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

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Feb. 4, 2020

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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
22VAC40-191 Background Checks (22VAC40-191)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was conducted between the hours of 9:00 am - 12:00 pm. Upon arrival with there were 43 children in care with 9 staff present. A sample of 3 staff and 4 children's records were reviewed. Children were observed playing with toys, interacting with staff and being read a story. During and after snack was also observed. Infants were observed sleeping in cribs and in swings.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a record review the center did not ensure all required information was kept for each enrolled child.
Evidence:
Child #4 (enrolled 07/31/19) did not have documentation of proof of identification and age.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The director will be notified and documentation of proof of identification will be obtained and documented in the child's record.

Standard #: 22VAC40-185-70-A
Description: Based on a record review the center did not ensure all required information was kept for each staff.
Evidence:
Staff #1 (hired 01/20/2020) did not have documentation of an emergency contact, at least 2 references that were verified, health information, education and/or experience.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The director will be notified and all required documentation for staff #1's record will be obtained and documented.

Standard #: 22VAC40-185-260-A
Description: Based on a record review the center did not have documentation of having an annual fire inspection.
Evidence:
The last documented fire inspection was dated 12/14/2018. The designated person-in-charge confirmed that was the last fire inspection at the center.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The designated person-in-charge will call the fire marshal's office to schedule an inspection and director will be notified upon her return on Friday.

Standard #: 22VAC40-185-260-B
Description: Based on a record review the center did not have documentation of having an annual health inspection.
Evidence:
The last documented health inspection was dated 12/11/2018. The designated person-in-charge confirmed that was the last health inspection at the center.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The designated person-in-charge will call the health department and schedule an inspection. The director will be notified upon her return on Friday.

Standard #: 22VAC40-185-270-A
Description: Based on observation the center did not ensure all areas and equipment of the center, inside and outside, were maintained in a safe condition.
Evidence:
On the playground the swings had metal chains that were rusted in several areas, portions of the fence had fallen over and unsecured. In addition there were 3 large logs on the playground, one of which was leaned up against the fence.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The director will be notified of all physical plant issues and a plan will be made to correct all of them upon her return on Friday.

Standard #: 22VAC40-185-280-B
Description: Based on observation the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children.
Evidence:
In the toddler/twos room, there was a bottle of disinfectant spray and a bottle of cleaning solution on a counter top with no locking method to prevent access by children.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The chemicals were placed in a locked area during the inspection.

Standard #: 22VAC40-185-500-B
Description: Based on observation the center did not ensure the children's safety during a diaper change.
Evidence:
A 2 year-old child #1 was observed laying on a raised changing table without a staff person within reach of the child or table. At the same time, there were 3 staff observed in the room doing tasks for around or about 30 seconds to a minute before one staff walked over to the changing table and attended to the child.

Plan of Correction: The following corrective action was provided by the designated person-in-charge: The designated person-in-charge will speak to the toddler staff today about supervision and safety of children when diapering. The director will be notified upon her return on Friday.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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