My Baby Steps Academy

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. The cots were not individually labeled in the toddler and two’s classrooms.”

Rule 8VAC20-780-440-B.

8VAC20-780-140-A

“Based on a review of children records, 1 child’s record did not have a physical examination within 30 days after the first day of attendance. Evidence: Child #2, date of first attendance 2/5/2023, does not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-510-I

“Based on a review of medications, a medication did not contain the prescription label with the prescriber’s instructions pertaining to dosage, frequency and manner of administration. Evidence: Child #2’s medication was not in the original container with the prescription label with the prescriber’s instructions pertaining to dosage, frequency and manner of administration.”

Rule 8VAC20-780-510-I.

8VAC20-780-570-A

“Based on observation, 2 infants were observed in a infant seat without the protective belt fastened securely. Evidence: 2 infants were observed in a seat at the activity table, there were no protective belts to fasten them into the seats.”

Rule 8VAC20-780-570-A.

8VAC20-780-510-I

“Based on a review of children medications, a child’s medication does not have the prescription label to include the prescribers instructions pertaining to dosage, frequency and manner of administration. Evidence: Child # 5 has an Epi pen medication on file, the medication does not have a prescription label to include the prescribers instructions pertaining to dosage, frequency and manner of administration”

Rule 8VAC20-780-510-I.

8VAC20-780-520-B

“Based on observation, sunscreen is not kept inaccessible to children under 5 years of age. Evidence: Sunscreen was observed in the Two’s classroom accessible to children on the shelf next to the changing table.”

Rule 8VAC20-780-520-B.

8VAC20-780-60-A-8

“Based on a review of children records and medication, there is no written care plan for each child’s diagnosed food allergy. Evidence: Child # 1 has medication for a nut allergy, there is no documentation of a written allergy care plan.”

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

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, outside, are not maintained in a clean, safe and operable condition. Evidence: There is a house play structure that the wooden platform is broken with loose wooden planks and a broken hinge. There is a sharp broken piece of wood on the floor of this structure. Children were observed playing on the structure.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on observation, resilient surfacing shall comply with minimum safety standards to create a fall zone free of hazardous obstacles. Evidence: The inspector observed a child using the 2nd swing from the right side of the swing set.. A very large piece of concrete and a wooden beam was sticking out of the mulch directly under the swing.”

Rule 8VAC20-780-330-B.

8VAC20-780-350-B-1

“Based on observation, the staff to children ratio of 1 staff to 4 children in the infant room was not being followed. Evidence: On 2/7/2023 at 10:50 am there were 14 infants observed with 3 staff members. A fourth staff member arrived to the classroom at 11:15 am.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-350-B-4

“Based on observation, the staff to children ratio of 1 staff to 10 children in the older fours program was not being followed. Evidence: On 2/7/2023 at 10:30 am there were 18 children ages 4 years old observed outside on the playground with 2 staff members. Around 10:35am 1 staff member brought 1 child inside to use the restroom, leaving 17 children outside with 1 staff member.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-510-E

“Based on a review of medications, the center is not following proper procedures for administering long term medication to include written authorization from both physician and parent to administer medication. Evidence: Child #1 has an emergency long term medication, There is no written authorization from the parent to administer this medication.”

Rule 8VAC20-780-510-E.

8VAC20-820-120-A-4

“Based on observation and owner interview, the facility is not operating within the terms of the license, which includes the maximum number of children who may be in care at any one time. Evidence: The current license allows for 99 children. During the inspection on 2/7/2023 there were 101 children in care.”

Rule 8VAC20-820-120-A-4.

22.1-289.035-B-2

“Based on a review of staff records, staff have not submitted results of fingerprinting prior to first day of employment. Evidence: The following staff did not submit results of fingerprinting prior to first day of employment; Staff#1, date of employment 1/24/2022, date of fingerprint results 2/3/2022. Staff#2, date of employment 1/17/2022, date of fingerprint results 1/28/2022”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“Based on a review of staff records, each staff member has not submitted documentation of a negative tuberculosis screening at the time of employment or within the last 30 days of the date of employment. Evidence: The following staff did not complete TB screening within 30 days of first date of employment; staff #1 date of employment 1/24/2022, date of TB screening 2/4/2022 Staff #2 date of employment 1/17/2022, date of TB screening 9/20/2021.”

Rule 8VAC20-780-160-A.

8VAC20-780-350-F

“Based on a review of center procedures and Director interview, the center has not developed and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: The Director stated that there was no written procedure.”

Rule 8VAC20-780-350-F.

8VAC20-780-380-A

“Based on observation and Director interview, there was no posted daily schedule. Evidence: The daily schedule was not posted.”

Rule 8VAC20-780-380-A.

8VAC20-780-40-K

“Based on review of center procedures and Director interview, the center has not developed written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The Director stated there was no written procedures.”

Rule 8VAC20-780-40-K.

8VAC20-820-120-A-4

“Based on observation and Director interview, the facility is not operating within the terms of its license, which include the maximum number of children who may be in care at any time. Evidence: The current license says that currently 83 children are allowed at any one time. During the inspection on 8/9/2022 there were 87 children in care.”

Rule 8VAC20-820-120-A-4.

8VAC20-820-120-A-7

“Based on observation and Director interview, the facility is not operating within the terms of its license, which include other limitations. Evidence: There is a limitation on the current license that no more than 13 children under the age of 2 1/2 years may be in care at any one time, by order of the Building Official. During the inspection on 8/9/2022 there were approximately 25 children ages 2 months through 24 months within 2 separate classrooms.”

Rule 8VAC20-820-120-A-7.

8VAC20-780-160-A-1

“Based on a review of staff records, there is no documentation that staff has submitted TB screening at the time of employment and prior to coming into contact with children. Evidence: staff #3, date of hire 12/6/2021 does not have documentation of TB screening.”

Rule 8VAC20-780-160-A-1.