Stepping Stones Academy

Employee Handwashing After Diapering a Child

“During my walkthrough I observed a caregiver after changing a child’s diaper and cleaning the changing table did not wash their hands. This was corrected at inspection when they washed their hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2023. Correction verified: Feb 23, 2023.

Children Handwashing After Toileting or Diapering

“It was observed during the walkthrough that a child after their diaper change did not wash their hands. This was corrected at inspection when the caregiver assisted the child with washing their hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2023. Correction verified: Feb 23, 2023.

Doors to Fenced Area Easily Opened By Children

“During the walk through the emergency exit doors located in the both school age classroom, toddler classroom were the dead bolt was locked and was unable to be unlocked except by a key. The pre-k classroom emergency door was dead lock was lock that did not require a key. This was corrected at inspection when they were unlocked.”

Rule 746.5209(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Aug 15, 2022.

Maintenance of Building, Grounds and Equipment

“It was observed during the walk through in the older infant room that the rubber baseboard was missing exposing sheetrock, an octogan sitting area had rips making in unable to sanitize if soiled. In the hallway leading to school age classroom the return air vent was dirty. (photos taken)”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Aug 15, 2022.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“It was observed in the older infant classroom that the changing table pad had rips making the changing table pad from being non-absorbent.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Aug 15, 2022.

Safety - 220-Volt Electrical Connections Covered

“It was observed on the playground taht an wire that contacts to the air condition was accessible to children. The wire had black electric tape on the spliced wire.”

Rule 746.3701(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2022. Correction verified: Aug 15, 2022.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“It was observed that a slide measuring 28” was present on the playground with no loosefill.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2022. Correction verified: Jun 6, 2022.

Written Activity Plans

“It was obseved that the toddler classroom was lacking an activity plan posted in their classroom.”

Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2022. Correction verified: Jun 6, 2022.

Child/ Caregiver Ratio - 13 or More Children

“It was observed that the infant room was over ratio by three children. This was corrected at inspection when the children were moved to another classroom.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Apr 5, 2022.

Required Admission Information - Release Information

“One of twelve children’s files reviewed was lacking phone numbers for persons listed on admission forms as person child is allowed to be release to.”

Rule 746.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Mar 28, 2022.

Maintenance of Building, Grounds and Equipment

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Mar 30, 2022.

Safety - Areas Free From Hazards

“In the Pre-K 3’s classroom a power strip that was laying on a low shelf was lacking plug covers on open plugs. The director corrected both during inspection when plug covers were placed in the power strip.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Mar 30, 2022.

Required Admission Information - Emergency Contact

“Four of twelve children’s files reviewed at inspection were lacking a complete addreess for their emergency contact person.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 28, 2022.

Required Admission Information - Physician Information

“Three of twelve children’s files reviewed at inspection were lacking a complete address and/or phone number for Physican on their admission form.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 28, 2022.

Required Admission Information - School Information for School-age Child

“Three of Twelve children’s files reviewed were lacking a complete school address and/or phone number. This was corrected at inspection when the director wrote the address and/or phone number on admission form.”

Rule 746.605(14). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 22, 2022.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“Two of twelve children’s files reviewed were lacking a complete address/or phone number for health care professional on parent statement for health statement.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 28, 2022.

Required Admission Information - Date of Admission

“One of twelve children’s files reviewed at inspection was lacking a date of admission on their admission form. This was corrected when the director wrote the date on the admission form.”

Rule 746.605(3). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 22, 2022.

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

“This standard was reviewed as part of an investigation and found non-compliant. It was discovered during interviews that a caregiver did not use good judgement when they had placed their arm around a child’s neck and over their mouth preventing the child from being able to breath properly.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2022. Correction verified: May 2, 2022.

Required Admission Information - Emergency Medical Authorization

“Two of twelve children’s files reviewed were lacking emergency medical authorization including doctor or medical facility information.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 28, 2022.

Required Immunizations

“Three of twelve children files reviewed during inspection were lacking current immunizations records. A list was left with director of children and missing immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Mar 21, 2022.

Handwashing Procedures

“It was observed during inspection that paper towels were not present in two classroom. Caregivers informed licensing that they use hand sanitizer or baby wipes to wash children and caregivers hands.”

Rule 746.3419. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Mar 1, 2022.

Safety - Areas Free From Hazards

“It was observed in the toddler restroom a bottle of drano was laying on the floor behind the door in the bathroom and in a classroom that is used as a pathway a wooden pumpkin wiith a wooden stake was laying on the floor. (Photos taken) This was corrected when the director removed both the drano bottle and the pumpkin from the classroom/bathroom.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Mar 1, 2022.

Required Admission Information - Address and Phone Number

“Two of twelve children files reviewed during inspection were lacking a complete address for the child.”

Rule 746.605(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 28, 2022.

Required Admission Information - Emergency Contact

“Two of twelve children’s files reviewed were lacking a complete address for their emergency contact person.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2022. Correction verified: Mar 1, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“During a review of records it was observed infant feeding instructions had not been updated since 12/2021 for 3 children in the infant classroom that are not on table food.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2022. Correction verified: Feb 25, 2022.

Written Operational Policies - Promotion of Physical Activity

“It was observed that the operational policies was lacking a policy on physical activity.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

Provide Parents With Copy of Policies

“Two of twelve children’s files reviewed were lacking proof that parent was provided with a copy of operational policies.”

Rule 746.503. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Feb 25, 2022.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“Three of twelve children’s files reviewed during inspection were lacking doctor information and/or parent signature that their child had been examined wiith past year.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2022. Correction verified: Feb 25, 2022.

Fire Drill Monthly - Exit in 3 Minutes

“It was observed that the operation had not conducted a fire inspection in November after they received their initial permit.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 23, 2021.

Posting Requirements - Emergency and evacuation relocation diagram

“It was observed in several classrooms emergency and evacuation diagrams were not posted. This was corrected when the director posted them.”

Rule 746.401(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2021. Correction verified: Nov 9, 2021.