Kings Kids Child Care

8VAC20-780-140-A · Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.

Child 2 began attending on year ago. The record provided did not include the results of a physical examination.

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8VAC20-780-70 · Repeat violation

Staff records shall include all required documentation. The record for staff 1 did not include the date of employ or the job title.

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8VAC20-780-340-A · Repeat Violation

When staff are supervising children, they shall always ensure their care, protection, and guidance. On 11/24/2025, staff did not ensure that care and protection of children when child 1 sustained an injury to the lip. Staff 1 and 3 confirmed the child's injury however were unaware how the injury occurred and failed to follow up with investigation and/or reporting.

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8VAC20-770-60-B · An employee of a licensed child day program must not be employed until the facility has the person's completed sworn statement or affirmation.

Staff 2 was employed for ten days before the facility obtained a completed and signed sworn statement.

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8VAC20-780-60-A · Repeat violation

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the names, addresses and telephone numbers of each parent and the names, addresses and telephone numbers of two persons to be contact in an emergency when a parent cannot be reached. The record provided for child 3 did not contain the name, address and telephone number of one parent. The record provided for child 4 contained only one emergency contact person.

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8VAC20-780-130-A · Repeat Violation

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 record provided for child 3, in care for one month, did not include documentation of immunizations.

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8VAC20-780-50-A · Based upon review of documentation, parent interview and staff interview, the facility has not ensured that children's records are treated confidentially.

Evidence: 1. Behavior records reviewed in the record of child 1 included the names of other children involved. 2. Parent interview revealed that written behavior records given to the parent included the names of other children involved. 3, Staff 1 acknowledged that behavior records provided to parents included the first names of other children involved.

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8VAC20-780-140-A · Repeat violation

Based upon review of children's records, the facility has not ensured that each child's record includes documentation of a physical examination by or under the direction of a physician within 30 days prior to attending. Evidence: According to the record provided, child 1 began attending on 11/21/2022. The record did not include the results of a physical examination.

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8VAC20-780-130-A · Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: 1. The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required immunizations. 2. The record provided for child 4, who began attending on 10/13/2023, did not include documentation of the required immunizations.

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8VAC20-790-600-D-1 · Based upon review of staff records, the facility has not ensured that staff obtain current cardiopulmonary resuscitation (CPR) certification within 90 days of employ.

Evidence: The record provided for staff 3 indicated a hire date of 10/21/2021. Staff 2 does not have current certification in CPR.

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8VAC20-780-40-M · Based upon observation and staff interview, the facility has not ensured that they have maintained a current and dated list of all children's allergies, sensitivities and dietary restrictions.

Evidence: 1. The current allergy/dietary restriction list provided was not dated. 2. The allergy/dietary restriction list provided indicated that child 1 and child 2 had food allergies, however these allergies were not diagnosed on the physician signed physical examination. 3. The allergy/dietary restriction list provided did not include a diagnosed food allergy documented on the physician signed physical examination. 4. Staff 1 acknowledged the missing and inaccurate documentation on the allergy list as noted above.

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8VAC20-780-245-L · Based upon review of staff training records and staff interview, the facility has not ensured that there is always at least one staff member on duty who has obtained within the last three years, instruction in performing the daily health observation of children.

Evidence: 1. The daily health screening training for those staff who have previously received instruction in performing the daily health observation of children has expired. 2. The program administrator confirmed that no staff have had training in the daily health observation of children within the past three years.

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