Kids Come 1st

8VAC20-780-270-A

“***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.”

8VAC20-780-160-A

“***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.”

22.1-289.035-B-2

“* REPEAT VIOLATION* Based on a review of records and interview, the licensee did not always ensure that the results of a Federal Fingerprint based Criminal Record Search are obtained prior to employment or volunteer service. Evidence: Five staff records were reviewed. The record for staff #5, whose date of employment was documented as 4/25/2023, did not contain the results of a Criminal History Search. Staff #5 was working alone in a classroom with 7 children ages 5-7 years old at the time of the inspection. Staff #6, who was in charge of the center at the time of the inspection, confirmed that this documentation was not present in staff #5's record.”

8VAC20-770-60-C-2

“* REPEAT VIOLATION* Based on a review of records and interview, the licensee did not always ensure that a central registry finding is obtained within 30 days of employment or volunteer service. Evidence: Five staff records were reviewed. The record for staff #5, whose date of employment was documented as 4/25/2023, did not contain the results of a Search of the Central Registry. Staff #5 was working alone in a classroom with 7 children ages 5-7 years old at the time of the inspection. Staff #6, who was in charge of the center at the time of the inspection, confirmed that this documentation was not present in staff #5's record.”

22.1-289.035-B-2

“* REPEAT VIOLATION* Based on a review of records and interview, the licensee did not always ensure that the results of a Federal Fingerprint based Criminal Record Search are obtained prior to employment or volunteer service. Evidence: Five staff records were reviewed. The record for staff #5, whose date of employment was documented as 4/25/2023, did not contain the results of a Criminal History Search. Staff #5 was working alone in a classroom with 7 children ages 5-7 years old at the time of the inspection. Staff #6, who was in charge of the center at the time of the inspection, confirmed that this documentation was not present in staff #5's record.”

8VAC20-770-60-C-2

“* REPEAT VIOLATION* Based on a review of records and interview, the licensee did not always ensure that a central registry finding is obtained within 30 days of employment or volunteer service. Evidence: Five staff records were reviewed. The record for staff #5, whose date of employment was documented as 4/25/2023, did not contain the results of a Search of the Central Registry. Staff #5 was working alone in a classroom with 7 children ages 5-7 years old at the time of the inspection. Staff #6, who was in charge of the center at the time of the inspection, confirmed that this documentation was not present in staff #5's record.”

8VAC20-780-330-B

“Based on observation, the licensee did not ensure that, where playground equipment is provided, resilient surfacing complies with minimum safety standards to include a minimum of 6 inches of resilient surfacing under and around equipment used for climbing or with moving parts. Evidence: The areas under and around the set of 6 swings contained wooden mulch which was compacted and covered in crab grass and weeds and was no longer loose and resilient. Under each swing bay, the ground was concave where children's feet sweep the ground and bare compacted dirt was observed under these areas.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did nor ensure that each staff member submits documentation of a negative Tuberculosis screening. Evidence: Four staff records were reviewed. The records for staff #3 and the record for staff #4 who are currently employed as teacher's assistants, did not contain the results of a Tuberculosis screening. The staff member in charge confirmed that staff #3 and staff #4 have been in contact with the children and that documentation of a tuberculosis screening was not available.”

8VAC20-780-40-H

“Based on a review of documentation and interview, the licensee was unable to demonstrate that they maintain public liability insurance for bodily injury for the center with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Evidence: The most recent liability insurance document that was available for review was dated 7/26/2021 through 7/26/2022. When asked if a current policy was in place, the individual in charge stated that the director called the insurance agent last week and that they are in the process of renewing the policy.”

8VAC20-780-280-B

“Based on observation and interview, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: The licensing inspector observed multiple cleaning materials with warning labels to include a statement to "Keep out of reach of children" and containing additional warnings to include "contact poison control" or a "contact a physician if swallowed", or identifying the contents as flammable or combustible. These items were located in an unsecured bottom cabinet in the kitchen which is open to the school aged classroom where 18 children were present. The accessible cleaning products included: 6 aerosol cans of Disinfectant spray; 3 spray bottles of scented air freshener; 1 bottle of isopropyl alcohol and 1 bottle of concentrated floor cleaner. The staff person in charge during the inspection acknowledged that these items were accessible to children and relocated them when she they were brought to her attention by the inspector.”

8VAC20-780-240-B

“Based on record review and interview, the licensee was unable to demonstrate that each staff completes a Program Specific orientation prior to working alone with children and no later than 7 days after assuming job responsibilities. Evidence: The record for staff #3 who is employed as a teacher's assistant, did not contain documentation that the employee was oriented to program specific information. Staff #3 was working in the school age classroom during the inspection. The staff member in charge at the time of inspection confirmed that this documentation was not available at the time of inspection.”

8VAC20-780-60-A

“Based on a review of records and interview, the licensee was not able to demonstrate that a separate record for each child enrolled, containing all of the required information, was maintained. Evidence: Four enrolled children's records were reviewed. The record for child #4 did not contain an address for the either of the 2 individuals to be contacted in an emergency if the parents are not able to be reached. The record for child #2 did not contain the 3 required agreements signed by the parent regarding authorization for medical care, ill child parent notification and pick up, and disclosure if the child or household member develops any reportable communicable disease. The staff person in charge was unable to produce this documentation during the inspection.”

8VAC20-780-270-A

“Based on observation and interview, 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. Evidence: The inspector observed that the fence surrounding the outdoor play area was in disrepair resulting in unsafe conditions to include areas which could result in head entrapment, as well as deteriorating wood, and protruding nails that could entangle clothing or snag skin. There were 2 single wood planks missing from one fence panel in two places, leaving 2 open gaps of about 4" and one fence panel missing double (two) planks, leaving an open gap of about 8". There was an entire 8 foot fence panel which had come untethered from the support post and which was leaning into the play yard resulting in an opening in the fence ranging in size from a few inches at the bottom of the panel and increasing to to a gap of approximately 2 feet at the upper portion of the panel. There were 5 exposed nails along the opening of the collapsed panel with the pointed / sharp end of the nail protruding outward from the fence support toward the play yard. There were 12 four year old children with one staff on the outdoor play space at the time of this observation. The staff in charge during the inspection acknowledged the disrepair of the fence at the time of the inspection.”

8VAC20-780-70

“Based on record review and interview, the licensee did not maintain a record for each staff member which contains all required documentation. Evidence: Four staff records were reviewed. The record for staff #3 did not contain a date of employment. The records for staff #3 and staff #4 did not contain documentation that 2 references as to character, reputation and competency were checked. The records for staff #3 and staff #4 did not contain documentation to demonstrate that they posses the education, certifications, experience, orientation and training required of their position. The individual in charge at the time of the inspection confirmed that she was unable to locate this documentation during the inspection.”

8VAC20-780-550-G

“Based on observation and interview, the licensee was unable to demonstrate that the program maintains documentation of shelter in place and Lockdown drills. Evidence: The emergency drill log was reviewed by the inspector. The log contained documentation of monthly evacuation drills conducted. When asked if the center conducted shelter-in-place drills or lockdown drills, the staff in charge stated that she thought so, but she was unable to produce any documentation to demonstrate that these drills had been practiced.”

8VAC20-780-350-B-4

“Based on observation and interview, the licensee did not ensure that the required ratio of 1 staff per 10 children was maintained for children ages 3 through 4 years old. Evidence: The inspector observed twelve four year old children with 1 staff at the time of the inspection. The staff in charge during the inspection acknowledged the number of staff and children in the four year old classroom and said that they had two staff call out sick on this day and did not have another staff to assist in this classroom.”

8VAC20-780-350-B-2

“Based on observation and interview, the licensee did not ensure that the required ratio of 1 staff per 5 children was maintained for children ages 16 months old up to 24 months old. Evidence: The inspector observed 11 toddlers, ages 16 months to 2 years old with 2 staff at the time of the inspection. The staff in charge during the inspection acknowledged the number of staff and children in the toddler room and said that they had two staff call out sick on this day and did not have another staff to assist in this classroom.”

22.1-289.035-B-2

“Based on record review and interview, the licensee was unable to demonstrate that each staff submits to fingerprinting for the purpose of a Federal Criminal History Record Check prior to being employed by the program. Evidence: Four staff records were reviewed. The record for staff #3, who is employed as a teacher's assistant, and the record for staff #4 whose date of hire was documented as 8/22/2022, did not contain documentation of a Criminal History Record check which is required prior to employment. The staff in charge at the time of inspection confirmed that this documentation was not available.”

8VAC20-770-60-B

“Based on record review and interview, the licensee was unable to demonstrate that each staff member completes a sworn statement or affirmation prior to working in the program. Evidence: Four staff records were reviewed. The record for staff #3, who is currently employed as a teacher's assistant at the center, did not contain a signed sworn statement or affirmation. The staff member in charge at the time of inspection confirmed that this documentation was not available at the time of inspection.”

8VAC20-770-60-C-2

“Based on record review and interview, the licensee was unable to demonstrate that a search of the central registry is conducted for every staff within 30 days of employment. Evidence: Four staff records were reviewed. The record for staff #3, who is employed as a teacher's assistant, did not contain documentation of a Search of the Central Registry. Staff #3 was working with children in the school age classroom during the inspection. The staff member in charge at the time of inspection confirmed that this documentation was not available at the time of inspection.”

8VAC20-780-350-B-1

“Based on observation and interview, the licensee did not ensure that the required ratio of 1 staff per 4 children was maintained for children birth up to 16 months old. Evidence: The inspector observed 9 infants, ages 6 months to 1 year old with 2 staff at the time of the inspection. The staff in charge during the inspection acknowledged the number of staff and children in the infant room and said that the third staff in this classroom had a doctor's appointment and would return following completion of her appointment.”

8VAC20-780-330-B

“Based on observation, the licensee did not ensure that, where playground equipment is provided, resilient surfacing complies with minimum safety standards to include a minimum of 6 inches of resilient surfacing under and around equipment used for climbing or with moving parts. Evidence: The areas under and around the set of 6 swings contained wooden mulch which was compacted and covered in crab grass and weeds and was no longer loose and resilient. Under each swing bay, the ground was concave where children's feet sweep the ground and bare compacted dirt was observed under these areas.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did nor ensure that each staff member submits documentation of a negative Tuberculosis screening. Evidence: Four staff records were reviewed. The records for staff #3 and the record for staff #4 who are currently employed as teacher's assistants, did not contain the results of a Tuberculosis screening. The staff member in charge confirmed that staff #3 and staff #4 have been in contact with the children and that documentation of a tuberculosis screening was not available.”

8VAC20-780-40-H

“Based on a review of documentation and interview, the licensee was unable to demonstrate that they maintain public liability insurance for bodily injury for the center with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Evidence: The most recent liability insurance document that was available for review was dated 7/26/2021 through 7/26/2022. When asked if a current policy was in place, the individual in charge stated that the director called the insurance agent last week and that they are in the process of renewing the policy.”

8VAC20-780-280-B

“Based on observation and interview, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: The licensing inspector observed multiple cleaning materials with warning labels to include a statement to "Keep out of reach of children" and containing additional warnings to include "contact poison control" or a "contact a physician if swallowed", or identifying the contents as flammable or combustible. These items were located in an unsecured bottom cabinet in the kitchen which is open to the school aged classroom where 18 children were present. The accessible cleaning products included: 6 aerosol cans of Disinfectant spray; 3 spray bottles of scented air freshener; 1 bottle of isopropyl alcohol and 1 bottle of concentrated floor cleaner. The staff person in charge during the inspection acknowledged that these items were accessible to children and relocated them when she they were brought to her attention by the inspector.”

8VAC20-780-240-B

“Based on record review and interview, the licensee was unable to demonstrate that each staff completes a Program Specific orientation prior to working alone with children and no later than 7 days after assuming job responsibilities. Evidence: The record for staff #3 who is employed as a teacher's assistant, did not contain documentation that the employee was oriented to program specific information. Staff #3 was working in the school age classroom during the inspection. The staff member in charge at the time of inspection confirmed that this documentation was not available at the time of inspection.”

8VAC20-780-60-A

“Based on a review of records and interview, the licensee was not able to demonstrate that a separate record for each child enrolled, containing all of the required information, was maintained. Evidence: Four enrolled children's records were reviewed. The record for child #4 did not contain an address for the either of the 2 individuals to be contacted in an emergency if the parents are not able to be reached. The record for child #2 did not contain the 3 required agreements signed by the parent regarding authorization for medical care, ill child parent notification and pick up, and disclosure if the child or household member develops any reportable communicable disease. The staff person in charge was unable to produce this documentation during the inspection.”

8VAC20-780-270-A

“Based on observation and interview, 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. Evidence: The inspector observed that the fence surrounding the outdoor play area was in disrepair resulting in unsafe conditions to include areas which could result in head entrapment, as well as deteriorating wood, and protruding nails that could entangle clothing or snag skin. There were 2 single wood planks missing from one fence panel in two places, leaving 2 open gaps of about 4" and one fence panel missing double (two) planks, leaving an open gap of about 8". There was an entire 8 foot fence panel which had come untethered from the support post and which was leaning into the play yard resulting in an opening in the fence ranging in size from a few inches at the bottom of the panel and increasing to to a gap of approximately 2 feet at the upper portion of the panel. There were 5 exposed nails along the opening of the collapsed panel with the pointed / sharp end of the nail protruding outward from the fence support toward the play yard. There were 12 four year old children with one staff on the outdoor play space at the time of this observation. The staff in charge during the inspection acknowledged the disrepair of the fence at the time of the inspection.”

8VAC20-780-70

“Based on record review and interview, the licensee did not maintain a record for each staff member which contains all required documentation. Evidence: Four staff records were reviewed. The record for staff #3 did not contain a date of employment. The records for staff #3 and staff #4 did not contain documentation that 2 references as to character, reputation and competency were checked. The records for staff #3 and staff #4 did not contain documentation to demonstrate that they posses the education, certifications, experience, orientation and training required of their position. The individual in charge at the time of the inspection confirmed that she was unable to locate this documentation during the inspection.”

8VAC20-780-550-G

“Based on observation and interview, the licensee was unable to demonstrate that the program maintains documentation of shelter in place and Lockdown drills. Evidence: The emergency drill log was reviewed by the inspector. The log contained documentation of monthly evacuation drills conducted. When asked if the center conducted shelter-in-place drills or lockdown drills, the staff in charge stated that she thought so, but she was unable to produce any documentation to demonstrate that these drills had been practiced.”

8VAC20-780-350-B-4

“Based on observation and interview, the licensee did not ensure that the required ratio of 1 staff per 10 children was maintained for children ages 3 through 4 years old. Evidence: The inspector observed twelve four year old children with 1 staff at the time of the inspection. The staff in charge during the inspection acknowledged the number of staff and children in the four year old classroom and said that they had two staff call out sick on this day and did not have another staff to assist in this classroom.”

8VAC20-780-350-B-2

“Based on observation and interview, the licensee did not ensure that the required ratio of 1 staff per 5 children was maintained for children ages 16 months old up to 24 months old. Evidence: The inspector observed 11 toddlers, ages 16 months to 2 years old with 2 staff at the time of the inspection. The staff in charge during the inspection acknowledged the number of staff and children in the toddler room and said that they had two staff call out sick on this day and did not have another staff to assist in this classroom.”

22.1-289.035-B-2

“Based on record review and interview, the licensee was unable to demonstrate that each staff submits to fingerprinting for the purpose of a Federal Criminal History Record Check prior to being employed by the program. Evidence: Four staff records were reviewed. The record for staff #3, who is employed as a teacher's assistant, and the record for staff #4 whose date of hire was documented as 8/22/2022, did not contain documentation of a Criminal History Record check which is required prior to employment. The staff in charge at the time of inspection confirmed that this documentation was not available.”

8VAC20-770-60-B

“Based on record review and interview, the licensee was unable to demonstrate that each staff member completes a sworn statement or affirmation prior to working in the program. Evidence: Four staff records were reviewed. The record for staff #3, who is currently employed as a teacher's assistant at the center, did not contain a signed sworn statement or affirmation. The staff member in charge at the time of inspection confirmed that this documentation was not available at the time of inspection.”

8VAC20-770-60-C-2

“Based on record review and interview, the licensee was unable to demonstrate that a search of the central registry is conducted for every staff within 30 days of employment. Evidence: Four staff records were reviewed. The record for staff #3, who is employed as a teacher's assistant, did not contain documentation of a Search of the Central Registry. Staff #3 was working with children in the school age classroom during the inspection. The staff member in charge at the time of inspection confirmed that this documentation was not available at the time of inspection.”

8VAC20-780-350-B-1

“Based on observation and interview, the licensee did not ensure that the required ratio of 1 staff per 4 children was maintained for children birth up to 16 months old. Evidence: The inspector observed 9 infants, ages 6 months to 1 year old with 2 staff at the time of the inspection. The staff in charge during the inspection acknowledged the number of staff and children in the infant room and said that the third staff in this classroom had a doctor's appointment and would return following completion of her appointment.”

22.1-289.058

“Based on observation and interview, the center is not equipped with at least on carbon monoxide detector. Evidence: A carbon monoxide detector was not observed in the center during the inspection on 3/2/2022. The staff in charge at the time of the inspection (staff #1) was not able to demonstrate that there was a carbon monoxide detector present in the facility. The building was constructed before 2015.”

8VAC20-780-80-A

“Based on observation and interview, the center was unable to demonstrate that, for each group of children, the center maintains a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: During the inspection, the sign in and out sheets at the front reception area were reviewed. When compared with actual children present, there were multiple children present in each classroom who were not signed in on the parents' sign-in roster. In addition, there was no actual time recorded on the sign in sheets for the arrival of children or the departure of children. Individual classrooms had attendance books that showed children present or absent each day but did not indicate the arrival or the departure times of the children who had been in attendance.”

8VAC20-780-440-E

“Based on observation, the facility did not ensure that at least 12 inches of space is maintained between occupied cots, beds, and rest mats. Evidence: Children were observed in the Two's room and the Fours' room sleeping on cots lined up with between 2 and 5 inches of space between them. When classroom staff were asked about the spacing of cots, they replied that they were spacing the children as much as possible given the floor space available.”

22.1-289.058

“Based on observation and interview, the center is not equipped with at least on carbon monoxide detector. Evidence: A carbon monoxide detector was not observed in the center during the inspection on 3/2/2022. The staff in charge at the time of the inspection (staff #1) was not able to demonstrate that there was a carbon monoxide detector present in the facility. The building was constructed before 2015.”

8VAC20-780-80-A

“Based on observation and interview, the center was unable to demonstrate that, for each group of children, the center maintains a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: During the inspection, the sign in and out sheets at the front reception area were reviewed. When compared with actual children present, there were multiple children present in each classroom who were not signed in on the parents' sign-in roster. In addition, there was no actual time recorded on the sign in sheets for the arrival of children or the departure of children. Individual classrooms had attendance books that showed children present or absent each day but did not indicate the arrival or the departure times of the children who had been in attendance.”

8VAC20-780-440-E

“Based on observation, the facility did not ensure that at least 12 inches of space is maintained between occupied cots, beds, and rest mats. Evidence: Children were observed in the Two's room and the Fours' room sleeping on cots lined up with between 2 and 5 inches of space between them. When classroom staff were asked about the spacing of cots, they replied that they were spacing the children as much as possible given the floor space available.”