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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: Jan. 6, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 1/6/2016 from 9:50am - 12:25pm. The following staff to child ratios were observed: *Infants - 6 x 2 staff *Toddlers - 10 x 2 staff *2's - 6 x 1 staff *3's - 13 x 2 staff *4's - 10 x 1 staff *SA - 10 x 1 staff Children were observed during morning program time, outdoor play, lunch and nap. Records were reviewed for five children and four staff. Additionally reviewed: medication/topical ointments, emergency supplies, documentation of emergency practice drills, documentation of injuries, hand washing, diapering, written emergency procedures and the posted menu. Violations were found in the following areas of CDC standards: Administration and Physical Plant. 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 #: 22VAC40-185-140-A
Description: Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within one month of enrollment. Evidence: 1. There was no documented physical exam on file for child #2. Child #2 has an enrollment date of 7/10/2015 and was in care on the date of inspection. 2. The director stated she was not able to locate the documented physical for child #2.

Plan of Correction: A complete file audit will be done by 1/22/16 by CD and a sister center CD to ensure all files are 100%. Parent was given form for updates returned by 1/22/16.

Standard #: 22VAC40-185-150-A
Description: Based on record review, the center failed to ensure that the current form required by the Virginia Department of Health or a physician's form shall be used to report immunizations received and the results of the required physical examination. Evidence: 1. The form used to document immunizations for child #1 lacked any identifying information to verify the immunizations on file were administered to child #1. The immunization record lacked the child's name and date of birth. 2. The physician letter on file for child #1 does not indicate if an actual physical was conducted.

Plan of Correction: Center CD or AD will ensure name of child and birth date are also copied if it is on a separate sheet of paper.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the center failed to ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. One electrical outlet, located high on the wall above the staff work table, lacked a protective cover. 2. One electrical outlet, located high on the wall above the staff cubby, lacked a protective cover.

Plan of Correction: All classrooms have extra outlet covers in their classrooms. Daily classroom walk through will be completed.

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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