KinderCare Learning Center #301094

8VAC20-780-40-E · The center?s operational responsibilities include ensuring the center?s activities, services, and facilities are maintained in compliance with the standards, and the center?s own policies and procedures required by these standards.

The center?s procedures for action in case of ill or injured children and medical emergencies states: ?In the event of a serious accident or illness, an ambulance will be called?. On 4/9/2025, Child #1 was observed to be ?pale, lethargic?, with ?blue lips?. Child #1?s parents requested the center call 911 after learning of Child #1?s symptoms. The center denied the parent?s request to call 911.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunizations in the record for Child #1 were dated three days after the child's first day.

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8VAC20-780-550-P · Centers are required to maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and contain all required information. 6 of 10 injury reports reviewed did not contain documentation of the date and time when parents were notified. 1 injury report did not contain staff and parent signatures or two staff signatures- the report only contained one staff signature.

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8VAC20-790-540-B-3 · Centers are required to document the name, address, and telephone number for each custodial parent's place of employment or school attendance. The records for Child #2, 3, 4, 5, 6, and 7 did not contain documentation of the address of one parent's place of employment.

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8VAC20-780-80-B-2 · Based on documentation review and interview, the center did not inform the department's representative as soon as practicable, but not to exceed two business days, of an injury to a child that occurred while in the child was under supervision of the center and required medical attention.

Evidence: 1.According to an Incident/Accident Report dated 11/20/2023, Child #11 was hit on the back and middle of their head with a toy by another student causing it to bleed. Child #11 was taken to the doctor's by the parent as a precaution and returned to the center in an hour. 2. Staff #6 confirmed that they did not contact the department's representative regarding the incident.

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8VAC20-780-500-A · Based on observation, children's hands were not washed with soap and running water after toileting.

Evidence: 1. In the preschool classroom (3 year old classroom), one child was observed not washing their hands with soap and running water after toileting.

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22.1-289-036-B-4 · Based on record review, the child day center did not obtain a copy of the results of an out of state child abuse and neglect registry for an agent that has lived outside the state in the preceding years.

Evidence: 1. Agent #1 has lived in the state of Maryland in the preceding five years. A copy of the results an out of state Child Abuse and Neglect search was not available at the time of the inspection. 2. An out of state Child Abuse and Neglect search was sent out for Agent #1 on December 6, 2022.

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8VAC20-780-400-B · Behavioral guidance was not constructive in nature, age, and stage appropriate, and was not intended to redirect children to appropriate behavior and resolve conflicts.

Evidence: 1. At approximately 11:30am in the Toddler classroom, a group of ten toddlers were sitting at the table waiting for lunch to be served. Child #1 (18 months old) was observed repeatedly taking their bib off. Staff #1 was observed by Staff #2 and Staff #3 placing their hand on Child #1's right cheek and moving their face to the front position to face forward. 2. Staff #1 stated " I was trying to move [them] around. I moved [their] head with my hand, but not in a harsh way." 3. Staff #2 and Staff #3 stated that Child #1 did not cry after Staff #1 moved Child #1's face to the front position to face forward.

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8VAC20-780-130-E · Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. Child #5's record (Start date-1-20-22) did not contain additional immunizations once every six months. The last immunization record was dated 12/16/21.

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