KinderCare Learning Center at Diamond Springs

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB screenings for staff 2 and staff 3 were completed more than 30 days before their dates of employment.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff 1, employed for one week, did not have documentation of requesting a central registry check or a sex offender registry check from the state she previously resided in. Staff 2, employed for a month and a half, did not have documentation of requesting a criminal history check, a central registry check or a sex offender registry check from the state she previously resided in.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. There were four prepared bottles not dated in the infant classroom.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On September 25, 2024, staff 4 was asleep in the classroom while supervising children during their designated rest time.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle of disinfectant and a spray bottle of restroom cleaner were in an unlocked cabinet in the two's classroom. Two spray bottles of restroom cleaner was also founded in an unlocked cabinet in the boy's bathroom.”

8VAC20-780-70

“The name, address and telephone number of a person to be notified in an emergency shall be kept at the center for each staff person. The record for staff 1 does not contain emergency contact information.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB screenings for staff 2 and staff 3 were completed more than 30 days before their dates of employment.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff 1, employed for one week, did not have documentation of requesting a central registry check or a sex offender registry check from the state she previously resided in. Staff 2, employed for a month and a half, did not have documentation of requesting a criminal history check, a central registry check or a sex offender registry check from the state she previously resided in.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. There were four prepared bottles not dated in the infant classroom.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On September 25, 2024, staff 4 was asleep in the classroom while supervising children during their designated rest time.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle of disinfectant and a spray bottle of restroom cleaner were in an unlocked cabinet in the two's classroom. Two spray bottles of restroom cleaner was also founded in an unlocked cabinet in the boy's bathroom.”

8VAC20-780-70

“The name, address and telephone number of a person to be notified in an emergency shall be kept at the center for each staff person. The record for staff 1 does not contain emergency contact information.”

8VAC20-780-160-A

“Repeat Violation Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff 1 (date of employment: 1/23/24) contains a tuberculosis screening dated 2/21/24, which is after the date of employment. 2. Center management confirmed that the tuberculosis screening was completed after staff 1's first date of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center shall be maintained in a clean and safe condition. Evidence: In the four-year old classroom, there were approximately 25 staples lying on the rug under the bulletin board and accessible to the children in care. The licensing inspectors observed children playing in this area of the classroom during the inspection.”

8VAC20-780-160-A

“Repeat Violation Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff 1 (date of employment: 1/23/24) contains a tuberculosis screening dated 2/21/24, which is after the date of employment. 2. Center management confirmed that the tuberculosis screening was completed after staff 1's first date of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center shall be maintained in a clean and safe condition. Evidence: In the four-year old classroom, there were approximately 25 staples lying on the rug under the bulletin board and accessible to the children in care. The licensing inspectors observed children playing in this area of the classroom during the inspection.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 5 (date of hire: 2/1/23) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the record for staff 5 is lacking documentation of the required reference checks.”

8VAC20-780-60-A

“Repeat Violation Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 8/10/23) contains only one name, address and phone number of a designated person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.”

8VAC20-780-40-E

“Based on interviews and a review of the center's policies, the center failed to ensure that the operational responsibilities of the licensee shall ensure that the center's services are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: The center failed to follow their written policy for Guidance, Protection of and Respect for Children as demonstrated by the following incident: 1. The center's policy for unacceptable child guidance states "Employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures when caring for children on behalf of the Company. Any kind of physical discipline or corporal punishment, including but not limited to hitting, pinching, pushing, biting or grabbing a child is unacceptable". a. It was reported that on 9/18/23, child 4 was hit on his right arm by staff 5. b. The center director confirmed that staff 5 did not follow the center's policy on unacceptable child guidance.”

8VAC20-780-160-A

“Repeat Violation Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 2 has a documented date of hire of 6/1/23. Documentation of a tuberculosis screening for staff 2 was not obtained by the center until 6/14/23. 2. The center director confirmed that the TB screening for staff 2 was not obtained until after staff 2 began employment and after coming into contact with children.”

8VAC20-780-130-E

“Repeat Violation Based on record review and interview, the center did not ensure that additional immunizations for children under the age of two years is obtained once every six months. Evidence: 1. The record for child 2 (under 2 y/o) does not contain documentation of updated immunizations. The last signed immunization record was dated 1/24/23. 2. The record for child 3 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 1/24/23. 3. The center director confirmed that the records for child 2 and child 3 do not contain documentation of updated immunizations.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, the center did not ensure that documentation of emergency practice drills contain all the required elements. Evidence: 1. The emergency drill log for the center does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, problems encountered or the weather conditions. 2. The center director confirmed that the center's emergency drill log does not contain the above required elements.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff shall wash their hands with soap and running water before and after a diaper change. Evidence: On the day of the inspection, the licensing inspector observed staff 4 in the two's classroom changing 6 children's diapers without washing her hands with soap and running water before and after each diaper change.”

8VAC20-780-410-1

“Based on interviews and a review of center documentation, it was determined the center failed to ensure that physical punishment, striking a child, roughly handling or shaking a child is forbidden. Evidence: 1. The center self-reported that on 9/18/23, child 4 was hit on his right forearm by staff 5. 2. Staff 6 stated that on 9/18/23 she opened the door to the Pre-K classroom and observed staff 5 hit child 4 on his right forearm. Staff 6 stated staff 5 was facing away from her and did not see her standing at the door. She stated that child 4 was sitting on the the carpet by a bookshelf and was running his hand up the side of the shelf. Staff 5 stated "Didn't I tell you to stop doing that?" in a loud voice and then hit child 4 on his right forearm. Staff 6 stated she heard a "popping" sound and that child 4 started screaming and grabbed his arm. Staff 6 stated she immediately reported what she witnessed to the center director. 3. Staff 6 stated that when she went back into the classroom approximately 10 minutes after witnessing the incident, child 4 stated to her that staff 5 "just hit me on my arm".”

22.1-289.035-A

“Based on record review and interview, the center did not ensure that employees submit to a search of the central registry every five years from the date of the last search. Evidence: 1. The record for staff 1 does not contain a current central registry search result. The last documented central registry search result for staff 1 was in 2017. Staff 1 was due for an updated search of the central registry in 2022. 2. The center director confirmed that the record for staff 1 is lacking documentation of a current search of the central registry.”

8VAC20-780-340-D

“Based on observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. During the inspection, staff 3 was observed working alone in the Pre-K classroom with 8 children. Staff 3 is not program leader qualified. 2. The center director confirmed that staff 3 is not program leader qualified. The center director additionally confirmed that staff 3 is the only staff person working in the Pre-K classroom from 9:00am until 12:30pm on a regular basis.”

8VAC20-780-330-B

“Repeat Violation Based on measurement and interview it was determined the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was approximately 1 inch of mulch in the fall zones of the playground equipment on the Pre-K playground, where 6 inches are required. 2. The center director confirmed that there was not at least 6 inches of resilient surfacing in the fall zones of the playground equipment on the pre-K playground.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On one of the two center's buses used to transport children, there is an approximately 18 inch tear with exposed stuffing on the back of one seat and a hole on the back of another seat. 2. The center director confirmed that the center's bus has not been maintained in a safe condition.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 5 (date of hire: 2/1/23) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the record for staff 5 is lacking documentation of the required reference checks.”

8VAC20-780-60-A

“Repeat Violation Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 8/10/23) contains only one name, address and phone number of a designated person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.”

8VAC20-780-40-E

“Based on interviews and a review of the center's policies, the center failed to ensure that the operational responsibilities of the licensee shall ensure that the center's services are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: The center failed to follow their written policy for Guidance, Protection of and Respect for Children as demonstrated by the following incident: 1. The center's policy for unacceptable child guidance states "Employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures when caring for children on behalf of the Company. Any kind of physical discipline or corporal punishment, including but not limited to hitting, pinching, pushing, biting or grabbing a child is unacceptable". a. It was reported that on 9/18/23, child 4 was hit on his right arm by staff 5. b. The center director confirmed that staff 5 did not follow the center's policy on unacceptable child guidance.”

8VAC20-780-160-A

“Repeat Violation Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 2 has a documented date of hire of 6/1/23. Documentation of a tuberculosis screening for staff 2 was not obtained by the center until 6/14/23. 2. The center director confirmed that the TB screening for staff 2 was not obtained until after staff 2 began employment and after coming into contact with children.”

8VAC20-780-130-E

“Repeat Violation Based on record review and interview, the center did not ensure that additional immunizations for children under the age of two years is obtained once every six months. Evidence: 1. The record for child 2 (under 2 y/o) does not contain documentation of updated immunizations. The last signed immunization record was dated 1/24/23. 2. The record for child 3 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 1/24/23. 3. The center director confirmed that the records for child 2 and child 3 do not contain documentation of updated immunizations.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, the center did not ensure that documentation of emergency practice drills contain all the required elements. Evidence: 1. The emergency drill log for the center does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, problems encountered or the weather conditions. 2. The center director confirmed that the center's emergency drill log does not contain the above required elements.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff shall wash their hands with soap and running water before and after a diaper change. Evidence: On the day of the inspection, the licensing inspector observed staff 4 in the two's classroom changing 6 children's diapers without washing her hands with soap and running water before and after each diaper change.”

8VAC20-780-410-1

“Based on interviews and a review of center documentation, it was determined the center failed to ensure that physical punishment, striking a child, roughly handling or shaking a child is forbidden. Evidence: 1. The center self-reported that on 9/18/23, child 4 was hit on his right forearm by staff 5. 2. Staff 6 stated that on 9/18/23 she opened the door to the Pre-K classroom and observed staff 5 hit child 4 on his right forearm. Staff 6 stated staff 5 was facing away from her and did not see her standing at the door. She stated that child 4 was sitting on the the carpet by a bookshelf and was running his hand up the side of the shelf. Staff 5 stated "Didn't I tell you to stop doing that?" in a loud voice and then hit child 4 on his right forearm. Staff 6 stated she heard a "popping" sound and that child 4 started screaming and grabbed his arm. Staff 6 stated she immediately reported what she witnessed to the center director. 3. Staff 6 stated that when she went back into the classroom approximately 10 minutes after witnessing the incident, child 4 stated to her that staff 5 "just hit me on my arm".”

22.1-289.035-A

“Based on record review and interview, the center did not ensure that employees submit to a search of the central registry every five years from the date of the last search. Evidence: 1. The record for staff 1 does not contain a current central registry search result. The last documented central registry search result for staff 1 was in 2017. Staff 1 was due for an updated search of the central registry in 2022. 2. The center director confirmed that the record for staff 1 is lacking documentation of a current search of the central registry.”

8VAC20-780-340-D

“Based on observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. During the inspection, staff 3 was observed working alone in the Pre-K classroom with 8 children. Staff 3 is not program leader qualified. 2. The center director confirmed that staff 3 is not program leader qualified. The center director additionally confirmed that staff 3 is the only staff person working in the Pre-K classroom from 9:00am until 12:30pm on a regular basis.”

8VAC20-780-330-B

“Repeat Violation Based on measurement and interview it was determined the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was approximately 1 inch of mulch in the fall zones of the playground equipment on the Pre-K playground, where 6 inches are required. 2. The center director confirmed that there was not at least 6 inches of resilient surfacing in the fall zones of the playground equipment on the pre-K playground.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On one of the two center's buses used to transport children, there is an approximately 18 inch tear with exposed stuffing on the back of one seat and a hole on the back of another seat. 2. The center director confirmed that the center's bus has not been maintained in a safe condition.”

8VAC20-790-600-F

“Based on record review and interview it was determined the center did not ensure all staff who work directly with children annually complete the department's health and safety update course. Evidence: 1. The staff records for staff #2 and staff #3 did not contain documentation of completing the department's health and safety update course. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-330-B

“Based on measurement and interview it was determined the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was 3-4" of mulch in the fall zones of the playground equipment on the Infant/Toddler and PreK playgrounds. 2. Grass and weeds were growing in the mulched areas, which negates the impact attenuation of the mulch. 3. Staff confirmed a work order was submitted for this prior to this inspection.”

8VAC20-780-340-F

“Based on observation and interview it was determined the center did not ensure children under the age of ten years were always within actual sight and sound supervision of staff. Evidence: 1. Inspector observed: - Child #7 (4 years old) alone filling a cup with water in the boys restroom. - Child #7 then walked down the hallway, through the empty Preschool classroom and outside onto the playground with no staff supervision. - Staff #1 and #7 confirmed that child #7 was inside unattended. 2. In the toddler room inspector observed: - Two children hitting each other with the cabinet door on the changing table - Two children standing in chairs, and - One child pull another child that was sitting in chair over onto the floor - One staff member was changing diapers during this time and the other was cleaning up the room. - The staff did not acknowledge or redirect these behaviors until the children began crying. 3. On the preschool playground the inspector observed: - Staff #7 telling children to line up to go inside from the playground. - During this transition children were seen hitting, shoving, and pulling on each other while in line. - These behaviors were not redirected by staff until the children were screaming or crying.”

8VAC20-780-400-B

“Based on observation it was determined the behavioral guidance was not constructive in nature and did not redirect children to appropriate behaviors. Evidence: 1. Inspector heard staff from outside the preschool classroom using a harsh tone and reprimanding children in the class. 2. Staff were heard saying to the children in care: - "you can't get off your cots" - "you won't be able to use the restroom during nap time" - "we will say no if you ask to go to the bathroom" 3. Staff #7 was heard saying in a harsh tone to child #8 5 y/o: - "you're going to do it now or never, I'm not waiting" regarding going to the bathroom - "you're going to the office" - "we are not going to take it today" - "lay down, head down, stop crying", - "I don't care" 4. Staff was also heard saying: - "lunch is over, do you understand me? - "you are all done" to a child who was not done eating their lunch. 5. Child #8 was observed crying after their interactions with staff #7.”

8VAC20-780-510-B

“Based on medication and record review as well as interview it was determined the center did not ensure medication was only given to a child with written authorization from the parent. Evidence: 1. Child #10 was administered Albuterol twice on 8/15/22 and once on 8/16/22. There was no written permission from the parent. 2. Staff confirmed that there was no written authorization from the parent available during this inspection and medication was administered to child #10 three times in August 2022.”

8VAC20-780-550-B

“Based on record review and interview it was determined that the emergency preparedness plan did not include plan review and update. Evidence: 1. The emergency preparedness plan did not include current evacuation location and contact information. 2. Staff confirmed that the information on the plan was not current.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement a monthly practice evacuation drill. Evidence: 1. There was no evacuation drill completed the month of April 2023. 2. Staff confirmed that this was not completed, as they thought a monthly evacuation drill wasn't needed if they did a shelter-in-place drill in April 2023.”

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The door to the kitchen was open during this inspection. There was no staff person present in the kitchen when this inspector entered the room. There were several sharp kitchen knives accessible as well as the oven. 2. In the infant classroom the white shelving unit had rough broken veneer along the lower edge at floor level. 3. There was splintering wood at ground level in the "Garden of Learning" and on the shed accessible from the Infant/Toddler outdoor playground. 4. There was a two person tricycle missing peddles and splintering wooden borders along the perimeter of the PreK playground. 5. In the two year old classroom there was a broken shelf with a rough splintered edge along the backside. 6. In the boys rest room there was exposed rust and peeling paint on the partition. 7. In one of the Pre-K classrooms the bottom edge of the storage closet door was broken and splintering leaving sharp and jagged edges. 8. In another Pre-K classroom the radio was plugged in to the wall at about 3.5' off the ground and set on top of the play kitchen equipment leaving the cord dangling. 9. Peeling paint was present in multiple classrooms through out the center. 10. Staff noted that work orders had already been submitted for some of these items/areas.”

8VAC20-780-130-E

“Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #1 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 8/12/22. 2. The record for child #3 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 4/6/22. 3. Staff confirmed updated immunization records were not available during this inspection.”

8VAC20-780-550-P

“Based on record review and interview it was determined the center did not ensure the written record of children's serious and minor injuries contained all of the required information. Evidence: 1. The Injury report dated 3/23/23 for child #11 did not contain the date, time, and method of parental notification and future action to prevent recurrence. 2. The Injury report dated 3/24/23 for child #9 did not contain the date, time, and method of parental notification. 3. Staff confirmed this information was not on the injury reports.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure each record contained all of the required information Evidence: 1. The record for child #1 (enrolled 1/3/22) did not contain the work phone number for one of the two listed parents and previous child care and previous and concurrent schools and programs attended. 2. The record for child #3 (enrolled 2/15/22) did not contain the work phone number for one of the two listed parents. 3. The record for child #4 (enrolled 2/15/22) did not contain the work phone number for one of the two listed parents. 4. Staff confirmed this information was not available during this inspection.”

8VAC20-790-600-F

“Based on record review and interview it was determined the center did not ensure all staff who work directly with children annually complete the department's health and safety update course. Evidence: 1. The staff records for staff #2 and staff #3 did not contain documentation of completing the department's health and safety update course. 2. Staff confirmed that this documentation was not available during this inspection.”

8VAC20-780-330-B

“Based on measurement and interview it was determined the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: 1. There was 3-4" of mulch in the fall zones of the playground equipment on the Infant/Toddler and PreK playgrounds. 2. Grass and weeds were growing in the mulched areas, which negates the impact attenuation of the mulch. 3. Staff confirmed a work order was submitted for this prior to this inspection.”

8VAC20-780-340-F

“Based on observation and interview it was determined the center did not ensure children under the age of ten years were always within actual sight and sound supervision of staff. Evidence: 1. Inspector observed: - Child #7 (4 years old) alone filling a cup with water in the boys restroom. - Child #7 then walked down the hallway, through the empty Preschool classroom and outside onto the playground with no staff supervision. - Staff #1 and #7 confirmed that child #7 was inside unattended. 2. In the toddler room inspector observed: - Two children hitting each other with the cabinet door on the changing table - Two children standing in chairs, and - One child pull another child that was sitting in chair over onto the floor - One staff member was changing diapers during this time and the other was cleaning up the room. - The staff did not acknowledge or redirect these behaviors until the children began crying. 3. On the preschool playground the inspector observed: - Staff #7 telling children to line up to go inside from the playground. - During this transition children were seen hitting, shoving, and pulling on each other while in line. - These behaviors were not redirected by staff until the children were screaming or crying.”

8VAC20-780-400-B

“Based on observation it was determined the behavioral guidance was not constructive in nature and did not redirect children to appropriate behaviors. Evidence: 1. Inspector heard staff from outside the preschool classroom using a harsh tone and reprimanding children in the class. 2. Staff were heard saying to the children in care: - "you can't get off your cots" - "you won't be able to use the restroom during nap time" - "we will say no if you ask to go to the bathroom" 3. Staff #7 was heard saying in a harsh tone to child #8 5 y/o: - "you're going to do it now or never, I'm not waiting" regarding going to the bathroom - "you're going to the office" - "we are not going to take it today" - "lay down, head down, stop crying", - "I don't care" 4. Staff was also heard saying: - "lunch is over, do you understand me? - "you are all done" to a child who was not done eating their lunch. 5. Child #8 was observed crying after their interactions with staff #7.”

8VAC20-780-510-B

“Based on medication and record review as well as interview it was determined the center did not ensure medication was only given to a child with written authorization from the parent. Evidence: 1. Child #10 was administered Albuterol twice on 8/15/22 and once on 8/16/22. There was no written permission from the parent. 2. Staff confirmed that there was no written authorization from the parent available during this inspection and medication was administered to child #10 three times in August 2022.”

8VAC20-780-550-B

“Based on record review and interview it was determined that the emergency preparedness plan did not include plan review and update. Evidence: 1. The emergency preparedness plan did not include current evacuation location and contact information. 2. Staff confirmed that the information on the plan was not current.”

8VAC20-780-550-D

“Based on record review and interview it was determined the center did not implement a monthly practice evacuation drill. Evidence: 1. There was no evacuation drill completed the month of April 2023. 2. Staff confirmed that this was not completed, as they thought a monthly evacuation drill wasn't needed if they did a shelter-in-place drill in April 2023.”

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The door to the kitchen was open during this inspection. There was no staff person present in the kitchen when this inspector entered the room. There were several sharp kitchen knives accessible as well as the oven. 2. In the infant classroom the white shelving unit had rough broken veneer along the lower edge at floor level. 3. There was splintering wood at ground level in the "Garden of Learning" and on the shed accessible from the Infant/Toddler outdoor playground. 4. There was a two person tricycle missing peddles and splintering wooden borders along the perimeter of the PreK playground. 5. In the two year old classroom there was a broken shelf with a rough splintered edge along the backside. 6. In the boys rest room there was exposed rust and peeling paint on the partition. 7. In one of the Pre-K classrooms the bottom edge of the storage closet door was broken and splintering leaving sharp and jagged edges. 8. In another Pre-K classroom the radio was plugged in to the wall at about 3.5' off the ground and set on top of the play kitchen equipment leaving the cord dangling. 9. Peeling paint was present in multiple classrooms through out the center. 10. Staff noted that work orders had already been submitted for some of these items/areas.”

8VAC20-780-130-E

“Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #1 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 8/12/22. 2. The record for child #3 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 4/6/22. 3. Staff confirmed updated immunization records were not available during this inspection.”

8VAC20-780-550-P

“Based on record review and interview it was determined the center did not ensure the written record of children's serious and minor injuries contained all of the required information. Evidence: 1. The Injury report dated 3/23/23 for child #11 did not contain the date, time, and method of parental notification and future action to prevent recurrence. 2. The Injury report dated 3/24/23 for child #9 did not contain the date, time, and method of parental notification. 3. Staff confirmed this information was not on the injury reports.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure each record contained all of the required information Evidence: 1. The record for child #1 (enrolled 1/3/22) did not contain the work phone number for one of the two listed parents and previous child care and previous and concurrent schools and programs attended. 2. The record for child #3 (enrolled 2/15/22) did not contain the work phone number for one of the two listed parents. 3. The record for child #4 (enrolled 2/15/22) did not contain the work phone number for one of the two listed parents. 4. Staff confirmed this information was not available during this inspection.”

8VAC20-780-245-J-3

“Based on record review and staff interviews, 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 meets required medication administration training. Evidence: 1. Child 1, age 8 months, has an allergy action plan on file for emergency administration of epinephrine. The inspector confirmed that the emergency medication was in the facility. 2. On 5/10/22, from 3:00pm until 3:35pm, there were no staff on duty at the facility who are trained in medication administration (MAT). Child 1 was in care at the center during that time. 3. Staff 2 (center director), who is MAT certified, confirmed she was out of the building conducting the bus run during that time and stated she is the only staff person at the center who is currently MAT certified.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff 1 (date of hire: 5/3/22) does not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check and a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 5/3/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in Washington, DC within the past five years. The results of a criminal history record information check and the sex offender registry check were not available for staff 1 from Washington, DC. 2. The center director confirmed that all of the required out-of-state background checks were not completed for staff 1.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The hands-free, foot operated trash can used to dispose of soiled disposable diapers in the infant classroom is not working; therefore, staff have to lift the lid of the bin with their hands in order to dispose of soiled diapers. 2. The staff in the infant classroom confirmed that the hands-free trash can used to dispose of soiled disposable diapers is broken.”

8VAC20-780-260-B

“Based on a review of the most recent health inspection and interview, the center did not ensure that annual approval from the health department is provided. Evidence: 1. Documentation of the most recent health inspection is dated 11/6/19. 2. The center director confirmed that the most recent health inspection is expired.”

8VAC20-780-245-J-3

“Based on record review and staff interviews, 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 meets required medication administration training. Evidence: 1. Child 1, age 8 months, has an allergy action plan on file for emergency administration of epinephrine. The inspector confirmed that the emergency medication was in the facility. 2. On 5/10/22, from 3:00pm until 3:35pm, there were no staff on duty at the facility who are trained in medication administration (MAT). Child 1 was in care at the center during that time. 3. Staff 2 (center director), who is MAT certified, confirmed she was out of the building conducting the bus run during that time and stated she is the only staff person at the center who is currently MAT certified.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff 1 (date of hire: 5/3/22) does not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check and a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 5/3/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in Washington, DC within the past five years. The results of a criminal history record information check and the sex offender registry check were not available for staff 1 from Washington, DC. 2. The center director confirmed that all of the required out-of-state background checks were not completed for staff 1.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The hands-free, foot operated trash can used to dispose of soiled disposable diapers in the infant classroom is not working; therefore, staff have to lift the lid of the bin with their hands in order to dispose of soiled diapers. 2. The staff in the infant classroom confirmed that the hands-free trash can used to dispose of soiled disposable diapers is broken.”

8VAC20-780-260-B

“Based on a review of the most recent health inspection and interview, the center did not ensure that annual approval from the health department is provided. Evidence: 1. Documentation of the most recent health inspection is dated 11/6/19. 2. The center director confirmed that the most recent health inspection is expired.”

63.2(17)-1720.1-B-4 Complaint related: No

“Based on record review and interview, the center did not ensure that a copy of the results of a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 1/6/21. Staff 1 indicated on his sworn statement or affirmation that he has resided in the state of Florida within the past five years. The results of a sex offender registry check was not available for staff 1 from the state of Florida. 2. The center director confirmed that the results of a sex offender registry check for staff 1 was not available for review from the state of Florida.”

22VAC40-185-550-M Complaint related: Yes

“Based on record review and interview, it was determined the center did not ensure that the written record of all children's serious and minor injuries contained all of the required components. Evidence: 1. An injury report for child 1, dated 5/6/21, and an injury report for child 2, dated 5/11/21, do not include the time when the parent was notified. 2. The center director confirmed that the injury reports do not contain all of the required information.”

22VAC40-185-550-L Complaint related: Yes

“Based on interviews and a review of center documentation, it was determined that the center failed to ensure that parents were notified by the end of the day of any known injuries. Evidence: 1. The parent of child 1 reported that her child sustained multiple scratches to his face on 5/7/21 while in care at the center. a. Child 1's parent stated that the child's grandmother picked the child up from the center on the day of the injury but that neither parent was notified of the child's injury by center staff. b. Child 1's parent stated that an injury report was also not provided to them until 5/17/21. 2. The injury report for child 1 documents that the child was injured on 5/7/21. The parent signed the injury report on 5/17/21. There was no documentation that the parent was notified on the same day the injury occurred. 3. Staff 2 confirmed that child 1's parent was not notified of his injury by the end of the day, as required by licensing standards. Staff 2 stated that the injury report for child 1 was completed at the time of the incident but center staff did not provide the report to the child's parent until 5/17/21.”