Stepping Stone School XIV

Licensing inspections

• Jun 17, 20261 citation

  • 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operationHigh

    • “There was an employee that was present that had a pending background check. Note: This was corrected at inspection with the employee became active, and received their eligibility letter during the inspection.”

      745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

• Jun 2, 20261 citation

  • 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible forHigh

    • “There were two caregivers that did not know the correct number of children that were in their care. This was corrected at inspection when the caregivers were asked again how many children they had in care, and they knew the correct number. The caregivers were retained on the spot how important it is to know how many children they have in their care.”

      746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

• Jul 2, 20251 citation

  • 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leavingMedium

    • “A caregiver who departed the operation more than 7 days ago still had an active background check at the time of inspection. This was corrected at inspection when the caregiver's background check was inactivated.”

      745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

• Apr 4, 20252 citations

  • 745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictionsHigh

    • “It was learned during multiple interviews that the operation is not following the conditions on a staff member's background check at all times.”

      745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictions

  • 746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the InfantHigh

    • “An infant was observed to be asleep in a bouncer seat and was not placed on their back to sleep for several minutes.”

      746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

• Feb 7, 20253 citations

  • 746.2426(a)(1) - Infant May Not Sleep in a Restrictive DeviceHigh

    • “An infant was asleep in a bouncer seat with unbuckled straps. This was corrected at inspection when the infant was removed from the bouncer seat.”

      746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device

  • 745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictionsHigh

    • “The operation was not following conditions on a staff member's background check that stated their background check must be run under every operation at which they are present and not just under the main location. This was corrected at inspection when the background check was run under this operation.”

      745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictions

  • 746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or InvestigationMedium

    • “The most reccent inspection form was not posted at the operation.”

      746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation

• Apr 1, 20241 citation

  • 746.1607 - Child, Caregiver Ratio - 2 CaregiversMedium High

    • “There was a four year old child laying on a nap mat in the infant room. There were also 10 infants in the room, so the two caregivers were out of ratio with 11 children.”

      746.1607 - Child, Caregiver Ratio - 2 Caregivers

• Mar 18, 20244 citations

  • 745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictionsHigh

    • “It was found during the inspection the operation violated a condition that the CBCU placed on an employees presence at the operation.”

      745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictions

  • 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.Medium High

    • “1 out of 4 records reviewed was missing current First Aid and CPR training.”

      746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

  • 746.1309(a) - Documented Annual Training Area - 24 Hours RequiredMedium

    • “1 out of 4 records reviewed was missing 24 out of 24 required annual hours for training year 11/2022-11/2023.”

      746.1309(a) - Documented Annual Training Area - 24 Hours Required

  • 746.4751(d) - Maintenance Procedures for Active Play - Keep Records for 3 MonthsMedium

    • “It was found during the inspection the operation did not have documentation for the months of December 2023, January and February 2024. This was corrected during the inspection.”

      746.4751(d) - Maintenance Procedures for Active Play - Keep Records for 3 Months

• Jun 13, 20231 citation

  • 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 DaysMedium

    • “It was found during the inspection the operation had several infant feeding forms that had not been updated within the last 30 days.”

      746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days

• Feb 14, 20233 citations

  • 746.1003(1) - Director Responsibilities - Operate in ComplianceHigh

    • “During the course of the probation the operation has continued to receive citations in subchapters that were used as the basis for the probation.”

      746.1003(1) - Director Responsibilities - Operate in Compliance

  • 746.3417(3) - Children Handwashing After Toileting or DiaperingMedium High

    • “It was found during the inspection a caregiver did not wash an infants hands after changing their diaper. This was corrected at the inspection when the caregiver washed the child's hands.”

      746.3417(3) - Children Handwashing After Toileting or Diapering

  • 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety StrapsMedium High

    • “It was found during the inspection there were two infants that were not strapped in to chairs that had buckles. This was corrected at the inspection when the caregivers strapped in the children.”

      746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

• Jan 3, 20231 citation

  • 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety StrapsMedium High

    • “It was found during the inspection an infant was not strapped into an infant rocking chair.”

      746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

• Nov 28, 20221 citation

  • 746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on FileHigh

    • “During the walk through an infant was observed swaddled in their crib. This was corrected when the infant was taken out of the swaddle and placed back in their crib.”

      746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File

• Jun 20, 20221 citation

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “It was found during the inspection that a caregiver stated they had 11 children and they had 12.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

• Jun 16, 20221 citation

  • 745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictionsHigh

    • “The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation.”

      745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictions

• Apr 26, 20222 citations

  • 746.2419(6) - Requirements for Feeding Infants - Label Bottles, CupsMedium High

    • “It was found during the inspection that there were 4 infant bottles that were missing name labels. This was corrected at the inspection when the director labeled the bottles with the children's names and last initial.”

      746.2419(6) - Requirements for Feeding Infants - Label Bottles, Cups

  • 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 DaysMedium

    • “It was found during the inspection there were infant feeding forms that had not been updated.”

      746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days

• Apr 13, 20221 citation

  • 745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictionsHigh

    • “The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children.”

      745.635(3) - AP Background ck determination - If provisionally eligible w, conditions or eligible w, conditions you must restrict duties per conditions, restrictions

• Mar 22, 20221 citation

  • 746.1613(a) - Reduction of child, caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards metMedium

    • “It was found during the inspection that the operation had reduced caregivers during nap time in a classroom that had infants. This was corrected when the Director went to the room as an additional caregiver.”

      746.1613(a) - Reduction of child, caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

• Mar 14, 20221 citation

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “During the follow up inspection a caregiver stated she had 9 children and there were 11.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

• Mar 2, 20222 citations

  • 746.2419(3) - Requirements for Feeding Infants - Never Prop BottlesHigh

    • “It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle. It was found during the inspection that there were 2 infants under the age of 6 months with their bottles propped.”

      746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles

  • 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety StrapsMedium High

    • “It was found during the walk through there were two infants in bouncers that were not strapped in. This was corrected when the caregiver strapped the straps of one infant and removed the other infant. It was found during the follow up inspection that an infant was not strapped into their bouncer seat.”

      746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

• Feb 18, 20223 citations

  • 746.2419(3) - Requirements for Feeding Infants - Never Prop BottlesHigh

    • “It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle.”

      746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles

  • 746.2429 - Covering Infant's Head or CribHigh

    • “It was found while conducting the inspection that there was a blanket folded on an infants face to hold in a pacifier. This was corrected when the caregiver removed the blanket and moved the child to the crib.”

      746.2429 - Covering Infant's Head or Crib

  • 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety StrapsMedium High

    • “It was found during the walk through there were two infants in bouncers that were not strapped in. This was corrected when the caregiver strapped the straps of one infant and removed the other infant.”

      746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

• Feb 7, 20221 citation

  • 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operationHigh

    • “It was found during the inspection that an employee had access to children without eligibility determination.”

      745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

• Feb 2, 20223 citations

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “During the follow up inspection a caregiver said she had 17 children but there were only 16.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

  • 746.4205(a) - Space Requirements - Under 18 Months of Age Activity AreaMedium High

    • “The operation space allows for 30 infants and at the time of the inspection there were 32.”

      746.4205(a) - Space Requirements - Under 18 Months of Age Activity Area

  • 746.1601 - Child, Caregiver Ratio - 13 or More ChildrenMedium High

    • “It was found during the follow up inspection that 3 classrooms were over child/caregiver ratio.”

      746.1601 - Child, Caregiver Ratio - 13 or More Children

• Jan 24, 20228 citations

  • 746.605(12) - Required Admission Information - Emergency Medical AuthorizationHigh

    • “It was found during the inspection that a child in care did not have a signature for the emergency care authorization.”

      746.605(12) - Required Admission Information - Emergency Medical Authorization

  • 746.1203(4) - Responsibilities of Caregivers- Supervision of ChildrenHigh

    • “It was found during the inspection that a caregiver was standing in a doorway between two classrooms supervising both rooms during naptime.”

      746.1203(4) - Responsibilities of Caregivers- Supervision of Children

  • 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual TrainingMedium High

    • “It was found that there were two employee files that were short of their 24 hours of annual training.”

      746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training

  • 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.Medium High

    • “It was found during the inspection there were multiple caregivers with expired CPR/First Aid.”

      746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

  • 746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or ExitsMedium High

    • “It was found during the inspection that there were two napmats that were blocking the doorway of the classroom. This was corrected at the inspection when the caregivers moved the mats to a different area of the room.”

      746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or Exits

  • 746.603(a)(4) - Children's Records - ImmunizationsMedium

    • “It was found during the inspection that there were several children's records that were missing and needing to be updated.”

      746.603(a)(4) - Children's Records - Immunizations

  • 746.901 - Required Personnel RecordsMedium

    • “It was found during the inspection that a caregivers file was missing proof of education, employment affidavit, signed copy of personnel policies, signed copy of center policies, and a copy of their drivers license.”

      746.901 - Required Personnel Records

  • 746.611(b) - Health Statement on File within 1 Week of AdmissionMedium

    • “It was found during the inspection that there were several files that were missing the health care provider statement.”

      746.611(b) - Health Statement on File within 1 Week of Admission

• Oct 27, 20211 citation

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. It was found during the walk through that a careiver stated she had 14 children and she had 15. It was found during the follow up inspection a caregiver said she had 11 children. There were actually 13 children and she had 12 children marked present on her attendance sheet.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

• Oct 19, 20211 citation

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. It was found during the walk through that a careiver stated she had 14 children and she had 15.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

• Oct 7, 20212 citations

  • 746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, YellingHigh

    • “It was found while conducting a walk through of the operation that a caregiver was yelling at a child for having an potty accident.”

      746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

• Sep 28, 20211 citation

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “One staff member was unaware of how many children were in care in two classrooms.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

• Sep 17, 20212 citations

  • 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible ForHigh

    • “One staff member was unaware of how many children were in care. One staff member was unaware of the ages of the children in the room.”

      746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

  • 746.2207(c)(1) - Screen Time Activities - Related to Planned ActivitiesMedium

    • “Children in the three year old classroom were watching a cartoon on Hulu. This was corrected at inspection when the caregiver turned off the screen time video.”

      746.2207(c)(1) - Screen Time Activities - Related to Planned Activities