Little Steps Academy, LLC.

8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Additional immunization reports for Child #3 were not received every six months, as required.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

The record for Staff #1 did not contain an up-to-date CPR certification.

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8VAC20-780-140-A · Repeat Violation

Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. The records for Child #1 and Child #3 did not contain documentation of a physical examination.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The records for Child #2, Child #3, and Child #4 did not contain additional immunizations required to be in the records.

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22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Staff #3 (employed for two months) was dated for two days after their first day of employment.

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22.1-289.035-A · Based on record review and interview, it was determined that the center did not ensure that all employees shall undergo a background check in accordance with subsection B every five years thereafter.

Evidence: 1. In reviewing staff records, Staff #2 has an expired background checks that expired August 16, 2023. 2. Staff #1, the owner, confirmed that Staff #2 has an expired background check.

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22.1-289.035-B-2 · Based on record review and interview the center failed to obtain fingerprint background checks prior to employment.

Evidence: 1 - The record for Staff #3 contains a fingerprint background dated November 18, 2022. However, the documented date of hire is November 15, 2022. Therefore, the fingerprint background check was obtained after the date of hire. 2 - Staff #1 confirmed that the fingerprint background check was obtained after the date of hire.

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8VAC20-780-160-A · Based on record review the center failed to ensure that tuberculosis documentation has been completed within the last 30 calendar days of the date of employment.

Evidence: 1 - The record of staff 2 contains tuberculosis documentation that is dated February 11, 2022. a. Staff 2 has a documented date of employment as July 11, 2022. b. Staff 2 was present providing direct care to children during the inspection. 2 - Staff 1 confirmed that the tuberculosis documentation on file for staff 2 was dated more than 30 prior to her date of hire.

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8VAC20-780-140-A · Based record review the center failed to ensure that Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

Evidence: 1 ? Eight out of 13 children?s records reviewed do not have any documentation of physical reports on file. a. Child 1 has a documented date of enrollment as July 18, 2021. b. Child 2 has a documented date of enrollment as September 21, 2020. c. Child 3 has a documented date of enrollment as October 26, 2022. d. Child 4 has a documented date of enrollment as November 30, 2020. e. Child 5 has a documented date of enrollment as November 1, 2021. f. Child 6 has a documented date of enrollment as August 9, 2021. g. Child 7 has a documented date of enrollment as November 1, 2021. h. Child 8 has a documented date of enrollment as August 9, 2021.

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