KinderCare Learning Centers #000540

8VAC20-780-40-E

“Based on the center's self-report, interviews and record review, the center did not ensure that its own policies and procedures were maintained. Evidence: On the date of the misfeed incident (07/22/2024) the center's bottle-feeding policy includes a two-step verification process that includes one staff member to verify the name on the bottle and a comparison to the child being fed, as well as a second staff member verifying that the correct bottle is being fed to the correct child. Staff #6 did not perform this step, or ask staff #4 to verify the correct bottle was being given.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Cleaning materials were on a lower shelf in the changing table cabinet in infants, within reach of a mobile infant. 2. A changing table cabinet in the toddler classroom containing cleaning materials was left unlocked.”

8VAC20-780-560-G

“Based on observation, food brought from home was not clearly dated or labeled in a way that identifies the owner. Evidence: In the Discovery Preschool classroom a lunch box with food inside was not labeled with the child's name or today's date.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center were not maintained in a clean, safe and operable condition. Evidence: 1. In the Waddlers classroom, there was an end cap on the crash bar of the playground door that was falling off, leaving a gap that posed a hazard for pinched fingers. 2. On the preschool playground, an exterior screen was ripped.”

8VAC20-780-40-E

“Based on the center's self-report, interviews and record review, the center did not ensure that its own policies and procedures were maintained. Evidence: On the date of the misfeed incident (07/22/2024) the center's bottle-feeding policy includes a two-step verification process that includes one staff member to verify the name on the bottle and a comparison to the child being fed, as well as a second staff member verifying that the correct bottle is being fed to the correct child. Staff #6 did not perform this step, or ask staff #4 to verify the correct bottle was being given.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Cleaning materials were on a lower shelf in the changing table cabinet in infants, within reach of a mobile infant. 2. A changing table cabinet in the toddler classroom containing cleaning materials was left unlocked.”

8VAC20-780-560-G

“Based on observation, food brought from home was not clearly dated or labeled in a way that identifies the owner. Evidence: In the Discovery Preschool classroom a lunch box with food inside was not labeled with the child's name or today's date.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center were not maintained in a clean, safe and operable condition. Evidence: 1. In the Waddlers classroom, there was an end cap on the crash bar of the playground door that was falling off, leaving a gap that posed a hazard for pinched fingers. 2. On the preschool playground, an exterior screen was ripped.”

8VAC20-780-350-B-2 Complaint related: No

“Based on review of daily attendance records, the staff-to-children ratio of 1:5 for children 16 months-24 months was not followed when children were in care. Evidence: 1. The toddler classroom attendance sheets for June 17, 2024 listed 11 children as of 8:49 am, with two teachers. The classroom had 13 children in attendance when the third teacher arrived at 10:10 am. 2. One child was moved to the Discovery Preschool classroom (2 year old classroom) from 9:52 am - 10:10 am, but was 22 months old, which drops the required ratio to 1:5.”

8VAC20-780-350-B-3 Complaint related: No

“Based on review of daily attendance records, the staff-to-children ratio of 1:8 for children 2 years old was not followed when children were in care. Evidence: The Discovery Preschool classroom attendance records for June 17th, 2024 listed 17 children as of 9:35 am, with two teachers. The classroom had 20 children in attendance when the third teacher arrived at 9:52 am.”

8VAC20-780-350-B-4 Complaint related: No

“Based on review or daily attendance records, the staff-to-children ratio of 1:10 for children 3 years up to school age was not followed when children were in care. Evidence: The preschool classroom attendance sheets on June 17th, 2024 listed 21 children as of 9:29 am, with two teachers. The classroom had 21 children in attendance until 10:08 am when a child was moved to the Pre-Kindergarten room.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Evidence: 1) observed a nail protruding approximately 1/2 an inch from the wall in the Pre-K classroom 2) observed peeling pain along the far wall in the 3s classroom 3) observed a riding toy on the toddler playground with large holes in the tires 4) observed a tricycle on the toddler playground with a broken basket attachment 5) observed a large gap at the top of the 3s play structure between the platform and the slide”

8VAC20-780-60-A

“REPEAT Based on review, the facility did not ensure that children's records were maintained with the required minimum information. Evidence: reviewed 5 children's records and found that all 5 children were missing complete work information for one of their parents/guardians. Previously cited 8/2023”

8VAC20-780-150-B

“Based on review, the facility did not ensure that physical examinations shall be signed by a physician, their designee, or an official of a local health department. Evidence: reviewed 5 children's records and found that Child 3 did not have a signed physical examination record.”

8VAC20-780-540-E

“Based on observation, the facility did not have a working battery operated radio. Evidence: observed that during the inspection visit, the director was unable to get the battery operated radio to work.”

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that there was glass cleaner and tb disinfectant spray accessible to children in an unlocked cabinet in the school-age classroom.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Evidence: 1) observed a nail protruding approximately 1/2 an inch from the wall in the Pre-K classroom 2) observed peeling pain along the far wall in the 3s classroom 3) observed a riding toy on the toddler playground with large holes in the tires 4) observed a tricycle on the toddler playground with a broken basket attachment 5) observed a large gap at the top of the 3s play structure between the platform and the slide”

8VAC20-780-60-A

“REPEAT Based on review, the facility did not ensure that children's records were maintained with the required minimum information. Evidence: reviewed 5 children's records and found that all 5 children were missing complete work information for one of their parents/guardians. Previously cited 8/2023”

8VAC20-780-150-B

“Based on review, the facility did not ensure that physical examinations shall be signed by a physician, their designee, or an official of a local health department. Evidence: reviewed 5 children's records and found that Child 3 did not have a signed physical examination record.”

8VAC20-780-540-E

“Based on observation, the facility did not have a working battery operated radio. Evidence: observed that during the inspection visit, the director was unable to get the battery operated radio to work.”

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that there was glass cleaner and tb disinfectant spray accessible to children in an unlocked cabinet in the school-age classroom.”

8VAC20-780-60-A Complaint related: No

“Based on record review, children's records were missing required information. Evidence: 1. The record of Child A and B were missing the father's employer.”

8VAC20-780-550-I Complaint related: No

“Based on observation, A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center was not posted in a visible place at each telephone. Evidence: Emergency numbers were not posted near the telephone located in the office.”

8VAC20-780-500-B Complaint related: Yes

“Complaint Related Based on interview, when a child's clothing or diaper became wet or soiled, the child was not cleaned and changed immediately. Evidence: 1. On August 2nd Child C was dropped off at approximately 9:30am. The Child was picked up approximately 7 hours later and was found in soiled diaper and clothes. 2. A staff confirmed that the teachers in the classroom did not change the diaper of Child C all day.”

8VAC20-780-160-C Complaint related: No

“Based on record review, At least every two years from the date of the first initial screening or testing, staff members did not obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. The tuberculosis exam of Staff A expired 07/2023 and was not repeated. 2. The tuberculosis exam of Staff B expired 08/2023 and was not repeated.”

22.1-289.035-B-4

“Based on record review, the center did not obtain a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Staff A did not have a central registry search for a state they've lived in within the last 5 years.”

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

“Based on interview, staff have roughly handled a child. Evidence: 1) On March 1st 2023, Staff A pushed Child A onto a chair to prevent Child A (2 years old) from going to the door. Child A began to cry. 2) Staff B stated that they witnessed Staff A push Child A onto the chair located near the door of the ?Toddler’s? classroom.”

8VAC20-780-340-A Complaint related: Yes

“Based on interview and photos reviewed, When staff are supervising children, they did not always ensure their care, protection, and guidance. Evidence: 1) On February 13th 2023, Child A (2 years old) fell off of the climbing equipment in the ?Toddler’s? classroom and their lip began to bleed. Neither Staff administered First Aid. 2) Staff B confirmed that Child A began to cry and their lip was bleeding. 3) Staff B stated Staff A told her not to tend to Child A.”

8VAC20-790-600-D-2

“Based on record review, staff did not have an up to date certification in first aid. Evidence: The first aid certification of Staff A expired 03/2022.”

8VAC20-790-600-B

“Based on record review, Staff did not complete the Virginia Preservice training within the first 90 days of employment. Evidence: Staff B was hired 05/10/2021 and the Virginia Preservice training was completed 01/04/2022.”

8VAC20-790-600-D-1

“Based on record review, staff did not have an up to date certification in CPR. Evidence: The CPR certification of Staff A expired 03/2022.”

8VAC20-790-600-F

“Based on record review, staff did not complete the health and safety update for 2022. Evidence: Staff A, B and C did not complete the 2022 health and safety update.”

8VAC20-780-550-P

“Based on record review, the center did not maintain a complete written record of children's serious and minor injuries. Evidence: Of 9 minor injury reports reviewed the following were missing: 1) 5 were missing time the parent was notified of the injury. 2) 5 were missing the method in which the parent was notified of the injury. 3) 3 were missing the future action to prevent the injury.”

22.1-289.035-B-4

“Based on record review, a complete out of state background search was not completed for staff. Evidence: 1) Staff B was missing a complete out of state central registry search, and a complete criminal history search.”

8VAC20-780-60-A

“Based on record review, children's records were incomplete. Evidence: 3 of 5 children's records reviewed were incomplete. 1) The record of Child A was missing their father's employer and employer phone number. 2) The record of Child B was missing the address of one emergency contact. 3) The record of Child C was missing the mother's employer phone number and the father's employer and employer phone number.”

8VAC20-780-245-A

“Based on record review, staff did not complete annually a minimum of 16 hours of training. Evidence: 1) Staff A completed 14.5 of the 16 required annual training hours.”

8VAC20-790-600-D-2

“Based on record review, staff did not have an up to date certification in first aid. Evidence: The first aid certification of Staff A expired 03/2022.”

8VAC20-790-600-B

“Based on record review, Staff did not complete the Virginia Preservice training within the first 90 days of employment. Evidence: Staff B was hired 05/10/2021 and the Virginia Preservice training was completed 01/04/2022.”

8VAC20-790-600-D-1

“Based on record review, staff did not have an up to date certification in CPR. Evidence: The CPR certification of Staff A expired 03/2022.”

8VAC20-790-600-F

“Based on record review, staff did not complete the health and safety update for 2022. Evidence: Staff A, B and C did not complete the 2022 health and safety update.”

8VAC20-780-550-P

“Based on record review, the center did not maintain a complete written record of children's serious and minor injuries. Evidence: Of 9 minor injury reports reviewed the following were missing: 1) 5 were missing time the parent was notified of the injury. 2) 5 were missing the method in which the parent was notified of the injury. 3) 3 were missing the future action to prevent the injury.”

22.1-289.035-B-4

“Based on record review, a complete out of state background search was not completed for staff. Evidence: 1) Staff B was missing a complete out of state central registry search, and a complete criminal history search.”

8VAC20-780-60-A

“Based on record review, children's records were incomplete. Evidence: 3 of 5 children's records reviewed were incomplete. 1) The record of Child A was missing their father's employer and employer phone number. 2) The record of Child B was missing the address of one emergency contact. 3) The record of Child C was missing the mother's employer phone number and the father's employer and employer phone number.”

8VAC20-780-245-A

“Based on record review, staff did not complete annually a minimum of 16 hours of training. Evidence: 1) Staff A completed 14.5 of the 16 required annual training hours.”

8VAC20-780-340-A

“Based on interview and record review, when staff were supervising children, they did not always ensure their care and protection. Evidence: 1) Staff A fed Child A food that listed on the allergy plan of Child A. 2) After a conversation with the parents, Staff B stated that Child A vomited twice once they were home.”

8VAC20-780-40-M

“Based on record review, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan., Evidence: The record of Child A stated that Child A was allergic to rice, oats and bananas. These items were missing from the most recent allergy list.”

8VAC20-780-560-P

“Based on interview and record review, a child with a diagnosed food allergy was served food identified in the written care plan. Evidence: 1) The record of Child A states Child A is allergic to oats and bananas. 2) Staff A stated that she served Child A three tablespoons full of oatmeal and three bites of banana.”

8VAC20-780-340-D

“Based on interview, in each grouping of children at least one staff member who meets the qualifications of a program leader was not regularly present. Evidence: Staff B stated that the infant room does not have a lead teacher regularly present.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews and documents reviewed, when staff were supervising children, they did not always ensure their care, protection, and guidance. Evidence: 1) On 09/07/2022 at approximately 4:45pm, Child A slipped off of the playground equipment and hit their chin on the ground. 2) Staff A, B and C stated they observed blood on the lip of the Child A. 3) Photo’s received from the parent of Child A depicted blood on the chin of Child A. 4) Staff A, B and C stated that first aid was not administered for Child A’s injury. 5) The mother of Child A stated Child A received medical attention for their injuries..”

8VAC20-780-340-F Complaint related: Yes

“Based on interviews, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1) On 09/07/2022, following Child A’s fall, Child A was left alone in a classroom with a person contracted by the parent whom is not employed by the facility (Person A). 2) Staff A and Staff B stated Person A and other contracted individuals would often take Child A away from the group and facility staff. 3) Person A and other contracted individuals did not have written authorization to be alone with the child.”

8VAC20-790-600-D-2

“Based on record review, all staff did not have a current certification in First Aid. Evidence: Staff B and D did not have a current First Aid certification on file.”

8VAC20-790-600-D-1

“Based on record review, all staff did not have a current certification in CPR. Evidence: Staff B and D did not have a current CPR certification on file.”

8VAC20-790-600-B

“Based on record review, staff did not complete the Virginia Preservice training annual update. Evidence: Staff A did not complete the annual update for the preservice training in 2021.”

8VAC20-780-160-C

“Based on record review, staff did not have a current tuberculosis screening. Evidence: Staff A and Staff D did not have a current tuberculosis screening on file.”

8VAC20-770-60-C-2

“Based on record review, staff did not have central registry finding's within 30 days of employment. Evidence: Staff B and C did not have central registry findings on file.”

8VAC20-780-340-F

“Based on observation, Children under 10 years of age were not always in actual sight and sound supervision of staff. Evidence: While on the playground, two staff were located near the entrance of the classroom with their back turned to approximately 12 toddlers; leaving the children out of actual sight.”

8VAC20-780-290-A-3

“Based on observation, unused electrical outlets were not covered with protective covers. Evidence: 1) There was an unused outlet without a cover located in the 3's room. 2) There were 2 unused outlets without covers located in the 2's room.”

8VAC20-780-280-D

“Based on observation, cleaning supplies were located above food utensils. Evidence: 1) In the Pre-K room, cleaning supplies were located in an unlocked cabinet above styrofoam plates, and bowls as well as plastic eating utensils.”

8VAC20-780-280-B

“Based on observation, cleaning materials were not kept in a locked place. Evidence: 1) Cleaning supplies located in the Pre-K room were kept in an unlocked cabinet. 2) Cleaning supplies located in the bathroom were kept near the entrance on the stall wall.”

8VAC20-780-70

“Based on record review, the center did not keep a complete record for each staff person. Evidence: The record of Staff D was missing verification of age.”

8VAC20-780-60-A

“Based on record review, the center did not maintain a complete record for each child. Evidence: 1) Children A, B, and C were missing the father's place of employment and employer phone number. 2) Child D was missing the mother's place of employment and the employer phone number.”

8VAC20-790-600-D-2

“Based on record review, all staff did not have a current certification in First Aid. Evidence: Staff B and D did not have a current First Aid certification on file.”

8VAC20-790-600-D-1

“Based on record review, all staff did not have a current certification in CPR. Evidence: Staff B and D did not have a current CPR certification on file.”

8VAC20-790-600-B

“Based on record review, staff did not complete the Virginia Preservice training annual update. Evidence: Staff A did not complete the annual update for the preservice training in 2021.”

8VAC20-780-160-C

“Based on record review, staff did not have a current tuberculosis screening. Evidence: Staff A and Staff D did not have a current tuberculosis screening on file.”

8VAC20-770-60-C-2

“Based on record review, staff did not have central registry finding's within 30 days of employment. Evidence: Staff B and C did not have central registry findings on file.”

8VAC20-780-340-F

“Based on observation, Children under 10 years of age were not always in actual sight and sound supervision of staff. Evidence: While on the playground, two staff were located near the entrance of the classroom with their back turned to approximately 12 toddlers; leaving the children out of actual sight.”

8VAC20-780-290-A-3

“Based on observation, unused electrical outlets were not covered with protective covers. Evidence: 1) There was an unused outlet without a cover located in the 3's room. 2) There were 2 unused outlets without covers located in the 2's room.”

8VAC20-780-280-D

“Based on observation, cleaning supplies were located above food utensils. Evidence: 1) In the Pre-K room, cleaning supplies were located in an unlocked cabinet above styrofoam plates, and bowls as well as plastic eating utensils.”

8VAC20-780-280-B

“Based on observation, cleaning materials were not kept in a locked place. Evidence: 1) Cleaning supplies located in the Pre-K room were kept in an unlocked cabinet. 2) Cleaning supplies located in the bathroom were kept near the entrance on the stall wall.”

8VAC20-780-70

“Based on record review, the center did not keep a complete record for each staff person. Evidence: The record of Staff D was missing verification of age.”

8VAC20-780-60-A

“Based on record review, the center did not maintain a complete record for each child. Evidence: 1) Children A, B, and C were missing the father's place of employment and employer phone number. 2) Child D was missing the mother's place of employment and the employer phone number.”

8VAC20-770-60-C-2

“Based on records review and staff interview, the center did not obtain results of a child abuse and neglect central registry search for an employee within 30 days of employment. Evidence: 1. Staff # 1's first day of employment was 8/24/21. 2. Staff # 2 stated that she has a copy of the form that Staff # 1 originally completed, and thinks that the form was mailed out. 3. Staff # 2 further stated that when staff records were being reviewed in December 2021, she noticed that the central registry results were not back for Staff # 1. 4. Staff # 2 mailed out another central registry form for Staff # 1 in January 2022. The results were obtained on 2/26/22.”

8VAC20-770-60-C-2

“Based on records review and staff interview, the center did not obtain results of a child abuse and neglect central registry search for an employee within 30 days of employment. Evidence: 1. Staff # 1's first day of employment was 8/24/21. 2. Staff # 2 stated that she has a copy of the form that Staff # 1 originally completed, and thinks that the form was mailed out. 3. Staff # 2 further stated that when staff records were being reviewed in December 2021, she noticed that the central registry results were not back for Staff # 1. 4. Staff # 2 mailed out another central registry form for Staff # 1 in January 2022. The results were obtained on 2/26/22.”