Stepping Stone School Xxi

Infant Daily Report - Times and Amount of Food

“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”

Rule 746.2431(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 13, 2023.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

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

Rule 746.2419(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2023. Correction verified: Feb 13, 2023.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

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

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2023. Correction verified: Feb 13, 2023.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“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.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 14, 2022.

Safety Requirements for Cribs - Drop gates, if present fasten securely and cannot be opened by a child

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

Rule 746.2409(a)(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 14, 2022.

Child/ Caregiver Ratio - 13 or More Children

“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.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 14, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

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

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 14, 2022.

Parental Notification of Less Serious Injuries

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

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 14, 2022.

Child/ Caregiver Ratio - 13 or More Children

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

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 14, 2022.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“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.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2022. Correction verified: Jun 30, 2022.

Responsibilities of Caregivers- Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2022. Correction verified: Jun 8, 2022.

Director’s Absence - Qualified Caregiver in Charge

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

Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2022. Correction verified: Jun 8, 2022.

Child/ Caregiver Ratio - 13 or More Children

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

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2022. Correction verified: Jun 8, 2022.

Responsibilities of Caregivers- Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2022. Correction verified: Mar 4, 2022.

Responsibilities of Caregivers - Know Group Responsible For

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

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 21, 2021.

Child/ Caregiver Ratio - 13 or More Children

“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.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 24, 2021. Correction verified: Dec 14, 2021.