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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: Dec. 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.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
The six violations cited during the inspection were all from section VII, Special Care Provisions and Emergencies, in the Standards for Licensed Child Day Centers. A review of this section may be advantageous.

Comments:
The inspector arrived 8;20 AM and departed at 11:50 AM. Come and Play and morning arrivals were observed. Activities, snack service and outdoor play were observed. A sampling of five children's records and five staff records were reviewed. Medication administration and injury records were reviewed. An exit meeting to review the Acknowledgement Form was held with the Administrator 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. If a facility disagrees with a violation(s), the facility has 15 calendar days from receipt of the inspection notices to initiate a written request for a First Step Review. Please contact the inspector if there are any questions.

Violations:
Standard #: 22VAC40-185-500-A
Description: Based upon observation, the facility has not ensured that children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: The children were observed preparing for snack in the three year old classroom. Hand sanitizer was used to clean the children's hands (not soap and water or wipes) prior to eating.

Plan of Correction: The facility responded with the following: Staff informed that soap and water before meals to be used

Standard #: 22VAC40-185-510-A
Description: Based upon review of the medication and authorizations, the facility has not ensured that medication administration procedures follow center's written medication policies. Evidence: The facility's medication administration policy requires written parental authorization for medication to be kept at the facility for possible administration to children. There is an albuterol inhaler for possible administration to child 6. The facility was unable to show written parental permission for the administration of the albuterol.

Plan of Correction: The facility responded with the following: Parent signed form when child was picked up.

Standard #: 22VAC40-185-510-C
Description: Based upon review of the medication stored at the facility for potential administration to children, the facility has not ensured that the procedures for administering medication include methods to prevent use of outdated medication. Evidence: There was an albuterol inhaler stored for child 7 that expired in November 2015.

Plan of Correction: The facility responded with the following: Mother brought in new medication when she picked up child

Standard #: 22VAC40-185-530-A
Description: Based upon review of staff records and interview of facility administrator, the facility has not ensured that there is at least one staff member with current first aid/cardiopulmonary resuscitation (CPR) on the premises during the center's hours of operation. Evidence: The facility was unable to show evidence of current first aid/CPR certification for staff at facility opening and closing and through-out the day.

Plan of Correction: The facility responded with the following: First aide / CPR classes has been scheduled Jan 13/14 @6:00 PM Jan 20/21/@6:00 PM

Standard #: 22VAC40-185-540-E
Description: Based upon observation, the facility does not have one working, battery-operated radio. Evidence: The facility was unable to produce a working battery operated radio.

Plan of Correction: The facility responded with the following: Batteries were located in nursey after inspection

Standard #: 22VAC40-185-550-M
Description: Based upon review of written records of children's injuries, the facility has not ensured that the written records include all required documentation. Evidence: 1. An injury records dated 11/06/2015 for child 8, dated 09/18/2015 for child 9, dated 10/15/2015 for child 10 and dated 09/16/2015 for child 12 do not have documented times the parents was notified of the injuries. 2. An injury record dated 09/16/2015 for child 11 does not include the date and time the parent was notified of the injury.

Plan of Correction: The facility responded with the following: Staff informed of proper documention To show Time parent notified.

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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