Kid's World Learning Center - Ironbridge

8VAC20-780-570-A

“Based on observation and interview, the center did not ensure that when a child is placed in an infant seat, the protective belt shall be fastened securely. Evidence: In room #1 at approximately 9:45am child D was sitting in a bouncy seat. Child D pulled themselves forward in the chair. Child D did not have the protective belt fastened. Child D fell forward, and the bouncy seat fell on top child D.”

8VAC20-780-560-M

“Based on observations, the center did not ensure that no child shall eat or drink while walking around. Evidence: In room #1, one child was observed drinking a bottle and walking around the room.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of high chair trays were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: In room #1, three high chair trays were covered in crumbs. No children were observed eating at the time. Staff #2 and staff #6 did not sanitize the high chair tray after used for feeding.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff and children washed their hands as required. Evidence: In room #1, staff #2 was observed changing a child’s diaper. Once completed, staff #2 did not wash her hands or the hands of the child.”

8VAC20-780-440-B

“Based on observation and interview, the cribs in room #1 were not identified for use by a specific child. Evidence: The cribs in the infant room are not labeled for specific children. Staff #6 stated that the cribs did not have labels that identify a specific child.”

8VAC20-780-410-2

“Based on observation, the facility failed to prevent enclosure in a confined space that a child cannot freely exit himself. Evidence: At 9:10 AM In room #1, child A and child B children were observed in an exersaucer and child C was sitting in a seat unable to freely exit the seat. At approximately 10:15 AM, the licensing inspector returned to room #1 and observed child A, child B, and child C still in the same equipment. Staff #6 stated that the children had been in the equipment since 9:10 AM. At approximately 10:15 AM, staff #2 and staff #6 removed child A, child B, and child C from the equipment.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #1 (enrolled 4/15/24) and child #2 (enrolled: 2/16/24) did not have documentation of physical examination with in 30 days after the first day of attendance.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #2 (enrolled: 2/16/24) did not contain documentation of immunizations.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: 1. The records for staff #2 (employed: 3/25/24) and staff #4 (employed: 3/25/24) did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry finding were not obtained.”

8VAC20-780-70

“Based on record review, the center did not ensure that each staff record contains all required information. Evidence: The record for staff #4 (employed: 3/25/24) did not contain documentation of two or more references before employment.”

8VAC20-780-570-A

“Based on observation and interview, the center did not ensure that when a child is placed in an infant seat, the protective belt shall be fastened securely. Evidence: In room #1 at approximately 9:45am child D was sitting in a bouncy seat. Child D pulled themselves forward in the chair. Child D did not have the protective belt fastened. Child D fell forward, and the bouncy seat fell on top child D.”

8VAC20-780-560-M

“Based on observations, the center did not ensure that no child shall eat or drink while walking around. Evidence: In room #1, one child was observed drinking a bottle and walking around the room.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of high chair trays were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: In room #1, three high chair trays were covered in crumbs. No children were observed eating at the time. Staff #2 and staff #6 did not sanitize the high chair tray after used for feeding.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff and children washed their hands as required. Evidence: In room #1, staff #2 was observed changing a child’s diaper. Once completed, staff #2 did not wash her hands or the hands of the child.”

8VAC20-780-440-B

“Based on observation and interview, the cribs in room #1 were not identified for use by a specific child. Evidence: The cribs in the infant room are not labeled for specific children. Staff #6 stated that the cribs did not have labels that identify a specific child.”

8VAC20-780-410-2

“Based on observation, the facility failed to prevent enclosure in a confined space that a child cannot freely exit himself. Evidence: At 9:10 AM In room #1, child A and child B children were observed in an exersaucer and child C was sitting in a seat unable to freely exit the seat. At approximately 10:15 AM, the licensing inspector returned to room #1 and observed child A, child B, and child C still in the same equipment. Staff #6 stated that the children had been in the equipment since 9:10 AM. At approximately 10:15 AM, staff #2 and staff #6 removed child A, child B, and child C from the equipment.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #1 (enrolled 4/15/24) and child #2 (enrolled: 2/16/24) did not have documentation of physical examination with in 30 days after the first day of attendance.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #2 (enrolled: 2/16/24) did not contain documentation of immunizations.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: 1. The records for staff #2 (employed: 3/25/24) and staff #4 (employed: 3/25/24) did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry finding were not obtained.”

8VAC20-780-70

“Based on record review, the center did not ensure that each staff record contains all required information. Evidence: The record for staff #4 (employed: 3/25/24) did not contain documentation of two or more references before employment.”

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

“Based on staff interviews, the licensee did not ensure that when time out is used as a behavior guidance technique that it shall not be used with infants or toddlers. Evidence: During an interview on December 21, 2023, staff #1 reported using time out as a behavior guidance technique when a toddler bites or hits."”

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

“Based on interview, the center failed to ensure that roughly handling a child was forbidden. Evidence: During interview, on December 21, 2023, staff #1 stated that she has grabbed the face of a toddler to get them to stop biting.”

8VAC20-780-400-B Complaint related: No

“Based on interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: Staff #1 stated that she tells toddlers please don?t hit or you will sit in time out.?”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #5 (enrolled 03/06/23) did not have a physical examination.”

8VAC20-780-270-A

“Based on observation, 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: In the bathroom of room #2, one area of the wall had peeling paint exposing drywall. In room #3, the cabinet door was off of one hinge and not secure.”

8VAC20-780-550-P

“Based on a review of the facility's injury reports, all required information was not documented. Evidence: A sample of a child injury reports from the months of February, March, and April were reviewed. Nine reports did not include; date and time parents were notified, and six reports did not have staff and parent signatures or two staff signatures and three reports did not have documentation of how parent was notified.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure that there was a minimum of two shelter-in-place drills practiced, yearly. Evidence: The facility did not have documentation of two shelter-in-place drills for the 2022 year.”

8VAC20-780-550-F

“Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: The facility did not have documentation of a lockdown drill for the 2022 year.”

8VAC20-790-600-F

“Based on record review, the center did not ensure that all staff complete the annual health and safety update course. Evidence: The record for staff #3 (last health and safety training: 08/13/2021), did not have the updated annua health and safety training.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #5 (enrolled 03/06/23) did not have a physical examination.”

8VAC20-780-270-A

“Based on observation, 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: In the bathroom of room #2, one area of the wall had peeling paint exposing drywall. In room #3, the cabinet door was off of one hinge and not secure.”

8VAC20-780-550-P

“Based on a review of the facility's injury reports, all required information was not documented. Evidence: A sample of a child injury reports from the months of February, March, and April were reviewed. Nine reports did not include; date and time parents were notified, and six reports did not have staff and parent signatures or two staff signatures and three reports did not have documentation of how parent was notified.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure that there was a minimum of two shelter-in-place drills practiced, yearly. Evidence: The facility did not have documentation of two shelter-in-place drills for the 2022 year.”

8VAC20-780-550-F

“Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: The facility did not have documentation of a lockdown drill for the 2022 year.”

8VAC20-790-600-F

“Based on record review, the center did not ensure that all staff complete the annual health and safety update course. Evidence: The record for staff #3 (last health and safety training: 08/13/2021), did not have the updated annua health and safety training.”

8VAC20-780-40-K

“Based on record review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff #1 stated that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

22.1-289.035-A

“Based on record review and interview, the center did not have documentation of an updated central registry findings for one staff member. Evidence: The record for staff #1 (date of last CR 3/02/17) did not have documentation of a completed updated Central Registry.(CR). 2. A member of management stated that the CR had been sent for the update.”

8VAC20-780-350-B-1

“Based on observation, the center failed to obtain the required ratio in one classroom. Evidence: 1. In classroom #2, 10 children under 16 months of age were observed with two teachers. The ratio for birth to 16 months is one staff or every four children. 2. Administrative staff confirmed that classroom #2 was not in ratio.”

8VAC20-780-40-K

“Based on record review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff #1 stated that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

22.1-289.035-A

“Based on record review and interview, the center did not have documentation of an updated central registry findings for one staff member. Evidence: The record for staff #1 (date of last CR 3/02/17) did not have documentation of a completed updated Central Registry.(CR). 2. A member of management stated that the CR had been sent for the update.”

8VAC20-780-350-B-1

“Based on observation, the center failed to obtain the required ratio in one classroom. Evidence: 1. In classroom #2, 10 children under 16 months of age were observed with two teachers. The ratio for birth to 16 months is one staff or every four children. 2. Administrative staff confirmed that classroom #2 was not in ratio.”

22VAC40-665-580-H

“Based on review of staff records, the facility did not ensure staff completed the Annual Virginia Health and Safety Updated training for child care staff required annually of subsidy vendors their staff. Evidence: 1. The record for staff #2, staff #3, staff #4, and staff #6 did not have documentation of the required training. 2. Administration stated the training has not been completed.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #1 (date of enrollment 8/25/21) and child #3 (date of enrollment 3/11/21), did not have a physical examination.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: 1. The records for staff #5 (start date: 3/28/2022), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #5. The records did not contain documentation of any further contact.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff washed their hands with soap and running water after coming a diaper change. Evidence: In classroom #3, a staff member was observed changing a diaper. After the staff member changed the diaper, staff member did not wash their hands with soap and running water.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for staff #1 (date of hire 09/02/21), did not contain documentation of one of the two references before employment.”

8VAC20-780-60-A

“Based on review of children's records, the facility did not ensure each child's record contained all required information. Evidence: The records for child #2 (date of enrollment 3/04/2022), did not have documentation of proof of the child's identity and age.”

8VAC20-780-570-E

“Based on observation and staff interview, the licensee did not ensure the prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: T 1. There was three bottles of infant formula that was not dated or labeled with the child's name. 2. Staff confirmed the bottles were not labeled.”

22VAC40-665-580-H

“Based on review of staff records, the facility did not ensure staff completed the Annual Virginia Health and Safety Updated training for child care staff required annually of subsidy vendors their staff. Evidence: 1. The record for staff #2, staff #3, staff #4, and staff #6 did not have documentation of the required training. 2. Administration stated the training has not been completed.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #1 (date of enrollment 8/25/21) and child #3 (date of enrollment 3/11/21), did not have a physical examination.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: 1. The records for staff #5 (start date: 3/28/2022), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #5. The records did not contain documentation of any further contact.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff washed their hands with soap and running water after coming a diaper change. Evidence: In classroom #3, a staff member was observed changing a diaper. After the staff member changed the diaper, staff member did not wash their hands with soap and running water.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for staff #1 (date of hire 09/02/21), did not contain documentation of one of the two references before employment.”

8VAC20-780-60-A

“Based on review of children's records, the facility did not ensure each child's record contained all required information. Evidence: The records for child #2 (date of enrollment 3/04/2022), did not have documentation of proof of the child's identity and age.”

8VAC20-780-570-E

“Based on observation and staff interview, the licensee did not ensure the prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: T 1. There was three bottles of infant formula that was not dated or labeled with the child's name. 2. Staff confirmed the bottles were not labeled.”