KinderCare Learning Centers #765

8VAC20-780-80-A Complaint related: No

“Systemic Deficiency Repeat Violation Based on observation, the center did not maintain a written record of daily attendance that documented arrival of children as it occurred. Evidence: 1. The Two's room did not have attendance completed at 9:00AM, with 12 children present. 2. The 3's room and Pre-K rooms combined on the playground did not have attendance documentation with the group at approximately 8:50 AM. Two children arrived to the group at that time. Attendance documentation was in the classroom, and not completed.”

8VAC20-780-350-B-1 Complaint related: Yes

“Complaint related Based on observation a ratio of 1 staff to 4 children for children aged Birth up to 16 months was not maintained. Evidence: The Infant room was out of ratio with 9 infants and two staff from 9:00AM - 9:08AM.”

8VAC20-780-270-A Complaint related: Yes

“Complaint related Repeat Violation Based on observation, the center was not maintained in a clean, safe and operable manner. Evidence: 1. Mice droppings were observed in the following areas of the center: a. The kitchen, along the baseboards on all walls and under the sink. b. The Pre-K room by the door to the kitchen and along the wall with the bathroom. 2. Management confirmed a problem with mice.”

8VAC20-780-350-B-2

“Based on interviews, the required staff-to-children ratio was not maintained. The required staff-to-child ratio for children aged 16 months to 24 months is one (1) staff for every five (5) children. Evidence: The Toddler room was out of ratio at 1 staff to 7 children at approximately 9:30 AM on June 18, 2024. Staff stated the children were out of ratio for approximately one minute. Staff A left the room to take out the trash leaving Staff B alone in the room with 7 children. The dumpster is in the parking lot approximately 75 feet from the classroom.”

8VAC20-780-410-1

“Based on interviews, children were roughly handled. Evidence: 1. One June 18, 2024 two children (aged 20 months and 17 months) exited the Toddler room through an open, exterior door. Staff B stated when she realized the children were not in the room, she ran to grab them and closed the door. Staff demonstrated the hold. 2. Witness #1 stated they observed the staff member, grab the children, yell at them, pull them into the classroom and slam the door.”

8VAC20-780-340-F

“Repeat Violation Systemic Deficiency Based on interviews and observation, children under 10 years of age were not always within actual sight and sound supervision of staff.. Evidence: 1. On June 18, 2024 at approximately 9:30 AM, Child 3 (20 months old) and Child 4 (17 months old) exited the Toddler room, to the outdoors into an unfenced area, through an open exterior door. Staff had left the door open while taking out trash. The dumpster is located in the parking lot of the center, approximately 75 feet away from the classroom. Staff stated the children were out of sight and sound supervision for approximately one minute. 2. On July 1, 2024, during the inspection, Child #2 (4 years old) was observed entering the vacant Pre-K (4's) classroom, alone and without supervision, from the vacant Preschool classroom. The child retrieved a jacket and exited the classroom through the back door to the playground area. 3. On July 1, 2024, during the inspection, Adult C (health professional) was observed working alone with Child 1(4 years old) by the inspector upon entering the Pre-K classroom. Adult C is not a staff member and there is no documentation authorizing the individual to pick up the child.”

8VAC20-780-350-Q

“Based on staff statements, and observations children were reassigned to another room repeatedly, disrupting the child’s schedule and their attachment to staff members and their group without written assessments from the program director and program leader for the children. Evidence: 1. Child #5 was moved from the 2?s-1 to 2?s-2 room to maintain ratios. (dates) 2. Children #2 and 3 were moved from the 2?s-2 room to the PS-3 room to maintain ratios.(date s) 3. Child #1 was moved from the Toddler room to the 2?s-1 room to maintain ratios. (dates) There were no written assessments were available for review for any of the children.”

8VAC20-780-440-B

“Based on observation and staff statement, cots were not identified for use by a specific child. Evidence: Rest cots in the Toddler room were not identified for use by specific children with any identifying labels such as names or numbers.”

8VAC20-780-80-A

“Repeat Violation The center did not maintain an attendance sheet for each group of children that documented arrival and departure from the group. Evidence: (DATE) 1. The attendance sheet in the 2?s -2 room reflected 2 children as departed from the room. (Children #3, 4) 2. Child #4 was marked as departed to another room but was not moved. 3. Child #2 had departed the 2?s-2 room; however, was marked as present in the 2?s-2 room.”

8VAC20-780-350-C

“Based on observation, when children were in ongoing mixed aged groups, the ratio applicable to the youngest child was not applied. Evidence: 1. Child #1 (23 months old) was moved to the 2?s-1 classroom. The applicable ratio was 1:5 (staff:child). There was 1 staff with 8 children present in the room. 2. Children #2 (2 years old) and # 3 (2 years old) were moved to the Preschool 3 room. The applicable ratio was 1:8 (staff:child). There were 2 staff with 17 children present in the room.”

8VAC20-780-440-E

“Based on observation, there was not 12 inches of space between occupied cots. Evidence: 1. Multiple rest cots in the Toddler room had less than 2 ?of space between the cots. Multiple cots were touching each other at the head and foot of cots next to each other. 2 cots were touching on the sides. 2. 4 cots in the 3?s room were touching at the foot of one cot and the head of the next one.”

8VAC20-780-400-B

“Based on observation, behavioral guidance was not constructive in nature. Evidence: 1. Child 1 was to leave the center to go to another program at 12:00PM. At 11:45 AM the child was instructed to put on their coat, and ?get ready to go?. No further instruction or assistance was given to the child. 2. Staff C told the child to get ready, took a toy from the child causing the child to cry and scream. 3. Staff C physically picked up the child to get them out the door of the facility.”

8VAC20-780-560-F

“Based on observation, children were not allowed second helpings of food. Evidence: During lunch, a child asked a staff member for a second of mango. The staff member replied, ?there was no more mango?.”

8VAC20-780-80-A

“Based on a review of attendance documentation, the attendance sheets for 2 room were not accurate. Evidence: 1. 29 children were present in the combined classroom; however, the attendance sheet for the 3 and 4?s classrooms had 28 children present. 2. The Young Two’s room had a Toddler written in on the attendance sheet, then ?whited out? from the sheet. (Child 4) 3. The Toddler room had 6 children on the attendance sheet. There were 5 in the room. One child had been signed in twice, without ever being signed out to another room. (Child 4)”

8VAC20-780-340-F

“Repeat Violation Based on observation, children under 10 years of age were not always within actual sight and sound supervision. 1. At approximately 11:25 AM the 3?s and 4?s combined classrooms were separating (leaving the 3?s room). Children were sent into the 4?s classroom without a teacher present in the area for approximately 1 minute. A staff member finally entered the room after the LI and a second staff person stated there was no staff in the room. 2. At approximately 11:35 child 1 was not supervised in the 4?s classroom. Staff were unaware that the child had searched through other children’s backpacks. Child 1 took a toy from Child 2?s backpack. When Child 2 went to put the toy back in their backpack, Child 1 began to cry, yell and have a tantrum. No staff member was aware of what the children were doing and unable to intervene as necessary.”

8VAC20-780-360-A

“Based on observation, activities for children were not age and stage appropriate. Evidence: Children were sitting on the carpet in the 4?s classroom for approximately 15 minutes, while 1 staff member prepared/set up for lunch, and a second staff corrected the attendance sheet to accurately reflect the classroom attendance. Children were hitting each other, rolling around on the carpet and each other with no staff interaction.”

8VAC20-780-560-L

“Based on observation, staff did not sit with children during meals. Evidence: During lunch in the 4?s classroom, no staff members were sitting with children during the meal. Staff were setting out rest cots and cleaning up.”

8VAC20-780-530-A-1

“Based on a review of records, staff did not have documentation of certification in cardiopulmonary resuscitation (CPR) from an acceptable provider that included an in-person competency demonstration. Evidence: 3 of 3 records reviewed contained documentation from the National CPR foundation, an online only CPR course. (Staff A,B,C)”

8VAC20-780-530-A-2

“Based on a review of records, staff did not have documentation of certification in first aid certification from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 3 of 3 records reviewed contained documentation from the National CPR foundation, an online only course. (Staff A, B ,C)”

8VAC20-780-340-F

“Based on interviews, it was determined that children under the age of 10 years of age or younger were not kept within actual sight and sound supervision of staff. Evidence: 1. On 7/19/2023, Child #1 (Age 3 years) was not within actual sight and sound supervision of staff for approximately 15-20 minutes. 2. A community member arriving at the center at 12:10pm found the child running up the parking lot towards them. While following the child down a neighborhood street, they called 911. 3. Staff at the center were not able to explain how the child got out of the center.”

8VAC20-780-340-A

“Based on interviews the center failed to always ensure care, protection and guidance of one child. Evidence: 1. On 7/19/23 Child #1 (Age 3 years) was alone and unsupervised outside of the center in the parking lot and on a neighborhood street that was approximately 72 yards from the fence surrounding the playground. 2. The child’s classroom was on the playground behind the building, having water day activities. 3. Multiple staff stated they had removed the child from the fence when he tried to climb over the fence. 4. On 7/19/23 a community member witnessed the child running up the parking lot towards her car. She parked and followed the child while calling 911. 5. Local police arrived to pick up the child and community member and returned them both to the facility at approximately 12:25pm. 6. Staff were unable to explain how the child got out of the center.”

8VAC20-780-530-A-1

“Based on a review of records, staff did not have documentation of certification in cardiopulmonary resuscitation (CPR) from an acceptable provider that included an in-person competency demonstration. Evidence: 3 of 3 records reviewed contained documentation from the National CPR foundation, an online only CPR course. (Staff A,B,C)”

8VAC20-780-530-A-2

“Based on a review of records, staff did not have documentation of certification in first aid certification from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 3 of 3 records reviewed contained documentation from the National CPR foundation, an online only course. (Staff A, B ,C)”

8VAC20-780-340-F

“Based on interviews, it was determined that children under the age of 10 years of age or younger were not kept within actual sight and sound supervision of staff. Evidence: 1. On 7/19/2023, Child #1 (Age 3 years) was not within actual sight and sound supervision of staff for approximately 15-20 minutes. 2. A community member arriving at the center at 12:10pm found the child running up the parking lot towards them. While following the child down a neighborhood street, they called 911. 3. Staff at the center were not able to explain how the child got out of the center.”

8VAC20-780-340-A

“Based on interviews the center failed to always ensure care, protection and guidance of one child. Evidence: 1. On 7/19/23 Child #1 (Age 3 years) was alone and unsupervised outside of the center in the parking lot and on a neighborhood street that was approximately 72 yards from the fence surrounding the playground. 2. The child’s classroom was on the playground behind the building, having water day activities. 3. Multiple staff stated they had removed the child from the fence when he tried to climb over the fence. 4. On 7/19/23 a community member witnessed the child running up the parking lot towards her car. She parked and followed the child while calling 911. 5. Local police arrived to pick up the child and community member and returned them both to the facility at approximately 12:25pm. 6. Staff were unable to explain how the child got out of the center.”

8VAC20-780-550-P

“Based on a review of injury reports, all required information was not documented. Evidence: 10 injury reports were reviewed. 7 of 10 did not include documentation of when the parent was notified of the injury. "At pick up" is not an acceptable time, as this time may vary.”

8VAC20-780-60-A

“Based on a review of records, one child records does not include all required components. Evidence: 1 of 4 child records reviewed did not contain acceptable documentation of having viewed a Proof of Birth document. Documentation on file was for a Social Security number. (Child 1)”

8VAC20-780-160-A

“Based on a review of records, one staff record does not contain documentation of a negative tuberculosis(TB) screening result prior to employment and within the last 30 calendar days. Evidence: The TB screening documentation on file is dated 7/22/21. Staff transferred from a different center that is not in the same LLC. (Staff A Date of Hire: 01/23/23).”

8VAC20-780-420-E-1

“Based on a review of daily records for infants, time spent on their stomachs has not been documented. Evidence: 2 of 2 infant records reviewed. did not include documentation of 'Tummy Time" for either infant.”

8VAC20-780-560-F

“Based on observation and staff statement, children were not allowed second helpings of food listed in the USDA's child and adult care meal plans. Evidence: LI observed a child in the Preschool room ask for more snack. The staff member replied there was no more snack available.”

8VAC20-770-60-B

“Based on a review of records, 2 staff records do not include documentation of a completed (SDS) prior to employment, Evidence: 2 of 2 staff records reviewed did not include a SDS prior to employment at this facility. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with a new SDS being completed. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)”

8VAC20-770-60-C-2

“Based on a review of records, 2 staff records do not contain documentation of a completed Central Registry Search ( CPS ) within 30 days of employment. Evidence: Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)”

22.1-289.035-B-2

“Based on a review of records, 2 staff records do not contain documentation of a nationwide fingerprint search, prior to employment. Evidence: 2 of 2 staff records reviewed did not have new fingerprint results on file. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)”

8VAC20-780-440-B

“Based on observation, cots are not identified for use by specific children. Evidence: The cots in the 2's rooms and the preschool room were not labeled with names for use by specific children.”

8VAC20-780-440-E

“Based on observation, there is not 12 inches of space between occupied cots in the 2's room. Evidence: At approximately 2:40PM the younger 2's room was observed to have 8 children resting on cots. There was not 12" of space between all occupied cots on the carpeted area.”

8VAC20-780-500-B

“Based on observation disposable diapers were not disposed of in a leakproof or plastic- lined storage system that is foot operated. Evidence: In the Toddler room, LI observed a staff member using her hand to open the diaper disposable container. The container is a foot operated trash can; however, the can is placed on an elevated container where the foot operated pedal cannot be used.”

8VAC20-780-500-A

“Based on observation, children's hands were not washed with soap and running water; 1. Before or after eating meals or snacks 2. After toileting 3.Staff's hands were not washed between diaper changes for children. Evidence: *During the inspection in the Toddler room, LI observed multiple children receive a diaper change and not have their hands washed afterwards. *The same multiple children were then seated in feeding chairs and given snack. *LI observed staff change 3 child diapers without washing her hands between the diaper changes. *In the Preschool room, children did not wash hands prior to eating snack. Children's hands were washed prior to lying down on cots for rest; however, all children did not sleep. 15 of the 17 children were observed by the LI awake and playing with toys, playing with shoes, or putting their hands on the floor.”

8VAC20-820-120-E-2

“Based on observation, the results of the most recent inspection were not posted. Evidence; No inspection report is posted at the facility.”

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

“Based on a review of records, there was no documentation maintained of the Shelter-in-place drills conducted for the past year. Evidence: No Shelter-in-place drills were recorded for 2021 in the log/record book.”

8VAC20-780-440-B Complaint related: No

“Based on direct observation, cribs are not identified for use by a specific child. Evidence: 1 of the cribs, in use, in the Infant room was not labeled for use by a specific child.”

8VAC20-780-80-A Complaint related: No

“Based on a review of the attendance for one class, an accurate attendance was not maintained. Evidence: The Preschool classroom attendance sheet reflected 16 children in care. There were 17 children present. The iPad also in use did not show the 17th child as present.”

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

“Based on a review of records, children's records do not contain all required information. Evidence: *1 of 3 children's records reviewed did not contain documentation of the signature of the person viewing the Proof of Birth documentation, or the date the document was viewed. (Child 2) * 2 emergency contacts listed do not contain the address for the contacts.(Child 3)”

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

“Based on a review of injury reports, all required components were not completed on the report. Evidence; 2 of 2 reports reviewed did not include the time when parents were notified. *1 of 2 had no time listed. The space was blank. *1 of 2 had "at pick up" listed. Pick up times may vary.”

63.2(17)-1721.1-B-4

“Based on file review, 1 staff, who has lived outside of Virginia within the past 5 years, did not have a sex offender registry check completed for that other state. Evidence 1. Staff #3 does not have a sex offender registry check for a state (outside of Virginia) she resided in within the past 5 years.”

22VAC40-185-140-A

“Based on file review, 1 out of 4 children's records did not have a physical exam. Evidence 1. Child #1 did not have a physical on file.”

22VAC40-185-160-C

“Based on file review, 1 out of 4 staff files did not have a TB test/screening completed within the past two years. Evidence 1. Staff #3's most recent TB test/screening was completed on 2/22/19”