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Kids Come 1st Inc

Inspection · 2021-05-17

Date
2021-05-17
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A monitoring inspection was initiated on 5/17/2021 and concluded on 5/21/2021. The director was contacted by telephone to initiate the inspection. There were 60 children present and 11 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 4 children?s records and 4 staff records submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

3
Standard 22VAC40-185-160-A
Based on a review of records and interview, the licensee was unable to demonstrate that every staff member submits the results of a Tuberculosis screening no later than 21 days after employment or volunteering.
Evidence:
Four staff records were reviewed.
The records submitted for staff #1 (hired 2/18/2021) and staff #3 (hired 1/20/2020) did not contain the results of a Tuberculosis screening.
When asked, the program director stated that she did not have results of a Tuberculosis screening for staff #1 and staff #3.
Plan of Correction: The program director stated that she would arrange for staff #1 and staff #3 to have a Tuberculosis screening by next Friday (5/28/2021) and would submit the results to the licensing inspector upon receipt.
All corrections were received by the licensing office as of 6/7/2021.
Standard 22VAC40-191-60-C-2
Based on a review of records and interview, the licensee did not ensure that every employee has a central registry finding within 30 days of employment or volunteer service.
Evidence:
Four staff records were reviewed.
The records submitted for review for Staff #1 (hired 2/18/2021) and staff #3 (hired 1/20/2020) did not contain the results of a Central Registry search.
When asked, the licensee said that they had not been conducted.
Plan of Correction: The licensee stated that she will complete requests for the Search fo the Central Registry for staff #1 and staff #3 immediately and will forward results as they are received.
All corrections were received by the licensing office as of 6/7/2021.
Standard 63.2(17)-1720.1-B-2
Based on a review of records and interview, the licensee was not able to demonstrate that every staff member submitted to fingerprinting prior to their first day of employment.
Evidence:
Four staff records were reviewed.
The records submitted for review by the licensee for staff #1 (hired 2/18/2021) and staff #2 (hired 8/11/2020) did not contain results of a federal fingerprint background check.
When asked, the licensee stated she had not obtained them.
Plan of Correction: The licensee stated that she will complete requests for federal fingerprint background checks to be obtained immediately and will forward the results upon receipt.
All corrections were received by the licensing office as of 6/7/2021.
View original record on Virginia Department of Social Services