KinderCare Learning Centers - Fox Chase

8VAC20-780-430-I Complaint related: No

“If combs, toothbrushes, or other personal articles are used, they shall be individually assigned. The pacifiers used in classroom #1 for infants are not designated for individual use.”

8VAC20-780-340-A Complaint related: No

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Classroom #1 places infant pacifiers into the sanitizing solution that is located in the kitchen for the use of sanitizing the dishes. The sanitizing solution is labeled "keep out of reach of children" and "danger." The solution also states "harmful if swallowed." After placing the infant pacifiers into the sanitizing solution, classroom #1 rinses the pacifiers off and gives the pacifiers to unassigned infants.”

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

“Based on document review, and interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Child #1 arrived at the center at approximately 10:13 am. 2. Child #1 was moved from the child's assigned classroom to another classroom due to a staffing shortage. 3. Documentation review revealed that child #1 received a diaper change at approximately 10:24 am. 4. Interviews revealed that child #1 did not receive another diaper change on 06/05/2024. 5. Interviews revealed that child #1 developed a diaper rash and infection which required a doctors appointment and medication.”

8VAC20-780-40-E Complaint related: Yes

“Based on documentation review, and interview, the center failed to follow the center's own policies and procedures. Evidence: 1. The KCE Brandermill Diapering policy training states that "every child in our care, regardless of age, that wears diapers or pull-ups will be changed every 2 (two) hours or as soon as the teacher notices that they have soiled the diaper regardless of wet or bowel movement to ensure proper hygiene." 2. The KinderCare app indicated that on 06/05/2024 child #1 had a diaper change at 10:34 am. The app did not notate any other diaper changes occurring on 06/05/2024. 3. Interview and written statement from staff #1 determined that child #1 did not have any other diaper changes on 06/05/2024 after the 10:34 am diaper change. 4. Child #1 was picked up from the center at approximately 3:37 pm.”

8VAC20-780-570-E

“Repeat Violation Based on observation, and interview, the center failed to ensure that prepared infant formula shall be refrigerated, dated, and labeled with the child's name. Evidence: The refrigerator in classroom #1 contained 2 bottles with prepared infant formula that were not dated or labeled with the child's name. Staff in classroom #1 confirmed that the 2 bottles were not dated or labeled with the child's name.”

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

“Based on document review, and interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Child #1 arrived at the center at approximately 10:13 am. 2. Child #1 was moved from the child's assigned classroom to another classroom due to a staffing shortage. 3. Documentation review revealed that child #1 received a diaper change at approximately 10:24 am. 4. Interviews revealed that child #1 did not receive another diaper change on 06/05/2024. 5. Interviews revealed that child #1 developed a diaper rash and infection which required a doctors appointment and medication.”

8VAC20-780-40-E Complaint related: Yes

“Based on documentation review, and interview, the center failed to follow the center's own policies and procedures. Evidence: 1. The KCE Brandermill Diapering policy training states that "every child in our care, regardless of age, that wears diapers or pull-ups will be changed every 2 (two) hours or as soon as the teacher notices that they have soiled the diaper regardless of wet or bowel movement to ensure proper hygiene." 2. The KinderCare app indicated that on 06/05/2024 child #1 had a diaper change at 10:34 am. The app did not notate any other diaper changes occurring on 06/05/2024. 3. Interview and written statement from staff #1 determined that child #1 did not have any other diaper changes on 06/05/2024 after the 10:34 am diaper change. 4. Child #1 was picked up from the center at approximately 3:37 pm.”

8VAC20-780-570-E

“Repeat Violation Based on observation, and interview, the center failed to ensure that prepared infant formula shall be refrigerated, dated, and labeled with the child's name. Evidence: The refrigerator in classroom #1 contained 2 bottles with prepared infant formula that were not dated or labeled with the child's name. Staff in classroom #1 confirmed that the 2 bottles were not dated or labeled with the child's name.”

8VAC20-780-130-A

“Based on record review, and interview, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: 1. The record for child #2, date of enrollment 06/03/2024, did not contain documentation of immunizations. Child #2 was in attendance. Administration confirmed that documentation of immunizations was not in the record. 2. The record for child #8, date of enrollment 06/03/2024, did not contain documentation of immunizations. Child #8 was in attendance. Administration confirmed that documentation of immunizations was not in the record.”

8VAC20-780-570-E

“Repeat Violation Based on observation, the center failed to ensure that prepared infant formula shall be dated and labeled with the child's name. Evidence: The refrigerator in classroom #1 contained 16 bottles. 8 out of 16 bottles viewed did not have a date.”

22.1-289.035-B-4

“Based on record review, and interview, the center failed to obtain a criminal background check and a central registry background check from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #2, date of employment 11/07/2023, indicated that they have lived in a state outside of Virginia in the preceding 5 years prior to employment. Interview with staff #2 confirmed that they lived in a state outside of Virginia in the preceding 5 years. Administration confirmed that the criminal background check was not requested prior to staff #2 beginning employment and a central registry background check was not requested no later than 30 days after beginning employment from that state.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The wooden fence surrounding the playground had several rough, splintered, and cracked slats. Several of the slats had exposed protruding nails.”

8VAC20-780-130-A

“Based on record review, and interview, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: 1. The record for child #2, date of enrollment 06/03/2024, did not contain documentation of immunizations. Child #2 was in attendance. Administration confirmed that documentation of immunizations was not in the record. 2. The record for child #8, date of enrollment 06/03/2024, did not contain documentation of immunizations. Child #8 was in attendance. Administration confirmed that documentation of immunizations was not in the record.”

8VAC20-780-570-E

“Repeat Violation Based on observation, the center failed to ensure that prepared infant formula shall be dated and labeled with the child's name. Evidence: The refrigerator in classroom #1 contained 16 bottles. 8 out of 16 bottles viewed did not have a date.”

22.1-289.035-B-4

“Based on record review, and interview, the center failed to obtain a criminal background check and a central registry background check from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #2, date of employment 11/07/2023, indicated that they have lived in a state outside of Virginia in the preceding 5 years prior to employment. Interview with staff #2 confirmed that they lived in a state outside of Virginia in the preceding 5 years. Administration confirmed that the criminal background check was not requested prior to staff #2 beginning employment and a central registry background check was not requested no later than 30 days after beginning employment from that state.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The wooden fence surrounding the playground had several rough, splintered, and cracked slats. Several of the slats had exposed protruding nails.”

22.1-289.035-B-4 Complaint related: No

“Repeat Violation Based on record review, and interview, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #1, date of employment 09/23/23, indicated that staff #1 lived in another state in the preceding five years. 2. Interview with administration revealed that the center did not obtain a search of the child abuse and neglect registry from that state by the end of the 30th day of employment.”

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff who work directly with children, shall annually attend the department's health and safety update course. Evidence: The record for staff #2, date of employment 03/08/2022, contained documentation of the department's annual health and safety update course dated 06/11/2022. The annual course was due on or before 06/11/2023.”

8VAC20-780-160-A

“Repeat Violation Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for staff #4, date of employment 01/03/24, contained a tuberculosis screening dated 07/31/23.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of the children in care. Evidence: The record for staff #2, date of employment 03/08/2022, contained documentation of 12.5 hours of annual training from January 2023 to January 2024.”

8VAC20-780-500-A

“Repeat Violation Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water after toileting. Evidence: Staff #4 was observed changing a child's diaper. The child's hands were not washed after the diaper change.”

22.1-289.035-B-4 Complaint related: No

“Repeat Violation Based on record review, and interview, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #1, date of employment 09/23/23, indicated that staff #1 lived in another state in the preceding five years. 2. Interview with administration revealed that the center did not obtain a search of the child abuse and neglect registry from that state by the end of the 30th day of employment.”

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff who work directly with children, shall annually attend the department's health and safety update course. Evidence: The record for staff #2, date of employment 03/08/2022, contained documentation of the department's annual health and safety update course dated 06/11/2022. The annual course was due on or before 06/11/2023.”

8VAC20-780-160-A

“Repeat Violation Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for staff #4, date of employment 01/03/24, contained a tuberculosis screening dated 07/31/23.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of the children in care. Evidence: The record for staff #2, date of employment 03/08/2022, contained documentation of 12.5 hours of annual training from January 2023 to January 2024.”

8VAC20-780-500-A

“Repeat Violation Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water after toileting. Evidence: Staff #4 was observed changing a child's diaper. The child's hands were not washed after the diaper change.”

22.1-289.035-B-4 Complaint related: No

“Repeat Violation Based on record review, and interview, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #1, date of employment 09/23/23, indicated that staff #1 lived in another state in the preceding five years. 2. Interview with administration revealed that the center did not obtain a search of the child abuse and neglect registry from that state by the end of the 30th day of employment.”

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff who work directly with children, shall annually attend the department's health and safety update course. Evidence: The record for staff #2, date of employment 03/08/2022, contained documentation of the department's annual health and safety update course dated 06/11/2022. The annual course was due on or before 06/11/2023.”

8VAC20-780-160-A

“Repeat Violation Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for staff #4, date of employment 01/03/24, contained a tuberculosis screening dated 07/31/23.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of the children in care. Evidence: The record for staff #2, date of employment 03/08/2022, contained documentation of 12.5 hours of annual training from January 2023 to January 2024.”

8VAC20-780-500-A

“Repeat Violation Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water after toileting. Evidence: Staff #4 was observed changing a child's diaper. The child's hands were not washed after the diaper change.”

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. Evidence: 1. The record for staff #6, date of employment 02/01/2023, contained documentation of first aid dated 07/25/2023. First aid certification was due on or before 05/01/2023. 2. The record for staff #7, date of employment 03/28/2023, contained documentation of first aid dated 07/25/2023. First aid certification was due on or before 06/28/2023.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: 1. The record for staff #6, date of employment 02/01/2023, contained documentation of CPR dated 07/25/2023. CPR was due no later than 05/01/2023. 2. The record for staff #7, date of employment 03/28/2023, contained documentation of CPR dated 07/25/2023. CPR was due no later than 06/28/2023.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff wash their hands before and after each diaper change. Evidence: A staff member was observed changing 3 separate children's diapers in classroom #3. The staff member did not wash their hands in between diaper changes.”

8VAC20-780-350-B-3

“Based on observation, interview, and documentation review, the center failed to ensure the ratio of 1 staff to every 8 children is followed. Evidence: Classroom #4 was observed to have 2 staff with 17 children age 2 years old. Staff #2, confirmed that there were 17 children in attendance. The daily attendance sheet had 17 children signed into classroom #4.”

8VAC20-780-260-A

“Based on interview, the center failed to obtain an annual fire inspection report. Evidence: When asked to view the annual fire inspection report the Director stated that they did not have a copy of the most recent fire inspection report. The center reached out to the fire official while the Licensing Inspector was on site and determined that the most recent fire inspection was completed on 08/25/22. Another fire inspection was due on or before 08/25/23.”

8VAC20-780-550-D

“Repeat Violation Based on documentation review, and interview, the center failed to implement a monthly practice evacuation drill. Evidence: Documentation review revealed that evacuation drills were not conducted in the months of May, June, or July 2023. Administration confirmed that evacuation drills were not conducted in the months of May, June, or July 2023.”

8VAC20-770-60-C-2

“Based on review of records, observation, and interview, the center did not have a central registry finding within 30 days of employment. Evidence: The record for staff #7, date of employment 03/28/2023, did not contain the results of a central registry finding. Interview with administration confirmed that the record did not contain the results of the central registry finding. Staff #7 was observed working in a classroom with children.”

8VAC20-780-70

“Based on record review, the center failed to ensure that each staff record contains all of the elements as required by the standards. Evidence: 1. The record for staff #6, date of employment 2/1/23, did not contain documentation of the required Virginia Department of Education sponsored orientation course. 2. The record for staff #7, date of employment 3/28/23, and the record for staff # 4, date of employment 8/3/23, did not contain background checks as required.”

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. Evidence: 1. The record for staff #6, date of employment 02/01/2023, contained documentation of first aid dated 07/25/2023. First aid certification was due on or before 05/01/2023. 2. The record for staff #7, date of employment 03/28/2023, contained documentation of first aid dated 07/25/2023. First aid certification was due on or before 06/28/2023.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: 1. The record for staff #6, date of employment 02/01/2023, contained documentation of CPR dated 07/25/2023. CPR was due no later than 05/01/2023. 2. The record for staff #7, date of employment 03/28/2023, contained documentation of CPR dated 07/25/2023. CPR was due no later than 06/28/2023.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff wash their hands before and after each diaper change. Evidence: A staff member was observed changing 3 separate children's diapers in classroom #3. The staff member did not wash their hands in between diaper changes.”

8VAC20-780-350-B-3

“Based on observation, interview, and documentation review, the center failed to ensure the ratio of 1 staff to every 8 children is followed. Evidence: Classroom #4 was observed to have 2 staff with 17 children age 2 years old. Staff #2, confirmed that there were 17 children in attendance. The daily attendance sheet had 17 children signed into classroom #4.”

8VAC20-780-260-A

“Based on interview, the center failed to obtain an annual fire inspection report. Evidence: When asked to view the annual fire inspection report the Director stated that they did not have a copy of the most recent fire inspection report. The center reached out to the fire official while the Licensing Inspector was on site and determined that the most recent fire inspection was completed on 08/25/22. Another fire inspection was due on or before 08/25/23.”

8VAC20-780-550-D

“Repeat Violation Based on documentation review, and interview, the center failed to implement a monthly practice evacuation drill. Evidence: Documentation review revealed that evacuation drills were not conducted in the months of May, June, or July 2023. Administration confirmed that evacuation drills were not conducted in the months of May, June, or July 2023.”

8VAC20-770-60-C-2

“Based on review of records, observation, and interview, the center did not have a central registry finding within 30 days of employment. Evidence: The record for staff #7, date of employment 03/28/2023, did not contain the results of a central registry finding. Interview with administration confirmed that the record did not contain the results of the central registry finding. Staff #7 was observed working in a classroom with children.”

8VAC20-780-70

“Based on record review, the center failed to ensure that each staff record contains all of the elements as required by the standards. Evidence: 1. The record for staff #6, date of employment 2/1/23, did not contain documentation of the required Virginia Department of Education sponsored orientation course. 2. The record for staff #7, date of employment 3/28/23, and the record for staff # 4, date of employment 8/3/23, did not contain background checks as required.”

8VAC20-780-240-A

“Based on records review, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #7, date of employment 08/22/22, contained a VDOE orientation dated 02/26/2023.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document a drill during the months of November or September 2022.”

22.1-289.035-B-4

“Based on a review of records and interview, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record for staff #5, date of employment 10/03/22, contained documentation of a sworn disclosure that indicated staff #5 lived in another state in the past 5 years. Staff #5?s record did not contain documentation of a sex offender check or a central registry check for the state. Administration acknowledged the sex offender registry check was not done prior to employment and the central registry check was not mailed by the end of the 30th day of employment.”

8VAC20-770-60-B

“Based on review of records, the center failed to ensure that a sworn statement is completed prior to the first day of employment. Evidence: Staff #2, date of employment 1/23/23, contained a sworn statement dated 1/25/23.”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and no sooner than 30 days prior to the date of employment. Evidence: The record for staff #1, date of employment 12/6/22, contained a tuberculosis screening dated 10/18/22.”

22.1-289.035-B-2

“Based on records review the center failed to obtain a criminal history fingerprint check prior to the first day of employment. Evidence: 1) The record for staff #5, date of employment 10/03/22, contained a criminal history fingerprint check dated 10/13/22. 2) The record for staff #2, date of employment 1/23/23, contained a criminal history fingerprint check dated, 02/10/23.”

8VAC20-780-240-A

“Based on records review, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #7, date of employment 08/22/22, contained a VDOE orientation dated 02/26/2023.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document a drill during the months of November or September 2022.”

22.1-289.035-B-4

“Based on a review of records and interview, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record for staff #5, date of employment 10/03/22, contained documentation of a sworn disclosure that indicated staff #5 lived in another state in the past 5 years. Staff #5?s record did not contain documentation of a sex offender check or a central registry check for the state. Administration acknowledged the sex offender registry check was not done prior to employment and the central registry check was not mailed by the end of the 30th day of employment.”

8VAC20-770-60-B

“Based on review of records, the center failed to ensure that a sworn statement is completed prior to the first day of employment. Evidence: Staff #2, date of employment 1/23/23, contained a sworn statement dated 1/25/23.”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and no sooner than 30 days prior to the date of employment. Evidence: The record for staff #1, date of employment 12/6/22, contained a tuberculosis screening dated 10/18/22.”

22.1-289.035-B-2

“Based on records review the center failed to obtain a criminal history fingerprint check prior to the first day of employment. Evidence: 1) The record for staff #5, date of employment 10/03/22, contained a criminal history fingerprint check dated 10/13/22. 2) The record for staff #2, date of employment 1/23/23, contained a criminal history fingerprint check dated, 02/10/23.”

8VAC20-780-520-C

“Based on interview, the center failed to ensure that diaper ointment is inaccessible to children. Evidence: During interview, staff #1 stated that child #1 was able to access a container of diaper cream that was stored in a low, unlocked cabinet.”

8VAC20-780-340-F

“Based on interview, and documentation review, the center failed to ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: Documentation review of the incident report, dated 10/25/22, completed by staff #2, and given to the parent, stated that child #1 was ?found by the sink.? The sink is attached to the diaper table, located in the classroom, and is approximately 4 feet tall. Staff #1 stated that the children and staff were gathered on the carpet, in the classroom, when they found child #1 standing by the sink.”

8VAC20-780-270-A

“Based on interview, the center failed to ensure that equipment of the center is maintained in a safe and operable condition. Evidence: During interview, staff # 1 stated that the cabinet under the diaper table is broken. The Director confirmed that the cabinet is broken.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The records for staff #1, date of employment 5/5/22, and staff #2, date of employment 10/12/21, did not contain evidence of the VDOE orientation. The Director stated that staff #1, and staff #2, did not take the VDOE orientation course.”

8VAC20-780-340-F

“Based on interviews, the center failed to ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: 1. The Assistant Director was at the front office when a parent brought child #1 into the building and stated that the child had been found in the parking lot alone. 2. Approximately two minutes after transitioning the school-age children from the dumpster, located in the parking lot at the front of the building, to the classroom, child #1 walked into the classroom and stated ?you left me?”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: Interviews with staff #1 and the Assistant Director revealed the following: 1) On August 10, 2022, 9 year old child #1 was left alone unsupervised in the parking lot for an estimated two minutes. 2) The children in the school age classroom usually help the teacher take out the trash from all classrooms at the end of the day to the dumpster that is located in the parking lot. 3) On August 10, 2022 at approximately 5:20 pm staff #1 took her group of approximately 8 children out to the dumpster. Child #1 was the last child in line. The child was asked to walk from the dumpster through the gate onto the playground to the toddler classroom door to ask if they had any trash. When the child attempted to return through the playground gate the child could not latch the gate properly. The teacher became distracted by two children who were throwing rocks. She told child #1 to ?just leave the gate alone and come with the rest of the class.? 4) Staff #1 led the class back through the front door and into the center. 5) The class walked down the hall and arrived back into the classroom. 6) At approximately 5:25 pm the child was brought into the center by another parent that found the child in the parking lot. 7) Per interviews, attendance is to be checked at each gate and the classroom door during transitions to and from the classroom, but attendance was not checked when the children left the classroom or returned to the classroom.”

8VAC20-780-40-E

“Based on interviews, and documentation review, the center failed to maintain compliance with their own policies and procedures. Evidence: 1) The center’s policies and procedures regarding supervision were not followed on August 10, 2022 when Teacher #1 did not have 9-year old child, child #1, within sight and sound supervision and discovered that the child was left in the parking lot alone. The centers policies and procedures for supervision of children states that ?all individual and or groups of children must be supervised at all times while in our care?, ?children must not be left alone or unsupervised?? 2) The center’s policy for tracking children’s transitions states ?name to face transitions are utilized when moving between locations. Perform name to face to start your transition (before leaving the location) and perform a second name to face to end the transition (once you have arrived at your final location) verifying all children made the transition. Document the number of children and teachers at the bottom of the CSR. Do not just count the children.? 3) The CSR for this class, dated August 10th did not document a transition outside 4) When interviewed staff #1 stated that she did not bring the CSR sheet with her when she went outside and did not conduct a name to face check. 5) Staff #1 was trained on these policies on 07/07/2021. These policies and procedures were not followed during the above described incident on August 10, 2022.”

8VAC20-780-520-A Complaint related: No

“Based on interviews, and documentation review, the center failed to ensure that all nonprescription drugs and over-the-counter skin products were used in accordance with the manufacturer’s recommendations. Evidence: On July 12, 2022 the parent of child #1, 23 months, asked teacher #1 to apply Miconozole cream to the child’s diaper area. The manufacturer recommendations state ?do not use on children under two years of age unless directed by a doctor.? The diaper cream form was filled out by the parent. When interviewed, the Director stated that the parent did not provide a doctor’s note giving the center permission to apply the Miconozole cream. Interview with the parent revealed that the child came home with a severe diaper rash.”

8VAC20-780-560-P Complaint related: No

“Based on interviews and documentation review, the center did not ensure that a child with a diagnosed food allergy shall not be served any food identified in the written care plan. Evidence: Interviews with the Director and Parent revealed the following. 1) Child #1 had a written care plan that documented a food allergy to eggs. 2) The Director stated that the child was listed on the allergy list posted in each classroom as having a food allergy to eggs. 3) The child’s Physical stated that the child had an allergy to eggs. 4) On February 2, 2022 the child was served eggs, as per the daily sheet that was sent to the parent and reviewed by the Licensing Inspector via email. 5) Per phone interview with the parent she discussed with the staff that the child had an allergy to eggs and that she was concerned that the child had been served eggs.”

8VAC20-780-40-E Complaint related: No

“Based on documentation review, the center failed to maintain compliance with their own policies and procedures. Evidence: Interviews with the parent and Director revealed the following: 1) On July 12, 2022 the center did not follow their written policy regarding over the counter skin products which states ?A physician’s signature or note is needed: to give medication to a child under two, including over-the-counter medication??and ? to give medication differently than instructed on the label.?”

8VAC20-770-60-B

“Based on a review of documentation, the center did not obtain a fully completed sworn statement prior to employment. Evidence: Staff #3?s record, date of employment 05/16/2022, contained a completed Sworn Statement that did not contain a date.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document a drill during the month of June 2022.”

8VAC20-770-60-C-2

“Based on a review of documentation. the center did not ensure that all employees had a CPS background check mailed within 7 days of employment. Evidence: 1) Staff #7, DOH 06/29/22 did not have evidence that the CPS background check was mailed. Evidence was requested to be emailed to the Inspector. As of the date of this report the evidence had not been sent.”

8VAC20-780-550-P

“Based on a review of documentation, the center did not maintain a written record of the day and time when parents are notified of children’s injuries. Evidence: 3 out of 3 injury reports viewed did not have a day or time indicating when the parent was notified of the injury.”

8VAC20-780-240-A

“Based on a review of documentation, the center did not ensure that staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 days of employment. Evidence: Staff #4, DOH 11/21/21 did not have evidence of taking the VDOE sponsored orientation course. Evidence was requested to be emailed to the inspector. As of the date of this report the evidence had not been sent.”

8VAC20-780-520-A Complaint related: No

“Based on interviews, and documentation review, the center failed to ensure that all nonprescription drugs and over-the-counter skin products were used in accordance with the manufacturer’s recommendations. Evidence: On July 12, 2022 the parent of child #1, 23 months, asked teacher #1 to apply Miconozole cream to the child’s diaper area. The manufacturer recommendations state ?do not use on children under two years of age unless directed by a doctor.? The diaper cream form was filled out by the parent. When interviewed, the Director stated that the parent did not provide a doctor’s note giving the center permission to apply the Miconozole cream. Interview with the parent revealed that the child came home with a severe diaper rash.”

8VAC20-780-560-P Complaint related: No

“Based on interviews and documentation review, the center did not ensure that a child with a diagnosed food allergy shall not be served any food identified in the written care plan. Evidence: Interviews with the Director and Parent revealed the following. 1) Child #1 had a written care plan that documented a food allergy to eggs. 2) The Director stated that the child was listed on the allergy list posted in each classroom as having a food allergy to eggs. 3) The child’s Physical stated that the child had an allergy to eggs. 4) On February 2, 2022 the child was served eggs, as per the daily sheet that was sent to the parent and reviewed by the Licensing Inspector via email. 5) Per phone interview with the parent she discussed with the staff that the child had an allergy to eggs and that she was concerned that the child had been served eggs.”

8VAC20-780-40-E Complaint related: No

“Based on documentation review, the center failed to maintain compliance with their own policies and procedures. Evidence: Interviews with the parent and Director revealed the following: 1) On July 12, 2022 the center did not follow their written policy regarding over the counter skin products which states ?A physician’s signature or note is needed: to give medication to a child under two, including over-the-counter medication??and ? to give medication differently than instructed on the label.?”

8VAC20-770-60-B

“Based on a review of documentation, the center did not obtain a fully completed sworn statement prior to employment. Evidence: Staff #3?s record, date of employment 05/16/2022, contained a completed Sworn Statement that did not contain a date.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document a drill during the month of June 2022.”

8VAC20-770-60-C-2

“Based on a review of documentation. the center did not ensure that all employees had a CPS background check mailed within 7 days of employment. Evidence: 1) Staff #7, DOH 06/29/22 did not have evidence that the CPS background check was mailed. Evidence was requested to be emailed to the Inspector. As of the date of this report the evidence had not been sent.”

8VAC20-780-550-P

“Based on a review of documentation, the center did not maintain a written record of the day and time when parents are notified of children’s injuries. Evidence: 3 out of 3 injury reports viewed did not have a day or time indicating when the parent was notified of the injury.”

8VAC20-780-240-A

“Based on a review of documentation, the center did not ensure that staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 days of employment. Evidence: Staff #4, DOH 11/21/21 did not have evidence of taking the VDOE sponsored orientation course. Evidence was requested to be emailed to the inspector. As of the date of this report the evidence had not been sent.”

8VAC20-780-520-A Complaint related: No

“Based on interviews, and documentation review, the center failed to ensure that all nonprescription drugs and over-the-counter skin products were used in accordance with the manufacturer’s recommendations. Evidence: On July 12, 2022 the parent of child #1, 23 months, asked teacher #1 to apply Miconozole cream to the child’s diaper area. The manufacturer recommendations state ?do not use on children under two years of age unless directed by a doctor.? The diaper cream form was filled out by the parent. When interviewed, the Director stated that the parent did not provide a doctor’s note giving the center permission to apply the Miconozole cream. Interview with the parent revealed that the child came home with a severe diaper rash.”

8VAC20-780-560-P Complaint related: No

“Based on interviews and documentation review, the center did not ensure that a child with a diagnosed food allergy shall not be served any food identified in the written care plan. Evidence: Interviews with the Director and Parent revealed the following. 1) Child #1 had a written care plan that documented a food allergy to eggs. 2) The Director stated that the child was listed on the allergy list posted in each classroom as having a food allergy to eggs. 3) The child’s Physical stated that the child had an allergy to eggs. 4) On February 2, 2022 the child was served eggs, as per the daily sheet that was sent to the parent and reviewed by the Licensing Inspector via email. 5) Per phone interview with the parent she discussed with the staff that the child had an allergy to eggs and that she was concerned that the child had been served eggs.”

8VAC20-780-40-E Complaint related: No

“Based on documentation review, the center failed to maintain compliance with their own policies and procedures. Evidence: Interviews with the parent and Director revealed the following: 1) On July 12, 2022 the center did not follow their written policy regarding over the counter skin products which states ?A physician’s signature or note is needed: to give medication to a child under two, including over-the-counter medication??and ? to give medication differently than instructed on the label.?”

8VAC20-770-60-B

“Based on a review of documentation, the center did not obtain a fully completed sworn statement prior to employment. Evidence: Staff #3?s record, date of employment 05/16/2022, contained a completed Sworn Statement that did not contain a date.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document a drill during the month of June 2022.”

8VAC20-770-60-C-2

“Based on a review of documentation. the center did not ensure that all employees had a CPS background check mailed within 7 days of employment. Evidence: 1) Staff #7, DOH 06/29/22 did not have evidence that the CPS background check was mailed. Evidence was requested to be emailed to the Inspector. As of the date of this report the evidence had not been sent.”

8VAC20-780-550-P

“Based on a review of documentation, the center did not maintain a written record of the day and time when parents are notified of children’s injuries. Evidence: 3 out of 3 injury reports viewed did not have a day or time indicating when the parent was notified of the injury.”

8VAC20-780-240-A

“Based on a review of documentation, the center did not ensure that staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 days of employment. Evidence: Staff #4, DOH 11/21/21 did not have evidence of taking the VDOE sponsored orientation course. Evidence was requested to be emailed to the inspector. As of the date of this report the evidence had not been sent.”

8VAC20-780-340-A

“Based on staff interviews, the center did not ensure when staff are supervising children, they shall always ensure their care and protection. Evidence: 1.) In an interview with staff #1, she reported that on April 5, 2022, she fed infant #1 (age 4 months) approximately an ounce of infant #2's (age 7 months) breastmilk without checking if the bottle belonged to infant #1. She stated she removed both infant #1's and infant #2's bottles from the refrigerator and placed them in the bottle warmers. She then stated both bottles were removed from the warmers and placed on the counter. Staff #1 said she grabbed one of the bottles and fed it to infant #1 but did not check if the bottle belonged to infant #1.”

8VAC20-780-40-E

“Based on staff interviews and a review of the center policies, the center did not ensure they complied with their own policies and procedures that are required by these standards. Evidence: 1.) On April 5, 2022, infant #1 (age 4 months) was fed approximately an ounce of infant #2's (age 7 months) breastmilk. Administration reported that staff #1 did not follow the center's policy on infant feeding, which is to call out the name on the bottle prior to giving the bottle to an infant. Administration was present in the infant room at the time of occurrence and witnessed that staff #1 did not call out the infant's name to match the name to the bottle. 2.) In an interview with staff #1, she reported that "I didn't do what I'm supposed to do in calling out the names." 3.) The center's infant care instructions state "when feeding an infant a bottle ensure you always verify you have the correct bottle to feed to the correct child."”

8VAC20-770-60-C-2

“Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #1 (hired 11/29/21) contained documentation of a central registry finding dated 2/24/22. Administration acknowledged the result was late.”

8VAC20-780-500-A

“Based on observation and interview on April 14, 2022, the center did not ensure that staff and children's hands shall be washed with soap and running water after a diaper change. Evidence: 1. A staff member was observed to change an infant's diaper. After the staff member changed the infant's diaper, the staff member didn't wash her hands with soap and water. The staff acknowledged she didn't wash her hands.”

8VAC20-780-570-E

“Based on observation and interview on April 14, 2022, the center did not ensure each infant bottle was labeled with the child's name and dated. Evidence: In the infant room refrigerator there were three prepared bottles of formula not dated. A staff member acknowledged they weren't dated.”

8VAC20-780-260-A

“Based on a review of records and interview, the center did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The record of the annual fire inspection is dated 3/19/21. 2. Administration acknowledged they have not contacted the local fire official for an inspection.”

8VAC20-770-60-C-2

“Based on a review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #4 (hired 2/3/22) did not contain documentation of a central registry finding.”

22.1-289.035-B-4

“Based on a review of records and interview, the center did not obtain results of a check of the out-of-state criminal name check and out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #2 (hired 1/4/22) contained documentation of a sworn disclosure that indicated staff #2 lived in three states in the past 5 years. Staff #2's file did not contain documentation of a central registry result and sex offender check for two states. Staff #2's record contained documentation of a central registry result dated 2/22/22 and contained documentation of a criminal name and sex offender registry check both dated 1/19/22 for the third state. 2. Administration acknowledged the checks were not complete.”

8VAC20-780-130-A

“Based on a review of children's records and interview, the center did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #4 (enrolled 10/11/21) contained documentation of immunizations dated 2/25/22. Administration acknowledged the immunizations were late.”

8VAC20-780-260-A

“Based on a review of records and interview, the center did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The record of the annual fire inspection is dated 3/19/21. 2. Administration acknowledged they have not contacted the local fire official for an inspection.”

8VAC20-770-60-C-2

“Based on a review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #4 (hired 2/3/22) did not contain documentation of a central registry finding.”

22.1-289.035-B-4

“Based on a review of records and interview, the center did not obtain results of a check of the out-of-state criminal name check and out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #2 (hired 1/4/22) contained documentation of a sworn disclosure that indicated staff #2 lived in three states in the past 5 years. Staff #2's file did not contain documentation of a central registry result and sex offender check for two states. Staff #2's record contained documentation of a central registry result dated 2/22/22 and contained documentation of a criminal name and sex offender registry check both dated 1/19/22 for the third state. 2. Administration acknowledged the checks were not complete.”

8VAC20-780-130-A

“Based on a review of children's records and interview, the center did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #4 (enrolled 10/11/21) contained documentation of immunizations dated 2/25/22. Administration acknowledged the immunizations were late.”

22VAC40-665-540-A

“Based on a review of staff records and interview, the vendor did not ensure that each staff submitted documentation of the tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of Staff #4 (DOH 8/30/21) contained documentation of a tuberculosis test dated 9/5/21. 2. Administration acknowledged the tb was late.”

22VAC40-185-70-A

“Based on a review of records and interview on November 4, 2021, the center did not ensure that each staff record contains all required information. Evidence: 1. The record of Staff #4 (DOH 8/30/21) contained telephone references dated 9/7/21. 2. Administration acknowledged they were documented late. 3. The record of Staff #3 (DOH 9/16/21) did not contain documentation of a completed staff orientation. 4. Administration stated the orientation was completed but acknowledged it was not documented. 5. The record of Staff #1 (DOH 8/19/21) did not contain documentation of proof of education for lead teacher qualifications. 6. Administration confirmed the proof of education was not present in the record.”

22VAC40-191-60-B

“Based on a review of staff records and interview on November 4, 2021, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: 1. The records of Staff #2 (DOH 9/8/21) and Staff #4 (DOH 8/30/21) did not contain a sworn statement disclosure. 2. Administration confirmed there were no sworn statements in those records.”

63.2(17)-1720.1-B-4

“Based on a review of records and interview on November 4, 2021, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of Staff #4 (DOH 8/30/21) did not contain documentation of an out-of-state sex offender registry check and central registry check. 2. Administration acknowledged the out-of-state checks were not completed.”

22VAC40-665-540-A

“Based on a review of staff records and interview, the vendor did not ensure that each staff submitted documentation of the tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of Staff #4 (DOH 8/30/21) contained documentation of a tuberculosis test dated 9/5/21. 2. Administration acknowledged the tb was late.”

22VAC40-185-70-A

“Based on a review of records and interview on November 4, 2021, the center did not ensure that each staff record contains all required information. Evidence: 1. The record of Staff #4 (DOH 8/30/21) contained telephone references dated 9/7/21. 2. Administration acknowledged they were documented late. 3. The record of Staff #3 (DOH 9/16/21) did not contain documentation of a completed staff orientation. 4. Administration stated the orientation was completed but acknowledged it was not documented. 5. The record of Staff #1 (DOH 8/19/21) did not contain documentation of proof of education for lead teacher qualifications. 6. Administration confirmed the proof of education was not present in the record.”

22VAC40-191-60-B

“Based on a review of staff records and interview on November 4, 2021, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: 1. The records of Staff #2 (DOH 9/8/21) and Staff #4 (DOH 8/30/21) did not contain a sworn statement disclosure. 2. Administration confirmed there were no sworn statements in those records.”

63.2(17)-1720.1-B-4

“Based on a review of records and interview on November 4, 2021, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of Staff #4 (DOH 8/30/21) did not contain documentation of an out-of-state sex offender registry check and central registry check. 2. Administration acknowledged the out-of-state checks were not completed.”