Natural Steps Child Development Center

8VAC20-780-70

“Based on a review of staff records and interview, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position. Evidence: The record of staff #5 indicates the staff's position is of program leader. The record of staff #5 did not contain documentation of a high school diploma or equivalent. Staff #6 confirmed that staff #5 is a program leader and that they did not have a copy of the diploma.”

8VAC20-780-70

“Based on a review of staff records and interview, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position. Evidence: The record of staff #5 indicates the staff's position is of program leader. The record of staff #5 did not contain documentation of a high school diploma or equivalent. Staff #6 confirmed that staff #5 is a program leader and that they did not have a copy of the diploma.”

8VAC20-780-550-P

“Based on a review of records on March 7, 2023, the center failed to ensure that written records of children's serious and minor injuries contained all the required information for one of three records reviewed. Evidence: 1. The incident report for child #3 did not contain documentation of the method of notifying the parents and the date and time the parent was notified of the incident.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on March 7, 2023, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: The record of staff #4, hired August 25, 2022, contained documentation of a central registry finding dated November 21, 2022. Staff #1 acknowledged the central registry was late.”

8VAC20-780-140-A

“Based on a review of children's records on March 7, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #7, enrolled June 3, 2019, contained documentation of a physical exam dated August 27, 2019.”

8VAC20-780-40-E

“Based on observation, a review of records and interview on March 7, 2023, the licensee failed to ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own polices and procedures that are required by these standards. Evidence: 1. A review of the center’s medication policy states ?any and all medication shall be administered by MAT personnel. No one other than MAT personnel will be allowed to dispense medicine. Outdated medication will not be accepted nor administered.? 2. The Albuterol medication for child #2 was observed in the original box with an expiration date of September 2022. 3. Staff #1 confirmed the medication was administered on January 23, 2023. A review of the medication log showed the medication was administered on that date by staff #7. 4. Staff #1 confirmed that staff #7 is not MAT certified.”

8VAC20-780-280-B

“Based on observation on March 7, 2023, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In a two year old classroom there was a can of Barbasol on the teacher's desk. The label on the Barbasol stated "keep out of reach of children" and "caution." There was bleach water located on the diaper table. There was no diapering occurring. 2. In a four year old classroom there was air freshener in an unlocked box in the bathroom. The air freshener label stated "keep out of the reach of children" and "caution." 3. In a three year old classroom there were two containers of liquid soap in an unlocked box in the bathroom. The soap label stated "keep out of the reach of children" and "caution."”

8VAC20-780-510-I

“Based on staff interview and review of the medication log on March 7, 2023, the center failed to ensure that prescription medications that would normally be administered by a parent or guardian to a child provided the medication is administered by a staff member or an independent contractor who is MAT certified. Evidence: 1. A review of the medication log indicated that medication was administered on January 23, 2023 by staff #7 to child #2. 4. Staff #1 confirmed that staff #7 is not MAT certified.”

8VAC20-780-550-P

“Based on a review of records on March 7, 2023, the center failed to ensure that written records of children's serious and minor injuries contained all the required information for one of three records reviewed. Evidence: 1. The incident report for child #3 did not contain documentation of the method of notifying the parents and the date and time the parent was notified of the incident.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on March 7, 2023, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: The record of staff #4, hired August 25, 2022, contained documentation of a central registry finding dated November 21, 2022. Staff #1 acknowledged the central registry was late.”

8VAC20-780-140-A

“Based on a review of children's records on March 7, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #7, enrolled June 3, 2019, contained documentation of a physical exam dated August 27, 2019.”

8VAC20-780-40-E

“Based on observation, a review of records and interview on March 7, 2023, the licensee failed to ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own polices and procedures that are required by these standards. Evidence: 1. A review of the center’s medication policy states ?any and all medication shall be administered by MAT personnel. No one other than MAT personnel will be allowed to dispense medicine. Outdated medication will not be accepted nor administered.? 2. The Albuterol medication for child #2 was observed in the original box with an expiration date of September 2022. 3. Staff #1 confirmed the medication was administered on January 23, 2023. A review of the medication log showed the medication was administered on that date by staff #7. 4. Staff #1 confirmed that staff #7 is not MAT certified.”

8VAC20-780-280-B

“Based on observation on March 7, 2023, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In a two year old classroom there was a can of Barbasol on the teacher's desk. The label on the Barbasol stated "keep out of reach of children" and "caution." There was bleach water located on the diaper table. There was no diapering occurring. 2. In a four year old classroom there was air freshener in an unlocked box in the bathroom. The air freshener label stated "keep out of the reach of children" and "caution." 3. In a three year old classroom there were two containers of liquid soap in an unlocked box in the bathroom. The soap label stated "keep out of the reach of children" and "caution."”

8VAC20-780-510-I

“Based on staff interview and review of the medication log on March 7, 2023, the center failed to ensure that prescription medications that would normally be administered by a parent or guardian to a child provided the medication is administered by a staff member or an independent contractor who is MAT certified. Evidence: 1. A review of the medication log indicated that medication was administered on January 23, 2023 by staff #7 to child #2. 4. Staff #1 confirmed that staff #7 is not MAT certified.”

8VAC20-780-340-H

“Based on observation and interview on August 24, 2022, the center failed to ensure when the outdoor activity area is not adjacent to the center, there shall be at least two staff members on the outdoor activity area whenever one or more children are present. Evidence: 1. Staff #1 was observed on a walk as the only staff, away from the center, with a group of 7 children aged fours year old. 2. Staff #2 confirmed the class was on a walk that goes through a neighborhood near the center and that staff #1 was the only staff with the children. Staff #2 stated the classes at the center typically go on a walk daily.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The two year old classroom (Junipers 1), contained chipped and peeling paint on several walls in the room. One wall had a hole, big enough for a little finger to fit inside, which exposed drywall. 2. The two year old classroom (Junipers 2), contained chipped paint approximately 12' long and 2" wide. 3. The four year old classroom (Sequoia 2), contained chipped paint approximately 4" in diameter.”

8VAC20-780-340-H

“Based on observation and interview on August 24, 2022, the center failed to ensure when the outdoor activity area is not adjacent to the center, there shall be at least two staff members on the outdoor activity area whenever one or more children are present. Evidence: 1. Staff #1 was observed on a walk as the only staff, away from the center, with a group of 7 children aged fours year old. 2. Staff #2 confirmed the class was on a walk that goes through a neighborhood near the center and that staff #1 was the only staff with the children. Staff #2 stated the classes at the center typically go on a walk daily.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The two year old classroom (Junipers 1), contained chipped and peeling paint on several walls in the room. One wall had a hole, big enough for a little finger to fit inside, which exposed drywall. 2. The two year old classroom (Junipers 2), contained chipped paint approximately 12' long and 2" wide. 3. The four year old classroom (Sequoia 2), contained chipped paint approximately 4" in diameter.”