VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Stepping Stone Preschool LLC
9827 Courthouse Road
Spotsylvania, VA 22553
(540) 898-7176

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: March 30, 2021 and April 1, 2021

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

All child care programs must continue measures to keep children physically distanced and with consistent caregivers, use face coverings, monitor children and staff for symptoms, and maintain ongoing compliance with the Virginia Department of Health (VDH) and Centers for Disease Control and Prevention (CDC) health and safety recommendations. All programs are required to notify VDH and the licensing inspector and follow all recommendations if there is a confirmation of a positive case of COVID-19. Please continue to follow up with health department for annual health inspection. References taken over the phone must include documentation of: date of contact, name of person contacted, the firm (business) if applicable, results, and signature of person making the call.

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 monitoring inspection was conducted on 3/30/2021 with an exit interview on 4/1/2021. The owner/director was contacted by telephone and a virtual inspection was conducted. There were no children present at the time of the inspection, but 23 children, ages three years - six years of age, attended school earlier with five staff supervising. The Inspector reviewed two children's records, one staff record, the emergency drill log, medication, enhanced cleaning and sanitizing of toys and surfaces, and daily indoor and outdoor activities. The information gathered during the inspection determined non-compliance with standards that are 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. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of one staff record, the center did not have documentation of a tuberculosis (TB) test/ screening for staff within 21 days of hire or within 12 months prior to hire. Evidence: the record for staff #1 (date of hire: 11/6/20) did not have documentation of a TB test/screening.
Plan of Correction:	Will ask employee to obtain a TB test/screening.
Standard #:	22VAC40-185-240-D-1
Description:	Based on review of documentation, and an interview with the director, the center has agreed to administer medication but did not have a staff member with current Medication Administration Training (MAT) certification in the building. Evidence: The MAT certification for staff expired on 9/12/2020.
Plan of Correction:	Will schedule a MAT training as soon as possible.
Standard #:	22VAC40-185-240-D-5
Description:	Based on review of documentation, and an interview with the director, the center did not always have 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: The Daily Health Observation (DHO) certification for staff expired on 9/12/2020.
Plan of Correction:	Will schedule a training for Daily Health Observation training as soon as possible.
Standard #:	22VAC40-185-550-D
Description:	Based on review of the emergency drill log, it was determined that not all emergency evacuation procedures were practiced monthly as required. Evidence: There was no documented evacuation drill in November 2020.
Plan of Correction:	Will ensure all evacuation drills are practiced monthly and documented.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of one staff record, and an interview with the director, the center did not have an original central registry report within 30 days of employment of a staff member. Evidence: the record for staff #1 (date of hire: 11/6/2020) did not contain a central registry search report.
Plan of Correction:	Will send off the request for a central registry search immediately.