Early Steps Bilingual Preschool

8VAC20-780-40-E

“Repeat violation Based on a review of medications, the center failed to follow its own policy regarding informing parents of an expired medication. Evidence: There is one expired medication at the center (3/25/23)”

8VAC20-780-70

“Repeat Violation Based on a review of records, one staff record did not contain documentation of all required information prior to employment. Evidence: 1 of 4 records reviewed did not contain documentation of phone references. The phone reference was not signed by the person making the phone call.”

8VAC20-780-240-C

“Based on a review of record, staff records did not contain documentation of orientation that includes all required information. Evidence: 3 of 4 staff records reviewed contained orientation documentation on an outdated form. Missing information included prevention and response to emergencies due to food and other allergic reactions. The form does not document the method of delivery for the orientation training. (Staff B,C, D)”

8VAC20-780-245-M

“Based on a review of records, documentation of on-going training does not include all required components. Evidence: The training log for tracking training, does not include the method of delivery for the training.”

8VAC20-770-60-C-2

“Repeat Violation Systemic Deficiency Based on a review of records 2 staff records did not contain documentation of a completed Central Registry Search (CRS) within 30 days of employment. Evidence: 1. Staff C's record did not contain documentation of a completed CRS. (Date of Hire (DOH): 2/27/23. 2. Staff D's record did not contain documentation of a completed CRS (DOH: 1/16/23)”

8VAC20-780-510-B

“Based on a review of medications, one medication does not have an acceptable authorization on file. Evidence: Child #1's medication authorization, give Fairfax County Schools permission to administer the medication.”

8VAC20-780-550-E

“Based on a review of documentation, shelter in place drills were not practiced a minimum of twice a year. Evidence: There were no Shelter-I-Place drills documented for 2022.”

8VAC20-780-550-F

“Based on a review of documentation and staff statement, lockdown procedures were not practiced at least annually. Evidence: No Lockdown drills were practiced in 2022.”

8VAC20-780-40-J

“Based on a review of documentation, the injury prevention plan annual update could not be located. Evidence: There was no injury prevention plan update available for review.”

8VAC20-790-600-D-1

“Based on a review of records, one staff record did not contain documentation of current cardiopulmonary resuscitation (CPR). Evidence: Staff B's record does not contain documentation of a current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of records, one staff record did not contain documentation of current first aid certification. Evidence: Staff B's record does not contain documentation of current first aid certification.”

8VAC20-780-40-E

“Repeat violation Based on a review of medications, the center failed to follow its own policy regarding informing parents of an expired medication. Evidence: There is one expired medication at the center (3/25/23)”

8VAC20-780-70

“Repeat Violation Based on a review of records, one staff record did not contain documentation of all required information prior to employment. Evidence: 1 of 4 records reviewed did not contain documentation of phone references. The phone reference was not signed by the person making the phone call.”

8VAC20-780-240-C

“Based on a review of record, staff records did not contain documentation of orientation that includes all required information. Evidence: 3 of 4 staff records reviewed contained orientation documentation on an outdated form. Missing information included prevention and response to emergencies due to food and other allergic reactions. The form does not document the method of delivery for the orientation training. (Staff B,C, D)”

8VAC20-780-245-M

“Based on a review of records, documentation of on-going training does not include all required components. Evidence: The training log for tracking training, does not include the method of delivery for the training.”

8VAC20-770-60-C-2

“Repeat Violation Systemic Deficiency Based on a review of records 2 staff records did not contain documentation of a completed Central Registry Search (CRS) within 30 days of employment. Evidence: 1. Staff C's record did not contain documentation of a completed CRS. (Date of Hire (DOH): 2/27/23. 2. Staff D's record did not contain documentation of a completed CRS (DOH: 1/16/23)”

8VAC20-780-510-B

“Based on a review of medications, one medication does not have an acceptable authorization on file. Evidence: Child #1's medication authorization, give Fairfax County Schools permission to administer the medication.”

8VAC20-780-550-E

“Based on a review of documentation, shelter in place drills were not practiced a minimum of twice a year. Evidence: There were no Shelter-I-Place drills documented for 2022.”

8VAC20-780-550-F

“Based on a review of documentation and staff statement, lockdown procedures were not practiced at least annually. Evidence: No Lockdown drills were practiced in 2022.”

8VAC20-780-40-J

“Based on a review of documentation, the injury prevention plan annual update could not be located. Evidence: There was no injury prevention plan update available for review.”

8VAC20-790-600-D-1

“Based on a review of records, one staff record did not contain documentation of current cardiopulmonary resuscitation (CPR). Evidence: Staff B's record does not contain documentation of a current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of records, one staff record did not contain documentation of current first aid certification. Evidence: Staff B's record does not contain documentation of current first aid certification.”

8VAC20-770-60-C-2

“Based on a review of records, one staff record does not contain documentation of a completed Central Registry Search (CRS) within 30 days of employment. Evidence: 1 of 2 records reviewed did not contain the results of a CRS search. (Staff B - DOH 2/13/23)”

8VAC20-770-60-B

“Based on a review of records, one staff record does not contain documentation of a completed Sorn Disclosure Statement (SDS) prior to employment. Evidence: The SDS on file for a staff member was completed for a different LLC and is not transferable to this facility.(Staff B- DOH 2/13/23).”

22.1-289.035-B-2

“Based on a review of records, one staff record does not contain documentation of a competed nationwide fingerprint search prior to employment. Evidence: 1 of 2 staff records reviewed was missing documentation of the fingerprint search results prior to employment. There are no results on file. (Staff B - (DOH) 2/13/23)”

8VAC20-780-550-P

“Based on a review of records, injury reports do not contain all required components. Evidence: 5 of 5 injury reports reviewed di not contain documentation on how the parent was notified.”

8VAC20-780-245-J-3

“Based on a review of records, there is no documentation to show that any staff member is current in Medication Administration training (MAT) certification. Evidence: 3 staff records were reviewed for staff that have taken the MAT course. The receipt for the course for all 3 staff expired 4/7/23. There are no certificates available for review. (Staff A, C, D)”

8VAC20-780-240-B

“Based on a review of records, one staff record does not contain documentation of orientation. Evidence: 1 of 2 records reviewed did not contain documentation of orientation within 7 days of assuming job responsibilities. Orientation is incomplete. (Staff B (DOH) 2/13/23).”

8VAC20-780-70

“Based on a review of records, one staff record does not contain documentation of all required components. Evidence: 1 of 2 records reviewed was missing documentation of 2 references prior to employment. There are no references available for review. (Staff B- Date of Hire (DOH) 2/13/23.”

8VAC20-780-60-A

“Based on a review of records, one child record was not kept up-to-date. Evidence: The written allergy action plan for a child with a diagnosed food allergy, is dated 1/31/22. There was no annual update to the action plan. (Child 1)”

8VAC20-780-40-E

“Based on a review of medications, the center failed to follow it's own policy regarding informing the parent of an expired medication. Evidence: There is on expired Epi-pen at the center. (expired 3/25/23). The center was not aware that the Epi-pen was expired until the Inspector reviewed the medications. Parents were not notified it was expired. (Child 2)”

8VAC20-770-60-C-2

“Based on a review of records, one staff record does not contain documentation of a completed Central Registry Search (CRS) within 30 days of employment. Evidence: 1 of 2 records reviewed did not contain the results of a CRS search. (Staff B - DOH 2/13/23)”

8VAC20-770-60-B

“Based on a review of records, one staff record does not contain documentation of a completed Sorn Disclosure Statement (SDS) prior to employment. Evidence: The SDS on file for a staff member was completed for a different LLC and is not transferable to this facility.(Staff B- DOH 2/13/23).”

22.1-289.035-B-2

“Based on a review of records, one staff record does not contain documentation of a competed nationwide fingerprint search prior to employment. Evidence: 1 of 2 staff records reviewed was missing documentation of the fingerprint search results prior to employment. There are no results on file. (Staff B - (DOH) 2/13/23)”

8VAC20-780-550-P

“Based on a review of records, injury reports do not contain all required components. Evidence: 5 of 5 injury reports reviewed di not contain documentation on how the parent was notified.”

8VAC20-780-245-J-3

“Based on a review of records, there is no documentation to show that any staff member is current in Medication Administration training (MAT) certification. Evidence: 3 staff records were reviewed for staff that have taken the MAT course. The receipt for the course for all 3 staff expired 4/7/23. There are no certificates available for review. (Staff A, C, D)”

8VAC20-780-240-B

“Based on a review of records, one staff record does not contain documentation of orientation. Evidence: 1 of 2 records reviewed did not contain documentation of orientation within 7 days of assuming job responsibilities. Orientation is incomplete. (Staff B (DOH) 2/13/23).”

8VAC20-780-70

“Based on a review of records, one staff record does not contain documentation of all required components. Evidence: 1 of 2 records reviewed was missing documentation of 2 references prior to employment. There are no references available for review. (Staff B- Date of Hire (DOH) 2/13/23.”

8VAC20-780-60-A

“Based on a review of records, one child record was not kept up-to-date. Evidence: The written allergy action plan for a child with a diagnosed food allergy, is dated 1/31/22. There was no annual update to the action plan. (Child 1)”

8VAC20-780-40-E

“Based on a review of medications, the center failed to follow it's own policy regarding informing the parent of an expired medication. Evidence: There is on expired Epi-pen at the center. (expired 3/25/23). The center was not aware that the Epi-pen was expired until the Inspector reviewed the medications. Parents were not notified it was expired. (Child 2)”

22.1-289.035-A Complaint related: No

“Based on a review of records, one staff record does not contain documentation of a repeated Central Registry Search (CRS) within the allowable 5 year time frame. Evidence: The documentation available for review shows a CRS search dated 11/01/17 (expired 11/1/22). (Staff A)”

8VAC20-780-410-1 Complaint related: Yes

“Based on multiple statements, it was determined that a staff member used a forbidden action when dealing with a child. Evidence: Staff A used physical punishment (pinching the nose) on a child in an attempt to correct how he was sitting in the chair. The pinch resulted in a mark/bruise on the nose.”

8VAC20-780-400-B Complaint related: Yes

“Based on multiple interviews, it was determined that behavior guidance was not constructive in nature and intended to redirect children. Evidence: A staff person did not attempt to redirect a child that was uncooperative during snack regarding eating their snack and following directions. The staff attempted to physically remove the child from the area without attempting to redirect the child’s behavior and resolving the conflict, escalating the situation. (Staff B)”

8VAC20-780-410-6 Complaint related: Yes

“Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child. Evidence: Staff B used verbal remarks that were demeaning to a child. The staff person told the child to ?stop acting like a baby? when the child was upset and crying.”

8VAC20-780-80-A Complaint related: No

“Based on observation, written attendance was not kept for each group of children. Evidence: 2 of 5 room’s attendance sheets were not accurate at the time of inspection. The Ants attendance was not completed. The Elephants attendance sheet reflected 12 children; however, there were 17 children present.”

8VAC20-780-240-C Complaint related: No

“Documentation of orientation available for review does not include all required components/policies. Evidence: 2 of 2 staff records reviewed did not contain documentation of orientation training on all required policies and procedures that went into effect 1/13/22. Missing information includes: *Policy for prevention of Abusive Head Trauma. *Prevention of and response to emergencies due to food allergies and other allergic reactions *Prevention and Control of Disease. The form available for review is outdated (Staff A, B)”

8VAC20-780-60-A Complaint related: No

“Based on a review of records, one child record does not contain all required components. Evidence: 1 child record was reviewed. Missing information includes: *Complete addresses for emergency contacts. (Child 1)”

8VAC20-780-160-A Complaint related: No

“Based on a review of records, staff records did not contain documentation of a negative TB screening result provided at employment, and completed within the last 30 days. Evidence: 2 of 2 records reviewed did not contain documentation in the allowable time frame for the TB screening results. *Results are dated 10/10/22. After employment date of 9/9/22 (Staff A) *Results are dated 11/27/21, more than 30 days prior to employment date of 10/3/22. (Staff B)”

8VAC20-770-60-C-2 Complaint related: No

“Based on a review of records, 1 staff record did not contain documentation of a completed Central Registry Search (CRS) for Virginia within 30 days of employment. Evidence: 1 of 2 staff records reviewed had no CRS result on file, past 30 days of employment. (Staff A- DOH 9/9/22)”

8VAC20-770-60-B Complaint related: No

“Based on a review of records, 1 staff record did not contain accurate information documented on the Sworn Disclosure Statement (SDS). Evidence: 1 of 2 staff records reviewed, had an SDS on file that did not accurately reflect any residences outside of Virginia in the past 5 years. (Staff A)”

22.1-289.035-B-4 Complaint related: No

“Based on a review of records, 1 staff record does not contain documentation of a completed Child Abuse and Neglect Search result for a residence outside of the state of Virginia in the past 5 years. Evidence: 1 staff person who has resided outside of Virginia in the past 5 years, did not have a completed Child Abuse and Neglect search result on file within 45 days of employment for that residence. (Staff A ? DOH:9/9/22)”

22.1-289.035-B-2 Complaint related: No

“Based on a review of records, 1 staff record does not contain documentation of a completed nationwide fingerprint search, prior to employment. Evidence: 1 of 2 staff files reviewed did not contain an acceptable result from a nationwide fingerprint search prior to employment. A search was done; however, not for this Limited Liability Corporation (LLC). These results are not transferrable. (Staff B- Date of Hire (DOH): 10/3/22)”

8VAC20-780-410-1 Complaint related: Yes

“Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child’s behavior issue. Evidence: Staff B roughly handled a child when she attempted to pick up the child from the snack table by lifting them under the arms and around their chest. The child wrapped their legs around the leg of the table and held on to the edge of the table resisting being moved. The staff person pulled on the child attempting to remove the child from the table.”

8VAC20-780-400-B Complaint related: Yes

“Based on multiple interviews, it was determined that behavior guidance was not constructive in nature and intended to redirect children. Evidence: A staff person did not attempt to redirect a child that was uncooperative during snack regarding eating their snack and following directions. The staff attempted to physically remove the child from the area without attempting to redirect the child’s behavior and resolving the conflict, escalating the situation. (Staff B)”

8VAC20-780-410-6 Complaint related: Yes

“Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child. Evidence: Staff B used verbal remarks that were demeaning to a child. The staff person told the child to ?stop acting like a baby? when the child was upset and crying.”

8VAC20-780-80-A Complaint related: No

“Based on observation, written attendance was not kept for each group of children. Evidence: 2 of 5 room’s attendance sheets were not accurate at the time of inspection. The Ants attendance was not completed. The Elephants attendance sheet reflected 12 children; however, there were 17 children present.”

8VAC20-780-240-C Complaint related: No

“Documentation of orientation available for review does not include all required components/policies. Evidence: 2 of 2 staff records reviewed did not contain documentation of orientation training on all required policies and procedures that went into effect 1/13/22. Missing information includes: *Policy for prevention of Abusive Head Trauma. *Prevention of and response to emergencies due to food allergies and other allergic reactions *Prevention and Control of Disease. The form available for review is outdated (Staff A, B)”

8VAC20-780-60-A Complaint related: No

“Based on a review of records, one child record does not contain all required components. Evidence: 1 child record was reviewed. Missing information includes: *Complete addresses for emergency contacts. (Child 1)”

8VAC20-780-160-A Complaint related: No

“Based on a review of records, staff records did not contain documentation of a negative TB screening result provided at employment, and completed within the last 30 days. Evidence: 2 of 2 records reviewed did not contain documentation in the allowable time frame for the TB screening results. *Results are dated 10/10/22. After employment date of 9/9/22 (Staff A) *Results are dated 11/27/21, more than 30 days prior to employment date of 10/3/22. (Staff B)”

8VAC20-770-60-C-2 Complaint related: No

“Based on a review of records, 1 staff record did not contain documentation of a completed Central Registry Search (CRS) for Virginia within 30 days of employment. Evidence: 1 of 2 staff records reviewed had no CRS result on file, past 30 days of employment. (Staff A- DOH 9/9/22)”

8VAC20-770-60-B Complaint related: No

“Based on a review of records, 1 staff record did not contain accurate information documented on the Sworn Disclosure Statement (SDS). Evidence: 1 of 2 staff records reviewed, had an SDS on file that did not accurately reflect any residences outside of Virginia in the past 5 years. (Staff A)”

22.1-289.035-B-4 Complaint related: No

“Based on a review of records, 1 staff record does not contain documentation of a completed Child Abuse and Neglect Search result for a residence outside of the state of Virginia in the past 5 years. Evidence: 1 staff person who has resided outside of Virginia in the past 5 years, did not have a completed Child Abuse and Neglect search result on file within 45 days of employment for that residence. (Staff A ? DOH:9/9/22)”

22.1-289.035-B-2 Complaint related: No

“Based on a review of records, 1 staff record does not contain documentation of a completed nationwide fingerprint search, prior to employment. Evidence: 1 of 2 staff files reviewed did not contain an acceptable result from a nationwide fingerprint search prior to employment. A search was done; however, not for this Limited Liability Corporation (LLC). These results are not transferrable. (Staff B- Date of Hire (DOH): 10/3/22)”

8VAC20-780-410-1 Complaint related: Yes

“Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child’s behavior issue. Evidence: Staff B roughly handled a child when she attempted to pick up the child from the snack table by lifting them under the arms and around their chest. The child wrapped their legs around the leg of the table and held on to the edge of the table resisting being moved. The staff person pulled on the child attempting to remove the child from the table.”

8VAC20-780-60-A

“Based on a review of records, one child record does not contain documentation of all required components. Evidence: 1 of 3 records reviewed did not contain documentation of viewing Proof of Birth documents. (Child 1)”

8VAC20-780-510-I

“Based on a review of medications, one medication is not in the original box with the prescription attached. Evidence: One Epi-pen at the facility is not in the original container with the prescription label attached. (Child 2)”

8VAC20-780-540-C

“Based on a review of first aid supplies, first aid kits one each floor are incomplete. Evidence: 2 of 2 first aid kits inspected did not contain 2 triangular bandages each.”

8VAC20-780-550-C

“Based on a review of emergency evacuation maps, shelter-in-place locations are not denoted on the maps. Evidence: The shelter-in-place locations are not noted on the maps posted for the facility.”

8VAC20-780-160-C

“Based on a review of records, one staff record does not contain documentation of the follow- up results of a tuberculosis screening within 2 years from the previous results. Evidence: 1 of 2 staff records contained a TB screening result dated 2/1/2020. (expired)”

8VAC20-780-60-A

“Based on a review of records, one child record does not contain documentation of all required components. Evidence: 1 of 3 records reviewed did not contain documentation of viewing Proof of Birth documents. (Child 1)”

8VAC20-780-510-I

“Based on a review of medications, one medication is not in the original box with the prescription attached. Evidence: One Epi-pen at the facility is not in the original container with the prescription label attached. (Child 2)”

8VAC20-780-540-C

“Based on a review of first aid supplies, first aid kits one each floor are incomplete. Evidence: 2 of 2 first aid kits inspected did not contain 2 triangular bandages each.”

8VAC20-780-550-C

“Based on a review of emergency evacuation maps, shelter-in-place locations are not denoted on the maps. Evidence: The shelter-in-place locations are not noted on the maps posted for the facility.”

8VAC20-780-160-C

“Based on a review of records, one staff record does not contain documentation of the follow- up results of a tuberculosis screening within 2 years from the previous results. Evidence: 1 of 2 staff records contained a TB screening result dated 2/1/2020. (expired)”