KinderCare Learning Center - Cedar Fork

8VAC20-780-160-C

***Repeat Violation*** A tuberculosis (TB) screening is required every two years from the last screening. 1. Staff #1?s updated screening was 11 months over due. 2. Staff #2?s did not have documentation of an updated TB screening and was overdue by more than two months. 3. Staff #3 did not have documentation of an updated TB screening and was overdue by more than 16 months.

8VAC20-780-160-A

The center is required to obtain documentation of a negative tuberculosis (TB) screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. 1.Staff #5, staff #7, and staff #8 had documentation of a TB screening completed more than 30 days prior to hire.

8VAC20-790-600-F

Staff shall complete the departments health and safety update course annually. 1. Staff #1, staff #2, staff #4, and staff #6 did not have documentation of the annual health and safety course. 2. Staff #3?s health and safety update course was overdue by two months.

8VAC20-780-280-B

Hazardous substances must be in a locked place that prevents access by children. 1. In the toddler classroom, the cleaning solution and sanitizing solution were in an unlocked cabinet, within reach of children. 2. On vehicle #1, one container of disinfectant wipes; on vehicle #2, two containers of Clorox wipes; and on vehicle #3 one container of Clorox wipes were being stored unlocked and within reach of children.

8VAC20-780-270-A

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. The playground shed has several screw heads sticking out away from boards. 2. The outdoor wooden flower box is broken and unstable. 3. One toilet is covered by a trash bag and unable to be used.

8VAC20-780-40-M

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The center did not have a current list of allergies for children enrolled at the center.

8VAC20-780-150-B

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization report for child#4, enrolled for 6 days was not signed by a physician, his designee, or an official of the local health department.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 did not have documentation of an updated TB screening which was overdue by 162 days.

8VAC20-780-70

Each center shall maintain a separate record for each staff person that contains all of the required information. 1. The record for Staff ##5, employed for over two months, did not have documentation of the education and/or certification required by the job position and two references to character, reputation, and competency.

8VAC20-780-240-B

Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities. The record for Staff #5, employed for over two months did not have documentation of orientation training.

8VAC20-780-410-2

The following actions or threats thereof are forbidden: Enclosure in a small confined space or any space that the child cannot freely exit himself; however, this does not apply to the use of equipment such as high chairs, when used with children preschool age or younger for their intended purpose. Child #5 (23 months old) was observed strapped in a highchair while staff prepared lunch and during group activities such as singing and story time. Staff stated that child #5 will not sit at the table and climbs on everything.

8VAC20-780-500-A

Children?s hands shall be washed with soap and running water after toileting. Diapering was observed and children did not wash hands after their diaper change.

8VAC20-790-600-F

Staff shall complete the departments health and safety update course annually. 1. Staff #1, staff #2, and staff #6 have not completed the Virginia Annual Health and Safety update since 2020. 2. Staff #3 did not have documentation of the Virginia Annual Health and Safety update for 2024 or 2025.

8VAC20-790-600-D-1

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1, employed for eight months, did not current certification in CPR. Staff #4, employed for four months, did not have current certification in CPR.

8VAC20-790-600-D-2

All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. Staff #1, employed for eight months, did not current certification in first aid. Staff #4, employed for four months, did not have current certification in first aid.

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 records for Child #1 and Child #2 did not contain updated immunization records. The children have been attending the center for eight months. Child #1 and Child #2 are under two years of age.

8VAC20-780-270-A

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. A large plastic toy bin with multiple cracks in it was located on the playground. The red shed located on the playground contained peeling paint on the door and door frames.