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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: April 11, 2017

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 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 04/11/2017 from 10:10am - 3:30pm. The following staff to child ratios were observed: *Infants - 4 x 1 staff *Toddlers - 10 x 2 staff *Two's - 15 x 2 staff *Three's - 10 x 2 staff *Four's - 18 x 2 staff *SA - 19 x 2 staff Children were observed during morning program time, outdoor play, lunch and nap. Field trip and transportation procedures were reviewed for the school age class. Records were reviewed for six children and four staff. The inspector additionally reviewed: medication, hand washing & diapering, infant standards, documentation of children's injuries, written emergency plans, attendance records, the posted menu and the field trip first aid kit. The violations observed are listed on the violation notice and were reviewed with administrative staff at the exit interview.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child #2 were administered on 5/26/2016. This child does not have documentation of having received all immunizations required. 2. Administrative staff verified that an updated immunization record had not been obtained for child #2.

Plan of Correction: Immunization were obtained. Monthly audits will be done to ensure immunizations are obtained by 6 months, 12 months, 18 months and 2 years of age.

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 before the child's attendance or within one month after attendance. Evidence: 1. There is no documented physical on file for child #1. a. Child #1 has an enrollment date of 1/20/2017, 2. There is no documented physical on file for child #6. a. Child #6 has an enrollment date of 7/18/2016. 3. Administrative staff verified that physical exams were not on file for these children.

Plan of Correction: Child care files were updated. Physicals will be obtained within 30 days of enrollment.

Standard #: 22VAC40-185-60-A
Description: Based on record review and interview, the center failed to ensure children's records contain the following information: *Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. *Previous child day care and schools attended by the the child; *Name of any additional programs or schools that the child is concurrently attending and the grade of class level. Evidence: 1. The record for child #2 lacks an address for the second designated emergency contact. 2. The record for child #4 lacks written documentation of the name of any additional programs or schools that the child is concurrently attending and grade or class level. a. Administrative staff and classroom staff stated that child #4 attended public school for part of the day each day. 3. The record for child #5 lacks documentation of previous child day care attendance. 4. Administrative staff verified this information was not on file in any of the above records viewed.

Plan of Correction: Children's files will be updated. A semi-monthly audit of children's files as well as at classroom transitions will be conducted.

Standard #: 22VAC40-185-90--A
Description: Based on record review and interview, the center failed to obtain a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include: *A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and *A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. Evidence: 1. The enrollment record for child #5 lacked a signed written parent agreement regarding notification and pick-up of ill child as well as communicable disease notification. 2. Administrative staff confirmed that the written parent agreement had not been obtained for child #5.

Plan of Correction: Enrollment forms were updated. A new intake process is developed to ensure accuracy.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that outside areas and equipment of the center shall be maintained in a clean and safe condition. Evidence: 1. A plastic circular sandbox was completely filled with discolored standing water, debris, leaves, plastic wrappers and tadpoles. a. This sandbox was uncovered and located outside in the area used by the four-year old class as an entry/exit to the playground. b. The sandbox was placed next to the playground gate and children were observed walking by this sandbox as they entered and exited the playground. 2. There was an additional sandbox placed nearby with two lids placed on top. These lids also contained standing water and assorted debris and leaves. 3. Standing water is a breeding ground for mosquitoes and other insects.

Plan of Correction: A grounds walk through will be conducted by facilities professionals to ensure facility is in safe condition and exceeding standards. The sandboxes were emptied during the inspection.

Standard #: 22VAC40-185-550-M
Description: Based on record review, the center failed to ensure that the record of children's injuries shall include: * Time parents were notified; *Documentation on how parent was notified. Evidence: 1. 9 of 11 injury reports reviewed lacked documentation of the time the parent was notified of their child's injury. 2. 7 of 11 injury reports reviewed lacked documentation of how the parent was notified of their child's injury. 3. Administrative staff verified this information was lacking.

Plan of Correction: All staff will be retrained in proper documentation. The Health & Safety coordinator will conduct audits before filing.

Standard #: 22VAC40-185-570-C
Description: Based on record review and interview, the center failed to ensure that the record of each child on formula shall contain: *The brand of formula; and *The child's feeding schedule. Evidence: 1. One formula fed infant, in care, lacked documentation of her feeding schedule and brand of formula. 2. The staff in the infant classroom as well as administration staff confirmed this information was not on file.

Plan of Correction: The child's record was updated. Staff were retrained to obtain documentation on first day.

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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