Stepping Stone School XIV

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

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.

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

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.

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

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.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

A group with a specified age of 18-23 months had 10 children present with one caregiver. This was corrected at inspection when the specified age group was discussed with caregivers and the director and an additional staff member was added to the classroom.

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

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

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

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

746.1003(1) - Director Responsibilities - Operate in Compliance · High

During the investigation inspection, the operation was found to be in violation of several high weighted Minimum Standards.

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

During the second walk-through at the operation, one caregiver stated there were 13 children present in their group. After counting the group it was found that there were 11 children present. This was corrected when the caregiver counted the group again.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

During the first walk-through at the operation, three rooms were over the child to caregiver ratios allowed for their specified age groups.

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

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.

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

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.

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

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

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

Three caregivers did not know the correct number of children they were responsible for. One caregiver stated 7 children were present when there were 9, another caregiver stated 17 children were present when there were 20, and a third caregiver stated 25 children were present when there were 24. This was corrected at inspection when the caregivers did a head count to confirm the number of children in their group and were then able to answer correctly.

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages · Medium High

One caregiver did not know the name of a child in their group. Another caregiver was unable to provide Child Care Regulation with the ages of the children in their group. These were corrected at inspection when the caregivers obtained a tablet containing the information and reviewed it.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

One classroom had 5 infants present with one caregiver. This was corrected at inspection when one infant was moved to another classroom.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

In a group of 12 children with two caregivers, the youngest child was 6 months old and the oldest child was 2 years and 4 months old. At the time, more than 13 children were in care at the operation. This was corrected at inspection when the older children were taken to another classroom.

746.1609 - Maximum Group Size 13 or More Children · Medium High

A combined group of three classes with a specified age of 3 years had 32 children present on the playground when it was past time for one of the groups to return inside per their daily schedule. This was corrected at inspection when one group returned to their classroom.

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

The background check for a caregiver who departed from the operation on 12/17/2024 was still active as of 1/3/2025.

746.1003(1) - Director Responsibilities - Operate in Compliance · High

The director stated she was unaware of the timelines for reporting incidences to CCR and for filling out incident reports.

746.3001(1) - Field Trips - Signed Permission · Medium High

A child was transported on a field trip without a signed permission form.

746.305(a)(6) - Report Situation Placing Children at Risk · High

The operation did not make the required self-report to Child Care Regulation within two days of the incident occurring.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

The incident report was not given to or signed by the child's parent within 48 hours of when the incident occurred.

746.1607 - Child/Caregiver Ratio - 2 Caregivers · Medium 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.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

It was found that a child was left unsupervised in a restroom for about 5 minutes.

746.305(a)(6) - Report Situation Placing Children at Risk · High

A situation placing a child at risk of harm was not reported to Child Care Regulation.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

The provider did not create an incident report after a child was left unsupervised for about 5 minutes.

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

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

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

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

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.

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

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.

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

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

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

It was determined that there were a total of 19 children with 2 caregivers. One of the caregivers left the classroom leaving the other caregiver with 19 children by themselves. The specified age group for this classroom is 3 years old which allows 15 children for 1 caregiver. N.T. was immediately corrected when another staff member quickly stepped into the classroom when it was noticed that a caregiver had left the classroom leaving the class out of ratio.

746.1003(1) - Director Responsibilities - Operate in Compliance · High

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

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

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium 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.

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

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

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

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.

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

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

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

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.

746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups · Medium 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.

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

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

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

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.

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 · Medium

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.

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

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

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

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

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.

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

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

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.

746.2429 - Covering Infant's Head or Crib · High

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.