Kiddie Academy of Midlothian

8VAC20-780-510-P

“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 #7 was onsite, but the medication authorization had expired over 6 weeks ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-510-P

“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 #7 was onsite, but the medication authorization had expired over 6 weeks ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-270-A Complaint related: Yes

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The wall on the right side of the toddler classroom was observed with visible chipped and peeling paint located within reach of children.”

8VAC20-780-530-A Complaint related: No

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #1 was alone with a group of four children in the toddler classroom and did not have a current certification in CPR or first aid.”

8VAC20-780-500-B

“**Repeat Violation** The diapering area shall have the following: A nonabsorbent surface for diapering or changing shall be used. The changing pad in room 2A (toddlers/two year olds) was observed with tears on both sides making the surface absorbent.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #6 central registry check was requested 11 days after their first day of employment. Staff #8 central registry check was requested 9 days after their first day of employment.”

8VAC20-780-500-B

“**Repeat Violation** The diapering area shall have the following: A nonabsorbent surface for diapering or changing shall be used. The changing pad in room 2A (toddlers/two year olds) was observed with tears on both sides making the surface absorbent.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #6 central registry check was requested 11 days after their first day of employment. Staff #8 central registry check was requested 9 days after their first day of employment.”

8VAC20-780-500-B

“8VAC20-780-500-B The diapering area shall have a nonabsorbent surface for diapering or changing. The changing pad in room 2A (toddlers/two year olds) was observed to have two rips, one on each side of the pad, making the surface absorbent. The changing pad in room 2B (2 year olds) was observed to have one rip, making the surface absorbent.”

8VAC20-780-130-A

“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 #8, who had been attending for six months, did not have documentation of an immunization record on file.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2, 17 months old, last documented immunization was over 6 months ago.”

8VAC20-780-60-A-7

“**Repeat Violation** 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 #9, who has been enrolled for 8 months, has a diagnosed food allergy and did not have a written care plan in their file. Child #10, who has been enrolled for 8 months, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by nine months.”

8VAC20-780-270-A

“Based on observations, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. During the inspection, an electrical outlet and outlet cover were observed protruding from the wall about ? an inch in the Preschool A classroom. 2. During the inspection, the refrigerator in the infant classroom was observed with a broken handle. 3. Staff acknowledged the electrical outlet and stated it has not been noticed prior to inspection. Staff acknowledged the broken handle on the refrigerator.”

8VAC20-780-70

“Based on review of staff records, the center did not ensure each record contained documentation to demonstrate the employees possesses the education, certification and experience required by the job position. Evidence: 1. The record for staff #8 states their position is a lead teacher, however, the record did not include documentation of her education. 2. The director acknowledged not knowing that verification of her education was needed.”

8VAC20-780-60-A

“Based on review of child records, the center did not ensure each child record contained documentation of work phone numbers for each parent. Evidence: 1. The records for 5 children did not contain any work phone numbers for parents listed.”

8VAC20-780-60-A-8

“Based on review of children's records and documentation, the center did not 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. Child #3 was listed on the allergy sheet as having a food allergy. The record for child #3 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. 2. Child #4 was listed on the allergy sheet as having a food allergy. The record for child #4 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. 3. The Director confirmed the allergy care plans were not in the records”

8VAC20-780-410-1

“Based on review of classroom video provided by the center, staff interview, and documentation, it was determined that staff used the forbidden action of rough handling of children. Evidence: On November 16, 2023, S1 roughly handled child, C1 by grabbing C1 from a bike on the playground by her left arm causing an injury. The child was taken to the hospital for treatment.”