center failed to ensure that timeout is not used with infant or toddlers. Evidence: Staff 1 stated that they placed Child 1 (21 months old) in a crib for a two minute timeout because they hit another child.”

8VAC20-780-160-A Complaint related: Yes

“COMPLAINT RELATED Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 did not contain the results of a tuberculosis screening. Staff 1 verified that Staff 5 worked at the center on 05813/2024.”

8VAC20-780-70 Complaint related: No

“Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference in the record during the 06/05/2024 inspection), Staff 1 verified that Staff 5 worked at the center on 05/13/2024; and date of separation from employment (Staff 5 is no longer employed at the center).”

8VAC20-780-410-2 Complaint related: Yes

“COMPLAINT RELATED Based on staff interviews, the center failed to ensure that actions towards children that are forbidden by the standards (confining children in a space that they cannot freely exit themselves; using equipment for the intended purpose) are not used. Evidence: Staff 1 stated that they placed Child 1 (21 months old) in a crib for a two minute timeout. The crib was not used for its intended purpose when the child was place in it for time out. Child 1 could not freely exit the crib themselves.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that 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. Evidence: 1. There were 6 children observed in the Infant Class; there were 8 children marked present on the attendance record. The attendance record did not document the departure of each child as it occurred. 2. There were 2 children observed in the Toddler Class; there was not an attendance record for the group.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water after toileting and that staff shall wash their hands before and after a diaper change. Evidence: Staff 6 was observed changing 2 children’s diapers; Staff 6 did not wash their hands before or after changing the children’s diapers. The children did not wash their hands after the diaper change.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The resilient surfacing at the base of the small red slide and the small orange slide on the playground did not meet the required depth; the dirt under the pea gravel was visible at the base of both of the slides.”

8VAC20-780-560-J

“2nd REPEAT VIOLATION Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: Staff 6 was observed cleaning the table with a soap and water solution after breakfast. Staff 6 did not sanitize the tables. The tables were not sanitized after being used for feeding.”

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

“COMPLAINT RELATED Based on staff interviews, the center failed to ensure that timeout is not used with infant or toddlers. Evidence: Staff 1 stated that they placed Child 1 (21 months old) in a crib for a two minute timeout because they hit another child.”

8VAC20-780-160-A Complaint related: Yes

“COMPLAINT RELATED Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 did not contain the results of a tuberculosis screening. Staff 1 verified that Staff 5 worked at the center on 05813/2024.”

8VAC20-780-70 Complaint related: No

“Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference in the record during the 06/05/2024 inspection), Staff 1 verified that Staff 5 worked at the center on 05/13/2024; and date of separation from employment (Staff 5 is no longer employed at the center).”

8VAC20-780-410-2 Complaint related: Yes

“COMPLAINT RELATED Based on staff interviews, the center failed to ensure that actions towards children that are forbidden by the standards (confining children in a space that they cannot freely exit themselves; using equipment for the intended purpose) are not used. Evidence: Staff 1 stated that they placed Child 1 (21 months old) in a crib for a two minute timeout. The crib was not used for its intended purpose when the child was place in it for time out. Child 1 could not freely exit the crib themselves.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that 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. Evidence: 1. There were 6 children observed in the Infant Class; there were 8 children marked present on the attendance record. The attendance record did not document the departure of each child as it occurred. 2. There were 2 children observed in the Toddler Class; there was not an attendance record for the group.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water after toileting and that staff shall wash their hands before and after a diaper change. Evidence: Staff 6 was observed changing 2 children’s diapers; Staff 6 did not wash their hands before or after changing the children’s diapers. The children did not wash their hands after the diaper change.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The resilient surfacing at the base of the small red slide and the small orange slide on the playground did not meet the required depth; the dirt under the pea gravel was visible at the base of both of the slides.”

8VAC20-780-560-J

“2nd REPEAT VIOLATION Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: Staff 6 was observed cleaning the table with a soap and water solution after breakfast. Staff 6 did not sanitize the tables. The tables were not sanitized after being used for feeding.”

8VAC20-780-440-B Complaint related: No

“Based on observation, the center failed to ensure that cribs shall be identified for use by a specific child. Evidence: 1. Child 1 was observed sleeping in a crib that was identified for the use by Child 2. 2. Child 3 was observed sleeping in a crib that was identified for the use by Child 4. 3. Child 5 was observed sleeping in a crib that was identified for the use by Child 6.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Two diaper changes were observed during the inspection. Staff 4 was observed using a disinfecting wipe on the diaper changing surface after each diaper change. The standards state that to sanitize a surface, an item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Disinfecting wipes do not meet the definition of sanitizing. The diaper changing surface was not cleaned with soap and water and was not properly sanitized after each use.”

8VAC20-780-350-B-2

“Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: There were 11 children and 2 staff members observed in the 2?s Classroom. Child 5 was determined to be 18 months old. The required staff-to-child ratio for children 16 months- 24 months is 1:5. Three staff would be required for this group of children.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a container of disinfecting wipes on the table in the 2?s Classroom. The cleaning materials were not locked and were accessible to children. 2. The cabinet under the sink in the bathroom of the 2?s classroom, containing various cleaning products, was unlocked. The cleaning materials were not locked and were accessible to children. Children were observed in the bathroom during the inspection.”

22.1-289.036-A

“Based on record review and discussion with staff, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent criminal record check for Applicant 1 was dated 03/28/2018; there was not a follow-up criminal record check obtained by 03/28/2023.”

8VAC20-780-560-J

“REPEAT VIOLATION Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: Staff 4 was observed using a disinfecting wipe on the tables after breakfast. The standards state that to sanitize a surface, an item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Disinfecting wipes do not meet the definition of sanitizing. The tables were not properly sanitized after the use of each feeding.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Two diaper changes were observed during the inspection. Staff 4 was observed using a disinfecting wipe on the diaper changing surface after each diaper change. The standards state that to sanitize a surface, an item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Disinfecting wipes do not meet the definition of sanitizing. The diaper changing surface was not cleaned with soap and water and was not properly sanitized after each use.”

8VAC20-780-350-B-2

“Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: There were 11 children and 2 staff members observed in the 2?s Classroom. Child 5 was determined to be 18 months old. The required staff-to-child ratio for children 16 months- 24 months is 1:5. Three staff would be required for this group of children.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a container of disinfecting wipes on the table in the 2?s Classroom. The cleaning materials were not locked and were accessible to children. 2. The cabinet under the sink in the bathroom of the 2?s classroom, containing various cleaning products, was unlocked. The cleaning materials were not locked and were accessible to children. Children were observed in the bathroom during the inspection.”

22.1-289.036-A

“Based on record review and discussion with staff, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent criminal record check for Applicant 1 was dated 03/28/2018; there was not a follow-up criminal record check obtained by 03/28/2023.”

8VAC20-780-560-J

“REPEAT VIOLATION Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: Staff 4 was observed using a disinfecting wipe on the tables after breakfast. The standards state that to sanitize a surface, an item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Disinfecting wipes do not meet the definition of sanitizing. The tables were not properly sanitized after the use of each feeding.”

8VAC20-780-280-E

“Based on observations, the center failed to ensure that cleaning materials and insecticides/pesticides shall be stored in areas physically separate from each other. Evidence: There were two bottles of Raid on the same shelf as the cleaning materials in the supply closet.”

8VAC20-780-560-J

“Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: Staff 4 was observed spraying the sanitizing solution on the table and immediately wiping the solution off before lunch. The manufacturer’s instructions for the product states that to sanitize, the solution should be allowed to air dry for 10 minutes before wiping the product off. The tables had not been properly sanitized before the use for feeding.”

8VAC20-780-510-D

“Based on document review and staff interviews, the center failed to ensure that nonprescription medication shall be administered by a staff member who has satisfactorily completed a medication administration training course. Evidence: The medication administration log contained documentation that Medication 4 was administered by Staff 8 on 05/26/2023. Staff 7 verified that Staff 8 has not satisfactorily completed a medication administration training course.”

8VAC20-780-280-E

“Based on observations, the center failed to ensure that cleaning materials and insecticides/pesticides shall be stored in areas physically separate from each other. Evidence: There were two bottles of Raid on the same shelf as the cleaning materials in the supply closet.”

8VAC20-780-560-J

“Based on observations, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: Staff 4 was observed spraying the sanitizing solution on the table and immediately wiping the solution off before lunch. The manufacturer’s instructions for the product states that to sanitize, the solution should be allowed to air dry for 10 minutes before wiping the product off. The tables had not been properly sanitized before the use for feeding.”

8VAC20-780-510-D

“Based on document review and staff interviews, the center failed to ensure that nonprescription medication shall be administered by a staff member who has satisfactorily completed a medication administration training course. Evidence: The medication administration log contained documentation that Medication 4 was administered by Staff 8 on 05/26/2023. Staff 7 verified that Staff 8 has not satisfactorily completed a medication administration training course.”

8VAC20-780-510-I

“Based on document and record review, the center failed to ensure that medication is administered by a staff member who has satisfactorily completed the medication administration training program. Evidence: 1. Review of the Medication Administration Log for Medication 1 contained documentation that Staff 3 administered Medication 1 on the following dates/times: 09/20/2022 at 9:00 am; 09/21/2022 at 8:00 am; 09/21/2022 at 12:00 pm; 09/21/2022 at 5:00 pm; and 09/22/2022 at 12:00 pm. Staff 3 has not satisfactorily completed the medication administration training program. 2. Review of the Medication Administration Log for Medication 1 contained documentation that Staff 8 administered Medication 1 at 1:00 pm on 09/2022. Staff 8 has not satisfactorily completed the medication administration training program. 3. Staff 7 verified that Staff 3 and Staff 8 do not have training in medication administration.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 5 contained documentation that Staff 5 has resided outside of the state of Virginia within the preceding five years. The record for Staff 5 contained a documented hire of 08/30/2021. There was not a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-780-245-J-3

“Based on record review and interviews with staff, the center failed to ensure that any child for whom emergency medications have been prescribed shall always be in the care of a staff member who has satisfactorily completed the medication administration training program. Evidence: 1. Staff 6 and Staff 7 are the only two staff members that have a current training in medication administration. 2. Staff 7 verified that both Staff 6 and Staff 7 leave the center to take children to school and to pick children up from school each day. 3. Staff 7 stated that there is no one on-site that has medication administration training for approximately 5 minutes-15 minutes each day when Staff 6 and Staff 7 leave the center to take children to school and to pick children up from school. 4. There are two children enrolled in the program that have prescription emergency medications on-site.”

8VAC20-780-510-I

“Based on document and record review, the center failed to ensure that medication is administered by a staff member who has satisfactorily completed the medication administration training program. Evidence: 1. Review of the Medication Administration Log for Medication 1 contained documentation that Staff 3 administered Medication 1 on the following dates/times: 09/20/2022 at 9:00 am; 09/21/2022 at 8:00 am; 09/21/2022 at 12:00 pm; 09/21/2022 at 5:00 pm; and 09/22/2022 at 12:00 pm. Staff 3 has not satisfactorily completed the medication administration training program. 2. Review of the Medication Administration Log for Medication 1 contained documentation that Staff 8 administered Medication 1 at 1:00 pm on 09/2022. Staff 8 has not satisfactorily completed the medication administration training program. 3. Staff 7 verified that Staff 3 and Staff 8 do not have training in medication administration.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 5 contained documentation that Staff 5 has resided outside of the state of Virginia within the preceding five years. The record for Staff 5 contained a documented hire of 08/30/2021. There was not a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-780-245-J-3

“Based on record review and interviews with staff, the center failed to ensure that any child for whom emergency medications have been prescribed shall always be in the care of a staff member who has satisfactorily completed the medication administration training program. Evidence: 1. Staff 6 and Staff 7 are the only two staff members that have a current training in medication administration. 2. Staff 7 verified that both Staff 6 and Staff 7 leave the center to take children to school and to pick children up from school each day. 3. Staff 7 stated that there is no one on-site that has medication administration training for approximately 5 minutes-15 minutes each day when Staff 6 and Staff 7 leave the center to take children to school and to pick children up from school. 4. There are two children enrolled in the program that have prescription emergency medications on-site.”