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Kids Come 1st Inc

Inspection · 2022-03-02

Date
2022-03-02
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

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 SANCTIONS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (22VAC40-191)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

This inspection was conducted by licensing staff, in part by using an alternate remote protocol, including telephone contacts, documents review and interviews. A tour of the program was also conducted.
A Renewal inspection was initiated on 3/2/2022 and concluded on 3/16/2022. The program was contacted by telephone and documentation was reviewed virtually. On 3/2/2022 there were 67 children and 10 caregivers present at the time of arrival. Four staff records and 4 children?s records were reviewed. The inspector reviewed requirements and compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition.

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

Violations

3
Standard 22.1-289.058
Based on observation and interview, the center is not equipped with at least on carbon monoxide detector.
Evidence:
A carbon monoxide detector was not observed in the center during the inspection on 3/2/2022.
The staff in charge at the time of the inspection (staff #1) was not able to demonstrate that there was a carbon monoxide detector present in the facility.
The building was constructed before 2015.
Plan of Correction: The program director will purchase and install in the center at least one carbon monoxide detector within 2 weeks.
Standard 8VAC20-780-440-E
Based on observation, the facility did not ensure that at least 12 inches of space is maintained between occupied cots, beds, and rest mats.

Evidence:
Children were observed in the Two's room and the Fours' room sleeping on cots lined up with between 2 and 5 inches of space between them. When classroom staff were asked about the spacing of cots, they replied that they were spacing the children as much as possible given the floor space available.
Plan of Correction: The program director stated that various pieces of furniture are now being removed from classrooms during nap time to allow for resting children to have a minimum of12 inches of space between their cots.
Standard 8VAC20-780-80-A
Based on observation and interview, the center was unable to demonstrate that, for each group of children, the center maintains a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence:
During the inspection, the sign in and out sheets at the front reception area were reviewed.
When compared with actual children present, there were multiple children present in each classroom who were not signed in on the parents' sign-in roster.
In addition, there was no actual time recorded on the sign in sheets for the arrival of children or the departure of children.
Individual classrooms had attendance books that showed children present or absent each day but did not indicate the arrival or the departure times of the children who had been in attendance.
Plan of Correction: The program director has adjusted the attendance forms used for parents to sign their children in and out of the program to include the time of arrival and the time of departure for each child.
In addition, the staff who are regularly present at the front lobby at opening and closing of the program have been asked to remind parents to sign in or out as they are arriving or departing with their children each day.