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First Steps Infant Development Center
1100 East Jefferson Street
Charlottesville, VA 22902
(434) 295-5575

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: Jan. 27, 2016

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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Thank you for your assistance during this unannounced monitoring inspection. This on-site visit was conducted on January 27, 2016 from 9:45 a.m. through 2:50 p.m. On this date, there were fifty-five (55) children in the care of ten (10) staff members in five classrooms. There are a total of seventy-eight (78) children on enrolled in this program. There were five (5) children's records and five (5) staff records reviewed and updated. The medication and medication paperwork was reviewed for one child. Areas of non-compliance may be found on the violation notice. Areas observed were educational center activities, story time, music, hand washing/bathroom and diapering procedures, transition, free choice play, lunch, infant feeding, and nap. All interactions between staff and the children were appropriate and the children seemed comfortable with the daily routine. The center is well equipped with a variety of age/stage materials for the children in care. Please contact me if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 430-9256.

Violations:
Standard #: 22VAC40-185-160-C
Description: Staff D did not have documentation of obtaining an updated tuberculosis screening within two years. Evidence: Based on record review and conversation with the staff it was confirmed Staff D had not obtained an updated tuberculosis screening within two years. Last documented skin test was 06/27/2013.

Plan of Correction: Staff D will obtain an updated tuberculosis screening. Updates will be conducted and documented every two years.

Standard #: 22VAC40-185-280-B
Description: One spray bottle of bleach water was found in an unlocked cabinet, out of reach of children, in classroom # 4. Evidence: Based on observation and discussion with the staff it was confirmed one spray bottle of bleach water was not in a locked cabinet.

Plan of Correction: The bleach water was removed and placed in a locked cabinet. Staff will be reminded to keep hazardous substances in a locked place.

Standard #: 22VAC40-185-510-E
Description: Nystatin ointment was not labeled with the child's name, name of medication, the dosage amount, and the time or times to be given. Evidence: Based on record review and conversation with the staff it was determined Nystatin ointment did not have the pharmacy label attached.

Plan of Correction: The medication will be returned to the parent. In the future, prescription medication will not be accepted without the pharmacy label attached.

Standard #: 22VAC40-185-510-N
Description: Parent authorization for Nystatin ointment had expired. Medication authorization was dated 1/11/2016. Evidence: Based on record review and conversation with the staff it was determined the parent authorization for medication had expired. Parent authorization for medication is valid for 10 business days.

Plan of Correction: The medication will be returned to the parent. In the future, parent medication authorization will be updated every 10 business days if necessary.

Standard #: 22VAC40-191-40-D-1-C
Description: Staff A and B did not have documentation of obtaining a repeated central registry check. Evidence: Based on record review and conversation with the staff it was determined Staff A and B had not obtained an updated central registry check. Last documented update for Staff A was 01/17/2013. Last documented update for Staff B was 1/24/2013.

Plan of Correction: Requests for an updated central registry search will be conducted on Staff A and B. In the future, all updates will be conducted every three years.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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