Stepping Stone School XXI

746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child · Medium High

This investigation found that a child was served their identified food allergy.

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

This investigation found that there has been issues with supervision at the operation.

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

This investigation has found that the operation has been out of ratio for infant's multiple times during early morning drop off.

746.705 - Incident/Illness Report Form Signed · Low

The incident report for the injury was not signed within 48 hours, the incident happened on a Friday and the report was signed the following Tuesday.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

This investigation found that a caregiver had put her hands on a child causing them to hit their head into a wall.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

This investigation found that a caregiver was yelling at a child.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

This investigation found that the operation did not notify the parents immediately following the incident.

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

The investigation found that the operation has had supervision issues.

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

The investigation found that the operation has been out of ratio on more than one occasion.

746.2431(2) - Infant Daily Report - Times and Amount of Food · Medium High

It was found through investigation that the operation did not correctly report the amount of food eaten by an infant on the daily report given to the parents

746.2419(7) - Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup · Medium High

It was found that an infant was allowed to sleep with a bottle.

746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional · Medium

It was found an infant was fed a bottle that was not theirs.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

The caregivers did not demonstrate good judgment when the caregiver's wrote an incident reported that stated that a child was walking and fell on a toy. The investigation showed the child was placed in a crib and fell out. The incident report did not match the incident that occurred.

746.2409(a)(8) - Safety Requirements for Cribs - Drop gates, if present fasten securely and cannot be opened by a child · High

A child was placed in a crib that did not have a safely secured drop down gate, causing the child to fall out.

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

7 of the 9 infant feeding instructions reviewed were more than 30 days old or did not include a date.

746.307(c) - Parental Notification of Less Serious Injuries · Medium

It was found through an investigation that parents were not informed of the actual injury their child sustained in care.

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

During an inspection it was found that an infant classroom had 11 children in one classroom with two caregivers. This was corrected at the inspection when the infant was moved to another room putting the classroom into compliance.

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

The operation is found to have a class of 18?23-month-old children over ratio.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age · High

During inspection a nine month infant was observed to be sleeping in a crib with a blanket. This was corrected when the director removed the blanket.

746.1013(a) - Director's Absence - Qualified Caregiver in Charge · Medium High

The director did not designate a caregiver in charge in her absence.

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

During the inspection a school age child was observed wandering around the operation alone. The child was looking for a caregiver unsupervised until a caregiver came and got the child.

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

During the inspection caregivers were observed walking out of classrooms for up to three minutes leaving the classrooms out of ratio.

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

During inspection, in the Publisher classroom, there were 15 2yo-3yo children outside on the playground with both caregivers. There were two children observed walking away from the group and stood by the playground entry door. One child was observed climbing the window seal and running inside. The caregivers were unaware the two children left the group. The assistant director informed one of the caregivers to retrieve the children.

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

It was found during the inspection that a caregiver said they had 13 children in the classroom and there were 17.

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

During a walk through of the operation, it was observed that a caregiver left the classroom to assist a parent in the lobby. Leaving that classroom out of ratio.

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

When a caregiver was asked how many children they had the caregiver said they had 16 when there were 17. There were two caregivers in seperate classrooms that gave the wrong number of children in care. One caregiver said their room had 12 when they had 11 and the other caregiver said they had 17 when they had 15.

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 while conducting the inspection that the operation had left a caregiver in charge of a group of children with a provisional background check.

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

When a caregiver was asked how many children they had the caregiver said they had 16 when there were 17.

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

During the investigation it was found that a child was not being adequately supervised when they fell off a slide causing three fractures in child?s arm. The caregiver admitted to not having visual/auditory supervision of the child during the incident and stated that they were unable to intervene to ensure the child?s safety.

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

It was found when I arrived at the inspection that a single caregiver was with 17 children with the specified age group of 3. The operation also exceed the max group size when another caregiver arrived and they were left with 25 children with a specifed age group of 2.