Stepping Stones Learning Academy

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify the parents that the medication must be picked up within 14 days of the authorization expiring. The medication for child #1 was onsite, but the medication authorization had expired 2 months ago and the medication was not returned as required.”

8VAC20-780-510-E

“The centers procedures for administering medication includes methods to prevent use of outdated medication. The medication for child #1 had expired 2 months ago.”

8VAC20-780-240-C

“Based on a review of staff files ,the facility did not provide orientation on recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by 63.2-1509 of the code of Virginia. (Within 7 days of the date of assuming job responsibility) Evidence: Staff #5 (date of hire 11/27/2023) has a certificate of Child Abuse and Neglect training dated April 25, 2024.”

8VAC20-770-60-C-2

“Based on a review of staff files, the child day program does not have a central registry finding within 30 days of employment. Evidence: Reviewed 5 staff files and found that Staff #5, (hire date of 11/27/2023) does not have a central registry finding on file.”

8VAC20-780-440-B

“Based on inspection of cribs in infant class, a crib was not identifiable for use by a specific child. Evidence: Child #1 was asleep in the crib without a label identifying the crib for use by that child.”

8VAC20-780-510-I

“Based on a review of medication and written authorization from provider, the medication name on the authorization form, did not match the name of prescribed medicine on the original label in accordance with prescriber's instructions. Evidence: Child #5 had an authorization from the prescriber with the name brand of medicine needed, the original box of medicine had the generic name.”

8VAC20-780-240-C

“Based on a review of staff files ,the facility did not provide orientation on recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by 63.2-1509 of the code of Virginia. (Within 7 days of the date of assuming job responsibility) Evidence: Staff #5 (date of hire 11/27/2023) has a certificate of Child Abuse and Neglect training dated April 25, 2024.”

8VAC20-770-60-C-2

“Based on a review of staff files, the child day program does not have a central registry finding within 30 days of employment. Evidence: Reviewed 5 staff files and found that Staff #5, (hire date of 11/27/2023) does not have a central registry finding on file.”

8VAC20-780-440-B

“Based on inspection of cribs in infant class, a crib was not identifiable for use by a specific child. Evidence: Child #1 was asleep in the crib without a label identifying the crib for use by that child.”

8VAC20-780-510-I

“Based on a review of medication and written authorization from provider, the medication name on the authorization form, did not match the name of prescribed medicine on the original label in accordance with prescriber's instructions. Evidence: Child #5 had an authorization from the prescriber with the name brand of medicine needed, the original box of medicine had the generic name.”

8VAC20-780-340-F

“Based on staff interviews and observation of the center's video recording, children under the age of 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. A video recording on Thursday February 8, 2024 of the 4?s classroom during naptime shows Staff #1 sitting at a table in the middle of the room, and most children on their cots. At the 1310 mark on the video, Child #1 was observed walking to Child #2's cot by the classroom door, out of view of the camera. At the 1319-mark, Child #1 was seen walking around the classroom. At 1321, Child #1 returned to Child #2's cot until seen walking around the room at 1334. At 1335, Child #1 went back to Child #2's cot. At 1338, Staff #2 entered the room and sat in the corner at a desk. Staff #1 left the classroom at 1342. Child #1 remained at Child #2's cot until 1406 when Staff #2 turned on the lights and the rest of the children started getting up from naptime. 2. Staff interviews confirmed that while Staff #1 sat at the table in the middle of the room and while Staff #2 sat at the desk in the corner of the room, they could only see the corner of Child #2's cot. The staff could not see Child #1 and Child #2 during those times.”

8VAC20-790-600-F

“Based on a review of staff records, staff have not completed the annual health and safety update course. Evidence: Several staff have not completed the 3 hour annual health and safety update course. Staff #1 date of hire 1/6/2020 has not completed the 3 hour annual health and safety update. Staff #2, date of hire 10/12/2020 has not completed the 3 hour annual health and safety update. Staff #3, date of hire 11/1/2021 has not completed the 3 hour annual health and safety update.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center are not maintained in a safe and operable condition. Evidence: Wires from electronics were observed hanging down the wall in the reach of children in the toddler and two year classroom. The door leading to the outside playground was sticking, making it very difficult to open. This is also an exit door used in an emergency.”

8VAC20-780-80-A

“Based on observation and staff interview, the center is not maintaining a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Classrooms were observed between 10:00 am through 11:30 am, staff have not completed daily attendance as the children arrived to the program. One child went home around 10:30 am, the departure was not documented. Staff are not documenting the departure of children as it occurs.”

8VAC20-780-245-J-3

“Based on a review of children medications and staff training, children for whom emergency medications have been prescribed are not always in the care of a staff member trained in Medication Administration. Evidence: There were 2 children that have been prescribed emergency medication, there is not a staff member with Medication training during the hours of 4:30 pm-6:30 pm.”

8VAC20-780-40-M

“Based on a review children allergies and classroom observations, the center is not maintaining a current written list of all children's allergies in each room. Evidence: Each classroom has a list of children's food sensitivities but the list does not contain the children's allergies. One child has medication for food allergies and their name is not on the list posted in each room.”

22.1-289.035-B-4

“Based on a review of staff records, the child day care has not obtained a search of child abuse and neglect registry check for staff residing in another state within the past 5 years. Evidence: Staff #1, date of hire 10/12/2020 documented on the sworn statement that they have resided in the state of Georgia within the past 5 years. A search of the child abuse and neglect registry for that state has not been completed.”

8VAC20-790-600-F

“Based on a review of staff records, staff have not completed the annual health and safety update course. Evidence: Several staff have not completed the 3 hour annual health and safety update course. Staff #1 date of hire 1/6/2020 has not completed the 3 hour annual health and safety update. Staff #2, date of hire 10/12/2020 has not completed the 3 hour annual health and safety update. Staff #3, date of hire 11/1/2021 has not completed the 3 hour annual health and safety update.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center are not maintained in a safe and operable condition. Evidence: Wires from electronics were observed hanging down the wall in the reach of children in the toddler and two year classroom. The door leading to the outside playground was sticking, making it very difficult to open. This is also an exit door used in an emergency.”

8VAC20-780-80-A

“Based on observation and staff interview, the center is not maintaining a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Classrooms were observed between 10:00 am through 11:30 am, staff have not completed daily attendance as the children arrived to the program. One child went home around 10:30 am, the departure was not documented. Staff are not documenting the departure of children as it occurs.”

8VAC20-780-245-J-3

“Based on a review of children medications and staff training, children for whom emergency medications have been prescribed are not always in the care of a staff member trained in Medication Administration. Evidence: There were 2 children that have been prescribed emergency medication, there is not a staff member with Medication training during the hours of 4:30 pm-6:30 pm.”

8VAC20-780-40-M

“Based on a review children allergies and classroom observations, the center is not maintaining a current written list of all children's allergies in each room. Evidence: Each classroom has a list of children's food sensitivities but the list does not contain the children's allergies. One child has medication for food allergies and their name is not on the list posted in each room.”

22.1-289.035-B-4

“Based on a review of staff records, the child day care has not obtained a search of child abuse and neglect registry check for staff residing in another state within the past 5 years. Evidence: Staff #1, date of hire 10/12/2020 documented on the sworn statement that they have resided in the state of Georgia within the past 5 years. A search of the child abuse and neglect registry for that state has not been completed.”

8VAC20-780-410-1

“Based on observation of the center video and administrative interview, a staff member engaged in a forbidden action by roughly handling children in care. Evidence: 1. On 12/16/2022 administration self reported an incident that occurred around 5:00 pm. It was reported that an administrator heard a 17 month old child crying, she went to the classroom and consoled the child. Later in the evening the administrator reviewed the classroom video. The video revealed that staff #1 handled child #1 aggressively. She picked up the child under her arm and placed her on her bottom hard and proceeded to try to put a shoe on her foot. 2. The Inspector reviewed the classroom video which showed on 12/16/2022 at 5:54 pm staff #1 was sitting on the floor, she picked up child#1 under the arms and aggressively placed the child on a bean bag chair and proceeded to put a shoe on the child.”

8VAC20-780-160-C

“Based on staff record review, at least every two years from the date of the first initial screening or testing, staff members have not obtained and submit the results of a follow-up tuberculosis screening. Evidence: Two staff have not updated their TB screening every 2 years from their last training. Staff #1 TB dated 10/7/2020 Staff #2 TB dated 8/12/2020”

8VAC20-780-160-C

“Based on staff record review, at least every two years from the date of the first initial screening or testing, staff members have not obtained and submit the results of a follow-up tuberculosis screening. Evidence: Two staff have not updated their TB screening every 2 years from their last training. Staff #1 TB dated 10/7/2020 Staff #2 TB dated 8/12/2020”

8VAC20-780-510-E

“Based on a review of medications, the center is not following the procedures for administering medications by not having a parent and physician authorization for long term prescription medication. Evidence: Child #1 has prescription and over the counter medication for a food allergy, the medication was on site but there was no documentation of parent or physician authorization to administer these medications.”

8VAC20-780-550-E

“Based on a review of the evacuation log and director interview, the center has not completed shelter in place drills twice a year. Evidence: There was no documentation of shelter in place drills for the year 2021. The last documented drill was dated 12/2020. The director stated that they have not completed shelter drills in the past year.”

8VAC20-780-550-D

“Based on a review of the fire evacuation log and director interview, the center has not completed monthly evacuation drills. Evidence: There was no documentation of monthly fire evacuation drills for October 2021-december 2021. The director stated that they were conducted but just not documented.”

8VAC20-780-160-A-2

“Based on a review of staff records, the TB screening documentation has not been completed within the last 30 calendar days of the date of employment and be signed by a physician. Evidence: Staff #1, date of hire 5/24/2022 does not have documentation of a TB screening. Staff #1 was observed caring for children this date.”

8VAC20-780-510-E

“Based on a review of medications, the center is not following the procedures for administering medications by not having a parent and physician authorization for long term prescription medication. Evidence: Child #1 has prescription and over the counter medication for a food allergy, the medication was on site but there was no documentation of parent or physician authorization to administer these medications.”

8VAC20-780-550-E

“Based on a review of the evacuation log and director interview, the center has not completed shelter in place drills twice a year. Evidence: There was no documentation of shelter in place drills for the year 2021. The last documented drill was dated 12/2020. The director stated that they have not completed shelter drills in the past year.”

8VAC20-780-550-D

“Based on a review of the fire evacuation log and director interview, the center has not completed monthly evacuation drills. Evidence: There was no documentation of monthly fire evacuation drills for October 2021-december 2021. The director stated that they were conducted but just not documented.”

8VAC20-780-160-A-2

“Based on a review of staff records, the TB screening documentation has not been completed within the last 30 calendar days of the date of employment and be signed by a physician. Evidence: Staff #1, date of hire 5/24/2022 does not have documentation of a TB screening. Staff #1 was observed caring for children this date.”