VIRGINIA DEPARTMENT OF SOCIAL SERVICES

KCE Champions @ Lindenwood Elementary
2700 Ludlow Street
Norfolk, VA 23504
(757) 600-9753

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: Feb. 22, 2024

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

An unannounced renewal inspection was conducted on February 22, 2024, at 3:35pm to approximately 4:40pm. There were seven children present and one staff member. Each individual child at the program had their record reviewed. Emergency procedures and emergency supplies, along with all required postings, were also reviewed. Transportation is not provided at the center. The children were observed finishing dinner, group activity, bathroom break and parent pick up. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the site director at the exit interview.

Violations:

Standard #:	22.1-289.011-F
Description:	REPEAT VIOLATION Based on observation and interview it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Repeat violation. Evidence: 1. The most recent from January 12, 2024, was not posted on the premises. 2. Staff #1 confirmed that the most recent inspection was not printed and not posted on the premises of the facility.
Plan of Correction:	January 12 Inspection was printed and post
Standard #:	8VAC20-770-60-C-2
Description:	REPEAT VIOLATION Based on record review and interview, it was determined that the center did not ensure that central registry results by the end of the 30th day of employment was completed. Repeat violation. Evidence: 1. Staff #1 (date of hire 08/21/2023) did not have the central registry results completed and there is no documented in their record that it was requested. 2. Staff #2, manager, was unable to produce documentation that there the Virginia Central Registry results were completed or requested by the end of the 30th day of employment for Staff #1.
Plan of Correction:	Central registry records were received and printed and placed in staff file. Staff records& results were received on 2/26 and placed in her file on 2/26.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on record review and interview, it was determined that the center not ensure that each center maintain and keep a separate record for each child enrolled. Evidence: 1. Child #1 (date of enrollment 12/13/2023) did not have a full record and did not contain the parent?s names, addresses, phone numbers, work number, and two designated emergency contacts. 2. Child #2 (date of enrollment 9/13/2023) did not have the mother?s work phone number and addresses for their emergency contacts listed in their record. 3. Child #3 (date of enrollment 11/01/2023) did not have the parent?s work phone numbers and emergency contact addresses listed to their record. 4. Child #4 (date of enrollment 8/29/2023) did not have parent?s work number, doctor?s name and phone number, emergency medical authorization, illness policy, and communicable disease policy in their record. 5. Child #5 (date of enrollment 11/01/2023) did not have their parent work phone numbers, and emergency contact addresses to their record. 6. Staff #1 confirmed that Child #1, Child #2, Child #3, Child #4, and Child #5 did not have all the required documentation in their records.
Plan of Correction:	All children records have been updated with all the required information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center be maintained in a safe and operable condition. Evidence: 1. While children were sitting at the table, a child stated that there was a screw sticking out of the table and it was sharp. This poses as a poking or injury hazard to the children in care. 2. An additional child in the center, confirmed that they were poked by the screw sticking out of the table before however there was no injury. 3. Staff #1 confirmed that there was a screw poking out of the table where children were seated.
Plan of Correction:	NPS Custodial Staff removed table and replaced it.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observation and interview, it was determined that the center did not ensure that electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. There were three electrical outlets that did not have protective covers. 2. There was a set of electrical outlets that were not covered which were directly beside and in reach of children.
Plan of Correction:	All Electrical outlets are covered with protective covers
Standard #:	8VAC20-780-340-C
Description:	REPEAT VIOLATION Based on observation and interview, it was determined that the center failed to ensure that during the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. The volunteer or other employee shall have received instruction in how to contact appropriate authorities if there is an emergency. Repeat violation. Evidence: 1. Upon arrival to the center at 3:35pm, there was one staff member present with seven children. 2. During a group interview with the children, they confirmed that Staff #1 is the only staff member present today at the facility. 3. Staff #1, Director, confirmed that they are the only staff member present and that they were alone all week without an additional staff member at the center. 4. Staff #2, Program Manager, confirmed that only one staff member was present at the center caring for children. 5. In reviewing the face to name sheet, there were seven children listed and one staff member.
Plan of Correction:	There are two floaters who are on-call instead the program or lead teacher is unable to come to work. A program director has been promoted internally and will be on-site in this role.
Standard #:	8VAC20-780-340-F
Description:	Based on observation and interview, it was determined that the center failed to ensure children under 10 years of age always shall be within actual sight and sound supervision. Evidence: 1. Staff #1 confirmed that they allow children to go outside of the classroom to the hallway to use the bathroom alone while staff remains with the rest of the children at the center. 2. A child in care was observed standing outside of the hallway bathroom without adult supervision.
Plan of Correction:	Children will be supervised at all times with a staff members present within sight and sound
Standard #:	8VAC20-780-500-A
Description:	Based on observation and interview, it was determined that the center did not ensure that children's hands be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: 1. Children were observed transitioning from dinner to group activity and did not wash their hands with soap and running water or disposable wipes after eating. 2. Staff #1 confirmed that the children did not wash their hands after eating their dinner. 3. Inspector prompted the center that the children?s hands needed to be washed after eating. While in line to wash their hands a child asked the reasons why they needed to wash their hands.
Plan of Correction:	Staff will ensure proper hand -washing techniques and practices will be conducted properly at all times including snack and dinner time.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, it was determined that the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were packets of burn creams, antiseptic wipes, and triple antibiotic ointments which all had the warning label, ?Keep out of reach of children? located in a student desk that was unlocked and accessible to children. 2. Staff #1 confirmed that the content listed above was not locked and accessible to children.
Plan of Correction:	All medications and first-aid contents are locked in the storage cabinet only accessible by key
Standard #:	8VAC20-780-540-B
Description:	Based on observation and interview, it was determined that the center did not ensure that each first aid kit be easily accessible to staff but not to children. Evidence: 1. When asked of the location of the First Aid Kit, Staff #1 stated that it was located in the student desk which was in reach and accessible to both children and staff at the center.
Plan of Correction:	The First-Aid Kit is locked away in the cabinet only accessible by staff with key.
Standard #:	8VAC20-780-540-C
Description:	Based on observation and interview, it was determined that the center did not ensure that the required first aid kits shall include at a minimum: 1. Scissors; 2. Tweezers; 3. Gauze pads; 4. Adhesive tape; 5. Band-aids, assorted types; 6. An antiseptic cleansing solution /pads; 7. Thermometer; 8. Triangular bandages; 9. Single use gloves such as surgical or examination gloves; and 10. The first aid instructional manual. Evidence: 1. In reviewing the content of the First Aid Kit, there was no thermometer and one triangular bandage. 2. Staff #1 confirmed that there was no thermometer.
Plan of Correction:	Supplies in First-aid KIT were ordered and received
Standard #:	8VAC20-780-550-B
Description:	Based on record review and interview, it was determined that the center did not ensure that the procedure for emergency communication is to include notification of parents. Evidence: 1. Staff #1 had several of the children?s contact information for parents and emergency contacts missing in their record and not available on site. Staff #1 stated that they would call the program manager located off site to call the parents should an emergency arise. 2. Staff #1 confirmed that they did not have a means of communication to parents in emergency situations.
Plan of Correction:	All children & staff files were updated. Staff #1 has all parents contact information and the means to contact parents in all emergency and non-emergency situations