KinderCare Learning Center - Parham

8VAC20-780-260-B

After the first license, annual approval from the health department shall be provided, or approvals of a

8VAC20-780-70

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been actively working at the center for the past 4 months, did not have any completed reference verifications on file.

8VAC20-780-240-B

Staff shall complete orientation training that includes all of the required topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #3 completed orientation training more than 3 months after her start date.

8VAC20-780-270-A

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The vents in the ceiling panels throughout the center were observed to be dirty, caked with dust and lint.

8VAC20-780-280-B

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. On 6/27/25, Staff #2 and Parent #1 witnessed Child #2 (age 2 years) scribbling on the floor with a marker. They then witnessed Staff #5 make Child #2 clean up the marker with Lysol spray and paper towels.

8VAC20-780-410-1

Physical punishment and striking a child are forbidden actions. On 6/27/25, Child #2 (age 2 years) scribbled on the floor with a marker. Staff #2 and Parent #1 witnessed Staff #5 spank Child #2 before making Child #2 clean up the marker with Lysol spray and paper towels. Staff #5 then spanked Child #2 again.

8VAC20-780-400-B

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 6/27/25 Child #2 (age 2 years) scribbled on the floor with a marker. Staff #2 and Parent #1 witnessed Staff #5 spank Child #2 before making Child #2 clean up the marker with Lysol spray and paper towels. Staff #5 then spanked Child #2 again. The response of Staff #5 was not constructive or age and stage appropriate.

8VAC20-780-350-B-3

(Repeat/Systemic Violation) The required ratio for children age 2 years is one staff per eight children. The Child Supervision Record for Classroom #3 documents Staff #2 as being present from 10:00 a.m.-6:30 p.m. along with Staff #5. Staff #2 was also documented as being in Classroom #2 from 7:00 a.m.-1:48 p.m. and 2:36 p.m.-6:45 p.m. When the Child Supervision Record for Classroom #3 was reviewed with Staff #2, she saw that her name and initials were on the form but stated that it wasn't her handwriting. Staff #2 could not be in two classrooms at the same time, the CSR for Classroom #3 documents that at 10:15 a.m. there were 15 children with Staff #5. At 12:30 p.m. there were 16 children with Staff #5 and at 4:00 p.m. there were 14 children with Staff #5.

8VAC20-780-40-E

(Repeat/Systemic Violation) The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards. 1) The Center?s ?Behavior Guidance Plan For Parents? states that ?We will offer alternatives to children engaged in undesirable behavior by offering a different toy, suggesting a new activity, engaging the child in an activity with a teacher or another child, or by suggesting independent play? and that ?the teacher helps the child to understand the logical consequences of his/her actions by removing an object, activity etc. that is causing the problem.? The ?Behavior Guidance Plan For Parents? also prohibits corporal punishment. On 6/27/25, Child #2 scribbled on the floor with a marker. Staff #2 and Parent #1 witnessed Staff #5 spank Child #2 before making Child #2 clean up the marker with Lysol spray and paper towels. Staff #5 then spanked Child #2 again. 2) The Center?s ?Child Supervision Record, Quick Guide? requires staff to ?Write the exact times for arrive (sic) and departure.? The Child Supervision Record for Classroom #2 dated 6/27/25 does not document the departure time for three children. The Child Supervision Record for the Classroom #6 dated 6/27/25 does not document the departure time for seven children. 3) The Center?s ?Child Supervision Record, Quick Guide? requires that when a staff member ?enters ratio they must sign in with their first and last name, noting the arrival time. When they leave, for any reason, including break or leaving for the day they must sign out with the corresponding time.? A) Two staff members did not sign out for breaks on the Child Supervision Record for Classroom #1 dated 6/27/25. B) One staff member did not sign out when she left for the day on the Child Supervision Record for Classroom #2 dated 6/27/25. C) One staff member did not sign out

8VAC20-780-580-C

The center shall ensure that Emergency numbers, the center's name, address, and phone number, a list of the names of the children being transported, and allergy care plans and information is in transportation vehicles during transportation of children. The required information was not in Van 17189. Staff #6 reported that the van was used for a field trip that day.

8VAC20-780-580-B

Any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Van 17189 had a registration that expired in 5/2025. Staff #6 reported that the van was used for a field trip on 7/03/2025.

8VAC20-780-540-E

One working, battery-operated radio in each building used by children is required. Staff #6 was unsure if they had a radio or not and was unable to find a radio during the inspection.

8VAC20-780-510-L

Medication shall be kept in a locked place using a safe locking method that prevents access by children. The emergency medication for Child #7 was not kept in the locked medication box as required with the rest of the children?s medication.

8VAC20-780-245-I

Training on the center's emergency preparedness plan shall be completed annually and each time the plan is updated. There was no documentation that staff received training on the center's emergency preparedness plan within the last year.

8VAC20-780-40-J

Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. There was no documentation that the injury prevention procedures were updated within the last year.

8VAC20-780-130-E

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2 (age 2 years) has been attending the center for more than 15 months. There were no updated immunizations in the record for Child #2

8VAC20-780-260-B

Annual approval from the health department shall be provided regarding the water supply and sewage disposal system. The center had not obtained a report of environmental sanitation from the health department as required.

8VAC20-780-510-E

Long-term prescription drug use may be allowed with written authorization from the child's physician and parent. The parent?s written authorization for the medication on site for Child #4 did not include the written authorization of the child?s physician.

8VAC20-780-40-G

The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. There was no documentation in the record of Child #2 that the center verified the child?s identity or age.

8VAC20-780-510-N

The Center is required to keep a record of medication given to children which includes the staff member administering the medication. Child #6 received medication on 10/03/24 but there is no information regarding which staff member administered it.