VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First Steps Infant Development Center
1100 East Jefferson Street
Charlottesville, VA 22902
(434) 295-5575

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: March 22, 2023

Complaint Related: No

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) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site March 22, 2023 and concluded remotely March 30, 2023. The director was available during the inspection. There were 53 children present, ranging in ages from 3 months to 5 years, with 10 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of records and interview, the center did not ensure to obtain a copy of the results of a sex offender registry check prior to the first day of employment from any state in which the applicant has resided in the preceding five years. Evidence: 1. The record of staff #5, hired 03/02/23, did not contain documentation of results of an out-of-state sex offender registry check. Staff #5 indicated living in two other states in the previous five years on the staff's sworn disclosure statement. 2. Staff #3 confirmed the sex offender check was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of children?s records, 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: 1. The record of child #4, enrolled 02/13/23, did not contain documentation of a physical exam. 2. The record of child #6, enrolled 1/18/22, did not contain documentation of a physical exam.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on a review of staff records, the center did not ensure each staff member completed tuberculosis screening within the last 30 calendar days prior to beginning employment. Evidence: The record of staff #4, hired 03/20/23, contained documentation of a tuberculosis screening dated 01/26/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-C
Description:	Based on observation and review of documents on March 22, 2023, the center failed to ensure toilet chairs were emptied promptly and cleaned and sanitized after each use. Evidence: A toilet training chair located in the Busy Bee's bathroom (ages 18m-24m) containing urine was observed at 10:50am. A review of the documentation of each toddler's bathroom usage indicated the last child used the restroom at 10:05am.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-A
Description:	Based on observation and interview on March 22, 2023, the center failed to ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: In the infant room four children were observed sitting in the feeding table and each child was unstrapped. Staff #2 confirmed the children were not strapped in the table stating that was her fault.
Plan of Correction:	Not available online. Contact Inspector for more information.