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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: July 11, 2022

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.
8VAC20-770 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 was provided in the following areas of the standards: Background checks, staff records, required training, Program Leader qualifications, supervision, transportation, attendance, carbon monoxide detectors, diaper changing, and allergies.

Comments:
An unannounced monitoring inspection was conducted on 7/11/22 from 10:15am - 1:10pm. During the inspection there were 50 children ages two months old through nine years old in care with 7 staff. Children were observed participating in various activities in the classrooms, playing and eating lunch. Records were reviewed for five children and five staff while at the center. Medication, emergency procedures, emergency supplies and transportation procedures were also reviewed during the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program,

Violations:
Standard #: 8VAC20-780-160-A
Description: Based on a review of five 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 at the time of employment and shall have been completed in the last 30 calendar days.

Evidence:
1. The record for staff #4(date of hire 7/1/22) contained documentation of a negative tuberculosis screening that was dated 7/5/22.
2. Staff #6 (Program Director) reviewed the record for staff #4, and confirmed that the tuberculosis screening had not been completed prior to employment

Plan of Correction: The facility responded: Center Director will ensure all staff members prior to hire date have a TB test on file.

Standard #: 8VAC20-780-60-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 #1 did not contain the address and phone number for the first emergency contact and the address for the second emergency contact.
2. The record for child #4 did not contain name, address and phone number for two emergency contacts.
3. Staff #6 (Program Director) confirmed the records for child #1 and child #5 did not contain all of the required items.

Plan of Correction: The facility responded: Center director will ensure all records and filled out 100%. Records will also be checked once of month for any updates or additions. All parents information is also located on our child management system called ProCare.

Standard #: 8VAC20-780-260-B
Description: Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

Evidence:
1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 4/7/21.
2. Staff #6 (Program Director) confirmed that the annual approval from the health department had not been received

Plan of Correction: The facility responded: Center Director will ensure to contact the Virginia Department of Health 4 to 5 months before expiration. VDOH has a backlog and has been unable to come out for our inspection

Standard #: 8VAC20-780-270-A
Description: Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition.

Evidence:
1. There were two plastic chairs on the playground that had areas where the plastic was split and cracked.
2. There was damaged floor tiles that provided a possible tripping hazard in the Infant classroom.
3. There was dirt and debris under the diaper changing pad in the Two?s classroom.
3. Staff #6 (Program Director) confirmed the items listed above were not in a clean, safe and operable condition.

Plan of Correction: The facility responded: Center Director will ensure that teachers clean underneath the changing pad more frequently. Center Director met with the other 2 daycare centers that use the playground. We have come up with joint solution to ensure the playground meets or exceeds the standards. All damaged toys and chairs have been removed.

Standard #: 8VAC20-780-280-G
Description: Based on observation and interview, it was determined that the facility did not ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.

Evidence:
1. There was an unlabeled bottle with a clear liquid in the cabinet over the sink in the Two year old classroom.
2. When asked what the liquid was, staff #6 (Program Director) stated it was the sanitizer used during the cleaning process, and confirmed that it was not labeled.

Plan of Correction: The facility responded: Center Director will ensure all hazardous materials are kept in a locked cabinet and labeled

Standard #: 8VAC20-780-350-B-1
Description: Based on observation and interviews, it was determined that the facility did not ensure that for children the ratio of one staff member for every four children is maintained at all times children are in care.

Evidence:
1. When the Licensing Inspector arrived at the facility at 10:15am, there were 15 children in care with three staff present in the Infant/Toddler classroom.
2. When staff #3 was asked the age of the youngest child, she stated two months.
4. Staff #6 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio in the Infant/Toddler classroom.

Plan of Correction: The facility responded: Center Director will ensure proper staff to teachers? ratio. Center Director will be the 3rd teacher in the room if needed. There is still a major problem with hiring after COVID

Standard #: 8VAC20-780-380-A
Description: Based on observation and interview, it was determined that the licensee did not ensure that shall be a posted daily schedule that allows for flexibility as children's needs require.

Evidence:
1. The daily schedule for the Preschool classroom was not posted anywhere in the classroom.
2. Staff #1 confirmed that the daily schedule was not posted anywhere in the classroom.

Plan of Correction: The facility responded: Center Director will ensure each room has a daily schedule posted on the wall.

Standard #: 8VAC20-780-440-B
Description: Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child.

Evidence:
1. Only three of eight cribs present were identified for use by a single child.
2. Staff #3 confirmed that all of the cribs were not labeled for use by a specific child.

Plan of Correction: The facility responded: Center Director will ensure all cribs are labeled with child(ren) name. Each infant child that attends G4G has their own individual crib.

Standard #: 8VAC20-780-500-B
Description: Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering.

Evidence:
1. Both diaper changing pads in the Infant classroom had a tear.
2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.

Plan of Correction: The facility responded: Center Director will ensure weekly inspection on all changing pads. Owner will procure and replace when needed.

Standard #: 8VAC20-780-510-L
Description: Based on observation and interview it was determined that the licensee did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. Medication (Epi-Pen) for child #6 was found in an unlocked cabinet in the Two?s classroom.
2. Medication (Pro-Air Inhaler) for child #7 was found in an unlocked cabinet in the Two?s classroom.
3. Staff #6 (Program Director) confirmed the medication was stored in an unlocked cabinet.

Plan of Correction: The facility responded: Center Director will ensure no staff member takes any type of medication from a parent. Center Director will also ensure staff checks all bags to ensure medications were not mistakenly put in the diaper bag. G4G does not offer medication services

Standard #: 8VAC20-780-520-C
Description: Based on observation and interview, it was determined that the licensee did not ensure that topical ointments are labeled with the child?s name.

Evidence:
1. There was a container of Destin and a container of A & D ointment in the cabinet over the sink in the Two?s classroom that did not have a child?s name on either container.
2. Staff #6 (Program Director) confirmed that the two containers of diaper ointment were not labeled with a child?s name.

Plan of Correction: The facility responded: Center Director will ensure all rash ointments will be given to staff by parents must be new & unopened. Staff will date and write the name of the child on the ointment.

Standard #: 8VAC20-780-540-C
Description: Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility's vehicle used for transporting children that contain all of the required items.

Evidence:
1. The first aid kit for white van that used for transporting the children to and from field trips did not contain a thermometer, scissors, tweezers and triangle bandages.
2. Staff #6 (Program Director) confirmed that the first aid kit for the white van used for transporting the children did not contain all of the required items.

Plan of Correction: The facility responded: Center Director will conduct monthly inventory of first aid kits within the center as well as our vehicles. Owner will purchase needed supplies to ensure adequate supply of all first aid kit requirements.

Standard #: 8VAC20-780-540-E
Description: Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children.

Evidence:
1. There was not a working battery-operated radio available during the inspection.
2. Staff #6 (Program Director) could not find batteries during the inspection to demonstrate that the battery-operated radio was working.

Plan of Correction: The facility responded: Center Director will ensure batteries are available for center?s emergency radio.

Standard #: 8VAC20-780-560-G
Description: Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date.

Evidence:
1. The Licensing Inspector observed two cups in the refrigerator in the Toddler/Infant classroom that were not labeled with the child?s name or date.
2. Staff #3 confirmed that the two cups were not labeled with the child?s name or date.

Plan of Correction: The facility responded: Center Director will ensure food or drinks coming in the center are properly labelled with name date and content.

Standard #: 8VAC20-780-570-C
Description: Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule and brand of formula.

Evidence:
1. There was no documentation of a feeding schedule for each child and the brand of formula.
2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula

Plan of Correction: The facility responded: Center Director will ensure all infant feeding schedules and brand of formula will be on the infant clipboard as well as underneath the evacuation cribs.

Standard #: 8VAC20-780-570-I
Description: Based on observation and interview, it was determined that the licensee did not that a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center.

Evidence:
1. There was not a one day?s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection.
2. Staff #3 confirmed that there was not a one day?s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection

Plan of Correction: The facility responded: Center Director will ensure that purchased bottles for emergencies are not used as daily bottles. All bottles, nipples and formulas for emergency use only will be in a duffle bag and stored accordingly.

Standard #: 8VAC20-820-120-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 (1/20/22) was not posted anywhere in the facility.
2. When asked if the results from the most recent inspection were posted, staff #6 (Program Director) confirmed that the results were not posted.

Plan of Correction: The facility responded: Center director will ensure the last inspection is posted at the entrance of the center after every inspection.

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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