KinderCare Learning Centers - Skipwith

8VAC20-780-245-J-3 · Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements.

Child #1, age 2, has an emergency medication and current authorizations on site. The center did not have staff trained to administer the emergency medication.

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8VAC20-780-140-A · REPEAT VIOLATION

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #6, who had been enrolled for two months and Child #7, who had been enrolled for eight months.

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8VAC20-780-340-A · COMPLAINT RELATED

When staff are supervising children, they shall always ensure their care, protection, and guidance. On 9/12/2025, Staff #1 used their hand to forcefully push Child #1, age 4, to the ground. Witnesses stated that the child was visibly upset during the interaction and said that the push hurt.

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8VAC20-780-140-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There were no physical examinations in the records of child #1, who had been enrolled for three months, child #2 who had been enrolled for over one month, child #7 who had been enrolled for over one month, and child #8 who had been enrolled for three months.

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8VAC20-780-40-M · The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

The record of child #2 contained enrollment paperwork that indicated a dietary restriction. The center updated the required list approximately one month after the child's first date of attendance.

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8VAC20-780-270-A · COMPLAINT RELATED

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On 6/11/2025, poison ivy plants were identified along the edge of the fence within a preschool playground.

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22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Employee #2's national criminal background check was completed 3 days after the start of employment.

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8VAC20-780-520-A · Based on observation and interview, the center did not ensure that over-the counter skin products were not kept or used beyond the expiration date of the product.

Evidence: 1. Expired diaper ointment for an enrolled child was observed under the diaper changing station. The ointment expired in July of 2024. 2. Administration acknowledged that the ointment was expired.

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8VAC20-780-80-B · Based on a review of documentation and interview, the center did not ensure to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

Evidence: 1. Child #1 (date of attendance: 2/5/2024) sustained an injury on 6/6/2024 that required outside medical attention. In interview, staff stated that they were made aware on 6/6/2024 that the child received medical care. 2. The department did not receive notification from the center within the two business days. 3. Administration acknowledged that the required notification to the department's representative was not made.

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8VAC20-790-600-F · Based on a review of eight staff records and interview, the vendor did not ensure that one staff annually completed the department's health and safety update course as required.

Evidence: 1, The record of staff #6 (date of employment: 5/30/2022) contained an annual health and safety update certificate dated 6/16/2022. The record did not contain a 2023 certificate. 2. The vendor acknowledged that staff #6 had not completed the 2023 update.

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8VAC20-780-140-A · Based on a review of eight child records and interview, the center did not ensure that one child had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance.

Evidence: 1. The record of child #3 (date of enrollment: 1/8/2024) did not contain a physical. 2. Administration acknowledged that the physical record had not been obtained.

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8VAC20-780-530-A-1 · Based on a review of 6 staff records and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

Evidence: 1. The record of staff #4 (date of employment: 1/22/2022) contained a current CPR certification that was obtained online. The certification did not include the required in-person competency demonstration. Staff #4 was observed supervising a group of children in a classroom independently. 2. Administration acknowledged that staff #4's certification did not meet the requirements.

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