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Kirk's Blessings, LLC
117 Hockman Pike
Bluefield, VA 24605
(276) 322-1177

Current Inspector: Katie Gifford (276) 698-9981

Inspection Date: March 26, 2019

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.
22VAC40-80 THE LICENSING PROCESS.
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced mandated inspection was conducted between 10:15 a.m. and 1:00. There were 31 infants and children in care with staff supervising at all times. The office manager and owner were also present. Observations were made during diapering, playing, coloring, doing puzzles, during rest period and eating lunch. Violations from the last inspection had been corrected. Six children's records and five staff records were reviewed. Please call you inspector at 276-698-9981 with any questions.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review and interview, each staff member did not submit documentation of a negative TB screening no later than 21 days after employment. Evidence: 1. The inspector reviewed five staff records. One of five records (#3) was hired 12/01/18 and the TB screening was completed 3/1/2019.

Plan of Correction: New staff will complete a TB screening within 30 days per subsidy requirements.

Standard #: 22VAC40-185-40-J
Description: Based on interview, the center failed to have injury prevention procedure updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: 1. The inspector asked to see the updated injury prevention procedures and the director acknowledged they didn't have one.

Plan of Correction: The injury prevention procedure will be updated and staff will be retrained and injury reports reviewed.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to have all the required information in the children's records. Evidence: 1. The inspector reviewed six children's records. One of six records (#6) did not have two emergency addresses,

Plan of Correction: Child #6 record will be updated with the correct emergency addresses.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the center did not have all the required information in the staff records. Evidence: 1. The inspector reviewed five staff records. Four of five staff records did not have a job title. Staff #4 had a job title. 2. Staff record #1 is acting as a lead teacher but documentation is not in the file.

Plan of Correction: A staff training form will be completed which will include the job title in the heading. This form will also include their programmatic experience.

Standard #: 22VAC40-185-240-D-6
Description: Based on record review and interview, the center did not have anyone with daily health observation training on staff. Evidence: 1. The inspector asked to see the documentation of daily health observation training and the director acknowledged no one had current documentation of the training.

Plan of Correction: Daily health observation training will be obtained for all staff.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to maintain the center inside and outside in a safe and operable condition. Evidence: 1. The inspector observed a rusty chair and broken toy outside the gate to the playground, a worn rug in the lunch room that is a tripping hazard, and a hole in the wall in the hall from the 4-5 yr. old room to the lunchroom.

Plan of Correction: Broken items will be removed from the premises and the rug will be replaced and the wall repaired.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center failed to keep hazardous substances locked. Evidence: 1. The inspector observed bleach water and Odoban unlocked under the sink in the 4-5 yr. classroom.

Plan of Correction: All hazardous substances will be placed in the designated locked cabinets. Director will be do training with staff to enforce this policy.

Standard #: 22VAC40-185-340-A
Description: Based on interview, observation and record review, staff did not always ensure care protection and guidance. Evidence: 1. The inspector reviewed a child's record (#7) and there was a drs. note stating an allergy. The medication was not available at the center and the child was in care.

Plan of Correction: Medication and documentation will be obtained for child with allergy.

Standard #: 22VAC40-185-350-F
Description: Based on observation and interview and record review, the center did not follow the requirement for assigning a child to a different age group. Evidence: 1. The inspector observed child #2 being moved between infant and the toddler room and the required documentation is not in the file.

Plan of Correction: Children will remain in their age designated classrooms.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the center did not follow required diapering procedures. Evidence: 1. The inspector observed three diapering changes in the infant room. #1-staff sprayed soap and sanitizer on the diapering pad and wiped it dry. #2-Staff used hands to open the diapering trash can; sanitized the pad but did not use soap. #3-used hands to open trash can, sprayed with soap and sanitizer and wiped dry.

Plan of Correction: Staff will retrained in state licensing diapering requirements.

Standard #: 22VAC40-185-510-A
Description: Based on observation and record review, for nonprescription medication, be consistent with the manufacturer's instructions for age, duration and dosage. Evidence: 1. The inspector observed an over the counter medication in the infant room for child #4. The written authorization stated 1.5 ml dosage, but the instructions said consult with a physician based on the child's age.

Plan of Correction: The physician will be contacted and a new form will be completed.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on interview and record review, the center failed to have a staff person have fingerprint results in the file before hiring. Evidence: 1. The inspector reviewed five staff records. One of five records (#5) did not have fingerprints completed before being hired. The director acknowledged they were still waiting on the fingerprint results.

Plan of Correction: Director will make every effort to obtain fingerprint results before the hire date. Director takes precautions to cover ratios and does not allow new staff work alone with children for 80 hours until background checks are received.

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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