KinderCare Learning Center at Diamond Springs

22VAC40-185-550-L · Based on interviews and a review of center documentation, it was determined that the center failed to ensure that parents were notified by the end of the day of any known injuries.

Evidence: 1. The parent of child 1 reported that her child sustained multiple scratches to his face on 5/7/21 while in care at the center. a. Child 1's parent stated that the child's grandmother picked the child up from the center on the day of the injury but that neither parent was notified of the child's injury by center staff. b. Child 1's parent stated that an injury report was also not provided to them until 5/17/21. 2. The injury report for child 1 documents that the child was injured on 5/7/21. The parent signed the injury report on 5/17/21. There was no documentation that the parent was notified on the same day the injury occurred. 3. Staff 2 confirmed that child 1's parent was not notified of his injury by the end of the day, as required by licensing standards. Staff 2 stated that the injury report for child 1 was completed at the time of the incident but center staff did not provide the report to the child's parent until 5/17/21.

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22VAC40-185-160-A · Based on record review and interview, the center did not ensure that each staff shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing.

Evidence: 1. Staff 1 has a hire date of 8/23/21. The most recent tuberculosis test or screening for staff 1 is dated 3/29/19. 2. The center director confirmed that the most recent tuberculosis test or screening on record for staff 1 is outdated.

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22.1-289.035-A · The center is required to have employees undergo a background check every five years. The most recent central registry check for staff 2 is overdue by two months.

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8VAC20-790-600-D-1 · All staff shall have current certification in cardiopulmonary resuscitation (CPR) approprate to the ages of children in care. Staff 1's CPR certification is overdue by three months.

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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 3 (enrolled for six months), child 4 (enrolled for over two years) and child 5 (enrolled for six months) did not have documentation of immunization records on file.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care and protection. On 1/23/25, child 1, age 3 years, told staff 1 multiple times during the afternoon hours that her arm was hurting. Staff 1 took no action to assess, treat or comfort the child nor did she inform center management that child 1 was complaining of arm pain. After picking her up from the center that evening, child 1?s parents took her for medical treatment and child 1 was diagnosed with a serious injury to her arm.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff 1, employed for one week, did not have documentation of requesting a central registry check or a sex offender registry check from the state she previously resided in. Staff 2, employed for a month and a half, did not have documentation of requesting a criminal history check, a central registry check or a sex offender registry check from the state she previously resided in.

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8VAC20-780-160-A · Repeat Violation

Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff 1 (date of employment: 1/23/24) contains a tuberculosis screening dated 2/21/24, which is after the date of employment. 2. Center management confirmed that the tuberculosis screening was completed after staff 1's first date of employment.

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22.1-289.035-A · Based on record review and interview, the center did not ensure that employees submit to a search of the central registry every five years from the date of the last search.

Evidence: 1. The record for staff 1 does not contain a current central registry search result. The last documented central registry search result for staff 1 was in 2017. Staff 1 was due for an updated search of the central registry in 2022. 2. The center director confirmed that the record for staff 1 is lacking documentation of a current search of the central registry.

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8VAC20-780-130-E · Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. The record for child #1 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 8/12/22. 2. The record for child #3 (under 2 y/o) did not contain documentation of updated immunizations. The last signed immunization record was dated 4/6/22. 3. Staff confirmed updated immunization records were not available during this inspection.

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8VAC20-790-600-F · Based on record review and interview it was determined the center did not ensure all staff who work directly with children annually complete the department's health and safety update course.

Evidence: 1. The staff records for staff #2 and staff #3 did not contain documentation of completing the department's health and safety update course. 2. Staff confirmed that this documentation was not available during this inspection.

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