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Christ the King School Early Learning Center and Extended Care
3401 Tidewater Drive
Norfolk, VA 23509
(757) 625-4951

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: July 16, 2024

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 LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
Technical assistance was provided in the following areas: medication, environmental sanitation form (VDOE Model Form), background check protocol for new hires 7/1/24

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/.

Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:
An unannounced, on-site renewal inspection was initiated and completed on July 16, 2024. The on-site inspection began at 1:05pm and ended at 4:30pm. The inspector reviewed compliance in the areas listed above. There were 50 children present and nine staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 1, 2024. A POC submitted after this date will not appear on the public website.

Violations:
Standard #: 8VAC20-780-160-C
Description: Based on record review and interview the center did not ensure that at least every two years from the date of the initial screening or testing, staff members obtain and submit the results of a follow-up tuberculosis (TB) screening.
Evidence:
1.The record for Staff #1 contained TB results dated for May 9, 2022, with no follow up screening within the required timeframe of two years.
2.Staff #1 confirmed that the last TB results in their record was dated May 9, 2022.

Plan of Correction: Staff 1 will obtain TB form by 8/16/24. Program Director will conduct monthly audits to ensure continued compliance.

Standard #: 8VAC20-780-40-E
Description: Based on observation and interview the center did not ensure that the operational responsibilities include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures.
Evidence:
1.There was a medication at the center that had an expiration date of June 14, 2024.
a. The center?s policy for medication states that ?parents will be notified 60 days prior to expiration of any medication. If updated medication is not brought in prior to expiration date, on the expiration date childcare will be suspended until updated medication is brought in.?
b. Staff #1 confirmed that the parent(s) were not notified 60 days prior to the expiration of the medication and childcare was not suspended until updated medication was brought in.

Plan of Correction: Program Director and nurse will ensure medications and paperwork are current and up to date monthly. CTK?s medication policy has been reviewed with all MAT staff and nurse on 7/19/24.

Standard #: 8VAC20-780-60-A
Description: Repeat Violation
Based on record review the center did not ensure that children?s records have all the required information.
Evidence:
1.The record for Child #1 was missing a phone number for both parents? place of employment.
2.The record for Child #2 was missing the name and phone number of both parents? place of employment.
3.The record for Child #3 was missing the name of the previous child day care and schools attended by the child.

Plan of Correction: Children 1, 2, 3 information will be gathered by 8/9/24. Moving forward children will not be allowed to start until all information is gathered/ Program Director will conduct monthly audits to ensure compliance.

Standard #: 8VAC20-780-70
Description: Repeat Violation
Based on record review and interview the center did not ensure that staff records have all the required information.
Evidence:
1.The record for Staff #2 was missing the address of a person to be notified in an emergency.
2.Staff #1 confirmed that the record for Staff #2 was missing the address of a person to be notified in an emergency.

Plan of Correction: Staff 2 has been corrected. Program Director will ensure all staff emergency contact information is completed at the time of orientation.

Standard #: 8VAC20-780-420-E-3
Description: Based on record review and interview the center did not ensure to request at least annually parent confirmation that the required information in the child's record is up to date.
Evidence:
1.The record for Child #4 (enrolled in January 2023) did not contain documentation of an annual update.
2.Staff #1 confirmed that the record for Child #4 did not include documentation of an annual update.

Plan of Correction: Child 4 annual update will be obtained by 8/9/24. Moving forward children will receive annual updates August during open house. Program Director will conduct monthly audits to ensure compliance.

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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