Inspection · 2024-11-18
(757) 404-2575
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 11/18/2024. The on-site inspection began at 9:00 AM and ended at 11:30 AM. The inspector reviewed compliance in the areas listed above. There were 20 children present and 4 staff. The inspector reviewed 3 children?s records and 3 staff records on site. This inspection included:
- document review,
- tour of the facility,
- interviews, and
- observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on December 2, 2024. A POC submitted after this date will not appear on the public website.
Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to public disclosure.
Violations
13The 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.
The record provided for child 3, in care for one month, did not include documentation of immunizations.
Missing documents was added to the folder.
Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after attending.
Child 3 has been in attendance for 40 days and the record does not include documentation of a physical examination.
Missing documents will be added.
A "New Enrollment Checklist" will ne completed after each enrollment to ensure all documents are in the folder. Monthly audits of each child's folder will be completed to ensure documentation is up to date.
Staff 3 did not obtain a tuberculosis screening until after being employed for ten days.
The staff in question did not start until 7/8/2024.
Documents will reflect the same start/hire date in the future.
Staff 3 was employed for 24 days before completing orientation training.
New staff orientation was completed within 7 days of her start date. Start and hire dates will be the same moving forward.
An electrical outlet within reach of children was not capped in the preschool area.
Replace all missing electrical outlet covers.
KKCC staff will participate in a meeting to review KKCC health/safety policies and procedures.
Staff will complete pre and post operation Building Safety Checklist daily to ensure children are safe from hazards and harm.
Staff 1 did not know the required staff top child ratio for their grouping of seven children for whom the youngest child was 20 months old.
Administration will review staff to student ratio and group size requirements with all staff.
During the inspection, staff 3 was on duty alone with the infants. Staff 3 is not program leader qualified.
Program qualified leaders will be utilized across all settings. Staff schedules will be rearranged to ensure qualified leaders are monitoring programs.
An additional program lead will be added.
The staff to child ratio for children from 16 months is one staff person for every five children.
During the entire 2 1/2 hour inspection, Staff 1 was on duty with seven children of whom the youngest was twenty months old.
Staff will follow student classroom assignments.
Review staff to student ratio and group size requirements with all staff. Administrator and Leads will monitor class assignments weekly.
Staff 1was heard repeatedly using a loud voice expressing impatience and displeasure with the behavior of the children. Staff 1's angry, irritated voice continued through lunch service as she reprimanded two year old and toddler children for using their hands to eat instead of utensils.
Staff 1 was written up and placed on a Coaching Plan.
KKCC staff will participate in an Effective Communication training prior to 12/13/2024.
Daily observations will be completed by the supervisor.
Two and three year old children were served meatballs that were not cut up and were of a size to be choking hazards.
Age appropriate meals will be provided to avoid choking hazard risk. Serving sizes will be cut in half where necessary.
None of the staff on duty sat with the children during lunch.
KKCC staff have been instructed to sit with students during mealtimes.
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the first date of attendance and documentation of viewing the proof of the child's identity and age, emergency contact persons and custody documents.
The record provided for child 2 does not include the first date of attendance or documentation of viewing the proof of the child's identity and age.
The record provided for child 3 included the name, address and telephone number for only one emergency contact person and did not contain custody documents regarding who has legal custody of the child.
Missing documents will be added.
A "New Enrollment Checklist" will be completed after each enrollment to ensure all documents are in the folder.
Monthly audits of each child's folder will be completed to ensure documentation is up to date.
The staff records shall include the job title.
The record provided for staff 3, employed 6 months, did not include the job title.
Job titles have been added to staff records.
A "New Employee Checklist will be completed prior to the start date being issued to ensure folders are accurate.