VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angels Keepers
329 Kellam Road
Virginia beach, VA 23462
(757) 490-9441

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: March 25, 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 3/25/19 from 10:10am - 12:15pm. During the inspection there were 16 children ages two years old through five years old in care with three staff. Children were observed participating in various activities in the classrooms, playing outside, eating lunch and during rest period. 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 #:	22VAC40-665-580-F
Description:	Based a review of five staff records, it was determined that the vendor did not ensure that all staff have a current certification in cardiopulmonary resuscitation (CPR) and first aid appropriate to the age of children in care. Evidence: 1. The record for staff #2 did not contain documentation for a current certification in cardiopulmonary resuscitation (CPR) and first aid appropriate to the age of children in care. 2. The record for staff #4 did not contain documentation for a current certification in cardiopulmonary resuscitation (CPR) and first aid appropriate to the age of children in care. 3. Staff #2 reviewed the record for staff #2 and staff #4, and confirmed that there was not documentation to demonstrate that either staff had a current certification in cardiopulmonary resuscitation (CPR) and first aid appropriate to the age of children in care.
Plan of Correction:	The vendor responded: Staff #2 and staff #4 will complete a course to obtain certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care in April. All new staff will complete a course to obtain certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of employment.
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. Staff #2 confirmed that there was no documentation available for viewing during the inspection regarding how the vendor will ensure that each group of children receives care by consistent staff or team of staff members.
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. 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 #2 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 vendor responded: We will develop procedures for the continuity of operations procedures to ensure that essential functions are maintained during an emergency. All current staff and any new staff will review this policy.