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KCE Champions LLC-Middle Road
5400 Middle Road
Prince george, VA 23875
(804) 689-1629

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Jan. 29, 2020

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.

Comments:
An unannounced monitoring inspection was conducted on January 29, 2020 from approximately 7:00 am to 8:30 am. One staff was present with sixteen children at the onset of inspection. A second staff arrived during inspection. Five children and two staff records were reviewed.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review, facility did not ensure 1 of 5 children records has documentation that child is adequately immunized prior to beginning attendance.

Evidence: The record for child #4 (start date September 3, 2019) did not have an immunization record.

Plan of Correction: Will obtain immunization record(s) from parents.

Standard #: 22VAC40-185-140-A
Description: Based on review, facility did not ensure 2 of 5 children records has documentation of a physical examination within a month of beginning attendance.

Evidence: The records for child #1 (start date October 23, 2019) and child #4 (start date September 3, 2019) did not have a physical.

Plan of Correction: Will obtain physical records from parent(s).

Standard #: 22VAC40-185-60-A
Description: Based on review, facility did not ensure 1 of 5 children records has documentation of required information.

Evidence: The record for child #1 (start date October 23, 2019) did not have emergency contact addresses.

Plan of Correction: Will obtain emergency contacts/addresses from parents.

Standard #: 22VAC40-185-260-A
Description: Based on review, facility did not ensure there is an annual fire inspection report from the appropriate fire official having jurisdiction.

Evidence: The most recent fire inspection available for review was dated April 6, 2017 which is more than a year old.

Plan of Correction: Obtain a copy of the most recent fire inspection.

Standard #: 22VAC40-185-340-C
Description: Based on observation, facility did not ensure when one or more children are present that there is one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee with direct means for communication between the two of them.

Evidence: At approximately 7:00 am, staff #1 was present with sixteen school age children. Staff #1 stated staff #2 had left to go to another site to pick up paperwork. Staff #2 arrived to the facility between 7:10 - 7:15 am. A second staff or volunteer was not present during this time.

Plan of Correction: Will make sure 2nd staff person is present.

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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