Translation Disclaimer

Agencies | Governor
Search Virginia.Gov
staff of hermes icon

COVID-19 (CORONAVIRUS) UPDATES AND RESOURCES
Our agency is working closely with administration, including the Virginia Department of Health, Virginia Department of Emergency Management, the COVID-19 Taskforce and local partners and stakeholders to activate emergency procedures.

Latest Child Care Guidance
(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

Read More»

Click Here for Additional Resources
Search for Child Day Care
|Return to Search Results | New Search |

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

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: July 24, 2019

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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection and facility tour was conducted from 11:17am-2:30pm. At the time of inspectors' arrival there were 53 infant to school aged children in care with 7 staff members. Children were observed participating in educational activities, lunch, nap, diapering, handwashing and toileting, and transitioning between activities. A sample of 6 children's records and 7 staff records were reviewed. The Assistant Director reported there have been no injury reports since the last inspection. Medications are not administered at this site. The areas of noncompliance were discussed with the directors during this inspection and are detailed on the violation notice.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #5(enrolled 12/4/15) did not contain updated immunization documentation every six months until two years of age. a. The last immunization documentation available was dated 7/17/17, at which time child #5 was 19 months old. b. Child #5 was present during this inspection. 2. Staff#4(Assistant Director) confirmed that updated documentation was not available during this inspection.

Plan of Correction: The Center did have the record for child #5; however, the immunization document was in a folder that was misfiled. The immunization record has since been filed correctly. An individual has been hired for the sole purpose of filing all documents as well as auditing all files.

Standard #: 22VAC40-185-160-C
Description: Based on record review and interview it was determined the center did not ensure that staff resubmitted TB test results every two years. Evidence: 1. The record for staff #1, who was present during the inspection, did not contain updated TB test results or screenings. The documentation available was dated 3/20/15. 2. Staff#4(Assistant Director) confirmed updated TB results for staff #1 was not available during this inspection.

Plan of Correction: Staff #1's TB screening did expire. This was an oversite that was corrected after inspection.

Standard #: 22VAC40-185-40-E
Description: Based on the scope and nature of violations identified during the inspection, the center has failed to demonstrate operational responsibilities, including but not limited to, ensuring the center's activities, services and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. Nineteen violations were cited in seven out of eight sections of the Standards for Licensed Child Day Centers to include administration, staffing qualifications and training, physical plant, staffing and supervision, programs and special care provisions and emergencies, and special services. 2. Violations were also cited in Code of Virginia and Background Check Regulations. 3. Violations cited in the areas of administration, staffing qualifications and training, physical plant, staffing and supervision, programs and special care provisions and emergencies, and special services require a level of responsibility, knowledge, skills, and/or abilities beyond those of direct care staff or aides to address. 4. Staff#4(Assistant Director) was not able to locate documentation needed during this inspection in order to demonstrate compliance with regulations.

Plan of Correction: The Center provided remediation to all staff pertaining to the violations direct care. With regard to the physical plant, the Center has hired a professional to resolve all physical plant issues sited during this inspection. The staff member's who background check was lost was asked to do a second background check and the staff member did comply.

Standard #: 22VAC40-185-60-A
Description: Based on record review and interview it was determined the center did not ensure each child's record contained all of the required components. Evidence: 1. There was no record for child #1, who was in care during this inspection. 2. The record for child #2 did not contain the date of enrollment and the complete addresses for the two required emergency contacts. Child #2 was present during this inspection. 3. The record for child #4 did not contain the complete addresses for the two required emergency contacts. Child #4 was present during this inspection. 4. Staff#4 (Assistant director) confirmed that some of the required documentation was missing in the records of child 1, 2 and 4.

Plan of Correction: Child #1 does have a complete file; however, it was not filed to a folder and the assistant director could not find it the absence of the director. The file was located the same day of the inspection and a copy was sent to the inspector as evidence. The Center as hired an employee whose sole responsibility will be to file paperwork and audit files. The parents of the children who were missing emergency contacts were asked to complete the missing information.

Standard #: 22VAC40-185-70-A
Description: Based on record review and interview it was determined the center did not ensure that each staff had a record that contained all of the required components. Evidence: 1. There was no record for staff #7(hired 6/2019). 2. Staff #4(Assistant Director) confirmed there was no record for staff #7 who was present and caring for children during this inspection.

Plan of Correction: Staff #7 does have a record; however, the it was not filed to a folder; therefore, staff had marked difficulty locating the documents. Staff #7 hire date was 7/12/19. Staff #7's start date was 7/22/19. The Center hired an employee who sole responsibility is to audit files and file documents to staff and children's files.

Standard #: 22VAC40-185-240-D-5
Description: Based on observation and interview it was determined the center did not ensure there is always 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: 1. Staff 1, 2, 3, 4, 5, 6, and 7 were the only staff present during this inspection and did not have instruction in daily health observation of children within the last three years. 2. Staff #4(Assistant Director) confirmed that there was no documentation of current daily health observation training for the staff 1, 2,3, 4, 5, 6 and 7 and these were the only staff present during this inspection.

Plan of Correction: All staff members who have been with the Center since March 2019 were trained in Daily Health Observations, evidenced by the certificates that each staff member received; however, the certificates were not yet filed to staff's file. In the future the Center will ensure that staff's Daily Health Observation Certificates are filed expeditiously. The director has hired an employee whose sole responsibility will be to file and audit files.

Standard #: 22VAC40-185-270-A
Description: Based on observation it was determined the center did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the Toddler room accessible to children there was peeling drywall and paint. 2. There was a sharp kitchen knife with a 5" blade left unattended on the rolling cart used for lunch in the main open area where children were in care. 3. There was a bucket containing 1" of standing water on the floor outside the toddler room accessible to children in care. 4. There was chipped plaster on the wall by the changing area accessible to children in care. 5. Outside in the child play area there was a 1.5 foot deep hole that was 10 inches in diameter and a 4 inch x 7inch hole at the base of the concrete landing to the entrance to the play area.

Plan of Correction: The Center will always do touch-up painting and/or plastering whenever children peel the paint. Immediately after the inspection, the peeling plaster and/or paint was repaired and repainted. The recent persistent rain causes the soil to have holes; therefore, the Center hired a professional to fix physical plant issues. The staff receive remediation regarding why it is not safe to cut food on the serving cart and after training, all staff in charge of food preparation signed and acknowledgment of the training.

Standard #: 22VAC40-185-280-B
Description: Based on observation and interview it was determined the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The gate to the kitchen and storage area was open throughout the duration of this inspection. a. In the kitchen and room off the kitchen there were two gallons of bleach, 2 cans of outdoor insect fogger, sanitizing agents and other chemicals. b. These chemicals all carried a "keep out of the reach of children" warning label. 2. Children in care could access these hazardous substances as there was no locking mechanism to prevent their entry into these areas during this inspection. 3. Staff#4(Assistant Director) confirmed that the gate was open during this inspection.

Plan of Correction: The staff were reeducated regarding the dangers of leaving childproof gate unlatched. Staff received remediation as signed an acknowledgement of the training.

Standard #: 22VAC40-185-350-C
Description: Based on observation and interview it was determined the center did not ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. There were 36 children aged two years and up in the lunch area with 2-3 staff members, where 1 staff per every 8 children was required. 2. Several times throughout the inspection one of the three staff members would leave the area leaving 36 children alone with 2 staff. 3. Staff#4(Assistant Director) confirmed this group was out of ratio during the inspection.

Plan of Correction: On the date of said inspection the Center has a staff member that was included in ratio not show or call in to work and another morning shift staff member called in sick 10-minutes prior to the beginning of the shift; therefore, there was no way to know that the Center would be out of ratio before. children entered to begin their day. The Center will hire more staff than needed to circumvent ratio issues moving forward.

Standard #: 22VAC40-185-350-E-1
Description: Based on observation and interview it was determined the center did not ensure that there were one staff member for every four children aged birth to 16 months. Evidence: 1. There were 9 children aged 16 months and younger in the infant class with 2 staff members, where 1 staff per every 4 children was required. 2. Throughout the inspection one of the two staff members would leave the room with one child to change a diaper leaving 8 children alone with 1 staff. 3. Staff#4(Assistant Director) confirmed this group was out of ratio during the inspection.

Plan of Correction: On the date of said inspection the Center has a staff member that was included in ratio not show or call in to work and another morning shift staff member called in sick 10-minutes prior to the beginning of the shift; therefore, there was no way to know that the Center would be out of ratio before. children entered to begin their day. The Center will hire more staff than needed to circumvent ratio issues moving forward.

Standard #: 22VAC40-185-350-E-2
Description: Based on observation and interview it was determined the center did not ensure that there were one staff member for every five children aged 16 months to two years. Evidence: 1. Throughout the inspection one of the two staff members in the toddler room would leave the room with one child to change a diaper leaving 7 children aged 16 months to two years alone with 1 staff member. 2. Staff#4(Assistant Director) confirmed this group was out of ratio during the inspection.

Plan of Correction: On the date of said inspection the Center has a staff member that was included in ratio not show or call in to work and another morning shift staff member called in sick 10-minutes prior to the beginning of the shift; therefore, there was no way to know that the Center would be out of ratio before. children entered to begin their day. The Center will hire more staff than needed to circumvent ratio issues moving forward.

Standard #: 22VAC40-185-370-5
Description: Based on observation it was determined that the center did not ensure that staff provided 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: Four children in the infant room were observed to remain in their same infant seat from 11:17am-1:36pm.

Plan of Correction: All Center staff received remediation regarding standard 22VAC40-185-(6)-370-5

Standard #: 22VAC40-185-500-A
Description: Based on observation it was determined the center did not ensure that proper hand washing procedures were followed. Evidence: 1. Staff #3 and staff #6 were observed changing 7 diapers without washing the children's hands afterwards. 2. Staff #3 and staff #6 were observed changing 7 diapers without washing their hands before and after.

Plan of Correction: All staff have been trained in Daily Health Observation; however; based on the violation, staff received remediation

Standard #: 22VAC40-185-500-B
Description: Based on observation it was determined that the center did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #3 and staff #6 were observed changing 7 diapers without cleaning or sanitizing the diapering surface in between diaper changes.

Plan of Correction: Staff involved in this violation were reprimanded, as they receive regular training regarding proper sanitary practices. The director will do unannounced inspections regularly to ensure that the proper procedures are followed when diapering children.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation it was determined the center did not ensure that children three years of age and younger were not offered foods that are considered to be potential choking hazards. Evidence: Whole baby carrots and pieces of hot dogs larger than 1/2" were served for lunch to children aged three and younger during this inspection.

Plan of Correction: The staff serving the hotdogs referenced the standards prior to the inspection and interpreted the standards incorrectly regarding the cutting of hotdogs. The staff responsible for meal prep will ask for technical assistance before putting hotdogs back on the menu. The Center will switch from baby carrots to carrot shreds.

Standard #: 22VAC40-185-570-A
Description: Based on observation it was determined the center did not ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: 1. Three children in the toddler class were placed in feeding table chairs without the protective belts being fastened by staff. 2. A child in the toddler room, who did not have the protective belt fastened climbed out of the chair and onto the table during this inspection.

Plan of Correction: The Center will purchase new seatbelts for any seat that is missing a seatbelt. In the meantime, staff will not use said seats for children.

Standard #: 22VAC40-191-60-B
Description: Based on record review and interview it was determined the center did not ensure that employee is not employed prior to completing a sworn statement. Evidence: 1. There was no documentation of a completed sworn statement for staff #7(hired June 2019). 2. Staff #4(Assistant Director) confirmed that this documentation was not available during this inspection. 3. Staff #7 was present and caring for children during this inspection.

Plan of Correction: The employee's sworn statement was completed prior to employment; however, in the Center director's absence, the assistant director could not locate the sworn statement during the inspection. The center will ensure all employee's background checks and other paperwork are filed to the employee's file expeditiously. The director has hired an employee whose sole responsibility will be to file and audit files.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and interview it was determined the center did not ensure that each employee had a central registry finding within 30 days of employment. Evidence: 1. There was no documentation of a central registry finding search for staff #7(hired June 2019). 2. Staff#4(Assistant Director) confirmed this documentation was not available during this inspection. 3. Staff #7 was present and caring for children during this inspection.

Plan of Correction: The employee is a new employee; hire date 07/12/2019 with a start date of 07/22/019. The Central Registration fidnings was sent prior to employment, evidenced by money order receipt in employee's file. The Center has yet to receive the findings from the Central Registry. The Center will follow-up with the Central Registry regarding the findings.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review and interview it was determined the center did not ensure that all employees completed the required National Criminal record check prior to employment. Evidence: 1. The record for staff#7(hired June 2019) did not contain documentation of National Criminal record checks. 2. Staff#4(Assistant Director) confirmed this documentation was not available during this inspection. 3. Staff #7 was present and caring for children during this inspection.

Plan of Correction: The employee was sent to complete her National Background check prior to employment; however, during the inspection and in the absence of the director, the assistant director experience difficulty locating documents for the new employee. The Center director will take all necessary steps to ensure that all staff background checks are files expeditiously The director has hired an employee whose sole responsibility will be to file and audit files.

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.

Top

Thank you for visiting.
How was your experience?
X