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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: Aug. 14, 2017

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 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
T.A. was given on background checks and subsidy requirements.

Comments:
The inspector conducted an unannounced inspection from 11:30 a.m. until 3:15 p.m. There were 44 children in care with staff supervising at all times. The director, the cook, and the administrative staff were also present. Children were observed playing outside, eating lunch preparing for and taking a nap. Violations are identified on the Violation Notice. Five children's records and five staff records were reviewed. Please contact your inspector at 276-698-9981 with any questions.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on record review, each child did not have a physical examination within one month after attendance. Evidence: 1. The inspector reviewed five children's records. One of five records (record #1) did not have a physical examination.

Plan of Correction: Staff will get a copy of the physical examination and check all files to see that they are complete.

Standard #: 22VAC40-185-160-A
Description: Based on record review, each staff member did not have documentation of negative tuberculosis screening in their file. Evidence: 1. The inspector reviewed five records. Four out of five records did not have negative tuberculosis screening in their file within 21 days. Staff file #1 DOH 2/1/2017, TB screening was completed 5/1/2017, staff record #2 DOH 6/9/2017 TB screening was completed 7/20/17, record # 4 DOH was 6/21/17 and TB was completed 7/28/2017, and staff record #5 DOH was 6/21/2017 and there was no TB screening in the file.

Plan of Correction: I the future, the director and staff will make sure that all new staff members will complete TB screenings within 21 days of hire.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not keep all hazardous substances locked. Evidence: 1. The inspector observed two bottles of baby wash under the sink in the infant room.

Plan of Correction: The director removed the baby wash during the inspection.

Standard #: 22VAC40-185-500-B
Description: Based on observation and interview, the center did not have a leakproof foot-operated storage system near a diaper changing table. Evidence: 1. The inspector observed a diaper changing table and diapers on the first floor. 2. The director stated they have one child that gets their diaper changed on that floor and she had not put a foot-operated diaper pail near the table.

Plan of Correction: The director will buy a diaper pail for that diapering area.

Standard #: 22VAC40-185-550-D
Description: Based on record review, the center did not complete two shelter-in-place drills per year. Evidence: 1. The inspector reviewed drill documentation and there was only one shelter-in-placed drill in 2016. The director also looked for the documentation and could not find it.

Plan of Correction: The director will complete three shelter-in-place drills in 2017.

Standard #: 22VAC40-185-560-M
Description: Based on observation, center staff did not sit with staff during meal times. Evidence: 1. The inspector observed children eating lunch downstairs by the kitchen and thee were no staff sitting with children. Sitting with children during meal times promotes positive socialization skills, and to to monitor safe eating practices.

Plan of Correction: The director will remind staff to sit with children during meal times.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the center did not have a central registry finding within 30 days of employment for a staff member. Evidence: 1. The inspector reviewed five staff records. One of five records (record #5) did not have a central registry finding. Staff #5 was hired 6/21/2017.

Plan of Correction: Staff have been told that the request had been processed.

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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