Babysteps Child Development Center Too, LLC

8VAC20-780-560-F · When centers choose to provide meals or snacks, the following shall apply: centers shall

follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). On the day of the inspection, the lunch observed being served to children included only three of five of the required nutritional requirements. Dairy or vegetables were not included in the lunch.

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8VAC20-780-130-E · Repeat Violation

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Additional immunizations for Child #1 and Child #2 were not received every six months, which is required when a child is under the age of two years.

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22.1-289.011-F · The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

The inspection results of the most recent inspection were not posted, which is required.

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8VAC20-780-350-C · Repeat Violation

When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. At the inspector's arrival, there were nine children and only two staff members in a classroom. The youngest child present was 11 months old, requiring the ratio to be 1:4. A third staff member arrived approximately 20 minutes later.

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8VAC20-790-600-F · Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course.

Th records for Staff #1 (employed for three years), Staff #2 (program director/owner), and Staff #3 (employed for three years) did not contain documentation that the heath and safety update course was completed in 2024.

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8VAC20-780-160-A · The tuberculosis (TB) documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

The TB documentation for Staff #1 (employed for two months) was not completed within the last 30 days of the their date of employment, which is required.

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8VAC20-790-600-F · Staff who work directly with children shall, annually attend at least 16 hours of training, to include the department?s health and safety update course.

The records for Staff #1 and Staff #2 did not have documentation to show that the department?s health and safety update course was completed in 2023.

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8VAC20-780-260-A · The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

On the day of the inspection, the documentation for review of an annual fire inspection showed that the center did not have a renewed annual fire inspection. The fire inspection for review was dated 6/2/23, which was expired.

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22.1-289.018-A · Based on observation and interview the center did not afford the Superintendent reasonable opportunity to inspect all of their facilities.

Evidence: 1. On 04/18/2024 inspectors arrived at the center at 10:30am to conduct a routine monitoring inspection. When no one answered the door or the center's phone and inspectors heard children crying in the building and staff "shushing", the city's police were called. 2. The center did not afford the licensing inspectors entry into the building until a police officer arrived at 11:23am and banged on the center's windows. During the 53 minutes, 2 different families attempted to drop their children off for care and stood outside with their children between 5 and 10 minutes before they left. 3. At 11:11am the inspectors observed the back door open and a woman wearing a red shirt quickly run into the building and the door shut.

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8VAC20-780-550-G · Based on record review and interview, it was determined that the center did not ensure to maintain documentation of emergency evacuation, shelter-in place, and lockdown drills.

Evidence: 1. There were no practice evacuation drills documented for the months of June through November for the year 2023. 2. Staff #1 confirmed there was no documentation of evacuation drills completed for June through November 2023.

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8VAC20-780-60-A · Based on record review and interview, it was determined that the center did not ensure that each child enrolled shall contain the following information to their record: the work phone number and place of employment of each parent who has custody.

Evidence: 1. Two of the five children?s records reviewed did not have work phone numbers for both parents. a. Child #1 (date of enrollment 04/17/2023) did not have work numbers for both parents. b. Child #2 (date of enrollment 05/03/2023) did not have work numbers for both parents. 2. Staff #1 and Staff #2 confirmed there were no work phone numbers listed to Child #1 and Child #2?s records.

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8VAC20-780-550-D · Based on record review and interview, it was determined that the center did not ensure to implement a monthly practice evacuation drill.

Evidence: 1. There were no practice evacuation drills completed for the months of December 2022 and January 2023. 2. Staff #1 confirmed there were no practice evacuation drills completed for December 2022 and January 2023.

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