STEP Inc.- Stuart

Tuberculosis (TB) screenings are required to be updated at least every two years from the date of the initial screening.

“The updated TB screening for Staff 1 was 3 weeks overdue. The updated TB screening for Staff 2 was 5 months overdue.”

Rule 8VAC20-780-160-C.

Diaper ointment shall be labeled with the child’s name.

“There was an unlabeled tube of diaper ointment in Classroom 2.”

Rule 8VAC20-780-520-C.

Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There was a plastic spray bottle of sanitizer in the unlocked cabinet under the diaper changing table in the EHS1 classroom. The cabinet containing the cleaning material was not locked to prevent access by children.”

Rule 8VAC20-780-280-B.

Based on observation and staff interviews, the center failed to ensure that tables shall be sanitized before and after each use for feeding.

“Evidence: The tables in class EHS 2 were not sanitized before lunch. Children were observed rolling cars and placing various books and toys on the table right before the tables were used for lunch. Staff 1 stated the tables are only sanitized after meals and snacks.”

Rule 8VAC20-780-560-J.

Based on record review and discussion with staff, the center failed to obtain a copy of a criminal history record check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Board Officer/Applicant 4 contained a documented hire date of 05/03/2021. The record for Board Officer/Applicant 4 contained documentation that Board Officer/Applicant 4 has resided outside of the state of Virginia within the preceding five years. There was not a criminal history record check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

Rule 22.1-289-036-B-4.

Based on record review and discussion with staff, the center failed to ensure that every employee at a child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

“Evidence: The record for Staff 1 contained a documented hire date of 11/04/2011. The most recent search of the central registry was dated 08/11/2016; there was not a repeat search of the central registry obtained in 2021.”

Rule 22.1-289.035-A.

Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: The record for Staff 3 contained a documented hire date of 08/03/2021. The employment eligibility letter was dated 08/10/2021.”

Rule 22.1-289.035-B-2.

Based on record review and discussion, the center failed to obtain the sworn statement for a new person designated as an applicant prior to their first day of service.

“Evidence: There was not a sworn statement available for review for Board Officer/Agent 2 during the 07/14/2022 inspection. Board Officer/Agent 3 verified that Board Officer/Agent 2 began service on 07/01/2022.”

Rule 8VAC20-770-40-D-1-a.

Based on observation and discussion with staff, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: The children in the 3 year old-5 year old class were observed immediately returning to activities upon the completion of their breakfast. The children in the 3 year old-5 year old class did not wash their hands with soap and running water or disposable wipes after eating a meal.”

Rule 8VAC20-780-500-A.

Based on observation and discussion, the center failed to ensure that practice evacuation drills are implemented monthly.

“Evidence: There was not a practice evacuation drill conducted for the month of December 2021.”

Rule 8VAC20-780-550-D.