Early Steps Bilingual Preschool

Areas and equipment of the center, inside and outside, shall be maintained in a safe condition.

“An electrical outlet on the outdoor deck did not have a face plate and the internal electrical box and wires were exposed.”

Rule 8VAC20-780-270-A.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Electrical outlets in 2 classrooms and the outdoor play deck area did not have protective covers.”

Rule 8VAC20-780-290-3.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use.

“There was not a minimum of 6” of wood mulch in the falls zones surrounding the play equipment. In many of the fall zones, the dirt was exposed, and under 4 of 6 slides tree roots were exposed.”

Rule 8VAC20-780-330-B.

A record for each child enrolled shall be maintained with the following information - allergies and intolerances, and actions to take in an emergency situation.

“The record for Child #1 included inconsistent information about the child’s allergies to certain foods. Some documents completed by parents listed a few foods, others listed none and the physical exam listed different foods than what the parents listed. There was no emergency actions documented for any of the food allergies.”

Rule 8VAC20-780-60-A-7.

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction shall be maintained on-site.

“There was no written care plan by a physician regarding the foods Child #1 is allergic too (FARE form).”

Rule 8VAC20-780-60-A-8.

8VAC20-780-50-A

“Staff and children’s records shall be treated confidentially. Information was not kept confidential. The previous inspection’s Supplemental Information page, which lists staff and children’s names, was posted to the public on the parent board.”

Rule 8VAC20-780-50-A.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet for classroom 1 did not accurately reflect the children present.”

Rule 8VAC20-780-80-A.

8VAC20-780-90-A

“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. Child #1 had no written parent agreement on file.”

Rule 8VAC20-780-90-A.

22.1-289.011-F

“Documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection documentation (10/21/24) was not posted.”

Rule 22.1-289.011-F.

8VAC20-780-60-A-8

Rule 8VAC20-780-60-A-8.

Repeat violation. Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic.

“1. Child 1’s record contained written instructions from the physician state to administer a medication which did not have a written authorization available. 2. Child 2 and 3 had written instructions to administer medications that were not present in the center.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-40-E

“Repeat Violation Systemic Deficiency Based on a review of medications, the center failed to follow its own policy regarding informing parents of an expired medication. Evidence: There is an expired medication at the center. (1/23/24) (Child #5)”

Rule 8VAC20-780-40-E.

8VAC20-780-510-I

“Based on a review of medications, one medication on site was not in the original box with a prescription label attached. Evidence: One medication at the center was not in the original box with a prescription label attached. (Auvi-Q) (Child 5)”

Rule 8VAC20-780-510-I.

8VAC20-780-60-A

“Based on a review of records, two child records did not contain all required information. Evidence: Records did not contain documentation of an allergy action plan for a diagnosed food allergy. (Children #2, 4)”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“Based on a review of records, one staff record did not contain documentation of current cardiopulmonary resuscitation (CPR). Evidence: Staff B’s record does not contain documentation of a current CPR certification.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Based on a review of records, one staff record did not contain documentation of current first aid certification. Evidence: Staff B’s record does not contain documentation of current first aid certification.”

Rule 8VAC20-790-600-D-2.

8VAC20-770-60-C-2

“Repeat Violation Systemic Deficiency Based on a review of records 2 staff records did not contain documentation of a completed Central Registry Search (CRS) within 30 days of employment. Evidence: 1. Staff C’s record did not contain documentation of a completed CRS. (Date of Hire (DOH): 2/27/23. 2. Staff D’s record did not contain documentation of a completed CRS (DOH: 1/16/23)”

Rule 8VAC20-770-60-C-2.

8VAC20-780-240-C

“Based on a review of record, staff records did not contain documentation of orientation that includes all required information. Evidence: 3 of 4 staff records reviewed contained orientation documentation on an outdated form. Missing information included prevention and response to emergencies due to food and other allergic reactions. The form does not document the method of delivery for the orientation training. (Staff B,C, D)”

Rule 8VAC20-780-240-C.

8VAC20-780-245-M

“Based on a review of records, documentation of on-going training does not include all required components. Evidence: The training log for tracking training, does not include the method of delivery for the training.”

Rule 8VAC20-780-245-M.

8VAC20-780-40-E

“Repeat violation Based on a review of medications, the center failed to follow its own policy regarding informing parents of an expired medication. Evidence: There is one expired medication at the center (3/25/23)”

Rule 8VAC20-780-40-E.

8VAC20-780-40-J

“Based on a review of documentation, the injury prevention plan annual update could not be located. Evidence: There was no injury prevention plan update available for review.”

Rule 8VAC20-780-40-J.

8VAC20-780-510-B

“Based on a review of medications, one medication does not have an acceptable authorization on file. Evidence: Child #1’s medication authorization, give Fairfax County Schools permission to administer the medication.”

Rule 8VAC20-780-510-B.

8VAC20-780-550-E

“Based on a review of documentation, shelter in place drills were not practiced a minimum of twice a year. Evidence: There were no Shelter-I-Place drills documented for 2022.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on a review of documentation and staff statement, lockdown procedures were not practiced at least annually. Evidence: No Lockdown drills were practiced in 2022.”

Rule 8VAC20-780-550-F.

8VAC20-780-70

“Repeat Violation Based on a review of records, one staff record did not contain documentation of all required information prior to employment. Evidence: 1 of 4 records reviewed did not contain documentation of phone references. The phone reference was not signed by the person making the phone call.”

Rule 8VAC20-780-70.

22.1-289.035-B-2

“Based on a review of records, one staff record does not contain documentation of a competed nationwide fingerprint search prior to employment. Evidence: 1 of 2 staff records reviewed was missing documentation of the fingerprint search results prior to employment. There are no results on file. (Staff B - (DOH) 2/13/23)”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on a review of records, one staff record does not contain documentation of a completed Sorn Disclosure Statement (SDS) prior to employment. Evidence: The SDS on file for a staff member was completed for a different LLC and is not transferable to this facility.(Staff B- DOH 2/13/23).”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on a review of records, one staff record does not contain documentation of a completed Central Registry Search (CRS) within 30 days of employment. Evidence: 1 of 2 records reviewed did not contain the results of a CRS search. (Staff B - DOH 2/13/23)”

Rule 8VAC20-770-60-C-2.

8VAC20-780-240-B

“Based on a review of records, one staff record does not contain documentation of orientation. Evidence: 1 of 2 records reviewed did not contain documentation of orientation within 7 days of assuming job responsibilities. Orientation is incomplete. (Staff B (DOH) 2/13/23).”

Rule 8VAC20-780-240-B.

8VAC20-780-245-J-3

“Based on a review of records, there is no documentation to show that any staff member is current in Medication Administration training (MAT) certification. Evidence: 3 staff records were reviewed for staff that have taken the MAT course. The receipt for the course for all 3 staff expired 4/7/23. There are no certificates available for review. (Staff A, C, D)”

Rule 8VAC20-780-245-J-3.

8VAC20-780-40-E

“Based on a review of medications, the center failed to follow it’s own policy regarding informing the parent of an expired medication. Evidence: There is on expired Epi-pen at the center. (expired 3/25/23). The center was not aware that the Epi-pen was expired until the Inspector reviewed the medications. Parents were not notified it was expired. (Child 2)”

Rule 8VAC20-780-40-E.

8VAC20-780-550-P

“Based on a review of records, injury reports do not contain all required components. Evidence: 5 of 5 injury reports reviewed di not contain documentation on how the parent was notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on a review of records, one child record was not kept up-to-date. Evidence: The written allergy action plan for a child with a diagnosed food allergy, is dated 1/31/22. There was no annual update to the action plan. (Child 1)”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on a review of records, one staff record does not contain documentation of all required components. Evidence: 1 of 2 records reviewed was missing documentation of 2 references prior to employment. There are no references available for review. (Staff B- Date of Hire (DOH) 2/13/23.”

Rule 8VAC20-780-70.

22.1-289.035-A

“Based on a review of records, one staff record does not contain documentation of a repeated Central Registry Search (CRS) within the allowable 5 year time frame. Evidence: The documentation available for review shows a CRS search dated 11/01/17 (expired 11/1/22). (Staff A)”

Rule 22.1-289.035-A. From a complaint.

8VAC20-780-410-1

“Based on multiple statements, it was determined that a staff member used a forbidden action when dealing with a child. Evidence: Staff A used physical punishment (pinching the nose) on a child in an attempt to correct how he was sitting in the chair. The pinch resulted in a mark/bruise on the nose.”

Rule 8VAC20-780-410-1. From a complaint.

22.1-289.035-B-2

“Based on a review of records, 1 staff record does not contain documentation of a completed nationwide fingerprint search, prior to employment. Evidence: 1 of 2 staff files reviewed did not contain an acceptable result from a nationwide fingerprint search prior to employment. A search was done; however, not for this Limited Liability Corporation (LLC). These results are not transferrable. (Staff B- Date of Hire (DOH): 10/3/22)”

Rule 22.1-289.035-B-2. From a complaint.

22.1-289.035-B-4

“Based on a review of records, 1 staff record does not contain documentation of a completed Child Abuse and Neglect Search result for a residence outside of the state of Virginia in the past 5 years. Evidence: 1 staff person who has resided outside of Virginia in the past 5 years, did not have a completed Child Abuse and Neglect search result on file within 45 days of employment for that residence. (Staff A ? DOH:9/9/22)”

Rule 22.1-289.035-B-4. From a complaint.

8VAC20-770-60-B

“Based on a review of records, 1 staff record did not contain accurate information documented on the Sworn Disclosure Statement (SDS). Evidence: 1 of 2 staff records reviewed, had an SDS on file that did not accurately reflect any residences outside of Virginia in the past 5 years. (Staff A)”

Rule 8VAC20-770-60-B. From a complaint.

8VAC20-770-60-C-2

“Based on a review of records, 1 staff record did not contain documentation of a completed Central Registry Search (CRS) for Virginia within 30 days of employment. Evidence: 1 of 2 staff records reviewed had no CRS result on file, past 30 days of employment. (Staff A- DOH 9/9/22)”

Rule 8VAC20-770-60-C-2. From a complaint.

8VAC20-780-160-A

“Based on a review of records, staff records did not contain documentation of a negative TB screening result provided at employment, and completed within the last 30 days. Evidence: 2 of 2 records reviewed did not contain documentation in the allowable time frame for the TB screening results. *Results are dated 10/10/22. After employment date of 9/9/22 (Staff A) *Results are dated 11/27/21, more than 30 days prior to employment date of 10/3/22. (Staff B)”

Rule 8VAC20-780-160-A. From a complaint.

8VAC20-780-240-C

“Documentation of orientation available for review does not include all required components/policies. Evidence: 2 of 2 staff records reviewed did not contain documentation of orientation training on all required policies and procedures that went into effect 1/13/22. Missing information includes: *Policy for prevention of Abusive Head Trauma. *Prevention of and response to emergencies due to food allergies and other allergic reactions *Prevention and Control of Disease. The form available for review is outdated (Staff A, B)”

Rule 8VAC20-780-240-C. From a complaint.

8VAC20-780-400-B

“Based on multiple interviews, it was determined that behavior guidance was not constructive in nature and intended to redirect children. Evidence: A staff person did not attempt to redirect a child that was uncooperative during snack regarding eating their snack and following directions. The staff attempted to physically remove the child from the area without attempting to redirect the child’s behavior and resolving the conflict, escalating the situation. (Staff B)”

Rule 8VAC20-780-400-B. From a complaint.

8VAC20-780-410-1

“Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child’s behavior issue. Evidence: Staff B roughly handled a child when she attempted to pick up the child from the snack table by lifting them under the arms and around their chest. The child wrapped their legs around the leg of the table and held on to the edge of the table resisting being moved. The staff person pulled on the child attempting to remove the child from the table.”

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-780-410-6

“Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child. Evidence: Staff B used verbal remarks that were demeaning to a child. The staff person told the child to ?stop acting like a baby? when the child was upset and crying.”

Rule 8VAC20-780-410-6. From a complaint.

8VAC20-780-60-A

“Based on a review of records, one child record does not contain all required components. Evidence: 1 child record was reviewed. Missing information includes: *Complete addresses for emergency contacts. (Child 1)”

Rule 8VAC20-780-60-A. From a complaint.

8VAC20-780-80-A

“Based on observation, written attendance was not kept for each group of children. Evidence: 2 of 5 room’s attendance sheets were not accurate at the time of inspection. The Ants attendance was not completed. The Elephants attendance sheet reflected 12 children; however, there were 17 children present.”

Rule 8VAC20-780-80-A. From a complaint.

8VAC20-780-160-C

“Based on a review of records, one staff record does not contain documentation of the follow- up results of a tuberculosis screening within 2 years from the previous results. Evidence: 1 of 2 staff records contained a TB screening result dated 2/1/2020. (expired)”

Rule 8VAC20-780-160-C.

8VAC20-780-510-I

“Based on a review of medications, one medication is not in the original box with the prescription attached. Evidence: One Epi-pen at the facility is not in the original container with the prescription label attached. (Child 2)”

Rule 8VAC20-780-510-I.

8VAC20-780-540-C

“Based on a review of first aid supplies, first aid kits one each floor are incomplete. Evidence: 2 of 2 first aid kits inspected did not contain 2 triangular bandages each.”

Rule 8VAC20-780-540-C.

8VAC20-780-550-C

“Based on a review of emergency evacuation maps, shelter-in-place locations are not denoted on the maps. Evidence: The shelter-in-place locations are not noted on the maps posted for the facility.”

Rule 8VAC20-780-550-C.

8VAC20-780-60-A

“Based on a review of records, one child record does not contain documentation of all required components. Evidence: 1 of 3 records reviewed did not contain documentation of viewing Proof of Birth documents. (Child 1)”

Rule 8VAC20-780-60-A.