Stepping Stones Child Development Center

8VAC20-780-290-A-3

“Based on observation, the licensee did not ensure electrical outlets have protective covers. Evidence: In the 2 year old classroom, there was two outlets not covered in the room. In the 4 year old classroom, there was one outlet not covered in the room.”

8VAC20-780-260-B

“Based on record review and staff interview, the licensee did not ensure annual approval from the health department is provided meeting requirements for water supply; Sewage disposal system; and Food service. Evidence: The most recent health inspection was April 2023.”

8VAC20-780-550-P

“Repeat Violation Based on record review and staff interview, the licensee did not ensure the written records of minor injuries maintained all required information . Evidence: Child #4's injury record for 7/24/2024 was missing the documentation of any future action to prevent recurrence of the injury. Child #5's injury record for 7/02/2024 was missing the documentation of date and time when parents were notified.”

8VAC20-780-510-P

“Repeat Violation Based on record review and staff interview, the licensee did not ensure When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: The medicaiton authorization form for Child #3 expired on 08/11/2023. The medication was still at the center. The medication was not disposed or picked up from parent. There was not a updated authorization form. Confirmed by staff when review documentation.”

8VAC20-780-290-A-3

“Based on observation, the licensee did not ensure electrical outlets have protective covers. Evidence: In the 2 year old classroom, there was two outlets not covered in the room. In the 4 year old classroom, there was one outlet not covered in the room.”

8VAC20-780-260-B

“Based on record review and staff interview, the licensee did not ensure annual approval from the health department is provided meeting requirements for water supply; Sewage disposal system; and Food service. Evidence: The most recent health inspection was April 2023.”

8VAC20-780-550-P

“Repeat Violation Based on record review and staff interview, the licensee did not ensure the written records of minor injuries maintained all required information . Evidence: Child #4's injury record for 7/24/2024 was missing the documentation of any future action to prevent recurrence of the injury. Child #5's injury record for 7/02/2024 was missing the documentation of date and time when parents were notified.”

8VAC20-780-510-P

“Repeat Violation Based on record review and staff interview, the licensee did not ensure When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: The medicaiton authorization form for Child #3 expired on 08/11/2023. The medication was still at the center. The medication was not disposed or picked up from parent. There was not a updated authorization form. Confirmed by staff when review documentation.”

8VAC20-780-80-B-2

“REPEAT Based on staff interview and documentation, the licensee did not ensure the center inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: On July 10, 2024, a child #1 was injured and recieved outside medical treatment. The center did not report the injury with in two buisness day. Confirmed by director.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on documentation review and staff interview, the licensee did not ensure center informed the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: An injury occured on June 3, 2024 while the child was under supervision of the center. The center called 911 and child went to the hospital. Person in charge went with the child in the ambulance. The center did not report the injury to licensing inspector/department representive with in two buisness day.”

8VAC20-780-50-A Complaint related: Yes

“Based on staff interview and record review, the licensee did not ensure children's records shall be made available to parents on request. Evidence : During the inspection on April 30, 2024, Staff #1 confirmed the record was not provided to parent .”

8VAC20-780-420-E-3 Complaint related: Yes

“Based on staff interview and record review, the licensee did not ensure parents will be provided at least semiannually in writing information on their child's development, behavior, adjustment, and needs. Evidence: Staff #1 confirmed , the center did not provide semi annually in writing information on children development, behavior, adjustments and needs.”

8VAC20-780-340-F

“Repeat Based on observation and staff interview, the licensee did not ensure children under 10 years of age always shall be with in actual sight and sound supervision of staff. Evidence: In the infant room, a infant was sleeping in a crib. There was no one in sight supervison of the infant. Staff #3 was observed in the classroom next to the infant room. Confirmed by person in charge walking with inspector during a tour of the facility.”

8VAC20-780-340-F

“Repeat Based on observation and staff interview, the licensee did not ensure children under 10 years of age always shall be with in actual sight and sound supervision of staff. Evidence: In the infant room, a infant was sleeping in a crib. There was no one in sight supervison of the infant. Staff #3 was observed in the classroom next to the infant room. Confirmed by person in charge walking with inspector during a tour of the facility.”

8VAC20-780-340-F

“Repeat Based on observation and staff interview, the licensee did not ensure children under 10 years of age always shall be with in actual sight and sound supervision of staff. Evidence: In the infant room, a infant was sleeping in a crib. There was no one in sight supervison of the infant. Staff #3 was observed in the classroom next to the infant room. Confirmed by person in charge walking with inspector during a tour of the facility.”

8VAC20-780-140-B

“Based on record review and staff interview, the licensee did not ensure a child has a physical examination prior to attendabce or within 30days of start date. Evidence: Child #2 start date on 09/28/2022, the center did not have a physical examiniation document at the center during the inspection.”

8VAC20-780-280-B

“Repeat Violation: Based on observation , the licensee did not ensure hazordous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: During the tour of facility with staff the following hazarodous substances were observed. In the infant room, there was bleach and water spray bottle was not kept in a locked place. In the 3 and 4 year old room,there was a cabinet unlocked with bleach cleaner and disinfectant spray.”

8VAC20-780-350-M

“Based on observation and staff interview, the licensee did not ensure one staff member does not supervise more than one room or area during rest time. Evidence: During the tour of the facility, in the toddler room and 2 year old room their was one staff observed supervising the two rooms during rest time. Confirmed with staff during the tour.”

22.1-289.035-A

“Based on record review and staff interview, the licensee did not ensure all employees background checks should undergo a new fingerprint check, Central Registry and Sworn statement every five years. Evidence : Staff # 2 most recent fingerprint check results were 6/28/2018 and most recent sworn statement of affirmation 02/19/2018 . Which is more than five years old.”

8VAC20-780-380-A

“Based on observation and staff interview, the licensee did not ensure there was a posted daily schedule. Evidence: In the 2 year old classroom, there was not a posted daily schedule. Confirmed by staff.”

8VAC20-780-510-P

“Based on observation and staff interview, the licensee did not ensure when an authorization for medication expires, the parent would be notified that the medication needs to be picked up within 14 days or parent must renew the authization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Evidence: Child #1's medication authorization form expired on 06/30/2023 . The medication was at the center on the day of inspection and authorization form expired was more than 14 days old.”

8VAC20-780-550-P

“Based on observation and staff interview, the licensee did not ensure all required information is documented on written record of children's injuries. Evidence: The following information is missing on injury record: Child #2 injury document was missing date parent was notified and method of notification. Child #6 injury document was missing date and time of parent notification. Child #5 injury document was missing date parent was notified, time parent was notified and method of notification.”

8VAC20-780-530-A

“Based on observation, the licensee did not ensure at least one staff member in each classroom or area children present have CPR and First Aid. Evidence: Staff # 1 was in alone in the classroom with School age children during nap/rest time and was not certified in CPR and First Aid. Confirmed with staff during the exit interview.”

8VAC20-780-140-B

“Based on record review and staff interview, the licensee did not ensure a child has a physical examination prior to attendabce or within 30days of start date. Evidence: Child #2 start date on 09/28/2022, the center did not have a physical examiniation document at the center during the inspection.”

8VAC20-780-280-B

“Repeat Violation: Based on observation , the licensee did not ensure hazordous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: During the tour of facility with staff the following hazarodous substances were observed. In the infant room, there was bleach and water spray bottle was not kept in a locked place. In the 3 and 4 year old room,there was a cabinet unlocked with bleach cleaner and disinfectant spray.”

8VAC20-780-350-M

“Based on observation and staff interview, the licensee did not ensure one staff member does not supervise more than one room or area during rest time. Evidence: During the tour of the facility, in the toddler room and 2 year old room their was one staff observed supervising the two rooms during rest time. Confirmed with staff during the tour.”

22.1-289.035-A

“Based on record review and staff interview, the licensee did not ensure all employees background checks should undergo a new fingerprint check, Central Registry and Sworn statement every five years. Evidence : Staff # 2 most recent fingerprint check results were 6/28/2018 and most recent sworn statement of affirmation 02/19/2018 . Which is more than five years old.”

8VAC20-780-380-A

“Based on observation and staff interview, the licensee did not ensure there was a posted daily schedule. Evidence: In the 2 year old classroom, there was not a posted daily schedule. Confirmed by staff.”

8VAC20-780-510-P

“Based on observation and staff interview, the licensee did not ensure when an authorization for medication expires, the parent would be notified that the medication needs to be picked up within 14 days or parent must renew the authization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Evidence: Child #1's medication authorization form expired on 06/30/2023 . The medication was at the center on the day of inspection and authorization form expired was more than 14 days old.”

8VAC20-780-550-P

“Based on observation and staff interview, the licensee did not ensure all required information is documented on written record of children's injuries. Evidence: The following information is missing on injury record: Child #2 injury document was missing date parent was notified and method of notification. Child #6 injury document was missing date and time of parent notification. Child #5 injury document was missing date parent was notified, time parent was notified and method of notification.”

8VAC20-780-530-A

“Based on observation, the licensee did not ensure at least one staff member in each classroom or area children present have CPR and First Aid. Evidence: Staff # 1 was in alone in the classroom with School age children during nap/rest time and was not certified in CPR and First Aid. Confirmed with staff during the exit interview.”

8VAC20-780-260-B

“Based on review of documents and interview, the center did not ensure an annual approval from the health department be provided. Evidence: During the inspection on March 17, 2023, health inspection was dated 06/15/2021. Interview with staff confirmed this was the most recent health inspection available for review.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept locked in a place using a safe locking method that prevents access by children. Evidence: In the main office areas where school aged children were observed in care, there were multiple disinfectant and air freshener observed unlocked with the labels "keep out of reach of children" and "caution" under the desk on the floor accessible to children in care.”

8VAC20-780-40-M

“Based on observation and interview, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: During the inspection on March 17, 2023, there was observation of the allergy list not date. Interview with the staff confirmed the list not being dated.”

8VAC20-780-260-B

“Based on review of documents and interview, the center did not ensure an annual approval from the health department be provided. Evidence: During the inspection on March 17, 2023, health inspection was dated 06/15/2021. Interview with staff confirmed this was the most recent health inspection available for review.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept locked in a place using a safe locking method that prevents access by children. Evidence: In the main office areas where school aged children were observed in care, there were multiple disinfectant and air freshener observed unlocked with the labels "keep out of reach of children" and "caution" under the desk on the floor accessible to children in care.”

8VAC20-780-40-M

“Based on observation and interview, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: During the inspection on March 17, 2023, there was observation of the allergy list not date. Interview with the staff confirmed the list not being dated.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure children's hands shall be washed with soap and running water after toileting. Evidence: In the Infant Room, Staff#1 observation of diapering was completed and Child#1 hands were not washed after diaper change. Interview with staff confirmed Child#1's hands were not washed after diapering”

8VAC20-780-440-B

“Based on observation and interview, the center did not ensure all cribs are identified for use by a specific child. Evidence: In the infant room, Child#2 was observed in a crib that was not identified for use by a specific child. Interview with staff confirmed the use of the crib by Child#2 and not identifying it for child's specific use.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure to maintain a written record that documents the arrival and departure of each child in care as it occurs. Evidence: In Toddler's classroom, there were six children observed in the classroom. The attendance log showed eight children in the group. Interview with staff confirmed the count of six present in care and written attendance log not being update to reflect all of the children's for each group.”

8VAC20-780-500-A

“Based on observation and interview, the center did not ensure children's hands shall be washed with soap and running water after toileting. Evidence: In the Infant Room, Staff#1 observation of diapering was completed and Child#1 hands were not washed after diaper change. Interview with staff confirmed Child#1's hands were not washed after diapering”

8VAC20-780-440-B

“Based on observation and interview, the center did not ensure all cribs are identified for use by a specific child. Evidence: In the infant room, Child#2 was observed in a crib that was not identified for use by a specific child. Interview with staff confirmed the use of the crib by Child#2 and not identifying it for child's specific use.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure to maintain a written record that documents the arrival and departure of each child in care as it occurs. Evidence: In Toddler's classroom, there were six children observed in the classroom. The attendance log showed eight children in the group. Interview with staff confirmed the count of six present in care and written attendance log not being update to reflect all of the children's for each group.”

8VAC20-780-410-1 Complaint related: No

“Based on interview, video footage, and documentation, the center did not ensure actions or threats thereof are forbidden by all staff. Evidence: Interview with staff confirmed a review of video footage revealing Staff#1 "pop a child during naptime" and was fired as a result. A review of video footage revealed Staff#1 striking a child with a plastic bat during napping. A review of documentation reporting the observation of Staff#1 use of physical punishment of Child#1 in care.”