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Great Bridge KinderCare #1267
929 Cedar Rd.
Chesapeake, VA 23322
(757) 436-4747

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: Aug. 19, 2016

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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 8/19/2016 from 9:15am - 12:35pm. The following staff to child ratios were observed: *Infants - 8 x 2 staff *Toddlers - 4 x 1 staff *2's - 8 x 1 staff *3's - 10 x 1 staff *4's - 10 x 1 staff *SA - 26 x 2 staff Children were observed during morning program time, outdoor play, lunch and nap. Records were reviewed for five children and four staff. The inspector additionally reviewed: medication, hand washing, diapering in the infant room, the posted menu, documentation of children's injuries, written emergency procedures, behavior guidance, documentation of emergency practice drills, and infant/toddler requirements. Please complete the "plan of correction" for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on record review, the center failed to ensure that staff records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: There were no reference checks on file for staff #1 who has an employment date of 1/18/2016.

Plan of Correction: Reference checks has been done and completed and placed in employee's file.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that outside areas and equipment of the center shall be maintained in a safe condition. Evidence: 1. Two push lawn mower toys , located on the two-year playground, had cracks in the plastic wheel cover. a. Each crack had a sharp point. b. These cracks are also a pinch point. 2. The yellow steering wheel on the preschool climber has a circular crack measuring 6 inches. a. The crack is located above the part of the plastic that attaches the wheel to the climber. b. This crack is a pinch point and the length of the crack poses a risk that the part will detach and fall off. 3. The metal hand rail on the preschool climber is loose. a. The hand railing moves back and forth when pulled on. 4. There are six cracks/tears in the poured in place resilient surfacing surrounding the preschool climber. a. These cracks measure between 5 and 27 inches in length and compromise the integrity of the surfacing.

Plan of Correction: Lawn mowers were thrown in trash immediately upon noticing the cracks. Facility technicians were shown crack and moving railing on climber. A work order has been created.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water after toileting. Evidence: 1. Staff in the infant class failed to wash a child's hands after a diaper change at 9:45am. a. After completion of the diaper change the child was placed on the floor to play. b. After the staff completed sanitizing the table and washing her hands, the inspector reminded her to wash the hands of the child who was playing on the floor. c. The staff acknowledged it was her usual practice to wash children's hands after a diaper change however, she had failed to do so at this time.

Plan of Correction: Teacher has been spoken to about proper hand washing after toileting.

Standard #: 22VAC40-185-510-E
Description: Based on observation, the center failed to ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: A bottle of children's ibuprofen was not labeled with the child's name.

Plan of Correction: Medicine bottle has been labeled with child's name.

Standard #: 22VAC40-185-510-G
Description: Based on observation, the center failed to ensure that medication is maintained in the original, labeled container; and with the prescription label. Evidence: An epi-pen was not maintained in the original labeled box with prescription label attached.

Plan of Correction: Medication will not be accepted unless in correct container with prescription label. Epi-Pen was picked up by parent.

Standard #: 22VAC40-185-510-J
Description: Based on observation, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of children's ibuprofen and an epi-pen was stored in the desk drawer of the director in the office. a. The desk drawer lacks any type of locking method.

Plan of Correction: Medication has been placed in a locked place with a locking method that's secured.

Standard #: 22VAC40-185-510-L
Description: Based on record review, the center failed to ensure that the record of medication given to children shall include the following: *Child to whom medication was administered; *Amount and type of medication administered to the child. Evidence: Documentation of medication administered to child #6 lacked documentation of the following: a. Medication given on 6/24/2016 at 11:40am lacked any documentation of the amount and type of medication given nor was the name of the child noted on the written documentation. b. Medication given on 7/28/2016 at 10:51am lacked any documentation of the amount and type of medication given nor was the name of the child noted on the written documentation. c. Medication given on 7/28/2016 at 3:25pm lacked any documentation of the amount and type of medication given nor was the name of the child noted on the written documentation.

Plan of Correction: Persons given medication has been retrained on how to document medication.

Standard #: 22VAC40-185-550-E
Description: Based on record review, the center failed to maintain a record of the dates of the practice drills for one year. Evidence: The fire drill log for the center did not have a fire drill documented for July 2016.

Plan of Correction: Documentation has been made for fire drill here on out.

Standard #: 22VAC40-185-570-E
Description: Based on observation, the center failed to ensure that prepared infant formula shall be dated. Evidence: Seven bottles of prepared infant formula, stored in the refrigerator, were not dated. a. Four bottles were for child # 1. b. Three bottles were for child # 2.

Plan of Correction: Teachers will be sure to check at drop off that all bottles has been dated.

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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