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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: Aug. 16, 2022

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
8VAC20-780 Special Services.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Technical assistance was provided in the following areas of the standards: supervision, child records, physical examinations, immunization records, staff records, infant feeding, diapering, hand washing, medication, first aid supplies, transportation, and emergency procedures and supplies.

Comments:
An unannounced monitoring inspection was conducted on 8/16/22 from 10:00am - 11:45am. During the inspection there were 16 children ages one year old through seven years old in care with four staff. Children were observed participating in various activities in the classrooms, playing
outside, and eating snack. Records were reviewed for five children and five staff during the inspection. There is no medication at the facility. Emergency procedures, emergency supplies and transportation procedures were also reviewed during the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program, and were discussed during the exit interview.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of five staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).

Evidence:
1. The record for staff #5 (date of hire 6/24/22) did not contain documentation of a completed national criminal history record check (finger printing).
2. Staff #6 (Program Director) reviewed the record for the staff #5 and confirmed that she had not received the results of the finger print background check (finger printing).

Plan of Correction: The facility responded: Staff #5 will be sent to complete a criminal record check. Staff will not be allowed to begin employment without a completed criminal record check.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #5 (date of hire 6/24/22) did not contain documentation of a completed search of the central registry finding.
2. Staff #6 (Program Director) reviewed the record for the staff #5, and confirmed that the search of the central registry finding has not been received.

Plan of Correction: The facility responded: Staff #10 previously submitted a search of the central registry, but it was returned and re-mailed. We will check on the status of the search.

Standard #: 8VAC20-780-130-A
Description: Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. The record for child #5, present during the inspection, did not contain documentation of an immunization record.
2. Staff #6 (Program Director) reviewed the record for child #5, and confirmed there was no immunization record available for viewing during the inspection.

Plan of Correction: The facility responded: The parents of child #5 will be asked to provide a current immunization record.

Standard #: 8VAC20-780-140-A
Description: Based on a review of five children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance.

Evidence:
1. The record for child #1 did not contain a physical examination.
2. The record for child #5 did not contain a physical examination.
3. Staff #6 (Program Director) confirmed that the records for child #1 and child #5 did not contain a physical examination.

Plan of Correction: The facility responded: The parents of both children will be asked to provide a current physical examination.

Standard #: 8VAC20-780-160-C
Description: Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence:
1. The record for staff #2, contained documentation of TB screening that was dated 9/29/19.
2. The record for staff #3, contained documentation of TB screening that was dated 6/24/20.
3. Staff #6 (Program Director), reviewed the records for staff #2 and staff #3 and confirmed that an updated TB screening had not been received.

Plan of Correction: The facility responded: Both staff will be sent to complete an updated TB screening.

Standard #: 8VAC20-780-60-A
Description: Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.

Evidence
1. The record for child #2 did not contain a second emergency contact.
2. The record for child #3 did not contain a second emergency contact.
3. The record for child #5 did not contain addresses for the emergency contacts and did not contain the name and phone number for the child's physician.
4. Staff #6 (Program Director) confirmed that the records for the children listed above did not contain all of the required information.

Plan of Correction: The facility responded: The parents of each child will be asked to complete the missing information.

Standard #: 8VAC20-780-80-A
Description: Based on observation and a review of documentation, the Licensee did not ensure that the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence:
1. The sign in form at the front of the facility did not contain the names of all the children (15) present.
2. Staff #6 (Program Director) confirmed that all of the children present at he facility were not signed in.

Plan of Correction: The facility responded: Staff will ensure that attendance for each child is documented as they arrive.

Standard #: 8VAC20-780-260-B
Description: Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

Evidence:
1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 6/14/21.
2. Staff #6 (Program Director) confirmed that the annual inspection from the local health department had not been completed.

Plan of Correction: The facility responded: The local health department will be contacted to conduct the annual health inspeciton.

Standard #: 8VAC20-780-280-B
Description: Based on observation, it was determined that the facility did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. There were several cans of disinfectant spray on the top of the half wall in the Infant classroom
2. Staff #6 (Program Director) confirmed there were hazardous substances present that were not kept in a locked place.

Plan of Correction: The facility responded: Corrected during the inspection. Staff will ensure that all hazardous substances are stored in a locked location.

Standard #: 8VAC20-780-350-B-4
Description: Based on observation and interviews, it was determined that the licensee did not ensure that for children, three years of age up to school age eligible, a ratio of one staff member for every ten children is maintained at all times children are in care.

Evidence:
1. There were 12 children present with staff #4 in the Preschool classroom when the Licensing Inspector arrived at 10:00am.
2. When staff #2 was asked how old the youngest child was, staff #4 stated that the youngest child in the classroom was three years old. Based on that information, the required staff-to child ratio would be one staff for every ten children.
3. Staff #6 (Program Director) confirmed that the correct staff-to-child ratio was not being maintained in the Preschool classroom.

Plan of Correction: The facility responded: Corrected during the inspection. All required staff-to-child ratios will be maintained at all times.

Standard #: 8VAC20-780-550-G
Description: Based on a review of the emergency drill log and interview, it was determined that the licensee did not ensure that the center shall maintain a record of the dates of the practice drills for one year.

Evidence:
1. The emergency drill log did not have documentation to indicate an emergency evacuation drill was completed for the months of March 2022 through July 2022.
2. Staff #6 (Program Director) stated that an emergency evacuation drill had been completed during the months of March 2022 through July 2022, but that she had forgot to document it on the emergency drill log.

Plan of Correction: The facility responded: We will record the previous completed evacuations drills on the emergency drill log and ensure they are documented each month.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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