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Kidz with Goals Unlimited, LLC

Inspection · 2024-10-30

Date
2024-10-30
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
8VAC20-780 Staffing and Supervision.
8VAC20-790 Introduction
8VAC20-780 Programs.
8VAC20-790 Administration
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-790 Staff Qualifications & Training
8VAC20-780 Special Services.
8VAC20-790 Physical Plant
8VAC20-820 THE LICENSE.
8VAC20-790 Staffing & Supervision
8VAC20-820 THE LICENSING PROCESS.
8VAC20-790 Programs
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-770 Background Checks
8VAC20-790 Special Services

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. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 10/30/2024 and completed on 10/30/2024. The on-site inspection began at 10:37am and ended at 1pm. The inspector reviewed compliance in the areas listed above. There were 27 children present and 5 staff. The inspector reviewed 5 children?s records and 5 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/14/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for staff #4, who is currently working, was dated three days after their first day of employment.
Plan of Correction: Chart audit was done by owner, this was caught.
Standard 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 (enrolled for over 7 months) and child #3 (enrolled for over 2 months).
Plan of Correction: Parents called and form was brough in the same day and next.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required for each staff member every two years from the last screening.

Staff #1 completed a TB screening 4 days after the screening was due.
Plan of Correction: TB expired 10/3/2024 staff did not work that Friday 10/4/2024 so she may get it done. TB was done and returned that Monday.
Standard 8VAC20-780-260-B
Annual approval from the health department shall be provided for meeting requirements for: 1. Water supply; 2. Sewage disposal system; 3. Food service, if applicable.

The center failed to request the health department complete an environmental sanitation inspection annually. The last environmental sanitation inspection from the health department was dated over 15 months ago.
Plan of Correction: Mrs. Foster came in the next day.
Standard 8VAC20-780-350-B-1
The required ratio for children ages birth to 16 months is one staff per four children. Due to the center having an approved ratio waiver, the required ratio for children ages birth to 16 months is one staff per five children.

Staff #4 was observed supervising 8 children (birth to 16 months) for approximately 2-3 minutes after entering the room. Staff #4 reported staff #1 left the room for a few minutes to go to the center?s kitchen.
Plan of Correction: Staff was informed the correct ratio during nap time for 2 and down.