Kindercare Education-Kempsville #1331

8VAC20-780-60-A · The center is required to maintain documentation that demonstrates that staff have the education, certification, and/or experience required by the job position. Staff B who was listed in the record as a program leader did not have any documentation that she met the qualifications required by the position.

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8VAC20-780-245-A · Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #1 and #2 did not have documentation of having at least 16 hours of annual training for 2025.

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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 has completed the required training for that specific emergency medication. The center agreed to administer an emergency seizure medication for Child #1, which required rectal administration. There were no staff in the building that had the MAT rectal training required to administer the seizure medication in the event the child needed it.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance.

On 01/24/2025 Staff A administered an undetermined amount of medication to 3-year-old child #2 that was provided to the center and intended for 5 year-old child #1.The center reported the child's mother verbally told staff A the bottle contained a prescription medication. Staff A accepted this medication in an unlabeled amber bottle, not in its original packaging and without the parent's signature on the medication authorization form. Staff A did not review the medication authorization form prior to giving child #2 the medication. The center was unable to provide the dosage amount that was given to the child.

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8VAC20-780-280-B · Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

The supply cabinet containing various cleaning products and disinfectant sprays was unlocked in the 3 year-old room.

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8VAC20-780-500-A · Based on observation the center did not ensure all requirements for handwashing were met.

Evidence: A staff in the 2 year-old room was observed completing a diaper change. Staff did not wash the hands of the child after the diaper change, nor did she wash her own. The staff had the same pair of gloves on as she proceeded to change another child's diaper.

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8VAC20-780-410-1 · Based on interviews and a record review the center did not ensure forbidden actions such as physical punishment, striking a child or roughly handling was not used

Evidence:. 1. On 04/18/2024, Staff #1 pinched 3 year-old child #1's ear causing it to look visibly red. On the same day Staff #1 also pushed Child #2's face down resulting in the child falling back onto his cot and crying. Staff #1 proceeded to throw a blanket at the child and walk away for "not listening." a. Staff reported hearing staff #1 yell "lay down" and then witnessed Staff #1 push child #2 in the face "so hard that the child fell back on his cot." b. Multiple staff witnessed child #2 crying. Staff reported when they asked the child why he was crying he pointed to and verbally said because of Staff #1. c. Staff reported child #1 told her that staff #1 pinched his ear. Staff reported child #1's ear was visibly red after the incident. The director confirmed the child's ear was red.

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8VAC20-780-270-A · Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition.

Evidence: In the twos bathroom the coating of 2 toilet seats were peeling. A third toilet had a cover that did not fit the tank. It was too big and unstable and was observed duct taped to the tank.

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8VAC20-780-160-C · Based on a record review the center did not have documentation that all staff had a repeat tuberculosis screening at least 2 years from the date of the first initial screening.

Evidence: 1. The last tuberculosis screening for staff #1 was dated 02/21/2021. 2. The last tuberculosis screening for staff #2 was dated 09/02/2021. 3. The last tuberculosis screening for staff #3 was dated 04/16/2019.

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8VAC20-780-340-F · Based on interviews and a record review the center did not ensure all children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence: On 05/24/2023 at approximately 3:00pm six children, ranging in age from 5 - 9 years-old were not in sight and supervision on the center's van for an unspecified amount of time, when Staff #1 parked in front of a convenience store and left the children in the vehicle. Staff #1 confirmed leaving the children out of sight and sound supervision in a written statement.

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8VAC20-780-410-1 · Based on interviews and a record review the center did not ensure physical punishment was not used.

Evidence: On 05/01/2023 at approximately 3:0pm, Staff #1 used her finger to pluck a 2 year-old child in the forehead for not following directions.

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