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Kiddie Academy of West Creek
840 Broad Branch Way
Richmond, VA 23238
(804) 362-2362

Current Inspector: Danielle Morrison (804) 929-3771

Inspection Date: March 28, 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 conducted today, March 28, 2024. The licensing inspectors were onsite from approximately 9:20 am until 1:40 pm. The owner was on site during the inspection. There were 98 children present, ranging in ages from five months to five years, with 23 staff supervising. Children were observed in a variety of activities including Easter crafts, counting, having snack, and reading stories. Infants were being feed, having playtime with toys on the mats and napping. Later naptime throughout the center was observed.
The inspectors reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of ten children's records and 12 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and a violation was documented on the violation notice issued to the program.
If you have any questions about this inspection, please contact the licensing inspector.

Sharon Curlee
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 804-840-8312
Sharon.curlee@doe.virginia.gov

Violations:
Standard #: 8VAC20-780-160-A
Description: Repeat
Based on review of 12 staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment.

Evidence:

The record of staff #8, employed 08/21/2023, contained documentation of a negative tuberculosis screening dated 03/11/2023. The tuberculosis screening exceeded 30 days prior to employment.

Plan of Correction: Per the owner: We will ensure TB screening are completed no more than 30 days prior to hire and obtained by the first day of hire.

Standard #: 8VAC20-780-340-D
Description: Based on a review of staff records, observations, and interviews, the center did not ensure at least one staff member who meets the qualifications of a program leader or program director shall be regularly present in each grouping of children.

Evidence:
1. The record of staff #18, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications.
2. The record of staff #14, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications.
3. The record of staff #17, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications.
4. The record of staff #16, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications.
5. The record of staff #22, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications. The record also did not contain documentation of education as required by the job position.
6. The record of staff #7, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 12 hours of training when 24 hours was required to meet lead qualifications. The record also did not contain documentation of education as required by the job position.
7. The record of staff #15, identified as a program lead, and observed supervising a group of children during the inspection on 03/28/2023, contained documentation of 16 hours of training when 24 hours was required to meet lead qualifications.
8. A member of administration stated they had read the standards wrong and believed only 12 hours of training was required to meet lead qualifications.

Plan of Correction: Per the owner: We will have staff complete the 24 hours of training to meet program lead qualifications and obtain any missing documentation.

Standard #: 8VAC20-780-510-P
Description: Based on review of medications, the center did not ensure when an authorization for medications expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center.

Evidence:

1. The medication authorizations for child #11 expired on 12/22/2023. The medications were on site exceeding 14 days from the date the authorization expired. The medication had not been administered.
2. The medication authorization for child #9, expired on 02/29/2024. The authorization was only signed by the parent, which gave authorization for ten days. The medication was on site exceeding 14 days from the date the authorization expired. The medication had not been administered.

Plan of Correction: Per the owner: We will have the parent update the medication authorization or return the medication to the parent.

Standard #: 8VAC20-780-530-A-1
Description: Based on review of staff records, observations and interview, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration.

Evidence:
1. The record for staff #4, staff #7 and staff #21 did not contain documentation of current CPR certification. The three staff were observed in charge of a group of children in the infant classroom during the inspection on 03/28/2024.
2. The record of staff #18 did not contain documentation of current CPR certification. Staff #18 was observed in charge of a group of children in the pre-k classroom during the inspection on 03/28/2024.
3. The record for staff #8, staff #9 and staff #16 did not contain documentation of current CPR certification. The three staff were observed in charge of a group of children in the early pre-school classroom during the inspection on 03/28/2024.
4.. The record for staff #17, staff #19 and staff #20 did not contain documentation of current CPR certification. The three staff were observed in charge of group of children in the young infant classroom during the inspection on 03/28/2024.
5. The owner stated the staff members had not completed the hands-on portion for certification in CPR.

Plan of Correction: Per the owner: we have scheduled a class for staff to complete the hands on portion of their CPR certification.

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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