VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Steps Academy, LLC.
7934 Glade Road
Norfolk, VA 23518
(757) 351-0688

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: Dec. 18, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitor inspection was initiated December 18, 2020 and concluded on December 22, 2020. The program director was contacted by telephone to initiate the virtual, remote inspection. There were 15 children present with four staff. The inspector reviewed a list of items required to complete the inspection. The inspector reviewed four children?s and two staff records during the virtual, remote inspection to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review and interview the center failed to demonstrate compliance in maintaining children's records as required. Evidence: 1 - The record for child 3 does not contain addresses for the emergency contacted listed a. Child 3 has a documented first date of attendance as October 21, 2019. 2 - The record for child 4 does not have any documentation of the required annual update. a. The documented first date of attendance for child 4 is January 2, 2017. 3 - Staff 1 and 2 confirm that there is not any addresses for the emergency contact information listed in the record for child 3. 4. Additionally, staff 1 and 2 confirm that the record of child 4 does not have any documentation of information update.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-185-240-D-4
Description:	Based on record review and interview the center failed to demonstrate compliance regarding any child for whom emergency medications (such as but not limited to albuterol, glucagon, and epipen) have been prescribed will always be in the care of a staff member with Medication Administration Training. Evidence: 1 - There are two children in care with doctor documented allergies to tree nuts and shellfish. However, there is not any staff member employed at the center with current MAT training. 2 - Staff 1 and 2 report that child 1 and 2 have allergy care plans for tree nuts and shellfish that require an emergency Epi Pen injection if exposed to those allergens.
Plan of Correction:	Staff will obtain the necessary training as soon as possible.
Standard #:	22VAC40-185-240-D-5
Description:	Based record review and interview the center failed to demonstrate compliance with requirement that there will always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: Staff 1 and 2 stated that there is not anyone employed at the center with the required training in performing the daily health observation of children.
Plan of Correction:	Staff will obtain the required training as soon as possible.
Standard #:	22VAC40-185-260-A
Description:	Based on document review and interview the center failed to demonstrate compliance with obtaining and annual fire inspection. Evidence: Staff 1 and 2 could not provide any documentation of an annual fire inspection during the inspection.
Plan of Correction:	Center management will contact the fire marshals office and document the results of that contact.
Standard #:	22VAC40-185-260-B
Description:	Based on documentation review and interview the center failed to demonstrate compliance with obtaining an annual health inspection. Evidence: 1 - The most recent health inspection available for review is dated October 30, 2019. a. Staff 1 and 2 could not demonstrate attempts to contact the health department prior or after the expiration date. 2 - Staff 1 and 2 stated that the most recent health inspection available for review is dated October 30, 2019.
Plan of Correction:	Center management will contact the local health department and document the results of that contact.
Standard #:	22VAC40-185-490-C
Description:	Based on interview the center failed to demonstrate that parents shall be notified within 24 hours or the next business day of the center's having been informed, when children at the center have been exposed to a communicable disease listed in the Department of Health's current communicable disease chart, unless forbidden by law, except for life threatening diseases, which must be reported to parents immediately. Evidence: Staff 1 and 2 stated that they did not have a method for informing parents when an exposure to a communicable disease has occurred.
Plan of Correction:	Center management will create, write and implement a system for notifying all parents when a communicable disease exposure has occurred.
Standard #:	22VAC40-185-540-A
Description:	Based on observation and interview the center failed to demonstrate that all required items are present in the center's first aid kit. Evidence: 1 - There was only one triangular bandage available during the inspection. 2 - Staff 2 stated that there was only one triangular bandage in the center first aid kit.
Plan of Correction:	Additional triangular bandages will be obtained and maintained in the first aid kit.