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Greenbrier KinderCare #1288
725 Greenbrier Parkway
Chesapeake, VA 23320
(757) 436-4672

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: July 9, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Written information left regarding changes to the CPS request fee and form. Center is now due for an annual fire inspection. Please obtain and fax copy of updated inspection from the Chesapeake Fire Marshall. 1) Effective July 1, 2014 employees hired on or after July 1, 2014 are prohibited from working in a position that involves direct contact with a person or child receiving services until a criminal record clearance has been received, unless that person works under the direct supervision of another employee for whom a background check has been completed. Direct supervision means that the employee will remain within sight and sound supervision of an employee with a completed background check. 2) A facility that does not comply with the requirements of the regulation Background Checks for Child Welfare Agencies may have its licensure denied or revoked.

Comments:
An unannounced monitoring inspection was conducted on 7/9/2015 from 9:30am - 12:40pm. The following staff to child ratios were observed: *Infants - 8 x 2 staff *Toddlers - 7 x 2 staff *3's - 10 x 1 staff *4's - 16 x 2 staff *SA - 22 x 3 staff *as reported by assistant director - SA class was on a field trip. Children were observed during morning program time, lunch and nap. Records were reviewed for five children and four staff. Additionally reviewed: medication, emergency supplies, 15 injury reports, hand washing, three diaper changes, emergency practice logs, posted menu and staff training. *Transportation and field trip procedures were reviewed with the assistant director. 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 #: 22VAC40-185-130-A
Description: Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #1 lacks documentation of required immunizations. Child #1 has an enrollment date of 3/25/2015 and was in care on the date of the inspection. 2. Administrative staff confirmed that this child was in care without documentation of required immunizations.

Plan of Correction: Parent has been informed immunizations record is needed by 7/27/15.

Standard #: 22VAC40-185-160-A
Description: Based on record review, the center failed to 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 employment. Evidence: 1. The TB screening for staff #2 was conducted on 11/11/2009. Administrative staff stated that staff #2 has been working at the center since May of 2015. 2. There is no TB screening for staff#3. Staff #3 began working on or about 3/17/2015 according to administrative staff.

Plan of Correction: Staff #3 had TB completed on 7/18. Staff #2 will have TB completed on 7/21. All new staff will have TB screening before first day of employment. This will be verified by CD.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the center failed to ensure that the children's records contain the following information: *Name, home address, and home phone number of each parent who has custody; *When applicable, work phone number and place of employment of each parent who has custody; *Name and phone number of child's physician. Evidence: 1. The record for child #1 lacked the home address and home telephone number for one custodial parent. 2. The record for child #1 lacked the work phone number and place of employment for one custodial parent. 3. The record for child #1 lacked the phone number for the child's physician.

Plan of Correction: 2nd custodial parent number was listed under emergency contacts. All other areas were corrected. We will ensure both parents are listed or list N/A if parent is not in the picture.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the center failed to ensure that staff records contain the following information: * Job title, date of employment and name, address and telephone number of a person to be notified in an emergency which shall be kept at the center. *Written information to demonstrate that the individual possesses the orientation training required by the job position. Evidence: 1. The record for staff #1 lacked documentation of a job title, orientation training and emergency contact information. 2. The record for staff #2 lacked documentation of a job title, hire date, orientation training and emergency contact information. 3. The record for staff #3 lacked documentation of a job title, hire date, orientation training and emergency contact information.

Plan of Correction: All emergency contact information has been added to files. Emergency contact forms have been added to sample file to ensure it will not be left out in the future.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition. Evidence: 1. A metal bracket attached to the gate leading from the preschool walkway to the large grassy play area had come loose. The bracket was protruding forward. The two metal ends were sharp and a bolt was exposed. 2. The bracket was accessible to children as it was attached to the gate latch & support pole.

Plan of Correction: A work order was sent on 7/17 to fix the bracket. We will add gate checks to our playground safety checks.

Standard #: 22VAC40-185-500-A
Description: Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water before and after after any contact with body fluids. Evidence: 1. At 10:07am a staff person in the infant class was observed wiping a child's runny nose with a disposable tissue. The staff person failed to wash her hands after cleaning the child's nose. 2. The staff person did wash her hands a few minutes later after discussion with the inspector.

Plan of Correction: Daily spot checks in each room will be done to ensure all teachers are washing hands per policy.

Standard #: 22VAC40-185-520-C
Description: Based on record review and interview, the center failed to ensure that if diaper ointment or cream is used, the following requirements shall be met: *Written parent authorization noting any known adverse reactions shall be obtained; *A record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. Evidence: 1. Classroom and administrative staff were not able to locate any written information for a diaper ointment stored in the toddler classroom. There were no authorization forms or written logs, for this diaper cream in the child's file or classroom files. 2. Toddler staff stated the diaper ointment had not been applied recently however, it had been used "awhile back."

Plan of Correction: Center staff will ensure any expired ointment forms will have the ointment removed from the classroom. Ointment is not applied unless a current form is given to center.

Standard #: 22VAC40-185-550-D
Description: Based on record review and interview, the center failed to implement a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: 1. The center emergency practice log indicates that one shelter drill was conducted for the 2014 calendar year. This drill was conducted on 5/2/2014. 2. Administrative staff confirmed the accuracy of the emergency log as the health and safety coordinator could not recall a second shelter drill being conducted for 2014.

Plan of Correction: Shelter drill was completed on 5/2/14 and 9/30/14. We will conduct SD before 7/27/15. CD was not in building to provide log that was on wall in lobby.

Standard #: 22VAC40-191-60-B
Description: Based on record review, the center failed to ensure that an employee must not be employed until the center has the persons completed sworn statement or affirmation. Evidence: 1. There is no sworn statement or affirmation for staff #3 who has been employed since May of 2015. 2. The disclosure statement completed on 12/9/2009 for the Commonwealth of Pennsylvania does not meet the requirements for the Commonwealth of Virginia.

Plan of Correction: All sworn statements have been added to staff files. Sworn statement was added to sample file to ensure it is added to all files.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review and interview, the center failed to ensure staff obtain an original criminal history record report within 30 days of employment. Evidence: 1. There is no criminal record check on file for staff #2 who began employment in May 2005. 2. Administrative staff confirmed that a criminal record check had not been requested from the Virginia State Police. 3. The criminal record check completed by the Pennsylvania State Police on 2/12/2015 can not be accepted as the Code of Virginia requires all staff obtain a CRC conducted by the Virginia State Police.

Plan of Correction: Staff #2 background checks have all been sent. In the future we will ensure all transferring employees will be given new background checks.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview, the center failed to ensure that staff obtain a central registry finding within 30 days of employment. Evidence: 1. There is no central registry check on file for staff #2. 2. Administrative staff confirmed that a central registry check had not been requested for staff #2. 3. The central registry check conducted on 12/22/2009 by the Commonwealth of Pennsylvania does not meet the requirements for a CPS check in the Commonwealth of Virginia.

Plan of Correction: Staff #2 central registry was sent. In the future we will ensure all transferring staff will be given new registry checks.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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