VIRGINIA DEPARTMENT OF SOCIAL SERVICES

One Step Further Childcare Center
1115 Barnett Road
Roanoke, VA 24017
(540) 400-6015

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: June 1, 2022

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 LICENSE PROCESS 8VAC20-820 HEARING PROCEDURES 8VAC20-770 BACKGROUND CHECKS 20 ACCESS TO MINOR?S RECORDS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Technical Assistance:

The Licensing Inspector discussed additionally the following areas with the Center Director: 1.Outlet covers- Reminder that all outlets must be covered ages preschool and younger. 2. License posting- Reminder that a license to operate should be posted in each building in use. 3. Standing water- Reminder that all equipment collecting water shall be dumped and not left standing. This can attract bug that could cause harm to children. 4. Touching trashcan- Talked with Director about adding a small trashcan by the sink so the children do not have to use the diaper trashcan to throw away paper towels used while washing hands. 5. Diaper bag- Talked with Director about making sure all diaper bags from home are out of the reach of children.

Comments:

An unannounced renewal inspection was conducted on June 1, 2022. Upon arrival at 9:45 AM, there were 35 children present and 8 staff present. The Inspector reviewed 5 children?s records & 4 staff records during today's inspection. Licensing Inspector also review 2 children medication records.. The inspector reviewed compliance in the areas of administration, staff training & qualifications, physical plant, staffing and supervision, programming, medication, special care and emergencies, background checks and nutrition. 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.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation the center failed to install carbon monoxide Detectors in each building that serves preschool children. Evidence: Licensing Inspector asked Director if either building had a carbon monoxide detector and the director stated neither building had them.
Plan of Correction:	Director had carbon monoxide detectors installed today.
Standard #:	8VAC20-780-60-A
Description:	Based on review of children?s records, the center failed to obtain 2 designated people to call in emergency if parents cannot be reached. Evidence: Licensing Inspector reviewed 5 children?s records. Record for Child #3 did not include the names, addresses and phone numbers for at least 2 people who are not identified as parents/guardians. Record for Child #3 identifies the child?s parents/ guardians as the emergency contact.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-90--A
Description:	Based on review of children?s records, the center failed to obtain written agreements between the parent and the center. Evidence; Licensing Inspector reviewed 5 children?s records. Records for Child #1 and Child #2 did not include documentation of the written agreements between parent and center.
Plan of Correction:	Parent signed all agreements for both children that evening upon pickup.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to maintain inside play equipment clean, safe and operable. Evidence: Licensing Inspector observed a child in Class #3 playing with a broken wooden chair. The child had the broken leg off the chair engaging in play with it. This creates a bodily harm hazard for the child and others.
Plan of Correction:	The chair and the broken leg were removed from classroom immediately.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe and operable condition. Evidence; Licensing Inspector observed the following hazards: Classroom #1: 1. In infant room, electrical cords were hanging from sockets all in the reach of children. Classroom #2: 1. Inspector observed electrical cords having from sockets within reach of children. 2. Tiles in the ceiling observed with mold creating a respiratory hazard. Classroom #3: 1. Licensing Inspector observed electrical cords hanging from socket and a power strip accessible to the children while they were playing. Hanging electrical cords in Classrooms 1,2,and 3 are all in the reach of children and could cause multiple strangulation hazards.
Plan of Correction:	Director informed Licensing Inspector that all cords were removed or tucked away out of the reach of children. The ceiling tiles will be replaced by Friday. There was a new roof being installed.
Standard #:	8VAC20-780-280-H
Description:	Based on observations the center failed to keep hazardous substances in a locked location. Evidence: License Inspector observed in the infant room, a plastic bag in the window seal located beside an infant crib. Plastic bag was within reach of infant child creating a suffocation hazard.
Plan of Correction:	Director removed bag from window and disposed of.
Standard #:	8VAC20-780-330-A
Description:	Based on observation, the center failed to maintain outdoor playground area to protect children from hazards. Evidence: Licensing Inspector observed unused playground equipment scattered on back of children?s playground that was not in use or properly installed. Improper installation pose possible bodily harm to children. Based on observation, the center failed to maintain outdoor playground area to protect children from hazards. Evidence: Licensing Inspector observed unused playground equipment scattered on back of children?s playground that was not in use or properly installed. Improper installation pose possible bodily harm to children. Licensing Inspector also observed hazardous construction equipment & materials on the playground. Licensing Inspector also observed a plastic deflated inflatable toy hung on the back fence area causing a suffocation and entrapment hazard to the children in the care.
Plan of Correction:	Director removed all unused equipment away from children and out of their reach
Standard #:	8VAC20-780-440-B
Description:	Based on observation the center failed to label children?s crib. Evidence: License Inspector observed 2 cribs that were not identified for use by a specific child. Infant children were in care during the inspection.
Plan of Correction:	Director labeled the children's cribs by the end of day.
Standard #:	8VAC20-780-510-G
Description:	Based on review of medication, the center failed to label prescribed medication with required information. Evidence: Licensing Inspector reviewed medication records for 2 children. Prescribed emergency Medications for Child #1 was not labeled with the child?s name, dosage amount and the time(s) to be given.
Plan of Correction:	Director put medication back in labeled box. There was a labeled box on site.
Standard #:	8VAC20-780-510-P
Description:	Based on review of medication records the center failed to return medication that had an expired authorization. Evidence: Licensing Inspector reviewed medication records for 2 children. The medication authorization for Child #2 had expired. The Center Director advised the Licensing Inspector that Child #2 is no longer enrolled however the medication was still on site and had not been returned to the child?s parent.
Plan of Correction:	Medication returned to mom that day. Parent was also given new Medication authorization to be completed before the child returns.
Standard #:	8VAC20-780-520-C
Description:	Based on observation, the center failed to label diaper cream with child?s name. Evidence: In the infant room, Licensing Inspector found 3 tubes of diaper cream that were not labeled with child?s name.
Plan of Correction:	Director disposed of the creams immediately.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the center failed to label infant bottle containing prepared infant formula with the child?s name and date. Evidence: In the infant room, Licensing Inspector observed an infant bottle containing prepared formula. Bottle was not labeled with the child?s name or date.
Plan of Correction:	Bottles were labeled by director while inspectors were still there.