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Babysteps Child Development Center Too
6219 Portsmouth Boulevard
Portsmouth, VA 23701
(757) 966-2572

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Sept. 11, 2018 , Sept. 17, 2018 , Sept. 19, 2018 , Oct. 1, 2018 and Oct. 4, 2018

Complaint Related: Yes

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.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced complaint investigation was began on 9/10/18 and was concluded on 10/17/18 in response to a complaint received by the licensing office on 9/10/18. On 9/10/18 inspector contacted the complainant. Interviews with staff were conducted relating to the allegation regarding supervision on 9/11/18. The information gathered during the investigation supports the allegation, so the complaint is determined to be "valid". Additional violations were found in the areas of daily activities for infants, operational responsibilities, children's records and staff records. If you have any questions, contact the licensing inspector at (757)354-7307.

Violations:
Standard #: 22VAC40-185-40-E
Complaint related: No
Description: Based on interviews it was determined the center did not follow the center's own policies and procedures. Evidence: 1. Staff #1 (hired 8/20/18) stated that she "laid child #1 down in her crib with 2 plastic toys around 1:30". She further stated that the center's policy that she was given "at orientation is to not allow children to have toys in their cribs". 2. Staff #2 (hired 2/2012) removed the plastic toys from child #1's crib around 3:00pm and noted that "it is the center's policy to not have toys in the cribs". 3. The Director confirmed that "the center's policy is to not allow toys in the cribs with the children".

Plan of Correction: All staff member's received remedial training regarding the Center's policy on toys and bibs in cribs.

Standard #: 22VAC40-185-60-A
Complaint related: No
Description: Based on record review and interview it was determined the center did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #1(enrolled 9/4/18) did not contain one of the two required emergency contacts. 2. The Director confirmed that this information was not available during this inspection.

Plan of Correction: Staff enrolling children will not allow children to begin attending the center without the aren't completing the application in its' entirety.

Standard #: 22VAC40-185-70-A
Complaint related: No
Description: Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required components. Evidence: 1. The record for staff #1(hired 8/20/18) did not contain written information to demonstrate that the individual possesses the orientation training required by the job position of Aide. 2. The Director confirmed that this written information was not available during this inspection.

Plan of Correction: The center will ensure that all staff's signed evidence of trainings and/or certificates are printed and/or filed to the staff member's file upon the receipt of said training document or certificate.

Standard #: 22VAC40-185-340-A
Complaint related: Yes
Description: Based on interviews it was determined the center staff did not ensure the care and protection of the children in their care. Evidence: 1. Child #1(11 month old) came into the center on 9/7/18 at 6:55am with no marks on her and at 5:00pm when the parent picked up had a cut on the lip, abrasion on chin, cut under nose, and scratches under the eye. 2. Pictures taken by the parent show cut on the lip, abrasion on chin, cut under nose, and scratches under the eye on child #1. 2. Child #1 was taken to CHKD on 9/7/18 and it was determined by the physician who examined the child that "multiple events had caused the child's injuries". 3. The staff interviewed as well as the Director confirmed that the child did not have any observable marks when brought to the center the morning of 9/7/18. 4. All of the staff interviewed stated that they did not observe child #1 interacting with any of the other children present on 9/7/18. 5. Staff #2 reported that after being questioned by child #1's mother about the marks on their face they observed "2 scratches under the eye" of the child. 6. Staff #3 reported seeing "a thin line/scratch/mark under eye" of child #1 at the time of pick up. 7. None of the staff who worked with child #1 on 9/7/18 can report where the marks on child #1's face came from but all interviewed state that they did not notice the marks when they first encountered the child on 9/7/18.

Plan of Correction: Cameras have been installed in order to ensure that all child and staff are observed and monitored.

Standard #: 22VAC40-185-370-1
Complaint related: No
Description: Based on interviews it was determined the center did not ensure that resting or sleeping infants shall be individually checked every 15-20 minutes. Evidence: 1. Staff #2 reported that child #1 was asleep from 3:00-5:00pm but did not check on this child individually every 15-20 minutes. 2. Staff #3 reported that child #1 was asleep with their feet facing the wall but their focus was on another new infant who was crying. 3. None of the staff in the room on 9/7/18 were able to state that they had checked on child #1 every 15-20 minutes while sleeping from around 3:00-5:00pm.

Plan of Correction: Cameras have been installed, which will allow staff to be monitored and observed as they conduct checks on resting children at least every 20 minutes.

Standard #: 22VAC40-185-370-5
Complaint related: No
Description: Based on interviews it was determined that the center did not ensure that staff provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes or more often as determined by the individual infant's needs. Evidence: 1. Staff #1 reported that they laid child #1 in the crib around 1:30pm with 2 plastic toys. 2. Staff #2 reported that child #1 "was in crib for a little while from somewhere between 1:00 and 1:30pm and fell asleep around 3:00pm". 3. Staff #2 did not interact with child #1 until 3:00pm when they "noticed toys around child #1's head around 3:00pm and removed them from the crib". 4. Child #1 was in the crib with no change in play space from somewhere between 1:00 and 1:30pm until around 3:00pm when they fell asleep.

Plan of Correction: The Center has installed cameras to monitor all children and staff activity.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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