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Greater Hope Learning Center
2001 Ginter Street
Richmond, VA 23228
(804) 562-0127

Current Inspector: Kelly Adriazola (804) 662-9760

Inspection Date: July 25, 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.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was completed on July 25, 2017. The purpose of this visit was to measure compliance with most, but not all, of the licensing standards. There were 30 children, 18 months to school age, in care at the time of the inspection. There were 4 staff members that were working with the children in their separate groups. All groups were within the proper ratio. Children in the toddler through preschool groups had just finished lunch and were preparing for nap. The school age children were eating a lunch of chicken nuggets, corn, fruit cocktail, graham crackers and milk. Staff was observed interacting with the children and providing assistance when needed. All areas of the center including classrooms, hallways, bathrooms and playgrounds were inspected. The following information was reviewed: fire and shelter-in-place drills, liability insurance policy, parent agreements, and staff training information.

Last documented health inspection: 6/21/17 Last documented fire inspection: 5/24/17
During the inspection, 5 children's records and five staff records were reviewed.
Approximate time on site: 12:08pm to 4:30pm

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on a review of a sample of staff records, the facility did not ensure that three staff records contained 2 references. EVIDENCE: The records of staff person # 2, start date 3/2017, staff person #3, start date 3/2017, and staff person #5, start date 5/2017, did not contain 2 references.

Plan of Correction: I will make sure that all staff have at least 2 references and document follow up calls.

Standard #: 22VAC40-185-240-A
Description: Based on a review of a sample of staff records, the facility did not ensure that orientation was completed by the end of the first day of assuming job responsibilities. EVIDENCE: The records of staff person #2, #3 and #5, did not contain documentation of orientation.

Plan of Correction: We will get verification from the office manager.

Standard #: 22VAC40-185-240-C
Description: Based on a review of a sample of staff records, the facility did not ensure that a staff person completed the required 16 hours of annual training. EVIDENCE: The record of staff person #1, start date 9/2015, did not contain documentation of 16 hours of annual training for the period 9/2015-9/2016.

Plan of Correction: The staff person will take the required training hours each year.

Standard #: 22VAC40-185-270-A
Description: Based on observations in the outside play area, the facility did not ensure that all areas outside of the facility were maintained in a safe condition. EVIDENCE: There were metal slats protruding through the chain link fence that were damaged and exposed jagged edges.

Plan of Correction: We will talk with the owner of the neighboring property to get permission to repair the fence slats.

Standard #: 22VAC40-185-330-B
Description: Based on observations of the facility's playground area, the facility did not ensure that the resilient surfacing, under the slide and climbing equipment, was in compliance with the minimum safety standards. EVIDENCE: The mulch measured 2 and 3 inches deep in areas around the climbing equipment. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety's "Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground," February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. According to the chart, the mulch in the fall zone surrounding this facility's equipment should be at least 6 inches deep.

Plan of Correction: The director will hire a contractor to implement strategies to meet the licensing requirement. Until then, the children will not be permitted to use the equipment.

Standard #: 22VAC40-185-500-B
Description: Based on observations at the facility, the facility did not ensure that diapers were disposed of in a hands free trash can. EVIDENCE: The pedal on the diaper pail was inoperable.

Plan of Correction: The director will invest in a new hands free diaper pail.

Standard #: 22VAC40-185-550-D
Description: Based on a review of documentation at the facility, the facility did not ensure that evacuation drills were conducted monthly. EVIDENCE: The facility did not have documentation of evacuation drills conducted during the months of March 2017 and April 2017.

Plan of Correction: We will make sure proper documentation is maintained each month.

Standard #: 22VAC40-191-60-B
Description: Based on a review of a sample of staff records, the facility did not ensure that a staff person completed a sworn statement prior to employment. EVIDENCE: The record of staff person #5, start date 5/30/17, did not contain a completed sworn statement.

Plan of Correction: The staff person will be terminated until her background check is received.

Standard #: 22VAC40-191-60-C-1
Description: Based on a review of a sample of staff records, the facility did not ensure that a staff person had an original criminal history report within 30 days of employment. EVIDENCE: The record of staff person # 5, start date 5/30/17, did not contain a criminal background check.

Plan of Correction: I will go to the state police to expedite the check and she will be terminated until the background check is received.

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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