VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kellys Kare Academy
4604 Pembroke Lake Circle
Suite 108
Virginia beach, VA 23455
(757) 228-3443

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: March 18, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

A Subsidy Health and Safety inspection was conducted on on 3/18/19 from 9:45am - 11:45am. During the inspection there were 5 children ages two years old through three years old in care with two staff. Children were observed participating in various activities in the classrooms and eating lunch. Records were reviewed for five children and five staff. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements, were discussed during the exit interview, and are identified on the violation notice.

Violations:

Standard #:	22VAC40-665-510-B
Description:	Based on observation and interviews, it was determined that the vendor did not ensure that for each group of children, the vendor shall maintain a written record (hard copy) of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record for multiple classrooms did not have the the time of arrival for all children present. 2. Staff #6 confirmed that the arrival of all children was not documented as the attendance in the room just indicates whether the child was present and some parents did not sign their children in at the front desk.
Plan of Correction:	The facility responded: Going forward we will record the time of arrival and the time of departure on the attendance sheet locate din each classroom.
Standard #:	22VAC40-665-650-E
Description:	Based on a review of policies and procedures for the facility and interviews, it was determined that the vendor did not ensure that a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members was developed and implemented. Evidence: 1. The Licensing Inspector could not find the policy and procedures for maintaining consistent staff at the facility during the inspection. 2. When asked to provide the a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members, staff #1 said he could not find it.
Plan of Correction:	The vendor responded: A a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members will be developed and a copy will be placed at the facility in the Licensing Book. All current staff and any new staff will review this policy.
Standard #:	22VAC40-665-770-B-5
Description:	Based on a review of the center's policies and interviews, it was determined that the vendor did not ensure that they shall develop and implement the continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: 1. There was no documentation available for viewing during the inspection regarding continuity of operations procedures to ensure that essential functions are maintained during an emergency. 2. Staff #6 confirmed that there was no documentation available for viewing during the inspection regarding continuity of operations procedures to ensure that essential functions are maintained during an emergency.
Plan of Correction:	The facility responded: A policy and procedures for the continuity of operations procedures to ensure that essential functions are maintained during an emergency will be developed, and we will train the staff on it.
Standard #:	22VAC40-665-780-A-3
Description:	Based on a review of documentation and interviews, it was determined that the vendor did not ensure that the center shall practice lockdown procedures at least annually. Evidence: 1. The emergency drill record for the previous year did not include documentation to demonstrate that a lockdown practice drill was completed. 2. Staff #1 confirmed that a lockdown practice drill was not completed during the previous year.
Plan of Correction:	The vendor responded: Going forward we will make sure that all practice drills are documented as soon as they are completed.