Western Branch KinderCare

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. The most recent documented TB screening for staff 2 is dated 8/15/22, which is outside of the two-year follow-up requirements.

8VAC20-780-70

Staff records shall contain all the required information. The record for staff 1, employed for 3 months, does not contain documentation of orientation to the job position.

8VAC20-780-160-A

Each staff member shall submit documentation of a negative tuberculosis screening that has been completed within the past 30 days of the date of employment. The TB screening for staff 1 was completed 4 months prior to her date of employment.

8VAC20-780-350-B-2

The required ratio for 16 months up to 24 months is 1 staff per 5 children. The toddler classroom was over the ratio of 1 staff per 5 children on 12/10/25 and 12/12/25, with up to 8 children in care with only 1 staff. The amount of time the classroom was out of ratio on these dates varied from 10 minutes up to 20 minutes. Complaint related: Yes

8VAC20-780-350-B-3

The required ratio for 2-year-old children is 1 staff per 8 children. The 2-year-old classroom was over the ratio of 1 staff per 8 children on 12/8/25, 12/9/25, 12/10/25, 12/11/25 and 12/12/25, There were times when there were up to 14 children in care with only 1 staff and times with up to 18 children in care with only 2 staff. The amount of time the classroom was out of ratio on these dates varied from 17 minutes up to 46 minutes. Complaint related: Yes

8VAC20-780-350-B-4

The required ratio for 3-year-old children up to school age eligible is 1 staff per 10 children. The multi-age classroom was over the ratio of 1 staff per 10 children on 12/9/25 and 12/11/25, with up to 13 children in care with only 1 staff. The amount of time the classroom was out of ratio on these dates varied from 35 minutes up to 1 hour and 35 minutes. Complaint related: Yes

8VAC20-780-350-C

When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. During the morning opening hours of the center, the infant and toddler classrooms are combined. This requires the ratio to be 1 staff per 4 children, which is the staff-to-child ratio for birth to 16 months of age. The combined infant/toddler classroom was out of ratio on 12/8/25, 12/9/25, 12/10/25 and 12/11/25. There were times when there were up to 10 children in care with 1 staff, up to 13 children in care with 2 staff and up to 15 children in care with 3 staff. The amount of time the classroom was out of ratio on these dates varies from 5 minutes up to 63 minutes. Complaint related: Yes

8VAC20-780-140-A

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child 1, who had been enrolled for over two years.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff 1's updated TB screening was due one year ago and has not yet been completed.

8VAC20-780-60-A

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child 1, enrolled for over a month, does not contain documentation of viewing proof of the child's identity and age.

8VAC20-780-140-A

Repeat Violation The center shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no documentation of a physical examination in the record for child 1, who has been enrolled for over one month.

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 enrolled for over a month, did not have documentation of an immunization record on file.

8VAC20-780-140-A

The center shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no documentation of a physical examination in the record for child 1 or child 2, who had both been enrolled for six months.