My Baby Steps Academy

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. The cots were not individually labeled in the toddler and two's classrooms.”

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. The cots were not individually labeled in the toddler and two's classrooms.”

8VAC20-780-510-I

“Based on a review of medications, a medication did not contain the prescription label with the prescriber's instructions pertaining to dosage, frequency and manner of administration. Evidence: Child #2's medication was not in the original container with the prescription label with the prescriber's instructions pertaining to dosage, frequency and manner of administration.”

8VAC20-780-570-A

“Based on observation, 2 infants were observed in a infant seat without the protective belt fastened securely. Evidence: 2 infants were observed in a seat at the activity table, there were no protective belts to fasten them into the seats.”

8VAC20-780-140-A

“Based on a review of children records, 1 child's record did not have a physical examination within 30 days after the first day of attendance. Evidence: Child #2, date of first attendance 2/5/2023, does not have documentation of a physical examination.”

8VAC20-780-520-B

“Based on observation, sunscreen is not kept inaccessible to children under 5 years of age. Evidence: Sunscreen was observed in the Two's classroom accessible to children on the shelf next to the changing table.”

8VAC20-780-510-I

“Based on a review of children medications, a child's medication does not have the prescription label to include the prescribers instructions pertaining to dosage, frequency and manner of administration. Evidence: Child # 5 has an Epi pen medication on file, the medication does not have a prescription label to include the prescribers instructions pertaining to dosage, frequency and manner of administration”

8VAC20-780-60-A-8

“Based on a review of children records and medication, there is no written care plan for each child's diagnosed food allergy. Evidence: Child # 1 has medication for a nut allergy, there is no documentation of a written allergy care plan.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, outside, are not maintained in a clean, safe and operable condition. Evidence: There is a house play structure that the wooden platform is broken with loose wooden planks and a broken hinge. There is a sharp broken piece of wood on the floor of this structure. Children were observed playing on the structure.”

8VAC20-780-330-B

“Based on observation, resilient surfacing shall comply with minimum safety standards to create a fall zone free of hazardous obstacles. Evidence: The inspector observed a child using the 2nd swing from the right side of the swing set.. A very large piece of concrete and a wooden beam was sticking out of the mulch directly under the swing.”

8VAC20-780-350-B-1

“Based on observation, the staff to children ratio of 1 staff to 4 children in the infant room was not being followed. Evidence: On 2/7/2023 at 10:50 am there were 14 infants observed with 3 staff members. A fourth staff member arrived to the classroom at 11:15 am.”

8VAC20-780-350-B-4

“Based on observation, the staff to children ratio of 1 staff to 10 children in the older fours program was not being followed. Evidence: On 2/7/2023 at 10:30 am there were 18 children ages 4 years old observed outside on the playground with 2 staff members. Around 10:35am 1 staff member brought 1 child inside to use the restroom, leaving 17 children outside with 1 staff member.”

8VAC20-820-120-A-4

“Based on observation and owner interview, the facility is not operating within the terms of the license, which includes the maximum number of children who may be in care at any one time. Evidence: The current license allows for 99 children. During the inspection on 2/7/2023 there were 101 children in care.”

8VAC20-780-510-E

“Based on a review of medications, the center is not following proper procedures for administering long term medication to include written authorization from both physician and parent to administer medication. Evidence: Child #1 has an emergency long term medication, There is no written authorization from the parent to administer this medication.”