Kings Kids Child Care

8VAC20-780-50-A

“Based upon review of documentation, parent interview and staff interview, the facility has not ensured that children's records are treated confidentially. Evidence: 1. Behavior records reviewed in the record of child 1 included the names of other children involved. 2. Parent interview revealed that written behavior records given to the parent included the names of other children involved. 3, Staff 1 acknowledged that behavior records provided to parents included the first names of other children involved.”

8VAC20-780-420-E-3

“Based upon review of children's records, parent interview and staff interview, the facility has not ensured that parents are provided at least semiannually in writing information on their child's development, behavior, adjustment and needs. Evidence: 1. The record for child 1, enrolled between May of 2022 and February 2024 did not include any documentation of providing parents semiannually, in writing, information on their child's development, behavior, adjustment and needs. 2. Parent interview revealed that written information regarding children's development, behavior, adjustment and needs has not been provided. 3, Staff 1 verified that parents have not been provided semiannual written information regarding their children's development, behavior, adjustment and needs.”

8VAC20-780-550-O

“Based upon review of written minor injury records, the facility has not ensured that they notify parents by the end of the day of any known minor injuries. Evidence: 1. An injury record dated 1/8/2024 for child 4 documented that the parent was not notified of the child's injury until the next morning, 1/9/2024 at 7:30 AM. 2. An injury record dated 1/24/2024 for child 5 was not signed by the parent until 1/25/2024.”

8VAC20-780-350-B-2

“Based upon observation and staff interview, the facility has not ensured that there is one staff for every five children from 15 months - 24 months. Evidence: 1. Upon arrival of the inspector at 9:07 AM until departure of the inspector at 11:10 AM, there were seven children the youngest of whom was 17 months old with staff 3. 2. Staff 1 acknowledged that two staff were unable to come to work today.”

8VAC20-780-550-P

“Based upon review of the written records of children's injuries, the facility has not ensured that the record includes all required documentation. Evidence: An injury record dated 2/14/2024 did not include the time and how the parent was notified of the injury.”

8VAC20-780-140-A

“Repeat violation Based upon review of children's records, the facility has not ensured that each child's record includes documentation of a physical examination by or under the direction of a physician within 30 days prior to attending. Evidence: According to the record provided, child 1 began attending on 11/21/2022. The record did not include the results of a physical examination.”

8VAC20-780-60-A

“Repeat violation Based on review of children's records and staff interview, the facility has not ensured that children's records include information regarding parents/guardians and the first day of attendance. Evidence: 1. The record provided for child 2 included a temporary custody agreement that expired on 11/7/2022. There was no information regarding the mother, the father and current custody arrangements. 2. The record provided for child 2 did not include the required information regarding the father or custody documents. A father is identified on the birth certificate. 3. The record provided for child 2 did not include the child's first date of attendance. 4. Staff 1 acknowledged the missing information in the above listed children's records.”

8VAC20-780-50-A

“Based upon review of documentation, parent interview and staff interview, the facility has not ensured that children's records are treated confidentially. Evidence: 1. Behavior records reviewed in the record of child 1 included the names of other children involved. 2. Parent interview revealed that written behavior records given to the parent included the names of other children involved. 3, Staff 1 acknowledged that behavior records provided to parents included the first names of other children involved.”

8VAC20-780-420-E-3

“Based upon review of children's records, parent interview and staff interview, the facility has not ensured that parents are provided at least semiannually in writing information on their child's development, behavior, adjustment and needs. Evidence: 1. The record for child 1, enrolled between May of 2022 and February 2024 did not include any documentation of providing parents semiannually, in writing, information on their child's development, behavior, adjustment and needs. 2. Parent interview revealed that written information regarding children's development, behavior, adjustment and needs has not been provided. 3, Staff 1 verified that parents have not been provided semiannual written information regarding their children's development, behavior, adjustment and needs.”

8VAC20-780-550-O

“Based upon review of written minor injury records, the facility has not ensured that they notify parents by the end of the day of any known minor injuries. Evidence: 1. An injury record dated 1/8/2024 for child 4 documented that the parent was not notified of the child's injury until the next morning, 1/9/2024 at 7:30 AM. 2. An injury record dated 1/24/2024 for child 5 was not signed by the parent until 1/25/2024.”

8VAC20-780-350-B-2

“Based upon observation and staff interview, the facility has not ensured that there is one staff for every five children from 15 months - 24 months. Evidence: 1. Upon arrival of the inspector at 9:07 AM until departure of the inspector at 11:10 AM, there were seven children the youngest of whom was 17 months old with staff 3. 2. Staff 1 acknowledged that two staff were unable to come to work today.”

8VAC20-780-550-P

“Based upon review of the written records of children's injuries, the facility has not ensured that the record includes all required documentation. Evidence: An injury record dated 2/14/2024 did not include the time and how the parent was notified of the injury.”

8VAC20-780-140-A

“Repeat violation Based upon review of children's records, the facility has not ensured that each child's record includes documentation of a physical examination by or under the direction of a physician within 30 days prior to attending. Evidence: According to the record provided, child 1 began attending on 11/21/2022. The record did not include the results of a physical examination.”

8VAC20-780-60-A

“Repeat violation Based on review of children's records and staff interview, the facility has not ensured that children's records include information regarding parents/guardians and the first day of attendance. Evidence: 1. The record provided for child 2 included a temporary custody agreement that expired on 11/7/2022. There was no information regarding the mother, the father and current custody arrangements. 2. The record provided for child 2 did not include the required information regarding the father or custody documents. A father is identified on the birth certificate. 3. The record provided for child 2 did not include the child's first date of attendance. 4. Staff 1 acknowledged the missing information in the above listed children's records.”

8VAC20-780-50-A

“Based upon review of documentation, parent interview and staff interview, the facility has not ensured that children's records are treated confidentially. Evidence: 1. Behavior records reviewed in the record of child 1 included the names of other children involved. 2. Parent interview revealed that written behavior records given to the parent included the names of other children involved. 3, Staff 1 acknowledged that behavior records provided to parents included the first names of other children involved.”

8VAC20-780-420-E-3

“Based upon review of children's records, parent interview and staff interview, the facility has not ensured that parents are provided at least semiannually in writing information on their child's development, behavior, adjustment and needs. Evidence: 1. The record for child 1, enrolled between May of 2022 and February 2024 did not include any documentation of providing parents semiannually, in writing, information on their child's development, behavior, adjustment and needs. 2. Parent interview revealed that written information regarding children's development, behavior, adjustment and needs has not been provided. 3, Staff 1 verified that parents have not been provided semiannual written information regarding their children's development, behavior, adjustment and needs.”

8VAC20-780-550-O

“Based upon review of written minor injury records, the facility has not ensured that they notify parents by the end of the day of any known minor injuries. Evidence: 1. An injury record dated 1/8/2024 for child 4 documented that the parent was not notified of the child's injury until the next morning, 1/9/2024 at 7:30 AM. 2. An injury record dated 1/24/2024 for child 5 was not signed by the parent until 1/25/2024.”

8VAC20-780-350-B-2

“Based upon observation and staff interview, the facility has not ensured that there is one staff for every five children from 15 months - 24 months. Evidence: 1. Upon arrival of the inspector at 9:07 AM until departure of the inspector at 11:10 AM, there were seven children the youngest of whom was 17 months old with staff 3. 2. Staff 1 acknowledged that two staff were unable to come to work today.”

8VAC20-780-550-P

“Based upon review of the written records of children's injuries, the facility has not ensured that the record includes all required documentation. Evidence: An injury record dated 2/14/2024 did not include the time and how the parent was notified of the injury.”

8VAC20-780-140-A

“Repeat violation Based upon review of children's records, the facility has not ensured that each child's record includes documentation of a physical examination by or under the direction of a physician within 30 days prior to attending. Evidence: According to the record provided, child 1 began attending on 11/21/2022. The record did not include the results of a physical examination.”

8VAC20-780-60-A

“Repeat violation Based on review of children's records and staff interview, the facility has not ensured that children's records include information regarding parents/guardians and the first day of attendance. Evidence: 1. The record provided for child 2 included a temporary custody agreement that expired on 11/7/2022. There was no information regarding the mother, the father and current custody arrangements. 2. The record provided for child 2 did not include the required information regarding the father or custody documents. A father is identified on the birth certificate. 3. The record provided for child 2 did not include the child's first date of attendance. 4. Staff 1 acknowledged the missing information in the above listed children's records.”

8VAC20-780-130-A

“Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required immunizations. 2. The record provided for child 4, who began attending on 10/13/2023, did not include documentation of the required immunizations.”

8VAC20-780-510-E

“Based upon review of the medication stored for administration to children, the facility's procedures for administering medication do not include that there must be written parental permission for medication to be received for potential administration to children. Evidence: There was an albuterol inhaler stored for potential administration to child 1. There was on written parental authorization for the albuterol to be administered, if needed.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that each child's record includes the date the child began attending. Evidence: The record provided for child 2 did not include the child's first date of attending.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has the appropriate diaper disposal system that is either foot-operated or used in such a way that neither a staff members hands nor the soiled diaper touches the exterior of the disposal system during disposal. Evidence: The lid on the foot operated diaper disposal system in the girls' bathroom opens the lid only 1 inch which does not allow a diaper to be disposed without touching the exterior surface.”

8VAC20-780-140-A

“Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received a physical examination by or under the direction of a physician prior to or within 30 days after attending the center. Evidence: The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required physical examination..”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that staff records include all required information. Evidence: 1. The record provided for staff 2, who staff 1 stated is a program leader, did not include documentation to demonstrate that staff 2 possesses the education, certification or experience required by the position of program leader. 2. The record provided for staff 2 did not include the hire date or the job title. 3. The record provided for staff 2 did not include any references as to character, reputation and competency. 4. Staff 1 stated that staff 2 was hired on 10/20/2023. The record for staff 2 did not include documentation that staff 2 received the required new staff orientation training. Staff 1 and staff 4 verified that staff 2 had received the training.”

8VAC20-790-600-D-1

“Based upon review of staff records, the facility has not ensured that staff obtain current cardiopulmonary resuscitation (CPR) certification within 90 days of employ. Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in CPR.”

8VAC20-790-600-D-2

“Based upon review of staff records, the facility has not ensured that staff obtain current first aid certification within 90 days of employ. Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in first aid.”

8VAC20-780-130-A

“Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required immunizations. 2. The record provided for child 4, who began attending on 10/13/2023, did not include documentation of the required immunizations.”

8VAC20-780-510-E

“Based upon review of the medication stored for administration to children, the facility's procedures for administering medication do not include that there must be written parental permission for medication to be received for potential administration to children. Evidence: There was an albuterol inhaler stored for potential administration to child 1. There was on written parental authorization for the albuterol to be administered, if needed.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that each child's record includes the date the child began attending. Evidence: The record provided for child 2 did not include the child's first date of attending.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has the appropriate diaper disposal system that is either foot-operated or used in such a way that neither a staff members hands nor the soiled diaper touches the exterior of the disposal system during disposal. Evidence: The lid on the foot operated diaper disposal system in the girls' bathroom opens the lid only 1 inch which does not allow a diaper to be disposed without touching the exterior surface.”

8VAC20-780-140-A

“Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received a physical examination by or under the direction of a physician prior to or within 30 days after attending the center. Evidence: The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required physical examination..”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that staff records include all required information. Evidence: 1. The record provided for staff 2, who staff 1 stated is a program leader, did not include documentation to demonstrate that staff 2 possesses the education, certification or experience required by the position of program leader. 2. The record provided for staff 2 did not include the hire date or the job title. 3. The record provided for staff 2 did not include any references as to character, reputation and competency. 4. Staff 1 stated that staff 2 was hired on 10/20/2023. The record for staff 2 did not include documentation that staff 2 received the required new staff orientation training. Staff 1 and staff 4 verified that staff 2 had received the training.”

8VAC20-790-600-D-1

“Based upon review of staff records, the facility has not ensured that staff obtain current cardiopulmonary resuscitation (CPR) certification within 90 days of employ. Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in CPR.”

8VAC20-790-600-D-2

“Based upon review of staff records, the facility has not ensured that staff obtain current first aid certification within 90 days of employ. Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in first aid.”

8VAC20-780-340-F

“Based upon observation and staff interview, the facility has not ensured that children are always within actual sight and sound supervision. Evidence: 1. Following nap time, the three and four year old children were sent to the bathrooms behind the infant room. No staff person accompanied these children to the bathroom. Once notified by the inspector, staff 2 requested that staff 1 supervise the children using the bathrooms. 2. During nap time, two children were observed with their heads totally covered, once, by a blanket and a second by the hood on a coat. Staff 1 acknowledged that the children's heads were covered.”

8VAC20-780-40-M

“Based upon observation and staff interview, the facility has not ensured that they have maintained a current and dated list of all children's allergies, sensitivities and dietary restrictions. Evidence: 1. The current allergy/dietary restriction list provided was not dated. 2. The allergy/dietary restriction list provided indicated that child 1 and child 2 had food allergies, however these allergies were not diagnosed on the physician signed physical examination. 3. The allergy/dietary restriction list provided did not include a diagnosed food allergy documented on the physician signed physical examination. 4. Staff 1 acknowledged the missing and inaccurate documentation on the allergy list as noted above.”

8VAC20-780-450-A

“Based upon observation and staff interview, the facility has not ensured that during the designated rest period cots have linens consisting of a top cover and bottom cover. Evidence: 1. In the preschool nap room, a child was observed sleeping without a top and bottom cover. Another child had only a bottom linen and was using a coat as a cover. 2. Staff 1 acknowledged that these two children did not have the required top and bottom linen.”

8VAC20-780-440-B

“Based upon observation and staff interview, the facility has not ensured that cribs are identified for use by a specific child. Evidence: 1. A child was observed sleeping in a crib that was not identified for this child. 2. Staff 5 stated that the child just turned 12 months and was supposed to be sleeping on a cot. the child's name had been removed from the crib.”

8VAC20-780-340-F

“Based upon observation and staff interview, the facility has not ensured that children are always within actual sight and sound supervision. Evidence: 1. Following nap time, the three and four year old children were sent to the bathrooms behind the infant room. No staff person accompanied these children to the bathroom. Once notified by the inspector, staff 2 requested that staff 1 supervise the children using the bathrooms. 2. During nap time, two children were observed with their heads totally covered, once, by a blanket and a second by the hood on a coat. Staff 1 acknowledged that the children's heads were covered.”

8VAC20-780-40-M

“Based upon observation and staff interview, the facility has not ensured that they have maintained a current and dated list of all children's allergies, sensitivities and dietary restrictions. Evidence: 1. The current allergy/dietary restriction list provided was not dated. 2. The allergy/dietary restriction list provided indicated that child 1 and child 2 had food allergies, however these allergies were not diagnosed on the physician signed physical examination. 3. The allergy/dietary restriction list provided did not include a diagnosed food allergy documented on the physician signed physical examination. 4. Staff 1 acknowledged the missing and inaccurate documentation on the allergy list as noted above.”

8VAC20-780-450-A

“Based upon observation and staff interview, the facility has not ensured that during the designated rest period cots have linens consisting of a top cover and bottom cover. Evidence: 1. In the preschool nap room, a child was observed sleeping without a top and bottom cover. Another child had only a bottom linen and was using a coat as a cover. 2. Staff 1 acknowledged that these two children did not have the required top and bottom linen.”

8VAC20-780-440-B

“Based upon observation and staff interview, the facility has not ensured that cribs are identified for use by a specific child. Evidence: 1. A child was observed sleeping in a crib that was not identified for this child. 2. Staff 5 stated that the child just turned 12 months and was supposed to be sleeping on a cot. the child's name had been removed from the crib.”

8VAC20-780-245-L

“Based upon review of staff training records and staff interview, the facility has not ensured that there is always at least one staff member on duty who has obtained within the last three years, instruction in performing the daily health observation of children. Evidence: 1. The daily health screening training for those staff who have previously received instruction in performing the daily health observation of children has expired. 2. The program administrator confirmed that no staff have had training in the daily health observation of children within the past three years.”

8VAC20-780-245-L

“Based upon review of staff training records and staff interview, the facility has not ensured that there is always at least one staff member on duty who has obtained within the last three years, instruction in performing the daily health observation of children. Evidence: 1. The daily health screening training for those staff who have previously received instruction in performing the daily health observation of children has expired. 2. The program administrator confirmed that no staff have had training in the daily health observation of children within the past three years.”