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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: Jan. 30, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced, monitoring inspection was conducted today. The inspector arrived at 10:00 AM and departed at 2:30 PM. Twenty-four children were in care. Morning activities, lunch service and nap time were observed. A sample size of five staff records and five children's records were reviewed. medication administration and injury records were reviewed. Violations were cited in five of the six areas of the Standards to include Administration, Staff Qualifications and Training, Physical Plant, Staffing and Supervision and Special Care Provisions and Emergencies. Violations were also cited in Background Check Regulations and the Code of Virginia. An exit meeting was conducted with the program director prior to closure of the inspection.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based upon review of five children's records and staff interview, the facility has not ensured that each child has documentation of a physical examination by or under the direction of a physician fore the child attends or within one month after attendance. Evidence: 1. The record provided for child 1 indicates that child 1 began attending on 2/12/2018. The record did not include documentation of a physical examination. 2. The record provided for child 2 did not include the first date of attending, however staff 1 verified that child 2 has attended since September 2018. The record did not include documentation of a physical examination. 3. The record provided for child 4 indicated that child 4 began attending on 3/25/2018. The record did not include documentation of a physical examination. 4. Staff 1 verified that documentation of physical examinations were not available for the three children cited above.

Plan of Correction: The facility responded with the following: Program Director * updated records to indicate start dates * informed designated parents of immediate need for updated physicals * reviewed all files for accuracy * scheduled quarterly review of files

Standard #: 22VAC40-185-60-A
Description: Based upon review of five children's records and staff interview, the facility has not ensured that the record for each child enrolled contains all required information. Evidence: 1. The record provided for child 1 did not include the telephone number of the mother's employment. 2. The record provided for child 2 did not include the first date of attendance. 3. The record provided for child 3 did not include the telephone numbers for either the mother's or father's employment. 4. Staff 1 verified that above listed information was not in the children's records.

Plan of Correction: The facility responded with the following: Program Director will review all student records and update missing information. Lead teacher will review enrollment documentations for accuracy.

Standard #: 22VAC40-185-70-A
Description: Based upon review of staff records, the facility has not ensured that the record for each staff includes the hire date and documentation that the staff received the required orientation training. Evidence: 1. The record provided for staff 2 did not include any documentation that staff 2 received the required orientation training. 2. Staff 1 was unable to locate documentation that staff 2 received the required orientation training. 3. The record provided for staff 2 did not include documentation of the hire date. 4. Staff 1 confirmed that the hire date was not in the record and proceeded to determine the hire date with staff 2 during the inspection. 5. The record provided for staff 6 did not include the employee's previous termination date nor the re-hire date. 6. Staff 1 confirmed that the termination date and the rehire date were not documented in the record provided.

Plan of Correction: The facility responded with the following: * Program Director placed training certification in staff files to reflect completed training. * Start dates, separation dates and re-hire dates updated by Prog. Director. * All staff records reviewed for accuracy.

Standard #: 22VAC40-185-240-D-4
Description: Based upon review of medication records and staff training records, the facility has not ensured that any child for whom emergency medications have been prescribed is always in the care of a staff member who has current medication administration training (MAT) certification. Evidence: Currently in attendance there is a child for whom an emergency albuterol inhaler has been prescribed and another child for whom emergency benadryl, an epipen and an albuterol inhaler have been prescribed. There are no staff at the facility who have current MAT certification.

Plan of Correction: The facility responded with the following: Program Director will schedule certified MAT Training class for designated staff. Program Director will ensure training programs are approved by DHS.

Standard #: 22VAC40-185-280-B
Description: Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by children. Evidence: There is a small storage/office area adjacent to the preschool/school-age classsroom. There is an accordion door that is not child proof on the storage area. In this area there was a plastic bin on which was hanging an opened lock. Inside the bin was a container of febreeze, gorilla glue and seven aerosol air freshener cans all labeled "caution, keep out of reach of children". There was also a pump hand sanitizer labeled "warning, keep out of reach of children.

Plan of Correction: The facility responded with the following: Program Director removed all hazardous substances. Weekly checks will be completed to ensure hazardous substances remain off premises.

Standard #: 22VAC40-185-340-D
Description: Based upon observation and staff interview, the facility has not ensure that in each grouping of children there is at least one staff member who meets the qualifications of a program leader or program director regularly present. Evidence: 1. During today's inspection, staff 2, 3, 4 and 5 were on duty in the combined infant/toddler classroom. The records for all four staff indicated that all four are assistant staff. None of the records provided include documentation to indicate program leader qualifications. 2. Staff 1 was unable to provide documentation to verify that staff 2, 3, 4 or 5 are program leader qualified.

Plan of Correction: The facility responded with the following: Program Director placed job responsibilities checklist in records of impacted staff indication "Lead Positions". lead staff identified.

Standard #: 22VAC40-185-500-A
Description: Based upon observation, the facility has not ensured that staff wash their hands with soap and running water before and after a diaper change and contact with bodily fluids. Evidence: 1. Staff 2 was observed changing a diaper on infant child 1. Staff 2 did not wash her hands prior to changing the diaper. After changing the diaper. staff 2 used her hands to open the gate to the infant play area, placed child 1 in a swing and picked up another child without washing her hands. 2. Staff 2 was observed wiping her nose with her gloved hand three times during the diaper change of child 1 without washing her hands.

Plan of Correction: The facility responded with the following: Program Director will retrain staff on handwashing procedures and complete monthly procedural checklist to ensured consistency.

Standard #: 22VAC40-185-500-B
Description: Based upon observation, the facility has not ensured that the diapering area is equipped with a nonabsorbent surface for diapering or changing and when cloth diapers are used, a separate leakproof storage system that is not hand operated shall be used. Evidence: 1. Staff 2 was observed changing the cloth diaper of infant child 1. The soiled diaper was placed in a drawstring bag and put into the child's designated cubby. 2. The vinyl on the vinyl covered pad on the diaper changing table in the bathroom has a hole in it and is thus no longer nonabsorbent.

Plan of Correction: The facility responded with the following: *Program Director replaced torn diaper pad with new one * Progam Director informed parents that cloth diapers will only be accepted with medical requirement. Disposal diapers must be provided.

Standard #: 22VAC40-185-510-A
Description: Based upon review of the medication and medication administration records, the facility has not ensured that medication is administered according the facility's policies for medication administration. Evidence: 1. The facility's policy requires written authorization from a physician in order for prescription medication to be administered. A. The facility does not have written physician authorization for albuterol to be administered to child 8. B. The facility does not have written physician authorization for dextroamphetamine to be administered to child 9.

Plan of Correction: The facility responded with the following: Lead teacher returned all medication to families. Parent informed that meds can only be returned with written physician authorization on 2/11/19.

Standard #: 22VAC40-185-510-G
Description: Based upon review of medication and medication administration records, the facility has not ensured that medication is administered by a person who has current medication administration training (MAT) certification. Evidence: 1. Records indicated that albuterol was administered to child 8 on 1/14/2019 by staff 7 whose MAT certification expired on 12/5/2018. 2. Records indication that dextroamphetamine was administered to child 9 on January 21, 28 and 29 by staff 7 and on January 23, 24, 25 and 26 by staff 1. The MAT certification for both staff 7 and staff 8 expired on 12/5/2018/

Plan of Correction: The facility responded with the following: Program Director and designated staff will attend scheduled MAT Training course on 2-9-19.

Standard #: 22VAC40-185-550-D
Description: Based upon review of documentation and staff interview, the facility has not ensured that monthly evacuation drills are implemented. Evidence: 1. The documentation of evacuation drills provided did not include documentation of evacuation drills conducted in November or December 2018. 2. Staff 1 was unable to provide documentation of evacuation drills for November and December 2018.

Plan of Correction: The facility responded with the following: Program Director retrained staff on monthly evacuation drills and completed drills for January. Schedule for drills developed.

Standard #: 22VAC40-185-550-L
Description: Based upon review of written injury records, the faciity has not ensured that parents are notified by the end of the day of any minor injuries. Evidence: 1. There was a written injury record for child 6 indicating that child 6 was injured on 1/16/2019. The record had documented that the parent was not notified until 1/17/2019. 2. Staff 1 verified the documentation on the injury record for child 6.

Plan of Correction: The facility responded with the following: Program Director review procedures for completing injury report with staff. Reports to be reviewed daily.

Standard #: 22VAC40-185-550-M
Description: Based upon review of injury records and staff interview, the facility has not ensured that the written records of children's injuries include the date and time the parents were notified of the injury. Evidence: 1. An injury record for child 7 documented an injury that occurred on 1/14/2019. The written record did not document the date and time the parent was notified of the injury. 2. Staff 1 verified that the injury record of 1/14/2019 for child 7 did not include the date and time the parent was notified of the injury.

Plan of Correction: The facility responded with the following: Program Director reviewed procedure and provided staff with sample report. Reports to be reviewed daily.

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.

Plan of Correction: The facility responded with the following: Program Director placed Central Registry Finding results in staff record - document dated 9-17-18.

Standard #: 63.2(17)-1720.1-B-3
Description: Based upon review of five staff records and staff interview, the facility has not ensured that they have obtained a central registry child abuse and neglect finding from each state in which the individual has resided in the preceding five years. Evidence: 1. According to the completed and signed sworn disclosure and affirmation statement, staff 4 resided in Mississippi within the last five years. The facility did not obtain documentation of a central registry search from Mississippi. 2. Staff 1 confirmed that a central registry finding from Mississippi was not obtained for staff 4.

Plan of Correction: The facility responded with the following: Program Director and staff in question completed Mississippi Central Registry Application, mailed 2/4/19

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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