Kiddie Academy of West Creek

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 #6, 23 months old, last documented immunization was over 1 year and 6 months ago.”

8VAC20-780-430-L

“Based on observation and interview, the center did not ensure infant walker were not used. Evidence: An infant walker was observed in classroom ?Infant 2?. The administrator stated the walker had not been used for a while but had been used for a child to assist in learning to walk.”

8VAC20-780-130-A

“Based on review of ten children’s records, the center did not obtain documentation of immunizations for one child before the child’s attendance. Evidence: 1. The record of child #1, enrolled 04/15/2024, contained documentation of immunizations dated 04/16/2024 exceeding the first day of attendance. 2. The administrator confirmed child #1 was in attendance on 04/15/2024.”

8VAC20-780-70

“Based on review of ten staff records, the center did not obtain all required documentation for one staff record. Evidence: 1.The record of staff #5, identified as a program lead, did not contain documentation to demonstrate that the individual possesses the education required by the job position. 2. The administrator stated staff #5 had the equivalent to a high school diploma however she did not have written documentation.”

8VAC20-780-160-A

“Repeat Based on review of 12 staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment. Evidence: The record of staff #8, employed 08/21/2023, contained documentation of a negative tuberculosis screening dated 03/11/2023. The tuberculosis screening exceeded 30 days prior to employment.”

8VAC20-780-510-P

“Based on review of medications, the center did not ensure when an authorization for medications expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Evidence: 1. The medication authorizations for child #11 expired on 12/22/2023. The medications were on site exceeding 14 days from the date the authorization expired. The medication had not been administered. 2. The medication authorization for child #9, expired on 02/29/2024. The authorization was only signed by the parent, which gave authorization for ten days. The medication was on site exceeding 14 days from the date the authorization expired. The medication had not been administered.”

8VAC20-780-340-D

“Based on a review of staff records, observations, and interviews, the center did not ensure at least one staff member who meets the qualifications of a program leader or program director shall be regularly present in each grouping of children. Evidence: 1. The record of staff #18, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. 2. The record of staff #14, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. 3. The record of staff #17, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. 4. The record of staff #16, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. 5. The record of staff #22, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. The record also did not contain documentation of education as required by the job position. 6. The record of staff #7, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. The record also did not contain documentation of education as required by the job position. 7. The record of staff #15, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. 8. A member of administration stated they had read the standards wrong and believed only 12 hours of training was required to meet lead qualifications.”

8VAC20-780-530-A-1

“Based on review of staff records, observations and interview, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #4, staff #7 and staff #21 did not contain documentation of current CPR certification. The three staff were observed in charge of a group of children in the infant classroom during the inspection on 03/28/2024. 2. The record of staff #18 did not contain documentation of current CPR certification. Staff #18 was observed in charge of a group of children in the pre-k classroom during the inspection on 03/28/2024. 3. The record for staff #8, staff #9 and staff #16 did not contain documentation of current CPR certification. The three staff were observed in charge of a group of children in the early pre-school classroom during the inspection on 03/28/2024. 4.. The record for staff #17, staff #19 and staff #20 did not contain documentation of current CPR certification. The three staff were observed in charge of group of children in the young infant classroom during the inspection on 03/28/2024. 5. The owner stated the staff members had not completed the hands-on portion for certification in CPR.”

8VAC20-780-160-A

“Repeat Based on review of 12 staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment. Evidence: The record of staff #8, employed 08/21/2023, contained documentation of a negative tuberculosis screening dated 03/11/2023. The tuberculosis screening exceeded 30 days prior to employment.”

8VAC20-780-510-P

“Based on review of medications, the center did not ensure when an authorization for medications expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Evidence: 1. The medication authorizations for child #11 expired on 12/22/2023. The medications were on site exceeding 14 days from the date the authorization expired. The medication had not been administered. 2. The medication authorization for child #9, expired on 02/29/2024. The authorization was only signed by the parent, which gave authorization for ten days. The medication was on site exceeding 14 days from the date the authorization expired. The medication had not been administered.”

8VAC20-780-340-D

“Based on a review of staff records, observations, and interviews, the center did not ensure at least one staff member who meets the qualifications of a program leader or program director shall be regularly present in each grouping of children. Evidence: 1. The record of staff #18, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. 2. The record of staff #14, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. 3. The record of staff #17, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. 4. The record of staff #16, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. 5. The record of staff #22, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. The record also did not contain documentation of education as required by the job position. 6. The record of staff #7, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. The record also did not contain documentation of education as required by the job position. 7. The record of staff #15, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. 8. A member of administration stated they had read the standards wrong and believed only 12 hours of training was required to meet lead qualifications.”

8VAC20-780-530-A-1

“Based on review of staff records, observations and interview, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration. Evidence: 1. The record for staff #4, staff #7 and staff #21 did not contain documentation of current CPR certification. The three staff were observed in charge of a group of children in the infant classroom during the inspection on 03/28/2024. 2. The record of staff #18 did not contain documentation of current CPR certification. Staff #18 was observed in charge of a group of children in the pre-k classroom during the inspection on 03/28/2024. 3. The record for staff #8, staff #9 and staff #16 did not contain documentation of current CPR certification. The three staff were observed in charge of a group of children in the early pre-school classroom during the inspection on 03/28/2024. 4.. The record for staff #17, staff #19 and staff #20 did not contain documentation of current CPR certification. The three staff were observed in charge of group of children in the young infant classroom during the inspection on 03/28/2024. 5. The owner stated the staff members had not completed the hands-on portion for certification in CPR.”

8VAC20-780-60-A-8

“Based on review of nine children’s records, the center did not have a written allergy action care plan for one child diagnosed with a food allergy, to include instructions from a physician regarding the steps to take in the event of an allergic reaction. Evidence: The record for Child #3 (start date 12/28/2020) indicated the child has a diagnosed food allergy. A written food allergy action plan had not been obtained as of 06/26/2023.”

8VAC20-780-340-F

“Based on observation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: On 06/26/2023, Ten children from Classroom #7 (Three through Five Years) were observed participating in a tennis clinic located outside on the center's tennis courts. Center staff were not present for approximately 10 minutes while the 10 children were being instructed by two independent contractors.”

8VAC20-780-60-A-8

“Based on review of nine children’s records, the center did not have a written allergy action care plan for one child diagnosed with a food allergy, to include instructions from a physician regarding the steps to take in the event of an allergic reaction. Evidence: The record for Child #3 (start date 12/28/2020) indicated the child has a diagnosed food allergy. A written food allergy action plan had not been obtained as of 06/26/2023.”

8VAC20-780-340-F

“Based on observation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: On 06/26/2023, Ten children from Classroom #7 (Three through Five Years) were observed participating in a tennis clinic located outside on the center's tennis courts. Center staff were not present for approximately 10 minutes while the 10 children were being instructed by two independent contractors.”