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King's Kids Child Care
928 Commonwealth Place
Suite A
Virginia beach, VA 23464
(757) 747-0197

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Aug. 9, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
The following was discussed with the program director: - background check regulations regarding timing of background checks - emergency preparedness - evacuation, shelter-in-place and lock down drills - medication authorization forms

Comments:
AN unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 11:30 AM and departed at 2:40 PM. A total of thirty-seven children were in care. Nap time, afternoon snack and activities were observed. A sample size of five staff records and five children's records were reviewed. Medication administration and injury records were reviewed. An exit meeting was conducted with the program director prior to closure of the inspection

Violations:
Standard #: 22VAC40-185-130-B
Description: Based upon review of five children's records, the facility has not ensured that they have obtained documentation of additional immunizations once every six months. Evidence: The most recent immunization update in the record for child 3, who is 21 months old, is dated 8/9/17.

Plan of Correction: The facility responded with the following: A tracking method will be established to ensure that immunizations are updated at lest every six months for children under the age of two years.

Standard #: 22VAC40-185-140-A
Description: Based upon review of five children's records, the facility has not ensured that each child has a physical examination by or under the direction of a physician prior to enrollment or within 30 days after attending. Evidence: The record provided for child1 indicates that child 1 enrolled on 2/12/18. The record did not include documentation of a physical examination.

Plan of Correction: The facility responded with the following: All children's records will be checked to ensure that they contain the results of a physical examination.

Standard #: 22VAC40-185-160-A
Description: Based upon review of five staff records and staff interview, the facility has not ensured that each staff member submits documentation of a negative tuberculosis screening that was completed 12 twelve months prior to or 21 days after employment. Evidence: Staff 3 stated that staff 5 was hired approximately on 3/8/18. The only tuberculosis screening in the record provided is dated 11/10/16.

Plan of Correction: The facility responded with the following: Tuberculosis screenings dated within one year prior to hire and 21 days after employ will be required in the records of newly hired staff.

Standard #: 22VAC40-185-60-A
Description: Based upon review of five children's records, the facility has not ensured that a record for each child enrolled contains all required information. Evidence: The record provided for child 5 does not contain the date the child entered care.

Plan of Correction: The facility responded with the following: All children's records will be checked to ensure that the date the child entered care is indicated in the record.

Standard #: 22VAC40-185-70-A
Description: Based upon review of five staff records and staff interview, the facility has not ensured that each staff record includes all required documentation. Evidence: 1. The record provided for staff 5 did not include a termination date or a re-hire date. 2. Staff 3 verified that the record for staff 5 did not have the termination and rehire dates.

Plan of Correction: The facility responded with the following: Hire and termination dates will be entered in all staff records in a timely fashion.

Standard #: 22VAC40-185-280-B
Description: Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. The gate to the kitchen area from the preschool classroom in which children were in care was standing open. On the counter in the kitchen was the following: Great Value dishwashing liquid labeled "caution, keep out of reach of children"; 7-11 dishwashing liquid labeled "warning, keep out of reach of children"; a spray bottle labeled Fabuloso; a spray bottle labeled bleach; and a spray bottle labeled Pinesol. 2. The key lock on a file box on a shelf behind the curtained area in the school aged area where children were in care was not locked. In the file box were several cans of aerosol air freshener labeled "caution, keep out of reach of children" and White-Out labeled "caution keep out of reach of children". 3. Staff 7 verified that the kitchen gate was not latched. 4. Staff 3 verified that the file box was not locked.

Plan of Correction: The facility responded with the following: All staff will be reminded that potentially hazardous substances must be kept locked at all times. Routine sweeps of the facility will be conducted to ensure that hazardous substance storage areas are locked.

Standard #: 22VAC40-185-340-A
Description: Based upon staff interviews, the facility has not ensured that when staff are supervising children, they always ensure their care. Evidence: Upon arrival of the inspector at 11:30 AM, staff 1, 6 and 7 were on duty in a classroom of children from ages three through nine years. When asked how many children were in the group, the response, figured by all three staff was "7 plus 17 children", which totals 24 children. There was actually a total of 28 children in care in the classroom.

Plan of Correction: The facility responded with the following: All staff will be retrained to understand that they must know the total number of children in their care at all times.

Standard #: 22VAC40-185-550-M
Description: Based upon review of injury records and staff interview, the facility has not ensured that the written record of children's injuries includes are required documentation. Evidence: 1. An injury record dated 6/14/18 for child 2 indicated that the parent was notified of the injury on 5/14/18. 2. An injury record dated 6/11/18 for child 6 indicated that the parent was notified of the injury on 5/11/18. 3. An injury record dated 4/18/18 for child 7 does not have documented the time the parent was notified of the injury. 4. Staff 3 verified the above listed injury records as stated.

Plan of Correction: The facility responded with the following: All injury records will be double checked to ensure that all required information is documented and accurate.

Standard #: 22VAC40-191-60-B
Description: Based upon review of five staff records and staff interview, the facility has not ensured that an employee may not be employed until the person has completed and signed a sworn statement or affirmation. Evidence: According to staff 3, staff 5 was re-employed on or around 3/8/18. The sworn statement or affirmation in the record provied was dated 1/2/16. No additional statement was obtained upon re-hire.

Plan of Correction: The facility responded with the following: The staff person will immediately complete and sign a new sworn statement or affirmation form.

Standard #: 22VAC40-191-60-C-2
Description: Based upon review of five staff records and staff interview, the facility has not ensured that they have obtained a central registry finding within 30 days of employment. Evidence: According to staff 3, staff 5 was employed on or near 3/8/18. The central registry finding in the record provided was dated 12/8/16 (a background check remains valid at a facility if no more than 12 consecutive months have passed from when a person terminated employ).

Plan of Correction: The facility responded with the following: Required time frames for background checks will be followed in the future. Staff 5 will be required to obtain a central registry finding within 30 days from today.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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