Midlothian Kids Academy

22VAC40-185-400-B · Based on review of a video recording and staff interviews, the facility failed to ensure that all behavioral guidance is constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: on September 9, 2021, a video of Room 250 starts with 2 year old Child 1 seen sitting on the floor crying. Several other children are seated at the table having water play. Child 1 gets up from the floor and approaches a child sitting in a chair at the table. Staff 1 uses her arm to move Child 1 away from the seated child. A few seconds later, Child 1, still crying, approaches the seated child again, pulling on the other child?s shirt. Staff 2 again uses her arm to move Child 1 away from the seated child, taking no other action to try to redirect the child?s behavior, and instead just continues with the water play activity with the other children. Child 1 sits on the floor crying without receiving behavioral guidance to redirect her behavior.

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8VAC20-780-550-P · The center shall maintain a written record of children's serious and minor injuries in which entries are made on the day of occurrence. The record shall include the date and time when parents were notified. Eight injury reports were reviewed during the inspection. Seven of the eight injury reports did not include the time when the parents were notified.

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8VAC20-780-160-A · Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis (TB) screening. The documentation for the screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #4 did not contain documentation of a negative TB screening. Staff #4 has been employed for 10 days, supervising children.

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22.1-289.035-A · No child day center, shall hire for compensated employment, continue to employ, or permit to serve as a volunteer who will be alone with, in control of, or supervising children any person who (i) has been convicted of any barrier crime as defined in ? 19.2-392.02 or (ii) is the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. The record for Staff #8 contained a national background check that indicated the staff is not eligible for employment. Staff #8 had been working in the center with children for seven days.

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8VAC20-780-160-A · Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, and shall have been completed within the last 30 days of the date beginning employment. The screening for Staff #7 was completed two days after hire.

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8VAC20-780-40-G · Based on review of a child?s record and interview, the center did not ensure that the person enrolling the child presented proof of the child?s identity and age as required.

Evidence: The record of C1, date of enrollment 7/24/23 contained a ?Proof of Identification? form. Center staff did not verify, sign, or date the form to document that the child?s age and identity had been verified. The director acknowledged that the form was incomplete.

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8VAC20-780-130-A · Based on the review of one child?s record (C1), and interviews with staff members (S2 and S3), the agency failed to obtain immunizations for a child as required.

Evidence: The first day of attendance for C1 was 9/11/23. The immunizations in the record for C1 were dated 10/27/23. In exit interviews on 6/04/24, S2 and S3 acknowledged that the immunizations in the record for C1 were not received before the child started attending the center.

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8VAC20-780-70 · Based on interview and record review, the center failed to keep staff records as required.

Evidence: In an interview, S2 reported that she was promoted from an aide to a teacher in February of 2024. The record of S2 does not document 24 hours of training related to the care of children between August of 2023 and March 2024 as required. There was documentation of one hour of training on 8/17/23 and documentation of 2 hours of training on 9/25/23. S3 stated that they provide training every month and that they will gather the documentation for the file.

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8VAC20-780-80-B-2 · Based on the review of a child's record (Child #1) and an interview with a center representative (CR #1), the agency failed to inform the department's representative within 2 business days of the injury to the child that required outside medical attention.

Evidence: In an interview on 4/15/24, CR #1 confirmed that Child #1 needed outside medical treatment for the injury received on 4/02/24. In an exit interview on 4/15/24, CR #1 acknowledged that the department's representative was not notified.

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8VAC20-780-130-A · Based on review of ten children?s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 3 (date of enrollment 9/26/2022) did not have documentation of an immunization record.

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8VAC20-780-280-B · Based on observation, the center failed to ensure hazardous substances such as

cleaning material, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of home defense insect killer was observed being used to prop the center director?s office door open. 2. During the inspection a child was observed in the center director?s office.

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8VAC20-790-600-F · Based on review of staff records, the vendor did not ensure that each staff

complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department. Evidence: The record for Staff #1 (date of hire: 5/25/2022) contained documentation of the Virginia Annual Health and Safety Update Course dated 5/25/2022.

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22.1-289.035-B-4 · Based on record review and interview, the center failed to obtain a child abuse and neglect search from any state in which the individual has resided in the preceding five years.

Evidence: 1.The record for Staff #7 (date of hire: 3/6/23) documented a sworn disclosure statement, indicating having resided outside of the state of Virginia within the preceding five years. 2.There was not an out of state child abuse and neglect search documented in the record for Staff #7 and no additional information was provided. 3. During an interview, with the center director, it was acknowledged that the record did not document the search results for Staff #7.

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