VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kids Come 1st Inc
1605 South Church Street
Smithfield, VA 23430
(757) 357-2006

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Nov. 16, 2023

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 20 Access to minor's records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Technical Assistance:

Today we discussed 18VAC20-780-570 K. Staff shall feed semisolid food with a spoon, unless written instructions from a physician or physician's designee state differently. If you have doubts about the consistency of formula in bottles pre-mixed by parents, please inquire and advise them that cereal must be fed with a spoon unless directed otherwise by the child's physician. Ask that a physician's note be obtained regarding the advised feeding procedures and submitted to the center. Today we discussed outdoor equipment and the program director has advised that the outdoor stationary play equipment is not being used by children in care at this time. If you have questions about the required depth of resilient surfacing or use zones, please do not hesitate to ask! There is also a helpful chart and information at the very back of the Standards for Child Day Centers.

Comments:

An unannounced monitoring inspection was conducted on 11/16/2023 from 3:30 pm to 5:40 pm. At the time of entrance, 48 children, ages 11 weeks to 7 years old were in care with 11 staff members present. The sample size consisted of 5 children?s records and 5 staff records. Children were observed eating an afternoon snack, playing with toys and manipulatives, dancing to music. Infants were observed sleeping in cribs, sitting in bouncy seats, crawling and exploring toys, and being bottle fed. Diaper changing and hand washing were observed in the infant room. 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 Repeat violations were found and are identified within this report.

Violations:

Standard #:	8VAC20-780-160-A
Description:	***REPEAT VIOLATION*** Based on a review of records, the licensee did not always ensure that each staff member submits a negative tuberculosis screening prior to having contact with the children in care. Evidence: Five staff records were reviewed. The record for staff # 2 did not contain the result s of a Tuberculosis screening. Staff #2 began employment as a teacher's assistant, working in the classroom on 11/8/2023. The program director confirmed that she did not have documentation of a Tuberculosis screening for staff #2.
Plan of Correction:	Staff #2 had a tuberculosis screening conducted on 11/20/2023 and the results were sent to the licensing inspector on 11/27/2023.
Standard #:	8VAC20-780-270-A
Description:	***REPEAT VIOLATION*** Based on observation, the licensee did not ensure that all areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions include, but are not limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: In the three year old classroom, there were two, one foot long sections of bottom trim on the walls, which were pulled away from the wall and surrounded by peeling paint. In the three year old classroom, there was a one foot square of carpet which had come unglued and separated from the rest of the carpet around it posing a trip hazard. On the outdoor play space, there were two aluminum vent surrounds which had sharp corners and sharp edges. The vent surrounds were located on the exterior wall of the building at a height accessible to children in care.
Plan of Correction:	The program director will ensure that these maintenance items are corrected within 10 days. The facility staff will inspect classrooms and play areas daily and report issues to the program director for repair. The program director will inspect areas that children access at least weekly to ensure items needing attention are fixed before children have access to them.