Natural Steps Child Development Center

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A can of disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in the four-year-old classroom, not within reach of children.”

Rule 8VAC20-780-280-B.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“The exterior door to the playground had a bent locking plate. The bent piece of medal was accessible to children as they entered the playground.”

Rule 8VAC20-780-270-A.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“During the inspection, a six-year-old was unsupervised walking from the school age classroom down the hall to the preschool classroom.”

Rule 8VAC20-780-340-F.

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.

“At approximately 11:00 a.m. on 07/29/2025, in at least 5 of the 13 classrooms, the written attendance was not completed with any child present.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-F

“Based on a review of records and interview, the vendor failed to ensure that each staff complete the Virginia Annual Health and Safety Update Training annually as required. Evidence: The record of staff #2 contained documentation of the 2023 Health and Safety training dated 8/28/23. There was no documentation of the 2024 Health and Safety update training. Administration confirmed the 2024 training was not complete.”

Rule 8VAC20-790-600-F.

8VAC20-780-500-A

“Based on observation, the center failed to ensure children and staff wash their hands with soap and running water after a diaper change. Evidence: In the Junipers 1 classroom staff was observed changing a diaper. After the diaper change the child’s and staff’s hands were not washed.”

Rule 8VAC20-780-500-A.

22.1-289.011-F

“Based on observation and interview, the center failed to ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings of the most recent inspection conducted December 13, 2023 were not posted. The center had an acknowledgement form dated August 24, 2022 posted. Administration confirmed the most recent inspection was not posted.”

Rule 22.1-289.011-F.

22.1-289.035-A

“Based on a review of staff records and interview, the center failed to obtain fingerprint checks, central registry search results and sworn disclosure statement every five years for all employees. Evidence: The record of staff #8, hired 2/15/19, did not contain documentation of a repeat fingerprint check, central registry check, or sworn disclosure statement. The fingerprint documentation in the record was dated 2/12/19, the central registry search was dated 3/27/19, and the sworn disclosure was dated 2/7/19. Administration confirmed the background checks were not repeated.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-160-C

“Based on a review of staff records, the center failed to obtain results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The most recent documentation of a tuberculosis screening in the record of staff #10 is dated 2.14.22.”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

“Based on observation and interview, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: In Junipers 2 there were several walls with chipped and peeling paint and approximately three holes in the walls. Administration confirmed there was chipped and peeling paint and holes in the wall.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-70

“Based on a review of staff records and interview, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position. Evidence: The record of staff #5 indicates the staff’s position is of program leader. The record of staff #5 did not contain documentation of a high school diploma or equivalent. Staff #6 confirmed that staff #5 is a program leader and that they did not have a copy of the diploma.”

Rule 8VAC20-780-70.

8VAC20-770-60-C-2

“Based on a review of staff records and interview on March 7, 2023, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: The record of staff #4, hired August 25, 2022, contained documentation of a central registry finding dated November 21, 2022. Staff #1 acknowledged the central registry was late.”

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

8VAC20-780-140-A

“Based on a review of children’s records on March 7, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child’s attendance or within one month after attendance. Evidence: The record of child #7, enrolled June 3, 2019, contained documentation of a physical exam dated August 27, 2019.”

Rule 8VAC20-780-140-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

8VAC20-780-510-I

“Based on staff interview and review of the medication log on March 7, 2023, the center failed to ensure that prescription medications that would normally be administered by a parent or guardian to a child provided the medication is administered by a staff member or an independent contractor who is MAT certified. Evidence: 1. A review of the medication log indicated that medication was administered on January 23, 2023 by staff #7 to child #2. 4. Staff #1 confirmed that staff #7 is not MAT certified.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-P

“Based on a review of records on March 7, 2023, the center failed to ensure that written records of children’s serious and minor injuries contained all the required information for one of three records reviewed. Evidence: 1. The incident report for child #3 did not contain documentation of the method of notifying the parents and the date and time the parent was notified of the incident.”

Rule 8VAC20-780-550-P.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-340-H

Rule 8VAC20-780-340-H.