First Steps Infant Development Center
1100 East Jefferson Street
Charlottesville, VA 22902
(434) 295-5575
Current Inspector: Kelly Adriazola (804) 840-8245
Inspection Date: Nov. 10, 2022
Complaint Related: No
- Areas Reviewed:
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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 LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
- Technical Assistance:
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8VAC20-780-(2) Administration.
8VAC20-780-(3) Staff Qualifications and Training.
8VAC20-780-(7) Special Care Provisions and Emergencies.
8VAC20-780-(8) Special Services.
- Comments:
-
An unannounced monitoring inspection was conducted on-site November 10, 2022. The director was available during the inspection. There were 48 children present, ranging in ages from 9 months to 4 years, with 9staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 4 staff records were reviewed.
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.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
- Violations:
-
Standard #: 22.1-289.035-B-2 Description: Based on a review of staff records and interview on November 10, 2022, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: 1. The record of staff #2, hired 11/8/22, did not contain documentation of fingerprints. Staff #2 was observed working with children. Staff #5 confirmed the fingerprint results were not complete and the center allowed staff #2 to start work regardless of not having the results.
2. The record of staff #4, hired 10/31/22, did not contain documentation of fingerprints. Staff #4 was observed working with children. Staff #5 confirmed the fingerprint results were not complete and the center allowed staff #4 to start work regardless of not having the results.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-C-2 Description: Based on a review of staff records and interview on November 10, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: The record of staff #3, hired 6/21/21, contained documentation of a central registry finding dated 8/5/21. Staff #5 stated there was no documentation of follow-up with OBI.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Based on a review of staff records and interview on November 10, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence: 1. The record of staff #2, hired 11/8/22, did not contain documentation of a tuberculosis screening. Staff #2 was observed working with children on November 10, 2022. Staff #5 stated staff #2 had an appointment today and acknowledged it was not complete.
2. The record of staff #4, hired 10/31/22, contained documentation of a tuberculosis screening dated 11/7/22. Staff #5 confirmed that staff #2 began working with children on 10/31/22.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-E Description: Based on observation, review of policy and interview on November 10, 2022 , the licensee failed to ensure that the center complied with the center's own discipline policies and procedures regarding acceptable and unacceptable measures.
Evidence: 1. A review of the center's policy on unacceptable discipline states unacceptable discipline includes separation from the group.
2. On November 10, 2022, child #1 (age 2) was observed sitting alone behind a half wall, which separated this child from the other children, who were sitting on the other side of the wall listening to story time.
3. In an interview with staff #6 in the classroom it was stated that child #1 was in time-out.
4. Staff #5 acknowledged that the child was separated from the group and shouldn't have been.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Based on a review of staff records and interview on November 10, 2022, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position.
Evidence: 1. The record of staff #3, hired 6/21/21, does not contain documentation of program leader qualifications. 2. Staff #3 was working in the capacity of program leader during the inspection. 3. Staff #5 confirmed the documentation of program leader qualifications was not present in the record.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-245-A Description: Based on a review of staff records and interview on November 10, 2022, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff.
Evidence: The record of staff #3, hired 6/21/21, contained documentation of 8 hours of training from 6/21/21-6/20/22.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-280-B Description: Based on observation and interview on November 10, 2022, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.
Evidence: 1. In the toddler classroom there was an unlocked cabinet under the sink containing PineSol. The label on the PineSol stated "keep out of reach of children" and "caution." Children were observed to open the unlocked cabinet.
2. In a bathroom used by children there was Febreeze in an unlocked cabinet. The label on the Febreeze stated "keep out of reach of children" and "caution."
3. In the pre-school room there was paint in an unlocked cabinet under the sink. The label on the paint stated "keep out of reach of children" and "warning."
4. Staff #5 acknowledged the substances were unlocked.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-400-C Description: Based on observation and interview on November 10, 2022, the center failed to ensure when time out is used as a behavior guidance technique it shall be used sparingly and shall not exceed one minute for each year of the child's age.
Evidence: 1. On November 10, 2022, child #1 (age 2), was observed sitting in time-out for six minutes from 12:18pm-12:24pm. Child #1 was already in time-out when the inspector came into the classroom.
2. Staff #6 in the two-year old classroom confirmed child #1 was in time-out.
3. When asked what the center's time-out policy was, staff #5 stated one minute for each year of the child's age.
4. Staff #5 confirmed that six minutes was unacceptable for child #1 to be in time-out and that she would speak with the staff in the classroom.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-500-A Description: Based on observation and interview on November 10, 2022, the center did not ensure that staff's hands shall be washed with soap and running water after a diaper change.
Evidence: Staff #3, in the toddler room, was observed changing two children's diapers. Staff #3 did not wash her hands after each diaper change. Staff #3 confirmed she did not wash her hands.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-500-B Description: Based on observation on November 10, 2022, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use.
Evidence: 1. In the toddler room, staff #3 was observed changing diapers. Staff #3 changed a child and immediately changed another child on the diapering surface without cleaning and sanitizing in between children.Plan of Correction: Not available online. Contact Inspector for more information.
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.
