VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: Dec. 8, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

The program director was reminded to contact the fire marshal to schedule an inspection. Acceptable first aid and cardiopulmonary resuscitation certification that included a hands-on demonstration of learned techniques was reviewed with the program director.

Comments:

A monitoring inspection was conducted on 12/08/2022. There were 24 children present, ranging in ages from infant to 4 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the program director during the exit interview.

Violations:

Standard #:	8VAC20-780-40-M
Description:	Based upon observation and staff interview, the facility has not ensured that they have maintained a current and dated list of all children's allergies, sensitivities and dietary restrictions. Evidence: 1. The current allergy/dietary restriction list provided was not dated. 2. The allergy/dietary restriction list provided indicated that child 1 and child 2 had food allergies, however these allergies were not diagnosed on the physician signed physical examination. 3. The allergy/dietary restriction list provided did not include a diagnosed food allergy documented on the physician signed physical examination. 4. Staff 1 acknowledged the missing and inaccurate documentation on the allergy list as noted above.
Plan of Correction:	The program director responded with the following during the exit interview: All children's records will be reviewed to determine diagnosed allergies versus dietary restrictions or preferences. Any questions as to allergies will be reviewed with the parents. The allergy charts will be updated to ensure accuracy, dated and placed for staff access in the rooms of each grouping of children.
Standard #:	8VAC20-780-340-F
Description:	Based upon observation and staff interview, the facility has not ensured that children are always within actual sight and sound supervision. Evidence: 1. Following nap time, the three and four year old children were sent to the bathrooms behind the infant room. No staff person accompanied these children to the bathroom. Once notified by the inspector, staff 2 requested that staff 1 supervise the children using the bathrooms. 2. During nap time, two children were observed with their heads totally covered, once, by a blanket and a second by the hood on a coat. Staff 1 acknowledged that the children's heads were covered.
Plan of Correction:	The program director responded with the following during the exit interview: The facility policies regarding sight and sound supervision of the children at all times will be reviewed with each staff member. Non-compliance will be addressed.
Standard #:	8VAC20-780-440-B
Description:	Based upon observation and staff interview, the facility has not ensured that cribs are identified for use by a specific child. Evidence: 1. A child was observed sleeping in a crib that was not identified for this child. 2. Staff 5 stated that the child just turned 12 months and was supposed to be sleeping on a cot. the child's name had been removed from the crib.
Plan of Correction:	The program director responded with the following during the exit interview: All infant staff will be reminded of the policy regarding the labeling of cribs for individual infants and the procedure for transitioning a child to a cot.
Standard #:	8VAC20-780-450-A
Description:	Based upon observation and staff interview, the facility has not ensured that during the designated rest period cots have linens consisting of a top cover and bottom cover. Evidence: 1. In the preschool nap room, a child was observed sleeping without a top and bottom cover. Another child had only a bottom linen and was using a coat as a cover. 2. Staff 1 acknowledged that these two children did not have the required top and bottom linen.
Plan of Correction:	The program director responded with the following during the exit interview: Parents are required to provide and launder their child's linens weekly. A supply of sanitized linens will be on hand should a parent forget to supply the linens or if a linen would become soiled.