Haygood KinderCare #300940

8VAC20-780-400-A · Based on interview and documentation review it was determined the center did not ensure that staff interacted with children in a manner that promotes the child's physical, intellectual, emotional, and social well-being and growth.

Evidence: 1. Eight of the ten staff interviewed reported that staff #10?s voice tone is loud and aggressive. 2. Management reported that voice tone has been an area that they have been working with staff #10 on. 3. In the record for staff #10 there was a staff coaching form dated 8/23/23 completed by management regarding a parent complaint about staff #10?s voice tone. 4. Staff #10 stated that ?the way I sound, tone and how I present myself comes across as being overly aggressive?.

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8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening. Staff 2's updated TB screening was due two months ago and was not available for review during the inspection.

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8VAC20-780-130-E · Repeat Violation

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for child 1, who is under the age of 2 years and has been attending the center for over a year, does not contain documenation of additional immunizations.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for child 1, who is under the age of two years and has been attending the center for 11 months, does not contain documenation of additional immunizations.

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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.

Child 1, who had been in attendance for two days, did not have documentation of an immunization record on file.

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8VAC20-780-550-P · The center shall maintain a written record of children?s serious and minor injuries which shall contain all required information, to include how the parent was notified, time the parent was notified and future action to prevent recurrence of the injury. Twenty-six out of thirty-five injury reports reviewed did not include all the required information.

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22.1-289.035-B-4 · Based on record review and interview, the center did not ensure that the results of a criminal history record information check is obtained from any state in which the individual has resided in the preceding five years.

Evidence: 1. Staff 1 has a hire date of 8/23/23. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Alabama within the past five years. The results of a criminal history record information check from the state of Alabama was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Alabama has not been completed.

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8VAC20-780-60-A · Based on record review and interview, the center did not ensure that children's records contain all the required information.

Evidence: 1. The record for child 1 (date of enrollment: 6/26/23) contains only one name, address and phone number of a person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.

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8VAC20-780-270-A · Based upon observation, the facility has not ensured that outside areas of the center are maintained to be safe.

Evidence: There is poison ivy growing on the fence in the back corner of the toddler playground in an area accessible to the children.

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22.1-289.035-B-4 · Based on record review and interview, the center did not ensure that the results of a criminal history record information check is obtained from any state in which the individual has resided in the preceding five years.

Evidence: 1. Staff 1 has a hire date of 12/28/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check from the state of Texas was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Texas has not been completed.

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8VAC20-780-40-E · Based on interviews and a review of the center?s policies, the center failed to ensure that the operational responsibilities of the licensee shall ensure that the center?s services are maintained in compliance with the center?s own policies and procedures that are required by these standards.

Evidence: The center failed to follow their written policy for Guidance, Protection of and Respect for Children as demonstrated by the following incidents: 1. The center?s policy for unacceptable child guidance states ?Employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures when caring for children on behalf of the Company?Any kind of physical discipline or corporal punishment, including but not limited to hitting, pinching, pushing, biting or grabbing a child is unacceptable?. a. It was reported that on 11/18/22, child 1 was ?slapped? on his face by staff 1, resulting in a red mark in the shape of a handprint to his left cheek. b. Center management confirmed that staff 1 did not follow the center?s policy on unacceptable child guidance. 2. The center?s policy for requirement to report states ?All employees are expected to protect children by observing each other and their surroundings and reporting any concerning actions or unsafe conditions. Any time an employee feels uncomfortable about a situation or the behavior of another employee, a manager must be notified. If an employee is not comfortable reporting concerns to their manager, they should call the Employee Hotline. In addition to adhering to Company policies, all employees in a child care environment are mandated reporters by law. Each employee is legally required to report suspicions of child abuse or neglect to the appropriate regulatory agency. Employees are expected to monitor their own behavior and the behavior of others and must report any suspicion of abuse, including physical discipline, corporal treatment, inadequate supervision, verbal or emotional abuse, sexual misconduct, or acts of child endangerment?. a. Multiple staff reported witnessing past incidents of staff 1 utilizing unacceptable child guidance techniques in the classroom, such as dragging, throwing, pulling and yelling at children in the classroom or having concerns regarding staff 1?s behavior in the classroom and not reporting the incidents or concerns to center management or the appropriate regulatory agency. b. Center management confirmed that center staff did not follow the center?s policy for reporting suspected incidents of physical discipline or corporal punishment in the classroom.

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