VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: May 13, 2024

Complaint Related: No

Areas Reviewed:

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:

8VAC20-780-280B 8VAC20-780-350

Comments:

An unannounced monitoring inspection was conducted on-site May 13, 2024 from 11:18am until 1:09pm. The director was available during the inspection. There were 46 children present, ranging in ages from 1 months to 4 years, with 10 staff 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 5 staff records were reviewed. The inspector discussed with the center that infants that are able to hold their head up must have their hands washed with soap and running water after diaper changes. 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 #:	8VAC20-780-160-A
Description:	Repeat Violation Based on a review of staff records and interview on May 13, 2024, the center failed to ensure each staff member submit documentation of a negative tuberculosis screening at the time of employment and within the last 30 calendar days prior to beginning employment. Evidence: 1. The record of staff #3, hired 12/14/23, contained documentation of tuberculosis dated 12/31/23. 2. The record of staff #4, hired 03/26/24, contained documentation of tuberculosis dated 02/07/24. 3. The record of staff #5, hired 04/08/24, contained documentation of tuberculosis dated 02/16/24. 4. Administration acknowledged the documentation was not obtained within the required timeframe.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of staff records and interview on May 13, 2024, the center failed to obtain results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The record of staff #1 contained documentation of the most recent tuberculosis screening dated 03/17/22. Administration acknowledged an updated tuberculosis screening was not obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children's records and interview on May 13, 2024, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #3, enrolled 04/22/24, did not contain documentation of previous day care and schools attended by the child. 2. The record of child #5, enrolled 04/01/24, did not contain documentation of the work phone numbers for both parents listed places of employment, the addresses of two designated people to call in an emergency, and the previous day care and schools attended by the child. 3. Administration acknowledged the documentation was missing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of staff records on May 13, 2024, 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 #1 contained documentation of 9 hours of training from 11/25/22 to 11/24/23.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	Based on observation on May 13, 2024, the center failed to ensure staff wash their hands with soap and running water before a diaper change. Evidence: Staff was observed not washing hands with soap and running water prior to a diaper change. The staff member was observed touching a trash can and then unlocking a door prior to putting on gloves and then immediately changed a child's diaper.
Plan of Correction:	Not available online. Contact Inspector for more information.