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KCE Champions LLC at Little Creek Elementary School
7900 Tarpon Place
Norfolk, VA 23518
(757) 583-2600

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Nov. 22, 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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was conducted on 11/22/2022. There were 33 children present, aged four years and older, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records were reviewed.


Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the program director during the exit interview.

Violations:
Standard #: 8VAC20-780-130-A
Description: Based upon review of children's records and staff interview, the facility has not ensured that each child has received the immunizations required by the State Board of health before the child attends the facility,
Evidence:
1. The record provided for child 3, in attendance during the inspection, did not include documentation of the required immunizations.
2. Staff 1 acknowledged that the record for child 3 did not include documentation of immunizations.

Plan of Correction: The program director responded with the following during the inspection:
All children's records will be checked to ensure the required physicals/immunization records are in each file.

Standard #: 8VAC20-780-140-A
Description: Based upon review of children's records and staff interview, the facility has not ensured that each child has a physical examination under the direction of a physician.
Evidence:
1. The records provided for child 3 and child 4, both attending care for over thirty days, did not include documentation that the children obtained the required physical examinations.
2. Staff 1 acknowledged that the records of child 3 and child 4 did not contain documentation of physical examinations.

Plan of Correction: The program director responded with the following during the inspection:
All children's records will be checked to ensure the required physicals/immunization records are in each file.

Standard #: 8VAC20-780-40-E
Description: Based upon review of policies, observation and staff interview, the facility has not ensured that they maintain compliance with their own policies regarding children's medication.
Evidence:
1. Child 6 had an asthma action plan that required the administration of diphenhydramine followed by epinephrine if not effective. The facility did not have the child's diphenhydramine at the site. In addition, there was no physician permission to administer the medications. the parent authorization did not include the end date for permission for the epinephrine to be administered. The facility policy requires parent and physician authorization for medications to be administered and the end date for medication authorizations.
2. The facility accepted fluticasone to be administered to child 7 as needed, The parent authorization did not include the end date for the authorization. There was no physician authorization for the fluticasone to be administered. The facility' policy requires physician authorization for all medications and an end date of medication authorization.
3. Staff 1 acknowledged the medication policy and the missing authorizations and information as outlined above.

Plan of Correction: The program director responded with the following during the inspection:
All requirements of our medication policy will be followed exactly. Required parent and physician authorizations will be obtained. Allergy action plans prepared by physicians will be followed exactly as written. All required documentation will be obtained prior to accepting medication from the parent.

Standard #: 8VAC20-780-60-A
Description: Based upon review of children's records and staff interview, the facility has not ensured that each child's record contains all required information.
Evidence:
1. The record provided for child 5 did not include any information regarding the father. In addition, one of the two emergency contact persons listed did not include the contact's address or telephone number.
2. The record provided for child 2, one of the two emergency contact persons listed did not include the contact's address and telephone number.
3, Staff 1 acknowledged the missing information in the above listed children's records.

Plan of Correction: The program director responded with the following during the inspection:
All children's records will be reviewed to ensure that all required information is included in the record. Any missing information will be obtained from the parent.

Standard #: 8VAC20-780-510-E
Description: Based upon review of medication, documentation and staff interview, the facility has not ensured that long term medication is administered only with written physician authorization.
Evidence:
1. Methylphenidate, authorized long term by the parent, was administered to child 8 on 11/21/2022 without written physician authorization.
2. Staff 1 acknowledged that the medication was administered without written physician authorization from a physician.

Plan of Correction: The program director responded with the following during the inspection:
No medication will be accepted from a parent or administered without written physician and parent authorization.

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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