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KCE Champions LLC @ Camp Allen Elementary
501 C Street
Norfolk, VA 23505
(757) 912-3825

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Feb. 17, 2016 and Feb. 18, 2016

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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
On 2/18/16 we discussed documentation of staff qualifications in staff records and terms used by the center to identify staff roles. Staff other than the program director at each site are listed as site assistants. If these staff are ever placed in the role of program leader the appropriate documentation would need to present in each record where this title is used.

Comments:
An unannounced renewal inspection of the center was conducted from 3:30pm through 4:45pmon 2/17/16. Staff records were reviewed at the central location on 2/18/16. Board members/agents, listed on the renewal application, background checks were also reviewed. On 2/17/16 there were 23 children in care ages four to ten years old with three staff including one management staff member. Children's records were reviewed on site. During the inspection children were observed in teacher and self-directed activities including rest room routines, snack, large group and activity centers. Fire inspection, health inspection, emergency evacuation drills, and insurance documentation was reviewed. The center reports that there is not any medication being administered nor are the children transported by the center. Violations were found in the following area and will appear on the violation notice; staff training and physical plant. Upon receipt of the inspection documentation, the licensee must develop a plan of correction for each violation. The plan of correction must include the following: ? The steps to correct noncompliance with the standard(s); ? Measures to prevent reoccurrence of noncompliance; ? Person(s) responsible for implementation and monitoring of preventive measure(s); ? Date by which noncompliance will be corrected. The licensee will have ten calendar days from receipt of the inspection documentation to complete the section titled Plan of Correction, sign each page of the documentation and return it to the Licensing Office by 2/2/16. The licensee should retain a copy to be posted at the facility (Supplemental Information is not to be posted due to confidentiality). Results of the inspection documentation are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section is completed.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on record review and interview the center failed to ensure that written information to demonstrate that the individual possesses the education by the job position. Evidence: 1 - The record for staff 1 does not contain documentation that the staff has completed course work that meets program director qualifications 2 - Staff 1 was present and working in the role of program director during the inspection. 3 - Staff 2 confirmed that the proper documentation was not present in the staff record.

Plan of Correction: Center management will ensure that documentation of the program director's educational background meets program director standards. This information will be available in the the staff record for review.

Site Director has provided her updated transcripts.

Standard #: 22VAC40-185-240-A
Description: Based on interview the center failed to ensure that staff receive training regarding emergency preparedness. Evidence: 1 - Staff 1 was unable to state where the center would go if they were required to evacuate the center building. 2 - Staff 1 was unable to state how children would staff would get from the building to a safe location if they were required to evacuate the center building.

Plan of Correction: Intensive Plan of Correction Requested

The plan has been updated and all staff have been trained on the location and mode of transportation for the children.

Standard #: 22VAC40-185-260-A
Description: Based on record review and interview the center failed to provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1 - Staff 1 provided a fire extinguisher report from a commercial company when the annual fire inspection was requested. 2 - Support staff in the office were unable to produce a copy a recent fire inspection report. However, the staff stated that a fire inspection was completed in September 2015. 3 - The date on the most recent fire inspection made available today was 5/29/14.

Plan of Correction: Intensive Plan of Correction Requested

Fire inspection has been completed and official summary has been documented. Champions will maintain their own Fire Inspection report moving forward.

Standard #: 22VAC40-185-270-A
Description: Based on observation and interview the center failed to maintain safe conditions. Evidence: 1 - There are four electrical cords dangling over the edge of the stage. Each cord is hanging down within reach of children. 2 - The cords are entangled over, under and near the baskets that children use to store their personal belongings. 3 - Children were observed accessing the baskets in close proximity to the dangling cords. 4 - Staff 1 confirmed that the cords were dangling down within reach of children.

Plan of Correction: Corrected during the inspection. Center management will ensure that electrical cords placed on the stage out reach of children in care and away from personal belongs.

Standard #: 63.2-1720-F
Description: Based on observation the provider failed to ensure that no employee shall be permitted to work in a position that involves direct contact with a child receiving services until an original criminal history record has been received, unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section. Evidence: 1 - Staff 3 was present providing direct care to children present. On two separate occasions staff 3 escorted children to restroom a lone. The restroom is located out of sight of the main child care area. 2 - The documented date of hire for staff 3 is 2/3/16. 3 - Staff 2 confirmed that an original criminal history record was not present in the record of staff 3

Plan of Correction: Center management will remind and retrain staff regarding the requirement for staff not to be alone with children in care until the criminal history record check has been returned to the company.

both stand and CPS have been mailed and we are awaiting the final version to come in the mail. Staff member will ensure that she is within sight of a background checked staff member until such results are returned.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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