Stepping Stones Early Learning Academy II

Daily Attendance Records - Children

“1507.A.: Based on record review and interview at 10:45 a.m., S1 failed to have the center’s daily attendance record for children accurately reflect the children on the child care premises at any given time. The Specialist observed 40 children present, and 35 children were signed in on the log. S1 corrected this prior to the Specialist’s departure.”

Rule 1507.A.

CPR and First Aid Certifications

“1723.F.: Based on observation, record review, and interview at 10:15 a.m., S1 failed to have documentation of certification for staff, S3 (DOH: 06/08/2026), in Pediatric First Aid and CPR within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children. S3 was observed supervising 5 children ages three and four-years-old alone. S1 stated she has a class scheduled for 07/24/2026.”

Rule 1723.F.

Items That Can be Harmful to Children

“1901.J.: Based on observation at 10:15 a.m., S1 failed to have items that can be harmful to children kept in a locked cabinet or other secure place that ensured they are inaccessible to children. The Specialist observed a can of disinfectant wipes in the three and four-year-old classroom, as well as a bottle of bleach water in the school age classroom accessible to the children. S1 removed the chemicals prior to the Specialist’s departure.”

Rule 1901.J.&K.

Bottled Formula/Breast Milk Properly Labeled

“1919.J.: Based on observation and interview at 10:30 a.m., S1 failed to have bottle formula/breast milk for infants labeled with the children’s name. The Specialist observed 2 bottles in the infant classroom with no names or identification on the bottles. The bottles were labeled prior to the Specialist’s departure.”

Rule 1919.J.

Continuing Education Training

Rule 1721.A.-C.

Infants - Positioning Devices

“1909.C.: Based on observation at 1:15 p.m., S1 failed to have written authorization from a physician available for 1 of 3 infants to use a positioning device. The Specialist observed C1, five-months-old, in the crib propped up on a boppy pillow. S1 stated the parent wanted the boppy pillow to be used, but they do not have physician authorization to use the boppy pillow.”

Rule 1909.C.

Infant - Bibs

“1909.G.: Based on observation at 1:15 p.m., S1 failed to ensure bibs were not worn by children while asleep. The Specialist observed C1, five-months-old, in the crib with a bib on. S1 removed the bib upon the Specialist’s request.”

Rule 1909.G.

Tornado Drills

“1921.E.: Based on record review and interview at 2:15 p.m. S1 failed to have documentation of tornado drills that were conducted at least once per month during the months of March, April, May, and June. The Specialist observed one tornado drill completed in June 2026, but none documented for March, April, or May. S1 stated they forgot to complete the drills.”

Rule 1921.E.

Daily Attendance Records - Children

“1507.A.: Based on record review and interview at 9:30 a.m., S1 failed to have the center’s daily attendance record for children accurately reflect the children on the child care premises at any given time. On 10/16/2025, there were 14 children present and 36 children were signed in on the log. S1 corrected the attendance prior to the Specialist’s departure.”

Rule 1507.A.

Items That Can be Harmful to Children

“1901.J.: Based on observations at 9:15 a.m., S1 failed to have items that can be harmful to children, such as poisons, not kept in a locked cabinet or other secure place that ensures they are inaccessible to children. The Specialist observed a rodent trap located on the playground accessible to the children that states, “Contains poison, do not touch”. S1 removed the rodent trap prior to the Specialist’s departure.”

Rule 1901.J.&K.

Free of Hazards

“1903.C.: Based on observation at 9:15 a.m., the outdoor area was not free of hazards as there is a window A/C unit that protrudes out of a classroom window into one of the play-yards that is accessible to the children.”

Rule 1903.C.

Passenger Transportation Log

“2103.F.: Based on record review and interview at 9:30 a.m., S1 failed to complete the passenger transportation log. There was no passenger transportation log documented and completed for 10/13/2025-10/16/2025. S1 stated she has had staff out sick and she forgot to complete the passenger transportation log.”

Rule 2103.F.

Daily Transportation Visual Vehicle Check

“2107.C.: Based on record review and interview at 9:30 a.m., S1 failed to maintain documentation that the driver or attendant checked the vehicle at the completion of each trip. There was no documentation of a visual check completed for 10/13/2025-10/16/2025. S1 stated she was unaware the visual check was not documented.”

Rule 2107.C.

Critical Incidents and Required Notifications

Rule 1103.A.-C.

Parental Authorization

“2103.A.: Based on record review/interview at 10:30 a.m., S1 failed to maintain signed parental authorization to transport children on a regular basis. 8 of 12 children’s files reviewed, C1, nine-year-old, C3, six-year-old, C4, nine-year-old, C5, seven-year-old, C8, six-year-old, C9, seven-year-old, C10, eight-year-old, and C12, six-year-old, failed to have the authorization. S1 stated she sent home the paperwork with the parents, but never received it back.”

Rule 2103.A.

Master Transportation Log

“2103.E.: Based on record review/interview at 10:30 a.m., S1 failed to have documentation that the driver or attendant was provided with a master transportation log. Transportation is provided by the center, and S1 stated she was unaware she needed to have a master transportation log.”

Rule 2103.E.

Passenger Transportation Log

“2103.F.: Based on record review/interview at 10:30 a.m., S4 failed to complete the passenger transportation log. On 05/12/2025-05/16/2025, S4 failed to include the times the children were placed on the vehicle, and times the children were released.”

Rule 2103.F.

Daily Transportation Visual Vehicle Check

“2107.C.: Based on record review/interview at 10:30 a.m., S1 failed to maintain documentation that the driver or attendant checked the vehicle at the completion of each trip. There was no documentation of a visual check completed on 05/14/2025. S1 stated she was unaware the visual check was not documented as it was the day of the incident.”

Rule 2107.C.

Critical Incidents and Required Notifications

Rule 1103.A.-C.

Daily Attendance Records - Children

“1507.A.:Based on record review on 4/28/2025 at 7:15 a.m., S1 failed to have a completed daily attendance log for children. The logs date 4/16/2025 and 4/17/2025 did not include the time of departure of each child and the name of the person to whom the child was released for a total 10 of 64 on 4/16/2025 and 9 of 54 children on 4/17/2025.”

Rule 1507.A.

Daily Attendance Records - Staff and Owners

“1507.B.:Based on record review/interviews on 4/28/2025 at 7:15 a.m., S1 failed to maintain documentation of a daily attendance record for staff and owners, to include the time of departure. S1 submitted attendance documentation that only included the time of arrival for the staff. S1 did not include daily attendance documentation for herself. S1 stated she did not know how to retrieve the documentation from the program the center utilizes.”

Rule 1507.B.

Child Records and Cumulative Files

“1515.A.1:Based on record review on 4/28/2025, at 7:15 a.m., S1 failed to maintain a completed children’s records for C2 and C4, age unknown. The Specialist observed the birthdate was not documented on C2 and C4’s information forms.”

Rule 1515.A.1.

Supervision

Rule 1713.A.&B.&C.

CCCBC-Based Determinations of Eligibility for Child Care Purposes Required for Volunteers and Staff

“1807.B.:Based on record review/interview on 4/28/2025 at8:00 a.m., S1 failed to have documentation that a CCCBC-based determination of eligibility for child care purposes from the Department was obtained for S6 (first day present at the center-4/14/2025), prior to the person being present at the center or performing services. S1 stated S6 was a returning staff member and she was unaware her CCCBC documentation had expired as of May 2024.”

Rule 1807.B.

Items That Can be Harmful to Children

“1901.J.:Based on observations/record review/interviews on 4/28/2025 at 7:15 a.m., S1 failed to have items that can be harmful to children, such as poisons, cleaning supplies and chemicals, not kept in a locked cabinet or other secure place that ensures they are inaccessible to children. The Specialist observed cans of disinfectant spray on a shelf that was accessible to children, in the hallway; also in a hall bathroom on a shelf accessible to children.”

Rule 1901.J.&K.

Health Services - Parental Notification

Rule 1915.B.&C.

Bottled Formula/Breast Milk Properly Labeled

“1919.J.: Based on observation at 12:15 p.m., on 04/08/2025, S1 failed to have bottle formula/breast milkfor infants labeled with the children’s name. The Specialist observed 5 bottles in the infant classroom with no names or identification on the bottles. The bottles were labeled prior to the Specialist’s departure.”

Rule 1919.J.

Orientation Training

“1719.A.-C.: Based on record review/interview at 11:30 a.m., on 03/13/2025, S1 failed to have documentation for 2 of 7 staff, S2 and S3, that they received orientation within seven days of the first day present at the center and prior to having sole responsibility for any children. S2 also failed to have documentation that she received additional orientation within thirty days of the date of hire.”

Rule 1719.A.-C.

Microwave Ovens, Bottle Warming Devices, Crock Pots

“1901.I.: Based on observation at 9:30 a.m., on 03/13/2025, S1 failed to have a microwave oven in an area inaccessible to the children. The Specialist observed a microwave oven on a low shelf in the infant and one-year-old classroom that the children could access. S1 removed the microwave prior to the Specialist’s departure.”

Rule 1901.I.

Health Services - Parental Notification

Rule 1915.B.&C.

Bottled Formula/Breast Milk Properly Labeled

“1919.J.: Based on observation at 9:30 a.m., on 03/13/2025, S1 failed to have bottle formula/breast milk forinfants labeled with the children’s name. The Specialist observed 5 bottles in the infant classroom with no names or identification on the bottles. The bottles were labeled prior to the Specialist’s departure.”

Rule 1919.J.

Child to Staff Ratio

“Based on observation at 9:35 a.m. on 04/05/2024, S1 failed to meet the required child to staff ratio for children of the following ages: 10 children ages infant to one-years-old with 1 staff. The required ratio for children of this age is 5 children per 1 staff person. The ratio was met when S3 stepped into the classroom at 9:50 a.m.”

Rule 1711.A.&B.&D.&E.

Supervision

“Based on observations at 9:40 a.m. on 04/05/2024, C1, five-years-old, was not under supervision at all times. C1 was outside of her classroom wandering in the hallway for 20 seconds with no staff supervision. C1 went into S5’s classroom, and S5 stated C1 went to grab her jacket from her book sack.”

Rule 1713.A.&B.&C.

Passenger Transportation Log

“Based on record review at 1:30 p.m., S1 failed to have documentation that the driver or attendant was provided with a current passenger transportation log. There was no passenger transportation log completed for this morning, 03/04/2024. Transportation is provided by the center daily. S1 stated she was unaware the passenger transportation log was not completed.”

Rule 2103.F.

Visual Check of Vehicle

“Based on record review at 1:30 p.m., S1 failed to have documentation that the driver or a staff person checked the vehicle at the completion of each trip. There was no documentation from January 2024 to March 2024 of a visual check completed. S1 stated she has been using the wrong form and did not realize the visual check was not being documented.”

Rule 2107.A.1.&2.

Daily Transportation Visual Vehicle Check

“Based on record review at 1:30 p.m., S1 failed to maintain documentation that the driver or attendant checked the vehicle at the completion of each trip from January 2024 to March 2024. S1 stated she has been using the wrong form and did not realize the visual check was not being documented.”

Rule 2107.C.

Medication Management Training

“Based on record review at 12:00 p.m., S1 failed to have at least two staff members trained in medication administration whether the early learning center administers medication or not. S2 has the required training, but S1’s training expired on June 9, 2023. S1 attempted to schedule a training while Specialist was present, but could not get a hold of anyone. S1 will schedule a medication administration training as soon as possible.”

Rule 1725.A.-C.

Strings and Cords

“Based on observation at 10:15 a.m., strings and cords were accessible to children under age 4. The one-year-old classroom had a cord from the refrigerator that was accessible to the children. The two-year-old classroom had a charger plugged into the wall with a cord hanging that was accessible to the children. The first room on the left had no children at the time of inspection, but had two cords hanging from A/C units accessible to children.”

Rule 1901.M.

Sleeping Arrangements Labeled

“Based on observation at 10:00 a.m., cribs in the classroom for 5 infants failed to be assigned to him/her on a permanent basis as they were not labeled. S1 stated she moved the cribs around and forget to label them. The cribs were labeled prior to Specialist’s departure.”

Rule 1907.C.2.

Infants - Positioning Devices

“Based on observation at 10:00 a.m, S1 failed to have written authorization from a physician available for 1 of 5 infants to use a positioning device. S1 stated C1, 4 months old, has acid reflux and needs the boppy pillow in the crib to sleep. S1 has requested the paperwork, but has not received anything yet.”

Rule 1909.C.

Bottled Formula/Breast Milk Properly Labeled

“Based on observation at 10:00 a.m., S1 failed to have 3 bottles of formula/breast milk for infants labeled with the children’s names. S1 stated staff have been writing on the bottles because parents are forgetting to label them, and she forget to label the bottles this morning.”

Rule 1919.J.

Visual Check of Vehicle

“Based on record review at 10:45 a.m., S1 failed to have documentation that the driver or a staff person checked the vehicle at the completion of each trip. There was no documentation from 12/11/2023 to 12/14/2023, of a visual check completed. S1 stated S2 drives the vehicle and she is unsure why she has not been documenting the visual check.”

Rule 2107.A.1.&2.

Daily Transportation Visual Vehicle Check

“Based on record review at 10:45 a.m., S1 failed to maintain documentation that the driver or attendant checked the vehicle at the completion of each trip from 12/11/2023 to 12/14/2023, of a visual check completed. S1 stated S2 drives the vehicle and she is unsure why she has not been documenting the visual check.”

Rule 2107.C.

Orientation Training

“Based on record review of staff files at 1130 am S1 failed to have documentation that 4 of 8 staff S5 S6 S7 and S8 received orientation within seven days of the first day present at the center and prior to having sole responsibility for any children 1 of 7 staff S6 received additional orientation within thirty days of date of hire S1 stated that the staff have the orientation trainings but they are not at the center”

Rule 1719.A.-C.

CPR and First Aid Certifications

“Based on record review of staff files at 1130 am S1 failed to have documentation that 3 of 8 staff on the premises and accessible to the children have current certification in infant and child CPR through training approved by the department S3 S6 and S8 failed to have the current certification S1 scheduled an infant and child CPR training for 10172023”

Rule 1723.A.&B.

Pediatric First Aid

“Based on record review of staff files at 1130 am S1 failed to have documentation that 3 of 8 staff on the premises and accessible to the children have current certification in pediatric first aid through training approved by the department S3 S6 and S8 failed to have the current certification S1 scheduled a pediatric first aid training for 10272023”

Rule 1723.C.

End-of-Day Check

“Based on record review at 11 am S1 failed to document that the entire center and play yard is checked after the last child departs to ensure that no child is left unattended at the center The end of day check was last documented on 09252023 and there was no record of documentation of an end of day check from 0524202309242023 S1 stated she has not been closing at the center and therefore she did not realize it was not being completed”

Rule 1901.C.

Vehicle - Safety Inspection

“Based on observation of the vehicle at 1020 am S1 failed to have evidence of a current safety inspection for the center vehicle The inspection expired 06302023 and S1 has used the vehicle to transport the children from 0810202310052023”

Rule 2101.A.9.