VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Groomed for Greatness Learning Center II
5038 East Princess Anne Road
Norfolk, VA 23502
(757) 222-5404

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: March 19, 2019

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) 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-185-(2)-60-A (Children's records); 22VAC40-185-(2)-60-A (Staff records); 22VAC40-185-(3)-210 (Program leader qualifications); 22VAC40-185-(4)-270-A (Building maintenance); 22VAC40-185-(4)-330 (Play areas); 22VAC40-185-(4)-510-B (Diaper changing); 22VAC40-185-(5)-550-D (Emergency drills); 22VAC40-185-(2)-580 (Transportation);

Comments:

An unannounced monitoring inspection was conducted on 3/19/19 from 9:45am - 11:45am. During the inspection there were 7 children ages seven months old through two years old in care with four staff. Children were observed participating in various activities in the classrooms. Records were reviewed for five children and four staff. There was no medication at the facility. Emergency procedures, and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #2, present during the inspection, did not contain documentation of an immunization record. 2. The record for child #3, present during the inspection, did not contain documentation of an immunization record. 3. Staff #4 (Program Director) reviewed the record for child #2 and child #3, and confirmed there was no immunization record available for viewing during the inspection
Plan of Correction:	The facility responded: The parents were notified of missing immunization records; records will be provided to the school by 3/27/19.
Standard #:	22VAC40-185-160-A
Description:	Based on a review of nine staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing. Evidence: 1. The record for staff #1 (date of hire (2/4/19) did not contain documentation of a negative tuberculosis screening. 2. Staff #4 (Program Director) reviewed the record for staff #1 and confirmed that there was not documentation of a negative tuberculosis screening.
Plan of Correction:	The facility responded: Staff was advised to complete TB screening prior to returning to work.
Standard #:	22VAC40-185-40-D
Description:	Based on observation and interview, it was determined that the licensee did not ensure that the license shall be posted in a place conspicuous to the public. Evidence: 1. The Licensing Inspector inspected the entire center and was unable to find the license posted. 2. Staff #4 (Program Director) confirmed that the license was not posted.
Plan of Correction:	The facility responded: The license was posted.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #2 did not contain documentation for the phone number for the first person to contact in an emergency if the parents cannot be reached, no information for the second person to contact in an emergency if the parents cannot be reached, and did not contain the phone number for the child's physician. 2. The record for child #3 did not contain documentation for the addresses for either person to contact in an emergency if the parents cannot be reached, and did not indicate whether or not the child had previously attended child care. 3. The record for child #4 did not contain documentation for the phone number for the first person to contact in an emergency if the parents cannot be reached, no information for the second person to contact in an emergency if the parents cannot be reached and did not indicate whether or not the child previously attended child care. 4. Staff #4 (Program Director) reviewed the record for child #2, child #3, and child #4, and confirmed that the records did not contain all of the required information.
Plan of Correction:	The facility responded: All information in student files have been updated by the parents/guardians.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of five staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. The record for staff #1 did not include the name, phone number and address of a person to contact in an emergency, and two written references. 2. Staff #4 (Program Director) confirmed the record for staff #1 was not complete.
Plan of Correction:	The facility responded: The references and contact information were updated for staff.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, it was determined that the licensee did not ensure that all hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The door to the kitchen was unlocked. There various cleaning agents being stored in the cabinet below the sink that said "Keep out of the reach of children", and there was a knife on the counter. The Licensing Inspector observed four children (one to two years old) in the classroom where the door to the kitchen is located. 2. Staff #1 and staff #4 acknowledged that the kitchen door was unlocked and contained hazardous cleaning materials and a knife that needed to be kept in a locked place.
Plan of Correction:	The facility responded: Staff was re-trained on safety and advised to keep kitchen door locked.
Standard #:	22VAC40-185-380-A
Description:	Based on a observation and interview it was determined that the applicant did not ensure that there hall be a posted daily schedule that allows for flexibility as children's needs require. The daily schedule need not apply on days occupied a majority of the time by a field trip or other special event. Evidence: 1. There was no posted daily schedule in the Two's classroom or the Preschool classroom. 2. Staff #4 (Program Director) confirmed there was not a posted daily schedule in the Two's classroom or the Preschool classroom.
Plan of Correction:	The facility responded: The daily schedule will be posted in the classrooms.
Standard #:	22VAC40-185-500-B
Description:	Based on observation and interview, it was determined that the licensee did not ensure that the diapering surfaced is clean with soap and at least room temperature water and sanitized after each use. Evidence: 1. The Licensing Inspector observed staff #1 change a child's diaper. upon completion of the diaper change staff #1 cleaned the diaper changing pad with soap and water and then sprayed the sanitizer. Staff #1 immediately wiped the diaper changing pad and did not allow the sanitizer to air dry. 2. When staff #1 was asked what the drying time was for the sanitizer, she stated that she did not know. According to the label the sanitizer had a drying time of 60 seconds.
Plan of Correction:	The facility responded: Staff was trained on proper sanitation procedures and advised to allow changing pad to air dry for at least 60 seconds.
Standard #:	22VAC40-185-550-C
Description:	Based on a observation and interview, it was determined that the applicant did not ensure that emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of each building. Evidence: 1. The posted emergency map did not include a secondary evacuation and the shelter-in-place location. 2. The procedures for an emergency evacuation and shelter-in-place were not posted anywhere in the building. 3. Staff #4 (Program Director) confirmed that the emergency map did not include all of the required items and that the procedures for an emergency evacuation and shelter-in-place were not posted anywhere in the building.
Plan of Correction:	The facility responded: Emergency evacuation procedures were posted in the front of the building.
Standard #:	22VAC40-185-560-F
Description:	Based on observation and interviews, it was determined that the licensee did not ensure that when the center chooses to provide meals or snacks, a menu listing foods to be served for meals and snacks during the current one week period should be dated. Evidence: 1. There was not a menu posted for the current week anywhere in the center. 2. Staff #4 (Program Director) confirmed that there was not a posted menu anywhere in the center.
Plan of Correction:	The facility responded: The menu will be posted to the front of the building.
Standard #:	22VAC40-185-570-I
Description:	Based on observation and interview, it was determined that the applicant did not ensure that the facility shall maintain a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care. Evidence: When asked if the facility had a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care, staff #4 (Program Director) said the center did not have the disposable bottles.
Plan of Correction:	The facility responded: Disposable bottles, nipples and commercial formula were placed in the cabinet in the infant classroom.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 (date of hire 2/4/19) did not contain documentation of a completed search of the central registry finding. 2. Staff #4 (Program Director) reviewed the record for the staff #1, and confirmed that the search of the central registry finding has not been received.
Plan of Correction:	The facility responded: 1. The Central Registry was resent for Staff #1. 2. The Central Registry was received for Staff #4 and emailed to inspector on 2/7/19
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection were not posted any where in the facility. 2. Staff #4 (Program Director) confirmed that the findings of the most recent inspection of the facility were not posted.
Plan of Correction:	The facility responded: The inspection was posted.