The Kensington School Two

8VAC20-780-410-1 Complaint related: No

“Based on interviews and review of video footage, the center did not ensure actions or threats thereof are forbidden. 1. Video footage was reviewed of incidents that occurred on February 15, 2023, in classroom 12, of forbidden interactions of Staff #1 with Child #1. 2. There was an observation of Child #1 standing between the refrigerator and the wall swinging the refrigerator door back and forth. Staff #1 stood up, walked in the direction of Child #1, and proceeded to grab Child #1 by their torso lifting the child up off the ground. Staff #1 and Child #1 were facing each other, and the child’s legs were off the floor. 3. Staff #1 roughly grabbed Child# 1 by one forearm and walked the child across the back of the room seating the child forcefully into a chair in front of her and readjusted the child’s position multiple times by grabbing the child’s arms and legs. There were also observations of Staff #1 forcefully moving Child #1?s hand off her leg multiple times. 4. Interview with Staff #1 confirmed on February 15, 2023, there was an incident in Classroom 12 involving Child #1 at lunch after putting the lunch bags in the refrigerator. Child #1 remained standing between the wall and the refrigerator moving the door back and forth. Staff #1 stated ?I went over and moved him.? When asked to describe how Child #1 was moved, Staff#1 stated, ?I grabbed Child #1 by the arm.? 5. Interview with Staff #2 confirmed being present in classroom 12 during the incident on February 15, 2023. Staff #2 stated Staff #1 handled the situation with Child #1. Staff #2 reported Staff #1?s method of grabbing Child #1 by the arm was ?more aggressive?. 6. There was a review of video footage of a separate incident at naptime on February 15, 2023, in which Child #1 was observed walking around between tables. Child #1 was at one end of a rectangular table and Staff #1 was at the opposite end of the table. Staff #1 grabbed Child #1 by one arm and roughly pulled Child #1 across the top of the table towards the staff member.”

8VAC20-780-400-A Complaint related: No

“Based on video footage, and interviews, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 was observed on video footage, in two separate incidents on February 15, 2023, using physical methods considered to be forbidden actions, to manage the behavior of Child #1 transitioning from lunch and then again during naptime. 2. Staff #1?s interactions with Child #1 were not constructive in nature and was not intended to redirect the child to appropriate behavior. 3.Interviews with Staff #1, Staff #2, Staff #3, and Staff #4 confirmed the actions displayed by Staff #1 towards Child #1 on February 15, 2023 in Classroom 12 as reviewed on videos.”

8VAC20-790-600-D-1

“Based on staff record and interview, the center did not ensure all staff who work directly with children have current certification in cardiopulmonary resuscitation. Evidence: In Staff#6's record (date of hire: 5/25/22) did not have current CPR certificate available for review. Interview with staff confirmed CPR certification was not available during the inspection.”

8VAC20-790-600-D-2

“Based on review of staff record and interview, the center did not ensure all staff have a current certification in first aid appropriate to the ages of children in care. Evidence: In Staff#6's record (date of hire 5/25/22), there was not a current first aid certificate available for review. Interview with staff confirmed a current certificate for first aid was not available during the inspection.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure all children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: During the inspection on February 21, 2023, there was observation in classroom 7 of diapering of Child#2 by Staff#5 and Child#2 hands were not washed after diapering.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and review of video footage, the center did not ensure actions or threats thereof are forbidden. 1. Video footage was reviewed of incidents that occurred on February 15, 2023, in classroom 12, of forbidden interactions of Staff #1 with Child #1. 2. There was an observation of Child #1 standing between the refrigerator and the wall swinging the refrigerator door back and forth. Staff #1 stood up, walked in the direction of Child #1, and proceeded to grab Child #1 by their torso lifting the child up off the ground. Staff #1 and Child #1 were facing each other, and the child’s legs were off the floor. 3. Staff #1 roughly grabbed Child# 1 by one forearm and walked the child across the back of the room seating the child forcefully into a chair in front of her and readjusted the child’s position multiple times by grabbing the child’s arms and legs. There were also observations of Staff #1 forcefully moving Child #1?s hand off her leg multiple times. 4. Interview with Staff #1 confirmed on February 15, 2023, there was an incident in Classroom 12 involving Child #1 at lunch after putting the lunch bags in the refrigerator. Child #1 remained standing between the wall and the refrigerator moving the door back and forth. Staff #1 stated ?I went over and moved him.? When asked to describe how Child #1 was moved, Staff#1 stated, ?I grabbed Child #1 by the arm.? 5. Interview with Staff #2 confirmed being present in classroom 12 during the incident on February 15, 2023. Staff #2 stated Staff #1 handled the situation with Child #1. Staff #2 reported Staff #1?s method of grabbing Child #1 by the arm was ?more aggressive?. 6. There was a review of video footage of a separate incident at naptime on February 15, 2023, in which Child #1 was observed walking around between tables. Child #1 was at one end of a rectangular table and Staff #1 was at the opposite end of the table. Staff #1 grabbed Child #1 by one arm and roughly pulled Child #1 across the top of the table towards the staff member.”

8VAC20-780-400-A Complaint related: No

“Based on video footage, and interviews, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 was observed on video footage, in two separate incidents on February 15, 2023, using physical methods considered to be forbidden actions, to manage the behavior of Child #1 transitioning from lunch and then again during naptime. 2. Staff #1?s interactions with Child #1 were not constructive in nature and was not intended to redirect the child to appropriate behavior. 3.Interviews with Staff #1, Staff #2, Staff #3, and Staff #4 confirmed the actions displayed by Staff #1 towards Child #1 on February 15, 2023 in Classroom 12 as reviewed on videos.”

8VAC20-790-600-D-1

“Based on staff record and interview, the center did not ensure all staff who work directly with children have current certification in cardiopulmonary resuscitation. Evidence: In Staff#6's record (date of hire: 5/25/22) did not have current CPR certificate available for review. Interview with staff confirmed CPR certification was not available during the inspection.”

8VAC20-790-600-D-2

“Based on review of staff record and interview, the center did not ensure all staff have a current certification in first aid appropriate to the ages of children in care. Evidence: In Staff#6's record (date of hire 5/25/22), there was not a current first aid certificate available for review. Interview with staff confirmed a current certificate for first aid was not available during the inspection.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure all children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: During the inspection on February 21, 2023, there was observation in classroom 7 of diapering of Child#2 by Staff#5 and Child#2 hands were not washed after diapering.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and review of video footage, the center did not ensure actions or threats thereof are forbidden. 1. Video footage was reviewed of incidents that occurred on February 15, 2023, in classroom 12, of forbidden interactions of Staff #1 with Child #1. 2. There was an observation of Child #1 standing between the refrigerator and the wall swinging the refrigerator door back and forth. Staff #1 stood up, walked in the direction of Child #1, and proceeded to grab Child #1 by their torso lifting the child up off the ground. Staff #1 and Child #1 were facing each other, and the child’s legs were off the floor. 3. Staff #1 roughly grabbed Child# 1 by one forearm and walked the child across the back of the room seating the child forcefully into a chair in front of her and readjusted the child’s position multiple times by grabbing the child’s arms and legs. There were also observations of Staff #1 forcefully moving Child #1?s hand off her leg multiple times. 4. Interview with Staff #1 confirmed on February 15, 2023, there was an incident in Classroom 12 involving Child #1 at lunch after putting the lunch bags in the refrigerator. Child #1 remained standing between the wall and the refrigerator moving the door back and forth. Staff #1 stated ?I went over and moved him.? When asked to describe how Child #1 was moved, Staff#1 stated, ?I grabbed Child #1 by the arm.? 5. Interview with Staff #2 confirmed being present in classroom 12 during the incident on February 15, 2023. Staff #2 stated Staff #1 handled the situation with Child #1. Staff #2 reported Staff #1?s method of grabbing Child #1 by the arm was ?more aggressive?. 6. There was a review of video footage of a separate incident at naptime on February 15, 2023, in which Child #1 was observed walking around between tables. Child #1 was at one end of a rectangular table and Staff #1 was at the opposite end of the table. Staff #1 grabbed Child #1 by one arm and roughly pulled Child #1 across the top of the table towards the staff member.”

8VAC20-780-400-A Complaint related: No

“Based on video footage, and interviews, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 was observed on video footage, in two separate incidents on February 15, 2023, using physical methods considered to be forbidden actions, to manage the behavior of Child #1 transitioning from lunch and then again during naptime. 2. Staff #1?s interactions with Child #1 were not constructive in nature and was not intended to redirect the child to appropriate behavior. 3.Interviews with Staff #1, Staff #2, Staff #3, and Staff #4 confirmed the actions displayed by Staff #1 towards Child #1 on February 15, 2023 in Classroom 12 as reviewed on videos.”

8VAC20-790-600-D-1

“Based on staff record and interview, the center did not ensure all staff who work directly with children have current certification in cardiopulmonary resuscitation. Evidence: In Staff#6's record (date of hire: 5/25/22) did not have current CPR certificate available for review. Interview with staff confirmed CPR certification was not available during the inspection.”

8VAC20-790-600-D-2

“Based on review of staff record and interview, the center did not ensure all staff have a current certification in first aid appropriate to the ages of children in care. Evidence: In Staff#6's record (date of hire 5/25/22), there was not a current first aid certificate available for review. Interview with staff confirmed a current certificate for first aid was not available during the inspection.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure all children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: During the inspection on February 21, 2023, there was observation in classroom 7 of diapering of Child#2 by Staff#5 and Child#2 hands were not washed after diapering.”

8VAC20-780-160-A-2

“Based on review of staff records and interview, the center did not ensure documentation for Tuberculosis (TB) screening was completed within the last 30 calendar days of employment. Evidence: In Staff#2's record (date of hire 4/11/22), the TB screening reviewed was dated 09/28/21. Interview with staff confirmed the most recent documentation available for review during this inspection.”

8VAC20-780-160-A-1

“Based on review of staff records and interview, the center did not ensure documentation of the tuberculosis screening was submitted at the time time of employment and prior to coming into contact with children. Evidence: In Staff#3's record (date of hire: 4/11/22), the tuberculosis screening reviewed was dated 4/22/2022. Interview with staff confirmed the TB documentation available for review during this inspection.”

8VAC20-780-140-A

“Based on review of children's record, the center did not ensure to obtain documentation of a physical examination within 30 days after the first day of attendance for all children. Evidence: In Child#4's record (start date 11/15/21), there was no physical examination documentation available for review during the inspection.”