KinderCare Learning Centers at Burke Lake Road #805

8VAC20-780-270-A · Based on observation, outside equipment was not maintained in a clean, safe and operable condition. Evidence: 1 tricycle was missing a foot pedal.

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63.2-1509-A · Based on interview and written statements, the suspected abuse of children was not reported immediately to a local department.

Evidence: 1. Staff #3 stated that they observed Staff #1 ?forcefully and harshly feeding a baby? and ?witnessed [staff #1] slapping and pinching a few children? on 9/13/2023. Staff #3 stated that they witnessed staff #1 slap child #1 on the face during a diaper change? leaving a ?four finger red mark? and ?pushing a milk straw into [child #1?s] mouth forcing [the child] to drink?. Staff #3 stated that they witnessed staff #1 ?twist? child #2 and child #3?s ear. Staff #3 informed staff #2 of their observations on 9/14/2023. In a written statement, staff #3 stated that ?there have been several earlier instances that appeared to be part of a persistent pattern of behavior.? 2. Staff #2 stated that the center initiated an internal investigation on 9/14/2023. 3. Staff #4 stated that [staff #1] ?gets frustrated when [the babies] cry? and that they witnessed staff #1 ?shake? child #1 making the child ?cry more?. 4. Staff #5 stated that sometimes ?[staff #1] hits babies on the arm if they drop their water bottles? and that ?staff #1 hit child #3?s hand after dropping a water cup? causing child #3 to cry. 5. Staff #6 wrote in a statement that they witnessed staff #1 ?hit a child who was walking away on the head/back? and ?angerly hit a child with a blanket? who was not listening. 6. Staff #3, staff #4, staff #5 and staff #6 did not immediately report their observations of abuse to a local department. 7. Staff #2 did not report the suspected abuse of children to a local department until 9/21/2023.

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22.1-289.035-A · Based on record review and interview, employees did not complete subsequent background checks every five years.

Evidence: Staff #6's fingerprint background check is dated 5/21/2018. The program director confirmed that the staff person had not yet obtained a repeat fingerprint background check.

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8VAC20-790-600-D-2 · Based on record review, each staff does not have current first aid certification within the first 90 days of employment.

Evidence: Staff #7 (date of hire: 2/7/2023) does not have current first aid certification.

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8VAC20-780-60-A-8 · Based on interview, the center has not obtained a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: Child #3's physical exam documents a diagnosed food allergy. The program director confirmed that they have not obtained an allergy care plan for the child.

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8VAC20-790-600-D-1 · Based on record review and interview, all staff do not have current certification in cardiopulmonary resuscitation (CPR) within the first 90 days of employment.

Evidence: Staff #3 (date of hire: 11/15/2021) does not have a current CPR certification. The program director confirmed that this staff person has not yet completed their certification.

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8VAC20-780-510-G · Based on observation, medication was not labeled with a child's name.

Evidence: Child #7 has emergency medication kept on site. One of the two medications for Child #7 was not labeled with the child's name.

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