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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: May 12, 2017

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:
An unannounced monitoring inspection, within 60 days of the issuance of a Conditional License, was conducted from 11:00 a.m. to 5:15 p.m. At the time of entrance the following adult to child ratios were observed: 13 children, ages 2 to 4 years old with 1 staff 5 infants, 8 months to 1 year old, with 2 staff The records sample size consisted of 3 children?s records and 4 staff records. Children were observed playing with toys, painting, eating lunch, singing songs, resting quietly and having an afternoon snack. Infants were observed having tummy time, sitting in infant chairs, toddling and walking, playing with toys, drinking bottles and sleeping. Restroom procedures, hand washng, diapering procedures, and table sanitizing were observed. Medication administration was not observed. The licensee states that no medication is administered and children are not routinely transported in a vehicle. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of records, the licensee did not ensure that each enrolled child has a record which contains all required information and documentation. Evidence: Three children's records were reviewed. The records for child #1 and child #2 did not contain an address for one of the two individuals to be contacted in an emergency of the parents cannot be reached.

Plan of Correction: Staff #4 stated that she will obtain the address for each of the documented emergency contacts by Monday.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the licensee did not ensure that all equipment of the center is maintained in a clean, safe and operable condition. Evidence: 1. There were 4 plastic tables, located in the two children's restrooms, which were observed being used as step stools in front of the sinks and toilets. The tables are made of flexible plastic, stand12 inches high and contain a label that says "not intended for sitting". 2. A wooden play stove in the classroom where 15 children ages 2 to 4 years old lacked handles on the cabinet doors and could not be opened (operated). 3. A small wooden cabinet, located next to the long blue book shelf in the back left classroom, had a missing hinge. When the cabinet door was opened, it dropped on one side where the hinge was broken,

Plan of Correction: The small tables in the rest rooms will be replaced with step stools by the end of next week. There are other available step stools in the center that can be moved as needed until they are replaced. The owner mistook them for step stools because of the height of them. The two wooden pieces will be removed from areas where children are present until they can be properly repaired.

Standard #: 22VAC40-185-350-C
Description: Based on observation, the licensee did not ensure that children in mixed group care are within the ratio requirements for the youngest child in the group. Evidence: When the inspector arrived at the center at 11:05 a.m. there were 13 children, ranging in age from 2 to 4 years old together in one classroom with staff A. The required ratio for a group containing a two-year-old child is one staff per every 8 children. Between 11:15 and 11:38, 2 additional children arrived and joined the mixed group bringing the total number of children to 15 with one staff . At 11:40 a.m. Staff D arrived, bringing the ratio into compliance with 15 children and 2 staff.

Plan of Correction: Staff D stated that she had an emergency situation to attend to outside of the center and that, in addition, another staff person who should have arrived during her absence did not come to work as scheduled placing the ratios out of compliance. Some staff have been excluded from the schedule until their required training is completed. Without the emergency situation, adequate staff would have been available. It is also anticipated that the additional staff''s training will be completed by next week and additional staff will be available as attendance dictates.

Standard #: 22VAC40-185-560-F-4
Description: Based on observation, the licensee did not ensure that children three years of age and younger are not offered foods that are considered to be potential choke hazards. Evidence: Fifteen children, ages 2 years to 4 years old were offered a choice of hot dog and bun or breaded corn dogs as their protein at lunch. The hot dogs were not cut lengthwise to lessen the potential for choking. Another food component served for lunch was canned fruit cocktail. There were whole white grapes in the fruit cocktail. Staff D observed the whole grapes on a child's plate when they were pointed out by the licensing inspector during the meal time. Round or disk shaped foods, when not cut to minimize risk as choking hazards and can become lodged in the child's throat and are more difficult than non-round or non- disk shaped foods to unlodge.

Plan of Correction: The licensee will ensure that, effective immediately, potentially hazardous foods to include any round or disk shaped foods will be avoided or cut / prepared in a manner to minimize risk.

Standard #: 22VAC40-185-560-K
Description: Based on observation, the licensee did not ensure that tables and high chair trays are sanitized before and after each use for feeding. Evidence: At 11:20 a.m. the inspector observed that the tables in the eating area had crumbs and sticky spots on them. In addition, a highchair tray which had crumbs and a piece of cracker on it was sitting on top of a piece of play equipment in the unoccupied classroom adjacent to the eating area. These items were not cleaned after the last use for feeding.

Plan of Correction: Due to an unexpected staff shortage, the normal routine of cleaning the tables and trays after breakfast was overlooked. Staff will ensure that, effective immediately, tables and high chair trays are sanitized BOTH before AND after each use for feeding.

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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