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STEP Inc.- Stuart

Inspection · 2022-07-12

Date
2022-07-12
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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 PROCESS
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Inspector Notes

An unannounced renewal inspection was conducted on-site on 07/12/2022 and was finalized upon the completion of a record review inspection on 07/14/2022. There were 11 children, ages 10 months-4 years, 4 staff members providing direct care and supervision and various support staff were present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed in the following: having breakfast, participating in music and movement and story time and going outside to play. A total of 5 children?s records, 5 staff records, 2 medications, and 4 board officer/applicant records were reviewed. The inspector discussed the following with staff: the licensing process and outside play spaces. The inspector arrived for the on-site inspection on 07/12/2022 at 8:15 am and departed at 10:30 am and arrived for the record review inspection on 07/14/2022 at 12:30 pm and departed at 2:45 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

6
Standard 22.1-289-036-B-4
Based on record review and discussion with staff, the center failed to obtain a copy of a criminal history record check from any state in which the individual has resided in the preceding five years.

Evidence: The record for Board Officer/Applicant 4 contained a documented hire date of 05/03/2021. The record for Board Officer/Applicant 4 contained documentation that Board Officer/Applicant 4 has resided outside of the state of Virginia within the preceding five years. There was not a criminal history record check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.
Plan of Correction: Will request the information.
Standard 22.1-289.035-A
Based on record review and discussion with staff, the center failed to ensure that every employee at a child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

Evidence: The record for Staff 1 contained a documented hire date of 11/04/2011. The most recent search of the central registry was dated 08/11/2016; there was not a repeat search of the central registry obtained in 2021.
Plan of Correction: There is a tracking system in place that will be reviewed regularly to ensure follow-up checks are completed. Will have a two person review process.
Standard 22.1-289.035-B-2
Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

Evidence: The record for Staff 3 contained a documented hire date of 08/03/2021. The employment eligibility letter was dated 08/10/2021.
Plan of Correction: Will not hire without the eligibility letters.
Standard 8VAC20-770-40-D-1-a
Based on record review and discussion, the center failed to obtain the sworn statement for a new person designated as an applicant prior to their first day of service.

Evidence: There was not a sworn statement available for review for Board Officer/Agent 2 during the 07/14/2022 inspection. Board Officer/Agent 3 verified that Board Officer/Agent 2 began service on 07/01/2022.
Plan of Correction: Will have all board members complete a sworn statement annually.
Standard 8VAC20-780-500-A
Based on observation and discussion with staff, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

Evidence: The children in the 3 year old-5 year old class were observed immediately returning to activities upon the completion of their breakfast. The children in the 3 year old-5 year old class did not wash their hands with soap and running water or disposable wipes after eating a meal.
Plan of Correction: Will review the policies with the staff.
Standard 8VAC20-780-550-D
Based on observation and discussion, the center failed to ensure that practice evacuation drills are implemented monthly.

Evidence: There was not a practice evacuation drill conducted for the month of December 2021.
Plan of Correction: Will make sure to do the drill each month.
View original record on Virginia Department of Social Services