VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Great Things Christian Childcare Center
1069 N. George Washington Highway
Chesapeake, VA 23323
(757) 606-2098

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: April 5, 2023

Complaint Related: Yes

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

An unannounced complaint investigation was initiated on 4/5/23 and was concluded on 4/24/2023 in response to a complaint received by the licensing office on 4/5/23 regarding diapering and supervision. Observation, record reviews, and interviews were conducted relating to the allegations on 4/5/23, and 4/24/23. The information gathered during the investigation supports the allegation, so the complaint is determined to be "valid". Violations are listed on the attached notice and were reviewed with the owner during the exit interview. If you have any questions, contact the licensing inspector at (757)354-7307.

Violations:

Standard #:	22.1-289.035-B-2
Complaint related:	No
Description:	Based on record review and interview it was determined the center did not obtain a copy of the results of a criminal history record information check center prior to first day of employment. Evidence: 1. The record for staff #5 (hired 3/16/23) did not contain documentation of the results of a criminal history record information check. 2. Staff confirmed that staff #5 was working with children and this documentation was not available during this inspection.
Plan of Correction:	The provider responded with: "Staff #5 is no longer employed with this company."
Standard #:	22.1-289.035-B-4
Complaint related:	No
Description:	Based on record review and interview it was determined the center did not obtain a copy of the results of a sex offender registry check, and search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #5 (hired 3/16/23) contained documentation that staff #5 had lived in North Carolina within the past five years. 2. The record for staff #5 (hired 3/16/23) did not contain documentation of the results of a sex offender registry check, and search of the child abuse and neglect registry or equivalent registry from North Carolina. 3. Staff confirmed staff #5 was working with children and that the these documents were not available during this inspection.
Plan of Correction:	The provider responded with: "Staff #5 is no longer employed with this company."
Standard #:	8VAC20-770-60-C-2
Complaint related:	Yes
Description:	Based on record review and interview it was determined the center did not ensure each staff member does not have a central registry finding within 30 days of employment or volunteer service. Evidence: 1. The record for staff #5 (hired 3/16/23) did not contain documentation of a central registry search. 2. Staff confirmed staff #5 was working with children and these documents were not present during inspection.
Plan of Correction:	The provider responded with: "Central Registry Request was mailed. moving forward Center will use the online portal for faster results. Staff #5 is no longer employed with this company.."
Standard #:	8VAC20-780-160-A
Complaint related:	No
Description:	Based on record review and interview it was determined the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #3 (hired 3/1/23) did not contain documentation of a negative TB screening at the time of employment. The documentation available was dated 3/11/23. 2.Staff confirmed that staff #3 was working with children and this documentation was not available during this inspection.
Plan of Correction:	The provider responded with: "Staff #3 does have a Negative TB Screen on file dated 3/9/2023. The results were delayed due to Drs. office sceduling of appointements and walk ins"
Standard #:	8VAC20-780-160-C
Complaint related:	No
Description:	Based on record review and interview it was determined the center did not ensure that each staff member obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: 1. The record for staff #4(hired 3/19/19) did not contain updated TB screening results. The documentation available was dated 8/13/18. 2. Staff confirmed staff #4 was working with children and updated documentation was not available during this inspection.
Plan of Correction:	The provider responded with: "Staff #4 was excused to retrieve new screening results."
Standard #:	8VAC20-780-70
Complaint related:	No
Description:	Based on record review and interview it was determined the center did not ensure that the record for each staff member contained all of the required documentation. Evidence: 1. The records for staff #4 and #5 stated that they were employed as program leaders. a. The record for staff #4 (hired 3/19/19) did not contain documentation to demonstrate that they possessed the education, certification, and experience required by the job position of program leader. b. The record for staff #5 (hired 3/16/23) did not contain documentation to demonstrate that they possessed the education, certification, and experience required by the job position of program leader. 2. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction:	The provider responded with: "Staff #4 was a returing employee and was asked to reprint and resubmitt all former documents that were outdated. Staff #5 is no longer employed with this company"
Standard #:	8VAC20-780-240-E
Complaint related:	No
Description:	Based on record review and interview it was determined the center did not ensure that within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. The record for staff #5 (hired 3/16/23) did not contain documentation of orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 2. Staff confirmed that as of the date of this inspection staff #5 had not completed orientation training in first aid and cardiopulmonary resuscitation (CPR).
Plan of Correction:	The provider responded with: "Going forward we will work harder at finding approved CPR trainers to deliver the trainings in a timley manner. Staff #5 is no longer employed withi this company"
Standard #:	8VAC20-780-290-A-3
Complaint related:	No
Description:	Based on observation and interview it was determined the center did not ensure that all unused electrical outlets had protective outlet covers. Evidence: 1. In the 18 months/toddler class room area there was one electrical outlet that did not have a protective cover. 2. In the Preschool class room area there were four electrical outlets that did not have protective covers. 3. Staff confirmed that these electrical outlets did not have protective covers at the time of inspection. 4. The five electrical outlets were accessible to the children in care during this inspection.
Plan of Correction:	The provider responded with: "Outlet covers were replaced after vacuming was completed."
Standard #:	8VAC20-780-430-L
Complaint related:	No
Description:	Based on observation it was determined that the center did not ensure that infant walkers were not used. Evidence: This inspector and the inspector's supervisor observed: 1. Two infant walkers in the infant room during this inspection a. One infant was placed in the infant walker during this inspection b. An older infant/toddler was observed pushing the infant walker across the floor
Plan of Correction:	The provider responded with: "The wheels were removed from the walker."
Standard #:	8VAC20-780-500-A
Complaint related:	Yes
Description:	Based on observation it was determined that the center did not ensure that staff washed their hands before and after diaper changes. Evidence: 1. In the infant room inspector and inspector's supervisor observed: a. Staff #1 change child #1's diaper without washing their hands prior to the diaper change or afterwards b. After finishing the diaper change with child #1 without washing their hands staff #1 then changed the diaper of child #2 c. Child #1, #2, and #3's hands were not washed after their diapers were changed
Plan of Correction:	The provider responded with: "Staff member used gloves and changed them after each diaper change. Staff members were reminded to wash hands when water is present. Hand sanitizer was also abailable."
Standard #:	8VAC20-780-500-B
Complaint related:	Yes
Description:	Based on observation it was determined the center did not ensure that the diapering area had a sink with running warm water. Evidence: In the infant room: 1. Inspector observed staff #1 tell staff #2 there was no water in the portable sink during diaper changes. 2. Inspector's supervisor and inspector observed staff change out empty water tank for full one for the portable sink.
Plan of Correction:	The provider responded with: "Staff members were reminded to check water tanks at opening , Mid-day, and Center closing. Including poster written reminders"
Standard #:	8VAC20-780-570-B
Complaint related:	No
Description:	Based on observation it was determined that the center did not ensure that infants were not given bottles in their designated sleeping locations. Evidence: This inspector and inspector's supervisor observed two infants in their cribs with bottles during the inspection.
Plan of Correction:	The provider responded with: "Staff were reminded to not have bottles in the cribs with infants. This is also posted in the infant room. Staff will be retrained in this area of care."