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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: May 17, 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 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 initiated and concluded 05/17/2024. The inspector arrived at 3:20 PM and departed at 4:20 PM. 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 and 4 staff 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. Violations were reviewed with the program director during the exit interview

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based upon review of records, the facility has not ensured that there is a central registry finding for staff within 30 days of employment.
Evidence:
Staff 4 was hired on 8/18/2023. Results of a central registry search were not in the record provided and not available from the regional office.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based upon review of records, the facility has not ensured that each staff member provides documentation of a tuberculosis screening that was obtained within 30 days prior to employment.
Evidence:
1. There was no tuberculosis screening available for review for staff 2 as no record was available.
2. There was no tuberculosis screening in the record of staff 4, employed since 8/18/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-C
Description: Based upon review of records, the facility has not ensured that tuberculosis screenings are obtained at least every 2 years.
Evidence:
There was no documentation of a tuberculosis screening within the past two years in the record of staff 1.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-50-B
Description: Based upon review of records and staff interview, the facility has not ensured that staff records are accessible.
Evidence:
1. There was no record available for staff 2.
2. No background checks were available for review for staff 1 and staff 3. A central registry search was not available for staff 4.
3. Staff 1 stated that some staff records are kept at the regional office. No response to the request at the regional office.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Repeat violation
Based upon review of children's records, the facility has not ensured that each child's record includes all required documentation.
Evidence:
1. The records provided for child 1 and child 3 did not include the business telephone number for the father.
2. The record provided for child 2 did not include the street address for one of the two persons to be contacted in an emergency if a parent could not be reached.
3. The record provided for child 3 did not include street addresses for either of the two persons to be contact in an emergency if a parent could not be reached.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based upon review of staff records, the facility has not ensured that the date of employ and at least two references as to character and reputation and qualifications obtained prior to employment are in the records of staff.
Evidence:
1. There was no record available for staff 2.
2. The record provided for staff 3 did not include the date of hire.
3. There were no reference checks in the records of staff 3 and staff 4.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-260-B
Description: Based upon review of records, the facility has not ensured that there is an annual sanitation inspection by the health department.
Evidence:
There was no documentation of annual sanitation inspection conducted by the health department.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-D
Description: Based upon review of documentation, the facility has not ensured that an evacuation drill is practiced monthly.
Evidence:
There was no evacuation drill documented for March 2024.

Plan of Correction: Not available online. Contact Inspector for more information.

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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