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: March 13, 2023

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

Technical Assistance:

Technical Assistance given and licensing standards were reviewed regarding redirection of children?s behavior.

Comments:

A renewal inspection was conducted on March 13, 2023, from 9:45am to approximately 11:45am. There were 15 children and 2 staff members present. The Inspector reviewed five children?s records and five staff records. The Inspector observed the interaction of staff and children throughout the inspection. Children were observed during free play, diaper changes, snack, and bottle feeding. First aid kits and emergency preparedness documents were observed. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program. The violations were discussed with the owner at the exit interview.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review and interview, it was determined that the center did not ensure that each child have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment 11/26/21) did not have documentation of a physical examination to their record. 2. Staff #1 confirmed that Child #1 did not have documentation of a physical examination to their record.
Plan of Correction:	The center responded with the following: Staff #1 will obtain the child?s physical examination and place a copy in their record.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant room, there were cleaning supplies (disinfectants), that were not locked and in reach of the children in care. 2. Infant staff confirmed that the cleaning supplies were no locked in the classroom.
Plan of Correction:	The center responded with the following: The center will ensure that all cleaning supplies are locked and out of reach of children.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements is one staff to four children when the youngest child is under 16 months of age. Evidence: 1. The staff ratio was 2 staff members to 15 children with the youngest child being under 16 months. The required staff to children ratio is one staff member to four children when the youngest child is under 16 months. 2. Staff #1 confirmed being out of ratio and aware that additional staff were needed to ensure that children were appropriately supervised. Staff #1 is aware that children under the age of 16 months requires one staff member for every four children.
Plan of Correction:	The center responded with the following: . The plan of correction for Ratio violation. today was a freak rare occasion our infant teacher Staff #2 was out sick today and she called out as well as today was a school out day for Norfolk Public Schools so we had 3 additional school age children in the building that would not have normally been in the building throughout the day, so I ask first that you please forgive me and accept my apology for this incident happening because not only was Staff #2 out sick I had a new Employee Staff #3 who was hired back in January who kept giving me excuses of her start date, Which should have been a Red Flag, stating that she was taking care of an ailing mother therefore we pushed her start date out a few times, resulting in her ultimately beginning her first shift on Monday March 6th and she showed herself un reliable as she didn't make it through the first full work week before she called out of work. She called out on March 9th and March 10th. I spoke with Staff #3 on the phone on today and she agreed she was well enough to attend work on today and by the time I got to work I received a text message from her saying nevermind her daughter was throwing up and that she was going to take her to CHKD. I terminated Staff #3 today as she was part of the reason I didn't have additional staff come into work earlier, I had already asked Staff #4 to come in earlier to assist with Staff #2 shift Staff #3's texting out at the last minute made the day go haywire. today Staff #3 was terminated.
Standard #:	8VAC20-780-510-L
Description:	Based on observation and interview, it was determined that the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Child #1?s medical inhaler and inhaler chamber was observed on top of a shelf, unlocked, accessible to children. 2. Staff #1, Director, confirmed that the medication was not locked.
Plan of Correction:	The center responded with the following: The medication was locked during the time of the inspection. The center will ensure that all medications are locked place using a safe locking method to prevent access by children.
Standard #:	8VAC20-780-520-C
Description:	8VAC20-780-520.C. Based on observation and interview, it was determined that the center did not ensure that if diaper ointment or cream is used, these products shall be in the original container and labeled with the child's name. Evidence: 1. In the infant room, there were two bottles of diaper cream that were not labeled with the children?s name. 2. Infant staff confirmed that the two bottles of diaper cream were not labeled with the child?s name.
Plan of Correction:	The center responded with the following: The center will label the children?s names on the bottle of the diaper creams and ointments.
Standard #:	8VAC20-780-560-F
Description:	Based on observation and interview, it was determined that the center did not ensure that when meals or snacks are provided a menu listing foods to be served for meals and snacks during the current one-week period shall: a. Be dated; b. Be posted in a location conspicuous to parents or given to parents; c. List any substituted food; and d. Be kept on file for one week at the center. Evidence: 1. There was no meals or snack menu posted in the facility with the required listing. 2. Staff #1, Director, confirmed that there was no meals or snack menu posted in the facility.
Plan of Correction:	The center responded with the following: The center will ensure to post the snack and meal menu that is dated, conspicuous to parents, list any substituted food and be kept on file for one week at the center.
Standard #:	8VAC20-780-570-A
Description:	Based on observation and interview, it was determined that the center did not ensure that when children are placed in a high chair or feeding table for children under 12 months the protective belt shall be fastened securely. Evidence: 1. There were three children under the age of 12 month that were observed in the feeding table without protective belts fastened securely. 2. There was one child observed in an individual high chair that was not strapped in with a protective belt fastened securely. 3. Staff #1, director, confirmed that the 4 children in the high chair and the feeding table were without protective belts fastened securely.
Plan of Correction:	The center responded with the following: The children were strapped immediately during the time of the inspection, the additional chairs without protective safety straps were ordered and will not be used until they are placed in the feeding table.