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Kids-N-Us Inc.
4247 Creighton Road
Richmond, VA 23223
(804) 652-2323

Current Inspector: Kandra Brown (804) 662-9038

Inspection Date: May 25, 2018

Complaint Related: 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.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 05/25/2018 from 10:30am to 3:05pm. The children were observed playing with toys, participating in art projects, reading, eating lunch, and preparing for nap. A formal observation was completed with the Toddler II and Two year old classrooms. Lunch consisted of cheese pizza, green beans, applesauce, and milk. The menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. All classrooms and the playground were inspected today as well as the facility?s mini buses. Five children?s records and five employee records were reviewed during this inspection. Medication is being administered and was reviewed. Eight injury reports were reviewed. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 05/11/2018 Last shelter-in-place drill: 03/15/2018 Last fire inspection: 12/11/2017 Last health inspection: 11/06/2017 Today, the following child to staff ratios were observed: Infants ? 7:2 Toddler I ? 4:1 Toddler II - 5:1 Twos ? 8:1 Preschool ? 12:1 The violations from the previous inspections were checked for corrections. There were no repeat violations found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on record review, the center did not ensure that each child have a physical examination by or under the direction of a physician. Evidence: 1. One out of five children's records reviewed did not contain documentation of a physical record. 2. Child # 1 was enrolled on 03/24/2017, documentation of a physical exam was required to be in the child's record within thirty days after enrollment. 2. The director reviewed child #1's record and confirmed that documentation of a physical record was not in the child's file.

Plan of Correction: Contact parent and request a physical immediately.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center did not maintain documentation of viewing proof of the child's identity and age and child updates and confirmation of up-to-date information in the child's record as required by 22 VAC 40-185-420 E 3. Evidence: 1. Five out of five children's records reviewed did not contain required documentation. 2. The record of child #4, start date 08/01/2017, did not contain documentation of viewing proof of the child's identity and age. 3. The director reviewed child #4's file and confirmed that documentation of viewing proof of the child's identity and age was not in the file. 4. The record of child # 1, start date 03/24/17, contained required information that was last updated on 03/24/17. 5. The record of child # 2, start date 01/31/12, contained required information that was last updated on 04/14/17. 6. The record of child # 3, start date 10/13/15, contained required information that was last updated on 10/13/15. 7. The record of child # 5, start date 03/13/17, contained required information that was last updated on 02/27/17.

Plan of Correction: We will locate birth certificate and record ID#. (Record located 05/29/2018) We will have parents review old applications and verify no changes or will complete a new application.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the center did not ensure each staff record contains written information to demonstrate that the individual possesses the education required by the job position. Evidence: 1. One out of five staff records reviewed by the inspector did not contain the required documentation. 2. The record of staff # 4, hire date 08/08/17, did not contain documentation of proof of education. 3. Staff #4 is a program leader and works in the infant classroom.

Plan of Correction: Will have staff member to locate H.S. Diploma or order a new one, if not found.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, be maintained in a clean, safe and operable condition. Evidence: 1. The toddler II classroom had a broken electrical plate which caused wiring to be exposed. The broken electrical plate was located at the bottom of the wall within the children's reach. The classroom was occupied by five toddler children at the time of inspection. 2. The lunch room had a television and a DVD player located on a mounted shelf in the top right corner of the room. A gaming device was located on a lower shelf. All devices were connected to each other, and the cords were all plugged into a surge protector located about two and a half feet below the mounted shelf. Three of the four cords were hanging within reach of children and were not secured to the wall, presenting an entanglement hazard and the possibility of the equipment falling on a child if pulled.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Hazardous substances and cleaning materials were located on a shelf and on the floor of an unlocked hallway closet. 2. The containers of cleaning materials and other substances had the following warning labels: "KEEP OUT OF REACH OF CHILDREN," "AVOID EYE CONTACT," "FLAMMABLE," "SKIN IRRITATION," "DANGER COMBUSTABLE LIQUID," and "CAUSES EYE IRRITATION." 3. The toddler classroom had a container of disinfectant wipes and furniture polish on an unlocked shelf. The shelf was about 5 feet high and out of the reach of children. 4. The preschool classroom had 3 containers of cleaning materials in an unlocked cabinet.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the center did not ensure that electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. The toddler II classroom had four uncovered outlets located on the lower part of the wall. 2. The preschool classroom had one uncovered outlet located behind a cubby shelf and within reach of the children. 3. The lunch room had one uncovered outlet on the lower part of the back wall. There was also a surge protector with two uncovered outlets located under the television within the reach of children.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center did not ensure that staff wash their hands with soap and running water after helping a child use the toilet. Evidence: 1. The inspector observed staff #3 help two children use the toilet without washing their hands. 2. Staff #3 changed their gloves in between helping two children use the toilet.

Plan of Correction: The teacher will wash hands in between diapering. The center director will put a diapering guide near the changing table.

Standard #: 22VAC40-185-500-B
Description: The center did not ensure that the diapering surface was cleaned with soap and water and sanitized after each use.
Evidence:
1. The inspector observed staff #3 diaper two children without cleaning or properly sanitizing the diapering surface between each use.
2. Staff #3 did not clean the diapering surface with soap and water or any other approved cleaner.
3. Staff #3 stated that bleach/water and a disinfectant were both sprayed on the diapering surface.
4. The bleach/water solution and disinfectant were both sprayed and immediately wiped by staff #3.
5. The changing table was not allowed to air dry.
6. According to standard 22VAC40-185-10, the surface should be sprayed with a disinfectant solution and allowed to air dry. This allows the surface to be treated in such a way to remove bacteria and viruses.

Plan of Correction: We will use correct steps for cleaning and sanitizing diaper pad.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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