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Grand Kids Child Care
3152 Hickory Fork Road
Gloucester, VA 23061
(804) 693-2660

Current Inspector: Tiffany Harris (757) 403-3045

Inspection Date: Feb. 7, 2018

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 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed with the program director standard 22 VAC 40-185-340. G.

Comments:
An unannounced monitoring inspection was conducted at the facility on February 7, 2018, from approximately 3:30 pm- 6:00 pm. Upon entrance there were fifty- two children with eight staff. Additional staff was present after van routes were completed during the inspection. The licensing inspector observed the children freely playing, arts and crafts,homework and watching videos. The sample size consisted of 5 children records and 5 staff records. Exit interview was conducted with the program director.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on 1 of 5 staff records reviewed, the licensee did not ensure each staff record contained all required information. Evidence: During the inspection conducted on February 7, 2018, the following record did not contain all required documentation: Staff #5 ( hire date 01/31/2018) did not have documentation of written qualifications and two reference checks . Confirmed with program director the record did not contain the required documents.

Plan of Correction: All records were completed on Staff#5 (new hire) before returning to work. Staff #5 was called in an emergency situation when 3 employees and the Director called out sick. She was not on the schedule to work that week. She was still completing her responsibilities at her other place of employment.

Standard #: 22VAC40-185-90--A
Description: Based on 1 of 5 records reviewed, the licensee did not ensure the written agreement was signed by parent. Evidence: During the inspection conducted on February 7, 2018, child #2 ( start date 10/02/2017) record did not contain a signed copy of written parent agreements.

Plan of Correction: Child #2 record was completed by having parents sign the contract.

Standard #: 22VAC40-185-240-A
Description: Based on 1 of 5 records reviewed, the center did not ensure that all staff had a documented orientation training completed by the end of their first day of assuming job responsibilities. Evidence: During the inspection on February 07, 2018, the licensee was unable to provide documentation of orientation training completed by the end of the first day of assuming job responsibilities for staff #5.

Plan of Correction: Orientation training was completed on staff #5 before reporting to work and documentation completed in staff folder.

Standard #: 22VAC40-185-240-B
Description: Based on1 of 5 records reviewed and staff interviewed, the licensee did not ensure that by the end of the first day of supervising children, staff was provided in writing with information listed in 22 VAC 40-185-420 and procedures required from 22 VAC 40-185-240. Evidence: During the inspection conducted on February 7, 2018, licensee did not have documentation to show that staff #5 that by the end of the day of supervising children , staff was provided in writing with information listed in 22 VAC 40-185-420 and the following: -Procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun; - Procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center; - Procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center; - Procedures for action in case of lost or missing children, ill or injured children, medical emergencies and general emergencies; - Policy for any administration of medication; and - Procedures for response to natural and man-made disasters.

Plan of Correction: All procedure for children arriving late after daily activities have begun or absent from the center were reviewed with staff #5 on February 8. The Emergency Response Plan was reviewed with staff #5 on February 8, which included all the scenarios listed.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the licensee did not ensure areas and equipment of the center, inside , shall be maintained in a clean, safe and operable condition. Evidence: During the inspection conducted on February 7, 2018, there was a bathroom stall divider leaning against the wall next to the toilet that was not secured to wall which could be a tipping hazard. There was exposed nail/screw at the bottom of the bathroom stall divider potential hazard. The program director confirmed the bathroom is still in use while both bathrooms are having floors fixed.

Plan of Correction: After a recent water leak and water damage the bathroom was in process of repair by the independent contractor the week of February 5. The noted items were corrected on February 7.The flooring installation and bathroom repair was completed and updated fully on February 17, 2018.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the licensee did not ensure that all hazardous substances were kept in a locked place. Evidence: During the inspection conducted on February 7, 2018, across from the Butterfly classroom there was unlocked cabinet with disinfectant wipes on a high shelf . The hazardous substance was labeled keep out of reach of children and caution. In the bathroom, across from the butterfly classroom there was a air freshener on the top shelf . The hazardous substance was labeled keep out of reach of children and caution. In the two year old classroom, there was a white cabinet that was unlocked with hand sanitizer . The hazardous substances was labeled keep out of reach of children and warning.

Plan of Correction: All staff was reminded by via e-mail and as well as verbally to keep hazardous materials in a locked cabinet at all times. Air freshener was removed.

Standard #: 22VAC40-185-340-B
Description: Based on staff interview, the licensee did not ensure the program had one designate adult, on the premises, as in charge of the administration of the center during the hours of operation. Evidence: During the inspection conducted on February 7, 2018, when the licensing inspector arrived at approximatley 3:30pm there were 9 staff present. The staff present in the center on the premises confirmed they were not in charge. Staff said they thought that the staff in charge were driving van routes were in charge. The program director arrived at approximatley 3:55pm.

Plan of Correction: A list of who is in charge by priority was posted on February 8. Every program leader is designated as "in charge" when needed was reminded to verbally inform the designated person after them any time they leave the building. Three employees plus the director was out sick which required the designated person in charge to drive the van to pick up the school age children.

Standard #: 22VAC40-185-340-D
Description: Based on review of staff records and observation, the center did not ensure that each grouping of children had a qualified program lead. Evidence: During inspection conducted on February 7, 2018, staff #5 was in the Pre- K classroom with 6 children. Staff#5 confirmed she was in charge of the children in the classroom. The inspector reviewed the record for staff #5 there was no documentation that contained information that the staff member met program lead qualifications.

Plan of Correction: Staff #5 was trained and records were completed before returning to work . Staff #5 will not be placed in charged of children until she meets program lead qualifications. She was only called into work on February 7 in order to maintain ratio, childcare and safety of children due to the number of staff that were out due to illnesses and including the flu.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the licensee did not ensure the diapering surface was used only for diapering or cleaning children and the diapering surface was a nonabsorbent surface for diapering. Evidence: During the inspection conducted on February 7, 2018,the following was observed: -In the large infant classroom there was approximately a one inch tear on the diapering pad Lady Bug classroom, there were nap mats on top of the diapering surface. - In the small infant classroom there was tears on the corners of the diapering pad.

Plan of Correction: The changing pads were replaced on February 7 even though no tears were located by staff. Extra pads were purchased an placed in storage to be easily accessible to staff. Staff was reminded verbally and via email on February 9 to keep all other material off the changing table.

Standard #: 22VAC40-185-550-M
Description: Based on 1 of 5 injury report reviewed, the licensee did not ensure required information is documented when a child sustains an injury. Evidence: During the inspection conducted on February 7, 2018,the injury written record from January 31, 2018 and February 6, 2018 did not have time parent/guardian was notified.

Plan of Correction: Staff reminded verbally and via email that injury reports must be completed in full including the time parent was informed.

Standard #: 22VAC40-185-570-E
Description: Based on observation, the licensee did not ensure the bottles are date and labeled with child's name. Evidence: During the inspection conducted on February 7, 2018, the licensing inspector observed child #1 bottle in the refregirator without a date and label with child's name.

Plan of Correction: Staff reminded verbally and via email that bottles need to labeled with the date and child's name when placed in refrigerator.

Standard #: 22VAC40-191-60-B
Description: Based on 1 of 5 staff records reviewed, the licensee did not ensure staff had a completed sworn statement or affirmation before they are employed or provide volunteer service. Evidence: During the inspection conducted on February 7, 2018, the record for staff #5 ( start date 01/31/2018) did not have a completed sworn statement or affirmation.

Plan of Correction: The completed sworn statement for staff #5 was completed on February 8.

Standard #: 22VAC40-191-60-C-1
Description: Based on record review and observation, the licensee did not ensure the fingerprint based background check was completed before the individual began employment. Evidence: During the inspection conducted on February 7, 2018, staff #5 ( employment start date 1/31/2018) was in a classroom with 6 children. The program director confirmed staff #5 did not have a scheduled fingerprinting appointment.

Plan of Correction: The fingerprinting was completed and the report was received on February 13.

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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