KinderCare Learning Centers #1542

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The fingerprint background checks for staff #1 was completed 5 months, after due date.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's own policies and procedures are maintained in compliance that are required by these standards. Staff #2 stated that on 7/22/2025 they did not comply with center's policy by escorting a child to their classroom.”

8VAC20-780-340-F

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 7/22/2025 Child #1 was found alone in an empty classroom by staff #1. Staff #2 stated child #1 left their office and they saw child #1 walk towards classroom but did not see or hear them or otherwise confirm child entered their assigned classroom.”

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

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child's identity and age. The record for child #2, did not contain documentation of viewing proof of the child's identity and age. Child #2 has been enrolled for over 2 years.”

8VAC20-780-140-A Complaint related: No

“REPEAT VIOLATION Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Child #2's record did not contain a physical examination. Child #2 has been attending for over 2 years.”

8VAC20-780-130-A Complaint related: No

“REPEAT VIOLATION The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #2's record did not contain documentation that child received immunizations, or documentation of immunizations not being required. Child #2 has been in attendance for over 2 years.”

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

“There shall be a system to ensure that staff know where the children 10 years of age and older are and what they are doing. On 7/11/2025 staff was unaware of a child in the bathroom. Staff stated incorrect number of children they were responsible for.”

8VAC20-780-350-C Complaint related: No

“COMPLAINT RELATED When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. From 7:50am until approximately 8:10am, there were two staff supervising and 3:12 children in the 2's B classroom were under the age of 2, requiring a 1:5 ratio. Staff, parents and documentation confirmed this happens frequently in the morning.”

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

“Each staff member shall submit documentation of a negative tuberculosis screening, at least every two years from the date of the first initial screening or testing. Staff #4's date of last TB screening was over 2 years ago.”

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

“Each staff member shall submit documentation of a negative tuberculosis screening that has been completed within the last 30 calendar days of the date of employment. Staff #1's date of last TB screening was completed over 8 months prior to date of employment.”

8VAC20-780-240-B Complaint related: No

“Staff shall complete orientation training appropriate to the age of the children in care and include required topics, no later than seven days of the date of assuming job responsibilities. The center's orientation training checklist does not include all required topics.”

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

“COMPLAINT RELATED The following actions or threats thereof are forbidden: roughly handling a child. Staff #1 was observed by 2 parents grabbing a child by the arm and pulling them down by the upper arms into a chair, forcefully. Staff interviewed stated "the child had red marks on their arm, that appeared to be from an adult".”

22.1-289.035-A Complaint related: No

“REPEAT VIOLATION The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by two days. Staff #4 was observed completing central registry request during this inspection.”

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

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and shall include required information. The center did not have written record of child's injury that occurred on 6/16/2025 with all required information, future actions to prevent recurrence of the injury, staff and parent signature at the time of inspection 6/20/2025.”

8VAC20-780-70 Complaint related: No

“Staff records shall contain documentation that two or more references were checked before employment, documentation of orientation training with required topics Staff #1's record had reference documentation that was not dated. Staff has been employed 11 days. Staff#4's record did not have reference documentation. Staff #4 has been employed for over 2 1/2 years. Staff #1, #3 and #4's records did not have documentation of orientation with required topics.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. The changing pad on diaper changing table in 2sA room had a tear and a hole, rendering it absorbent.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water and sewage. The center did not have documentation of annual approval from health department regarding water and sewage/Environmental sanitation inspection.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #6 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-40-J

“REPEAT VIOLATION Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. There was no documentation of injury prevention procedures for review during the inspection.”

8VAC20-780-550-B

“REPEAT VIOLATION The emergency preparedness plan shall contain procedural components for annual review for updates. The center's emergency preparedness plan (EPP) was not complete or updated annually. The plan contained out of date information and did not include the date of the last update.”

8VAC20-780-130-F

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #3's record did not contain immunizations every six months, child turned 2 while in care, has been in care for over 19 months and DOL immunization was over 12 months ago.”

22.1-289.035-B-1

“REPEAT VIOLATION The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3 was not dated. Staff has been employed for over 2 years and is currently working,”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than 4 years, did not have documentation of requesting criminal history check or a central registry check from a state lived in the past 5 years.”

8VAC20-780-270-A

“Equipment of the center outside, shall be maintained in a clean, safe and operable condition. Multi colored tricycle was missing a handlebar.”

8VAC20-790-600-F

“REPEAT VIOLATION Staff who work directly with children shall, annually attend the department's health and safety update course. Staff #2 and #3 records, who have been employed for over two years, did not have documentation of attending the departments annual health and safety course since 2023.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. The changing pad on diaper changing table in 2sA room had a tear and a hole, rendering it absorbent.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water and sewage. The center did not have documentation of annual approval from health department regarding water and sewage/Environmental sanitation inspection.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #6 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-40-J

“REPEAT VIOLATION Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. There was no documentation of injury prevention procedures for review during the inspection.”

8VAC20-780-550-B

“REPEAT VIOLATION The emergency preparedness plan shall contain procedural components for annual review for updates. The center's emergency preparedness plan (EPP) was not complete or updated annually. The plan contained out of date information and did not include the date of the last update.”

8VAC20-780-130-F

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #3's record did not contain immunizations every six months, child turned 2 while in care, has been in care for over 19 months and DOL immunization was over 12 months ago.”

22.1-289.035-B-1

“REPEAT VIOLATION The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3 was not dated. Staff has been employed for over 2 years and is currently working,”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than 4 years, did not have documentation of requesting criminal history check or a central registry check from a state lived in the past 5 years.”

8VAC20-780-270-A

“Equipment of the center outside, shall be maintained in a clean, safe and operable condition. Multi colored tricycle was missing a handlebar.”

8VAC20-790-600-F

“REPEAT VIOLATION Staff who work directly with children shall, annually attend the department's health and safety update course. Staff #2 and #3 records, who have been employed for over two years, did not have documentation of attending the departments annual health and safety course since 2023.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. The changing pad on diaper changing table in 2sA room had a tear and a hole, rendering it absorbent.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water and sewage. The center did not have documentation of annual approval from health department regarding water and sewage/Environmental sanitation inspection.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #6 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-40-J

“REPEAT VIOLATION Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. There was no documentation of injury prevention procedures for review during the inspection.”

8VAC20-780-550-B

“REPEAT VIOLATION The emergency preparedness plan shall contain procedural components for annual review for updates. The center's emergency preparedness plan (EPP) was not complete or updated annually. The plan contained out of date information and did not include the date of the last update.”

8VAC20-780-130-F

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #3's record did not contain immunizations every six months, child turned 2 while in care, has been in care for over 19 months and DOL immunization was over 12 months ago.”

22.1-289.035-B-1

“REPEAT VIOLATION The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3 was not dated. Staff has been employed for over 2 years and is currently working,”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than 4 years, did not have documentation of requesting criminal history check or a central registry check from a state lived in the past 5 years.”

8VAC20-780-270-A

“Equipment of the center outside, shall be maintained in a clean, safe and operable condition. Multi colored tricycle was missing a handlebar.”

8VAC20-790-600-F

“REPEAT VIOLATION Staff who work directly with children shall, annually attend the department's health and safety update course. Staff #2 and #3 records, who have been employed for over two years, did not have documentation of attending the departments annual health and safety course since 2023.”

8VAC20-790-600-F

“REPEAT VIOLATION Staff who work directly with children shall, annually attend the department's health and safety update course. Staff #1-#4, who have been employed over a year, did not have documentation of attending the departments annual health and safety course since 3/2023.”

8VAC20-780-130-E

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #4,13 months old, last documented immunization was over nine months ago.”

8VAC20-780-150-B

“Dates immunizations were received shall be signed by a physician, his designee, or an official of a local health department. Child #5's immunizations were not signed.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. No documentation of shelter in place drills in the past year.”

8VAC20-780-520-A

“Nonprescription drugs and over-thecounter skin products shall not be kept or used beyond the expiration date of the product. 5:12 diaper creams inspected on site had expired.”

22.1-289.035-B-2

“REPEAT VIOLATION Center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, who had been employed for seven years and staff #3 employed over four years, did not have completed national criminal background checks from current employer/center.”

8VAC20-790-600-F

“REPEAT VIOLATION Staff who work directly with children shall, annually attend the department's health and safety update course. Staff #1-#4, who have been employed over a year, did not have documentation of attending the departments annual health and safety course since 3/2023.”

8VAC20-780-130-E

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #4,13 months old, last documented immunization was over nine months ago.”

8VAC20-780-150-B

“Dates immunizations were received shall be signed by a physician, his designee, or an official of a local health department. Child #5's immunizations were not signed.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. No documentation of shelter in place drills in the past year.”

8VAC20-780-520-A

“Nonprescription drugs and over-thecounter skin products shall not be kept or used beyond the expiration date of the product. 5:12 diaper creams inspected on site had expired.”

22.1-289.035-B-2

“REPEAT VIOLATION Center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, who had been employed for seven years and staff #3 employed over four years, did not have completed national criminal background checks from current employer/center.”

8VAC20-780-245-A

“Based on record review, staff have not annually completed a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #1, #2, #3 and #4 records di not have any training hours recorded or certificate for 2023-24.”

8VAC20-780-240-A

“Based on record review, the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of employment for all staff. Evidence: Staff#2 (DOH: 3/27/23) records did not contain documentation that the orientation/training course was completed.”

8VAC20-780-40-J

“REPEAT VIOLATION Based on review of centers injury prevention procedures, the procedures were not updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: There was no documentation of injury prevention procedures for review during the inspection.”

22.1-289.035-B-2

“Based on record review, the center did not obtain fingerprint results as required. Evidence: 1. Staff #2 start date 3/27/23, fingerprint results date 3/31/23. 2. Staff #4 date of most recent fingerprint results 4/23/2018.”

8VAC20-780-550-B

“REPEAT VIOLATION Based on review of center’s emergency preparedness plan (EPP), the plan was not complete or updated annually. Evidence: 1. The plan contained out of date information. 2 The plan did not include the date of the last update.”

8VAC20-780-550-G

“Based on record review and interview, documentation of emergency evacuation, shelter-in place, and lockdown drills did not include the number of staff participating. Evidence: emergency drills conducted Jan 2024-April 2024 did not include number of staff.”

8VAC20-780-245-A

“Based on record review, staff have not annually completed a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #1, #2, #3 and #4 records di not have any training hours recorded or certificate for 2023-24.”

8VAC20-780-240-A

“Based on record review, the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of employment for all staff. Evidence: Staff#2 (DOH: 3/27/23) records did not contain documentation that the orientation/training course was completed.”

8VAC20-780-40-J

“REPEAT VIOLATION Based on review of centers injury prevention procedures, the procedures were not updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: There was no documentation of injury prevention procedures for review during the inspection.”

22.1-289.035-B-2

“Based on record review, the center did not obtain fingerprint results as required. Evidence: 1. Staff #2 start date 3/27/23, fingerprint results date 3/31/23. 2. Staff #4 date of most recent fingerprint results 4/23/2018.”

8VAC20-780-550-B

“REPEAT VIOLATION Based on review of center’s emergency preparedness plan (EPP), the plan was not complete or updated annually. Evidence: 1. The plan contained out of date information. 2 The plan did not include the date of the last update.”

8VAC20-780-550-G

“Based on record review and interview, documentation of emergency evacuation, shelter-in place, and lockdown drills did not include the number of staff participating. Evidence: emergency drills conducted Jan 2024-April 2024 did not include number of staff.”

8VAC20-780-320-B

“Based on observation, each restroom did not contain the required items. Evidence One bathroom in the afterschool classroom did not contain toilet paper.”

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: In the 3B classroom, hazardous substances were located in an unlocked diaper changing table, making them accessible to the children.”

8VAC20-780-40-J

“Based on review of centers injury prevention procedures, the procedures were not updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: There was no documentation of injury prevention procedures for review during the inspection.”

8VAC20-780-370

“Based on review of children’s electronic daily records and conversation with staff, there is no documentation for infants who cannot turn themselves over being placed on their stomachs (tummy time) a total of 30 minutes each day. Evidence There was no documentation of tummy time for infants for cannot turn themselves over.”

8VAC20-780-500-A

“Based on observation, a child’s hands were not washed with soap and running water after toileting/diaper change. Evidence: Observed in the toddler classroom after having their diaper changed, the child’s hands were not washed,”

8VAC20-780-560-M

“Based on observation, children did not remain seated while eating or drinking. Evidence: A child in the 2A classroom was observed running and running while eating an orange slice.”

8VAC20-780-550-P

“Based on review of the center’s written record of children's serious and minor injuries, the records did not contain all the required information. Evidence: The center’s written record of children’s serious and minor records did not include the date and time when parents were notified any future action to prevent recurrence of the injury and documentation on how the parent was notified.”

8VAC20-780-130-E

“REPEAT VIOLATION Based on review of children’s files, not all records contained the required immunizations once every six months for child under the age of two years. Evidence: The record for child #1, (under two years of age) did not contain an updated immunizations record every six months. The last record was dated 3/2023.”

8VAC20-780-550-B

“Based on review of center’s emergency preparedness plan (EPP), the plan was not complete or updated annually. Evidence: The plan contained out of date information, did not include relocation procedures or the date of the last update.”

8VAC20-780-520-A

“Based on review of topical medications, an over-the-counter skin products was kept beyond the expiration date of the product. Evidence: A diaper cream that expired 6/2022 was located in the toddler classroom.”

8VAC20-780-510-F

“REPEAT VIOLATION Based on review of medications, not all medications had required authorization from a physician and parent for administration. Evidence: The medications for child #2 and #3 did not have authorization from a physician and parent to administer the medication.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not sanitized after diapering. Evidence: Observed in the toddler classroom, the diapering surface was not sanitized after a diaper change.”

8VAC20-780-160-C

“Based on review of staff records, not all records contained the required documentation of an updated negative tuberculosis screening every two years. Evidence: The record for staff #1, did not have documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Screening in record expired 7/2023.”

8VAC20-780-320-B

“Based on observation, each restroom did not contain the required items. Evidence One bathroom in the afterschool classroom did not contain toilet paper.”

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: In the 3B classroom, hazardous substances were located in an unlocked diaper changing table, making them accessible to the children.”

8VAC20-780-40-J

“Based on review of centers injury prevention procedures, the procedures were not updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: There was no documentation of injury prevention procedures for review during the inspection.”

8VAC20-780-370

“Based on review of children’s electronic daily records and conversation with staff, there is no documentation for infants who cannot turn themselves over being placed on their stomachs (tummy time) a total of 30 minutes each day. Evidence There was no documentation of tummy time for infants for cannot turn themselves over.”

8VAC20-780-500-A

“Based on observation, a child’s hands were not washed with soap and running water after toileting/diaper change. Evidence: Observed in the toddler classroom after having their diaper changed, the child’s hands were not washed,”

8VAC20-780-560-M

“Based on observation, children did not remain seated while eating or drinking. Evidence: A child in the 2A classroom was observed running and running while eating an orange slice.”

8VAC20-780-550-P

“Based on review of the center’s written record of children's serious and minor injuries, the records did not contain all the required information. Evidence: The center’s written record of children’s serious and minor records did not include the date and time when parents were notified any future action to prevent recurrence of the injury and documentation on how the parent was notified.”

8VAC20-780-130-E

“REPEAT VIOLATION Based on review of children’s files, not all records contained the required immunizations once every six months for child under the age of two years. Evidence: The record for child #1, (under two years of age) did not contain an updated immunizations record every six months. The last record was dated 3/2023.”

8VAC20-780-550-B

“Based on review of center’s emergency preparedness plan (EPP), the plan was not complete or updated annually. Evidence: The plan contained out of date information, did not include relocation procedures or the date of the last update.”

8VAC20-780-520-A

“Based on review of topical medications, an over-the-counter skin products was kept beyond the expiration date of the product. Evidence: A diaper cream that expired 6/2022 was located in the toddler classroom.”

8VAC20-780-510-F

“REPEAT VIOLATION Based on review of medications, not all medications had required authorization from a physician and parent for administration. Evidence: The medications for child #2 and #3 did not have authorization from a physician and parent to administer the medication.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not sanitized after diapering. Evidence: Observed in the toddler classroom, the diapering surface was not sanitized after a diaper change.”

8VAC20-780-160-C

“Based on review of staff records, not all records contained the required documentation of an updated negative tuberculosis screening every two years. Evidence: The record for staff #1, did not have documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Screening in record expired 7/2023.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: Staff #5's (DOH: 4/3/2023) record did not include documentation of a negative tuberculosis screening.”

8VAC20-780-510-F

“Based on a review of medications, not all medication authorization forms were available to staff. Evidence: 1.Child #2 has a nonprescription allergy medication on site. There was no medication authorization from the parent or physician to administer the medication in an emergency. 2.Child #4 has a prescription allergy medication on site. There was no medication authorization from the parent or physician to administer the medication in an emergency.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a safe and operable condition. Evidence: In the Infant A classroom, an area of approximately 3 feet of peeling paint was observed along the back wall, behind 2 cribs.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers. Evidence: In the PreK classroom, two electrical outlets were observed without protective covers.”

8VAC20-780-240-B

“Based on record review, the center did not have documentation to verify that orientation training was completed for each staff member prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff #4 (DOH: 4/3/2023) and Staff #5 (DOH:4/3/2023) did not include documentation of orientation.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #2's record contains an immunization record that was last updated on 8/23/2023.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: the records for Staff #4 (DOH:4/3/2023) and Staff #5 (DOH:4/3/2023) were missing an emergency contact.”

8VAC20-780-510-P

“Based on review of medication, medication with an expired authorization form was not returned to the parent within 14 days of expiration. Evidence: The medication authorization form for a prescription allergy medication for Child #1 expired on 5/6/2023. The medication was observed on-site during the inspection.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: Staff #5's (DOH: 4/3/2023) record did not include documentation of a negative tuberculosis screening.”

8VAC20-780-510-F

“Based on a review of medications, not all medication authorization forms were available to staff. Evidence: 1.Child #2 has a nonprescription allergy medication on site. There was no medication authorization from the parent or physician to administer the medication in an emergency. 2.Child #4 has a prescription allergy medication on site. There was no medication authorization from the parent or physician to administer the medication in an emergency.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a safe and operable condition. Evidence: In the Infant A classroom, an area of approximately 3 feet of peeling paint was observed along the back wall, behind 2 cribs.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers. Evidence: In the PreK classroom, two electrical outlets were observed without protective covers.”

8VAC20-780-240-B

“Based on record review, the center did not have documentation to verify that orientation training was completed for each staff member prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff #4 (DOH: 4/3/2023) and Staff #5 (DOH:4/3/2023) did not include documentation of orientation.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #2's record contains an immunization record that was last updated on 8/23/2023.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: the records for Staff #4 (DOH:4/3/2023) and Staff #5 (DOH:4/3/2023) were missing an emergency contact.”

8VAC20-780-510-P

“Based on review of medication, medication with an expired authorization form was not returned to the parent within 14 days of expiration. Evidence: The medication authorization form for a prescription allergy medication for Child #1 expired on 5/6/2023. The medication was observed on-site during the inspection.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not obtain central registry check results for a staff member within 30 days of employment. Evidence: Staff #2's (DOH: 11/4/2021) record does not contain central registry check results required within 30 days of employment. Staff #4's (DOH: 11/15/2021) record does not contain central registry check results required within 30 days of employment.”

8VAC20-780-160-A

“Based on record review, the center did not obtain documentation of negative tuberculosis (TB) screening/testing at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2's (DOH:11/4/2021) record does not contain TB screening/test results. 2. Staff #3's (DOH: 2/22/2021) record does not contain TB screening/test results.”

22.1-289.035-B-2

“Based on record review and interview, the center did not obtain fingerprinting results prior to a staff member's first day of employment. Evidence: Staff #2's (DOH: 11/4/2021) record does not contain fingerprint results.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure all staff completed a sworn statement or affirmation form prior to employment. Evidence: Staff #4's (DOH:11/15/2021) record does not contain a completed Sworn Disclosure or Affirmation form.”

8VAC20-780-130-A

“Based on record review and interview, the center did not obtain documentation to verify that a child had received the immunizations required by the State Board of Health before the child's first day of attendance. Evidence: Child #4's (DOE:8/9/2021) record does not contain the child's immunization record.”

8VAC20-780-130-E

“Based on record review, the center did not obtain additional immunizations once every six months for children under the age of two years. Evidence: Child #2's record contains an immunization record that was last updated on 5/16/2022.”

8VAC20-780-140-A

“Based on record review and interview, the center did not obtain a physical examination by or under de direction of a physician within 30 days of a child's first day of attendance. Evidence: Child #4's (DOE: 8/9/2021) record does not contain a physical examination.”

8VAC20-780-290-A-3

“Based on observation, no all electrical outlets had protective covers. Evidence: 1.In the Two's classroom, 3 unused electrical outlets were observed without a protective cover. 2. In the Pre-K classroom, 2 unused electrical outlets were observed without a protective cover.”

8VAC20-780-280-B

“Based on observation, cleaning material were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Toddler's classroom, two spray bottlea of multi-surface cleaner were observed in a lower cabinet, unlocked and accessible to children.”

8VAC20-780-70

“Based on record review and interview, required records were not kept for each staff person. Evidence: The records for Staff #2 and Staff #4 do not contain 2 required references.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #2's (DOH:11/4/2021) record does not contain the Virginia Department of Education-sponsored orientation training certificate. 2. Staff #4's (DOH: 11/15/2021) record does not contain the Virginia Department of Education-sponsored orientation training certificate. 3. Staff #5's (DOH: 11/15/2021) record does not contain the Virginia Department of Education-sponsored orientation training certificate.”

8VAC20-780-240-B

“Based on record review and interview, the center did not ensure all staff members completed the orientations training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff #4's (DOH: 11/15/2021) record does not contain orientation training documentation.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not obtain central registry check results for a staff member within 30 days of employment. Evidence: Staff #2's (DOH: 11/4/2021) record does not contain central registry check results required within 30 days of employment. Staff #4's (DOH: 11/15/2021) record does not contain central registry check results required within 30 days of employment.”

8VAC20-780-160-A

“Based on record review, the center did not obtain documentation of negative tuberculosis (TB) screening/testing at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2's (DOH:11/4/2021) record does not contain TB screening/test results. 2. Staff #3's (DOH: 2/22/2021) record does not contain TB screening/test results.”

22.1-289.035-B-2

“Based on record review and interview, the center did not obtain fingerprinting results prior to a staff member's first day of employment. Evidence: Staff #2's (DOH: 11/4/2021) record does not contain fingerprint results.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure all staff completed a sworn statement or affirmation form prior to employment. Evidence: Staff #4's (DOH:11/15/2021) record does not contain a completed Sworn Disclosure or Affirmation form.”

8VAC20-780-130-A

“Based on record review and interview, the center did not obtain documentation to verify that a child had received the immunizations required by the State Board of Health before the child's first day of attendance. Evidence: Child #4's (DOE:8/9/2021) record does not contain the child's immunization record.”

8VAC20-780-130-E

“Based on record review, the center did not obtain additional immunizations once every six months for children under the age of two years. Evidence: Child #2's record contains an immunization record that was last updated on 5/16/2022.”

8VAC20-780-140-A

“Based on record review and interview, the center did not obtain a physical examination by or under de direction of a physician within 30 days of a child's first day of attendance. Evidence: Child #4's (DOE: 8/9/2021) record does not contain a physical examination.”

8VAC20-780-290-A-3

“Based on observation, no all electrical outlets had protective covers. Evidence: 1.In the Two's classroom, 3 unused electrical outlets were observed without a protective cover. 2. In the Pre-K classroom, 2 unused electrical outlets were observed without a protective cover.”

8VAC20-780-280-B

“Based on observation, cleaning material were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Toddler's classroom, two spray bottlea of multi-surface cleaner were observed in a lower cabinet, unlocked and accessible to children.”

8VAC20-780-70

“Based on record review and interview, required records were not kept for each staff person. Evidence: The records for Staff #2 and Staff #4 do not contain 2 required references.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #2's (DOH:11/4/2021) record does not contain the Virginia Department of Education-sponsored orientation training certificate. 2. Staff #4's (DOH: 11/15/2021) record does not contain the Virginia Department of Education-sponsored orientation training certificate. 3. Staff #5's (DOH: 11/15/2021) record does not contain the Virginia Department of Education-sponsored orientation training certificate.”

8VAC20-780-240-B

“Based on record review and interview, the center did not ensure all staff members completed the orientations training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff #4's (DOH: 11/15/2021) record does not contain orientation training documentation.”

22.1-289.035-B-2

“Based on record review, the center did not obtain Fingerprint results for a staff member prior to their first day of employment. Evidence: Staff #1?s record did not include Fingerprint results. The staff member’s first day of employment was documented as 5/2/2022.”

8VAC20-780-40-L

“Based on observation and interview, the center did not ensure that a current written list of all children’s allergies, sensitivities, and dietary restrictions was maintained in each area where children are present, and in a way that is accessible to all staff who work with children. Evidence: 1. A current written list of all children’s allergies, sensitivities and dietary restrictions was not kept in 6 out of 7 classrooms. 2. The allergy lists found in the classrooms was last updated in September 2021. 3. The written list available for review and updated on 5/26/2022, did not include the name of all children currently attending the center, that were identified as having dietary restrictions and sensitivities.”

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: Child #1?s record was missing the emergency contacts? street name and house number.”

8VAC20-780-350-B-1

“Based on observation and interview, staff to children ratios were not maintained. Evidence: In the Infant classroom, 9 children were observed with two staff for approximately 8 minutes. The required ratio for this age group is 1 staff to 4 children. An additional staff person was assigned to this classroom, but they were on the playground with two additional children.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1?s record did not contain the name, address and telephone number of an emergency contact. 2. Staff #3?s record did not contain the name, address and telephone number of an emergency contact and 2 reference checks results, required for reference checks conducted over the phone. 3. Staff #2?s record did not contain 2 required reference check results required for reference checks conducted over the phone.”

8VAC20-770-60-B

“Based on record review, the center did not complete a sworn disclosure statement for each staff member prior to their first day of employment. Evidence: Staff #5?s Sworn Disclosure Statement was not available for review during the inspection.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Two’s classroom, approximately 20 cans of paint were observed stored in the classroom’s storage closet. The storage closet was unlocked during the inspection. 2. In the school-age classroom, 6 bottles of disinfectant cleaner were observed in the storage closet. The storage closet was unlocked during the inspection. 3. In the PreK classroom, 4 containers of disinfectant cleaner, 1 restroom cleaner and 1 glass cleaner were observed in the storage closet. The storage closet was unlocked during the inspection.”

8VAC20-770-60-C-2

“Based on record review, the center did not obtain Central Registry results for a staff member within 30 days of employment. Evidence: Staff #5?s record did not contain Central Registry results. The staff member’s first day of employment was documented as 3/4/2022.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation to verify that a child has received the immunizations required by the State Board of Health before the child could attend the center. Evidence: Child #5?s record does not contain documentation of immunization records.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1?s record contains an immunization record that was last updated on 11/8/2021. 2. Child #3?s record contains an immunization record that was last updated on 6/3/2021.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a child's physical examination by or under the direction of a physician within 30 days of attendance. Evidence: Child #5?s record did not contain documentation of a physical examination. The child’s first day of attendance was documented as 4/1/2022.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, were not maintained in a safe and operable condition. Evidence: 1. In the Two’s classroom, a hole, approximately 1 inch in diameter, was observed in the classroom’s bathroom door. The toilet dispenser in the bathroom was open and the cover was hanging from one of its hinges. 2. In the preschool classroom, 3 areas of peeling paint were observed near the writing center.”

22VAC40-185-160-A

“Based on record review, the center did not obtain documentation of negative Tuberculosis (TB) screening results prior to coming into contact with children. Evidence: 1. Staff #1?s record did not contain documentation of a negative TB screening. 2. Staff #2?s record contains a TB screening that was completed on 2/3/2022, the staff member was hired on 1/24/2022. 3. Staff #3?s record contains a TB screening that was completed on 1/27/2022, the staff member was hired on 12/21/2022. 4. Staff #4?s record contain a TB screening that was completed on 3/17/2022, the staff member was hired on 2/22/2022.”

22.1-289.035-B-2

“Based on record review, the center did not obtain Fingerprint results for a staff member prior to their first day of employment. Evidence: Staff #1?s record did not include Fingerprint results. The staff member’s first day of employment was documented as 5/2/2022.”

8VAC20-780-40-L

“Based on observation and interview, the center did not ensure that a current written list of all children’s allergies, sensitivities, and dietary restrictions was maintained in each area where children are present, and in a way that is accessible to all staff who work with children. Evidence: 1. A current written list of all children’s allergies, sensitivities and dietary restrictions was not kept in 6 out of 7 classrooms. 2. The allergy lists found in the classrooms was last updated in September 2021. 3. The written list available for review and updated on 5/26/2022, did not include the name of all children currently attending the center, that were identified as having dietary restrictions and sensitivities.”

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: Child #1?s record was missing the emergency contacts? street name and house number.”

8VAC20-780-350-B-1

“Based on observation and interview, staff to children ratios were not maintained. Evidence: In the Infant classroom, 9 children were observed with two staff for approximately 8 minutes. The required ratio for this age group is 1 staff to 4 children. An additional staff person was assigned to this classroom, but they were on the playground with two additional children.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1?s record did not contain the name, address and telephone number of an emergency contact. 2. Staff #3?s record did not contain the name, address and telephone number of an emergency contact and 2 reference checks results, required for reference checks conducted over the phone. 3. Staff #2?s record did not contain 2 required reference check results required for reference checks conducted over the phone.”

8VAC20-770-60-B

“Based on record review, the center did not complete a sworn disclosure statement for each staff member prior to their first day of employment. Evidence: Staff #5?s Sworn Disclosure Statement was not available for review during the inspection.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Two’s classroom, approximately 20 cans of paint were observed stored in the classroom’s storage closet. The storage closet was unlocked during the inspection. 2. In the school-age classroom, 6 bottles of disinfectant cleaner were observed in the storage closet. The storage closet was unlocked during the inspection. 3. In the PreK classroom, 4 containers of disinfectant cleaner, 1 restroom cleaner and 1 glass cleaner were observed in the storage closet. The storage closet was unlocked during the inspection.”

8VAC20-770-60-C-2

“Based on record review, the center did not obtain Central Registry results for a staff member within 30 days of employment. Evidence: Staff #5?s record did not contain Central Registry results. The staff member’s first day of employment was documented as 3/4/2022.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation to verify that a child has received the immunizations required by the State Board of Health before the child could attend the center. Evidence: Child #5?s record does not contain documentation of immunization records.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1?s record contains an immunization record that was last updated on 11/8/2021. 2. Child #3?s record contains an immunization record that was last updated on 6/3/2021.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a child's physical examination by or under the direction of a physician within 30 days of attendance. Evidence: Child #5?s record did not contain documentation of a physical examination. The child’s first day of attendance was documented as 4/1/2022.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, were not maintained in a safe and operable condition. Evidence: 1. In the Two’s classroom, a hole, approximately 1 inch in diameter, was observed in the classroom’s bathroom door. The toilet dispenser in the bathroom was open and the cover was hanging from one of its hinges. 2. In the preschool classroom, 3 areas of peeling paint were observed near the writing center.”

22VAC40-185-160-A

“Based on record review, the center did not obtain documentation of negative Tuberculosis (TB) screening results prior to coming into contact with children. Evidence: 1. Staff #1?s record did not contain documentation of a negative TB screening. 2. Staff #2?s record contains a TB screening that was completed on 2/3/2022, the staff member was hired on 1/24/2022. 3. Staff #3?s record contains a TB screening that was completed on 1/27/2022, the staff member was hired on 12/21/2022. 4. Staff #4?s record contain a TB screening that was completed on 3/17/2022, the staff member was hired on 2/22/2022.”

8VAC20-780-400-B

“Based on interviews, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and to resolve conflicts. Evidence: 1. Staff #1 stated that on the day of the incident Child #1 pushed another child, they stated that after the child pushed one of their friends, they talked to the child, and explained to them that it wasn't right to push and they asked the child to give them a hug. Staff #1 stated that Child #1 had no reaction but they stopped the behavior. 2. Adult #1 stated that on 11/30/2021 at approximately 5:30pm, they observed Staff #1 pushing Child #1 (2 years old) to the floor, holding them down and shaking them. Adult #1 was standing outside the center looking through the 2 year old classroom's window during the incident, they stated that prior to the incident they observed Child #1 taking a bin out of one of the shelves and Staff #1 taking the bin away from the child. 3. Adult #2 was also outside the center observing through the window during the incident, they stated that they observed Staff #1 roughly pulling Child #1, pushing them to the floor, slapping them on the face (lightly), then pulling them up and pushing them forward into another child. 4. Based on witnesses statements Staff #1's behavioral guidance was not appropriate to redirect the child's behavior.”

8VAC20-780-40-E

“Based on staff interviews conducted and review of the center's policies, the program did not ensure that a staff member followed the center's own policies and procedures on discipline and behavioral guidance, including acceptable and unacceptable discipline measures. Evidence: 1. The center's Behavioral Guidance Plan for Parents states that staff will model and reinforce appropriate behavior, using redirection, verbal interventions and logical consequences. The Behavioral Guidance Plan also states that their discipline does not permit corporal punishment. 2. On 11/30/2021 at approximately 5:30pm, Adult #1 was standing outside the center when they observed (through a window) Staff #1 pushing down Child #1 (2 years old), holding them down on the floor and shaking them. 3. Adult #2 was also standing outside the center and they observed Staff #1 pulling Child #1 roughly, pushing them to the floor, slapping them lightly on the face, then pulling them up and pushing them forward into another child. 4. Based on witnesses' statements, Staff #1 did not follow KinderCare's written Behavioral Guidance Plan.”

8VAC20-780-410-1

“Based on interviews, it was determined that a staff member engaged in a forbidden action when they roughly handled a child. Evidence: 1. Staff #1 stated that on the day of the incident 11/30/2021, the children were looking at pictures in the library area, when they observed Child #1 (2 years old) pushing another child. The staff member was asked about their reaction to the situation, they stated that they told the child: "this is not right, don't push" and they asked the child to give them a hug. 2. At the time of the incident, two adults were standing outside the center observing the interaction between Staff #1 and Child #1 through a window: a) Adult #1 stated that they observed Child #1 taking out a bin from one of the shelves and Staff #1 taking the bin away from the child's hands, then Staff #1 proceeded to push the child down, holding them down and shaking them. b) Adult #2 stated that they observed Staff #1 pulling Child #1 roughly, pushing them to the floor, slapping them lightly on the face, then pulling them up and pushing them forward into another child. 3. Physical punishment, striking a child, roughly handling or shaking a child are forbidden actions.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The storage closet located in the School Age classroom was found unlocked, 14 bottles of cleaning supplies were observed in the closet accessible to children.”

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 2 year old classroom, an area of approximately 1 inch by 2 inches of peeling paint was observed on the wall next to the children's cubbies. 2. Rust was observed on the toilet partition panel in the bathroom located across the Gym room, the rusted area measured approximately 12 inches in diameter. 3. In the 3 year old's bathroom, the toilet paper holder was broken, the toilet seat of one of the toilets was loose, discolored and stained. 4. In the 3 year old classroom, peeling paint was observed on the wall next to the classroom's calendar. 5. Peeling paint, 5 inches in diameter, was also observed on the door that leads to the laundry room. 6. In the 4 - 5 year old's bathroom, the toilet paper roll was observed on top of the commode tank, the toilet paper holder was missing.”

8VAC20-780-90-A

“Based on record review, the authorization for emergency medical care should an emergency occur when the parent cannot be located immediately was not signed by a child's parent by the first day of the child's attendance. Evidence: Child #3's record contains an authorization for medical care that has not been signed by the parent.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #1's record contains an immunization record that was last updated on 4/19/2021. Child #2's record contains an immunization record that was last updated on 3/18/2021.”

8VAC20-780-60-A

“Based on record review, children's records did not all contain required information. Evidence: Child #3's record did not contain documentation that a staff member viewed the child's original proof of ID.”

8VAC20-780-400-B

“Based on interviews, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and to resolve conflicts. Evidence: 1. Staff #1 stated that on the day of the incident Child #1 pushed another child, they stated that after the child pushed one of their friends, they talked to the child, and explained to them that it wasn't right to push and they asked the child to give them a hug. Staff #1 stated that Child #1 had no reaction but they stopped the behavior. 2. Adult #1 stated that on 11/30/2021 at approximately 5:30pm, they observed Staff #1 pushing Child #1 (2 years old) to the floor, holding them down and shaking them. Adult #1 was standing outside the center looking through the 2 year old classroom's window during the incident, they stated that prior to the incident they observed Child #1 taking a bin out of one of the shelves and Staff #1 taking the bin away from the child. 3. Adult #2 was also outside the center observing through the window during the incident, they stated that they observed Staff #1 roughly pulling Child #1, pushing them to the floor, slapping them on the face (lightly), then pulling them up and pushing them forward into another child. 4. Based on witnesses statements Staff #1's behavioral guidance was not appropriate to redirect the child's behavior.”

8VAC20-780-40-E

“Based on staff interviews conducted and review of the center's policies, the program did not ensure that a staff member followed the center's own policies and procedures on discipline and behavioral guidance, including acceptable and unacceptable discipline measures. Evidence: 1. The center's Behavioral Guidance Plan for Parents states that staff will model and reinforce appropriate behavior, using redirection, verbal interventions and logical consequences. The Behavioral Guidance Plan also states that their discipline does not permit corporal punishment. 2. On 11/30/2021 at approximately 5:30pm, Adult #1 was standing outside the center when they observed (through a window) Staff #1 pushing down Child #1 (2 years old), holding them down on the floor and shaking them. 3. Adult #2 was also standing outside the center and they observed Staff #1 pulling Child #1 roughly, pushing them to the floor, slapping them lightly on the face, then pulling them up and pushing them forward into another child. 4. Based on witnesses' statements, Staff #1 did not follow KinderCare's written Behavioral Guidance Plan.”

8VAC20-780-410-1

“Based on interviews, it was determined that a staff member engaged in a forbidden action when they roughly handled a child. Evidence: 1. Staff #1 stated that on the day of the incident 11/30/2021, the children were looking at pictures in the library area, when they observed Child #1 (2 years old) pushing another child. The staff member was asked about their reaction to the situation, they stated that they told the child: "this is not right, don't push" and they asked the child to give them a hug. 2. At the time of the incident, two adults were standing outside the center observing the interaction between Staff #1 and Child #1 through a window: a) Adult #1 stated that they observed Child #1 taking out a bin from one of the shelves and Staff #1 taking the bin away from the child's hands, then Staff #1 proceeded to push the child down, holding them down and shaking them. b) Adult #2 stated that they observed Staff #1 pulling Child #1 roughly, pushing them to the floor, slapping them lightly on the face, then pulling them up and pushing them forward into another child. 3. Physical punishment, striking a child, roughly handling or shaking a child are forbidden actions.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The storage closet located in the School Age classroom was found unlocked, 14 bottles of cleaning supplies were observed in the closet accessible to children.”

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 2 year old classroom, an area of approximately 1 inch by 2 inches of peeling paint was observed on the wall next to the children's cubbies. 2. Rust was observed on the toilet partition panel in the bathroom located across the Gym room, the rusted area measured approximately 12 inches in diameter. 3. In the 3 year old's bathroom, the toilet paper holder was broken, the toilet seat of one of the toilets was loose, discolored and stained. 4. In the 3 year old classroom, peeling paint was observed on the wall next to the classroom's calendar. 5. Peeling paint, 5 inches in diameter, was also observed on the door that leads to the laundry room. 6. In the 4 - 5 year old's bathroom, the toilet paper roll was observed on top of the commode tank, the toilet paper holder was missing.”

8VAC20-780-90-A

“Based on record review, the authorization for emergency medical care should an emergency occur when the parent cannot be located immediately was not signed by a child's parent by the first day of the child's attendance. Evidence: Child #3's record contains an authorization for medical care that has not been signed by the parent.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #1's record contains an immunization record that was last updated on 4/19/2021. Child #2's record contains an immunization record that was last updated on 3/18/2021.”

8VAC20-780-60-A

“Based on record review, children's records did not all contain required information. Evidence: Child #3's record did not contain documentation that a staff member viewed the child's original proof of ID.”

8VAC20-780-400-B

“Based on interviews, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and to resolve conflicts. Evidence: 1. Staff #1 stated that on the day of the incident Child #1 pushed another child, they stated that after the child pushed one of their friends, they talked to the child, and explained to them that it wasn't right to push and they asked the child to give them a hug. Staff #1 stated that Child #1 had no reaction but they stopped the behavior. 2. Adult #1 stated that on 11/30/2021 at approximately 5:30pm, they observed Staff #1 pushing Child #1 (2 years old) to the floor, holding them down and shaking them. Adult #1 was standing outside the center looking through the 2 year old classroom's window during the incident, they stated that prior to the incident they observed Child #1 taking a bin out of one of the shelves and Staff #1 taking the bin away from the child. 3. Adult #2 was also outside the center observing through the window during the incident, they stated that they observed Staff #1 roughly pulling Child #1, pushing them to the floor, slapping them on the face (lightly), then pulling them up and pushing them forward into another child. 4. Based on witnesses statements Staff #1's behavioral guidance was not appropriate to redirect the child's behavior.”

8VAC20-780-40-E

“Based on staff interviews conducted and review of the center's policies, the program did not ensure that a staff member followed the center's own policies and procedures on discipline and behavioral guidance, including acceptable and unacceptable discipline measures. Evidence: 1. The center's Behavioral Guidance Plan for Parents states that staff will model and reinforce appropriate behavior, using redirection, verbal interventions and logical consequences. The Behavioral Guidance Plan also states that their discipline does not permit corporal punishment. 2. On 11/30/2021 at approximately 5:30pm, Adult #1 was standing outside the center when they observed (through a window) Staff #1 pushing down Child #1 (2 years old), holding them down on the floor and shaking them. 3. Adult #2 was also standing outside the center and they observed Staff #1 pulling Child #1 roughly, pushing them to the floor, slapping them lightly on the face, then pulling them up and pushing them forward into another child. 4. Based on witnesses' statements, Staff #1 did not follow KinderCare's written Behavioral Guidance Plan.”

8VAC20-780-410-1

“Based on interviews, it was determined that a staff member engaged in a forbidden action when they roughly handled a child. Evidence: 1. Staff #1 stated that on the day of the incident 11/30/2021, the children were looking at pictures in the library area, when they observed Child #1 (2 years old) pushing another child. The staff member was asked about their reaction to the situation, they stated that they told the child: "this is not right, don't push" and they asked the child to give them a hug. 2. At the time of the incident, two adults were standing outside the center observing the interaction between Staff #1 and Child #1 through a window: a) Adult #1 stated that they observed Child #1 taking out a bin from one of the shelves and Staff #1 taking the bin away from the child's hands, then Staff #1 proceeded to push the child down, holding them down and shaking them. b) Adult #2 stated that they observed Staff #1 pulling Child #1 roughly, pushing them to the floor, slapping them lightly on the face, then pulling them up and pushing them forward into another child. 3. Physical punishment, striking a child, roughly handling or shaking a child are forbidden actions.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The storage closet located in the School Age classroom was found unlocked, 14 bottles of cleaning supplies were observed in the closet accessible to children.”

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 2 year old classroom, an area of approximately 1 inch by 2 inches of peeling paint was observed on the wall next to the children's cubbies. 2. Rust was observed on the toilet partition panel in the bathroom located across the Gym room, the rusted area measured approximately 12 inches in diameter. 3. In the 3 year old's bathroom, the toilet paper holder was broken, the toilet seat of one of the toilets was loose, discolored and stained. 4. In the 3 year old classroom, peeling paint was observed on the wall next to the classroom's calendar. 5. Peeling paint, 5 inches in diameter, was also observed on the door that leads to the laundry room. 6. In the 4 - 5 year old's bathroom, the toilet paper roll was observed on top of the commode tank, the toilet paper holder was missing.”

8VAC20-780-90-A

“Based on record review, the authorization for emergency medical care should an emergency occur when the parent cannot be located immediately was not signed by a child's parent by the first day of the child's attendance. Evidence: Child #3's record contains an authorization for medical care that has not been signed by the parent.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #1's record contains an immunization record that was last updated on 4/19/2021. Child #2's record contains an immunization record that was last updated on 3/18/2021.”

8VAC20-780-60-A

“Based on record review, children's records did not all contain required information. Evidence: Child #3's record did not contain documentation that a staff member viewed the child's original proof of ID.”