VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: Jan. 9, 2025

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect During the inspection, the inspector reviewed the areas listed above, to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Technical Assistance:

Technical Assistance was provided and licensing standards were reviewed regarding staff files and physical plant.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on January 9, 2025. The on-site inspection began at 9am and ended at 12pm. The inspector reviewed compliance in the areas listed above. There were 21 children present and 5 staff. The inspector reviewed 6 children?s records and 5 staff records on-site on January 9, 2025. This inspection included document review, tour of the facility, interviews, observations, and measurements. 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.

Violations:

Standard #:	22.1-289.057-A
Description:	The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction:	The center responded with the following: The center will get water lead testing completed and submit their testing plan to VDH and DOE. Information will be sent via email to the inspector as well.
Standard #:	8VAC20-780-50-A
Description:	Staff and children's records shall be treated confidentially. The Supplemental Page of the inspection summary with children?s names was posted on the parent board. The posted summary states, ?Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility.?
Plan of Correction:	The center responded with the following: The center took down the supplemental page during the time of the inspection. Moving forward, the page will not be posted and they will ensure the confidentiality of children in care.
Standard #:	8VAC20-780-280-G
Description:	If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Two clear bottles, in the infant room, with blue liquid in them did not have a label to indicate their contents.
Plan of Correction:	The center responded with the following: The center will clearly label bottles to indicate their contents.
Standard #:	8VAC20-780-370-5
Description:	Staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes. An 8 month old child was observed in a bouncer chair for over 45 minutes and it was the inspector that prompted that the child needed to be moved.
Plan of Correction:	The center responded with the following: When prompted to move the child, the child was immediately held by staff. Staff will move the children out of play areas and make sure they are not in the same play space for over 30 minutes.
Standard #:	8VAC20-780-440-J
Description:	There shall be at least: 1. Twelve inches of space between the sides and ends of occupied cribs except where they touch the wall; and 2. Thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. In the corner of the infant room, there were four cribs occupied with children and all sides of their cribs were touching with no space between. Additionally, there were four cribs on the side wall that did not have the required thirty inches of space between service sides and were occupied.
Plan of Correction:	The center responded with the following: The center had an increased number of infants and switched rooms in which the room still met the requirements of building and code. The center will rearrange the cribs and look at knocking down a half wall to have the required spacing between cribs. The owner will purchase plexiglass walls to use as a divider between the shorter ends of the cribs. A picture of the arrangement will be sent to the inspector once rearranged and fixed.
Standard #:	8VAC20-780-550-G
Description:	Documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. The center did not document the required items for emergency evacuation and only listed the date, time, and number of children participating the drill.
Plan of Correction:	The center responded with the following: The center was provided with a spreadsheet to document the required items for their monthly drills. Starting this month and moving forward, they will list all required items as noted by the standards.
Standard #:	8VAC20-780-560-G
Description:	When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. All 10 infants at the center did not have dates to their bottles with formula.
Plan of Correction:	The center responded with the following: The center will remind parents that their children?s bottles and belonging need to be named and dated every day. Additionally, there will be markers to write names and dates on the bottles when confirming with the parent the bottles were made specially for that child and that date.
Standard #:	8VAC20-780-570-G
Description:	Milk, formula or breast milk shall not be heated or warmed directly in a microwave. Infant staff confirmed that they were microwaving bottles to warm their milk.
Plan of Correction:	The center responded with the following: The center will purchase bottle warmers and no longer use microwaves to warm bottled milk.