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Great Bridge Preschool
201 Stadium Drive
Chesapeake, VA 23320
(757) 482-9788

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: March 20, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
The inspector arrived at 10:30 AM and departed at 12:40 PM. Morning activities and infant care were observed. The outdoor play areas were not inspected due to inclement weather. Medication administration was reviewed. A sample size of six children's records and four staff records were reviewed. An exit meeting to review the Acknowledgement Form and findings of the inspection was held with staff 5, designated as the person in charge, prior to concluding the inspection. Upon receipt of the inspection notices, the facility must develop a plan of correction for each violation cited. The plan of correction must include the following: - The steps taken to correct the noncompliance with the standards (violations); - Measures to prevent reoccurrence of noncompliance; - Person(s) responsible for implementation and monitoring of preventive measures(s); - Date by which noncompliance will be corrected. The facility has ten calendar days from receipt of the inspection notices to complete the sections titled Plan of Correction and Date to be Corrected, sign and date the pages where indicated and return the inspection notices to the Licensing Office. A copy is to be retained to be posted at the facility. (NOTE: Supplemental Information is not to be posted due to confidentiality). Results of the inspection notices are subject to public disclosure and will be posted on the VDSS web site within 15 calendar days, regardless of whether the Plan of Correction section has been completed. The provider?s response for the ?plan of correction? was not received as of 4/14/2015 and will not appear on this Violation Notice. Please contact the inspector at (757) 491-3975 if there are any questions.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based upon review of four staff records, the facility has not ensured that tuberculosis screenings for staff are obtained at least every two years from the date of the first initial screening. Evidence: The most recent documentation of a tuberculosis screening that the facility was able to provide for staff 4 is dated 06/30/2006.

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

Standard #: 22VAC40-185-70-A
Description: Based upon review of four staff records and interview with staff, the facility has not ensured that staff records include the verification of age requirement, job title, name, address and telephone number of an emergency contact, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position. Evidence: Staff 5, the designated person in charge of the facility in the absence of the program director, was unable to locate the following documentation for staff 2, who began working yesterday, 03/19/2015 - verification of the employee's age requirement, job title, name, address and telephone number of an emergency contact, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position. Staff 5 contacted via telephone the facility administrators and checked in those areas in the office where the administrators indicated the records could be found.

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

Standard #: 22VAC40-185-240-A
Description: Based upon review of documentation and staff interview, the facility has not ensured that staff receive the required training regarding job responsibilities, policies/procedures, playground safety procedures, recognizing abuse and neglect and licensing standards related to responsibilities prior to the end of the first day of assuming job responsibilities. Evidence: The facility was unable to produce documentation to demonstrate that staff 2, who began working with the children on 03/19/2015, received the required training prior to assuming job responsibilities. Staff 1, on duty in the infant room during the inspection stated that she was working on orienting staff 2 to the procedures in the infant room.

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

Standard #: 22VAC40-185-440-G
Description: Based upon observation, record review and staff interview, the facility has not ensured that cribs are used for children under 12 months of age. Evidence: The records provided by the infant staff indicate that there are three infants under 12 months of age who attend on Fridays. The infant room has only two cribs set up for use. Staff 1 stated that if all three infants fall asleep at the same time, staff hold one infant while he/she sleeps.

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

Standard #: 22VAC40-185-500-A
Description: Based upon observation, the facility has not ensured that staff shall wash their hands with soap and running water before and after a diaper change. Evidence: Staff 1 was observed while changing a child's diaper. When finished diapering, staff 1 removed her gloves and carried the child to the gate, unlocked the gate, placed the child onto the floor and picked up another child to take to the diapering table without washing her hands.

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

Standard #: 22VAC40-185-500-B
Description: Based upon observation and staff interview, the facility has not ensured that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: 1. Staff 1 was observed while changing a child's diaper. When finished diapering, staff 1 carried the child to the gate, unlocked the gate, placed the child onto the floor and picked up another child to take to the diapering table. Prior to staff 1 placing the second child onto the diaper changing table, the licensing inspector stopped her from placing the child onto the table as the table had not been cleaned and sanitized. 2. Staff 1 stated that she didn't clean and sanitize the changing table between each diaper change unless the child had a bowel movement the diaper.

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

Standard #: 22VAC40-185-550-D
Description: Based upon the written record of emergency drills, the facility has not ensured that they conduct a minimum of two shelter-in-place drills per year. Evidence: The documentation of emergency evacuation and shelter-in-place drills provided indicated that the most recent documented shelter-in-place drill was conducted in February 2014.

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

Standard #: 22VAC40-185-570-C
Description: Based upon review of records and staff interview, the facility has not ensured that the record of each child on formula contains the brand of formula. Evidence: 1. Both the enrollment records and the records for infants 1 through 6 that are kept in the binder in the infant classroom, contained the infants' feeding schedules but did not contain the brands of formula for the infants. 2. Staff 1 stated that the parents bring in the infant formula but she did not know where a record of the brand of formula would be kept.

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

Standard #: 22VAC40-185-570-E
Description: Based upon observation and staff interview, the facility has not ensured that prepared infant formula is dated. Evidence: There was a partially filled prepared bottle, labeled with the name of child 1, in the thermal bag that was not dated. Staff 1 stated that it was in the bag until they had time to dump out and rinse the bottle.

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

Standard #: 22VAC40-191-40-D-1-C
Description: Based upon review of four staff records, the facility has not ensured that they obtain a sworn statement or affirmation, a search of the child Protective Services central registry and a criminal history record check before three years since the dates of the last sworn statement or affirmation, most recent central registry finding and most recent criminal history record check report. Evidence: 1. The most recent completed sworn statement or affirmation in the record provided for staff 4, whose record indicated a hire date of August 1998, is dated 09/26/2006. 2. The most recent Child Protective Services central registry finding in the record for staff 4, whose record indicated a hire date of August 1998, is dated 03/14/1998. 3. The most recent criminal history record check in the record for staff 4, whose record indicated a hire date of August 1998, is dated 04/04/2006.

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

Standard #: 22VAC40-191-60-B
Description: Based on review of documentation, the facility had not ensured that an employee of a licensed child welfare agency must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: The documentation provide for staff 2 indicated a date of employ of 03/19/2015. The facility was unable to provide the staff person's completed sworn statement or affirmation.

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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