Stepping Stone Preschool LLC

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #3, who had been enrolled for more than five months.”

Rule 8VAC20-780-140-A.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 did not obtain 16 training hours in the last year.”

Rule 8VAC20-780-245-A.

Based on staff record review and interview, the center did not ensure that staff have satisfactorily completed a training program for the purpose of administering medication approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, nurse practitioner, physician assistant, doctor of medicine or osteopathic medicine, or pharmacist pursuant to ? 54.1- 3408 of the Code of Virginia.

“Evidence: Staff #6 reported that staff at the center will administer EpiPens and inhalers to children if necessary. Child #6 had emergency AUVI-Q medication on site for a peanut allergy. Staff #1, #2, #3, #4, and #5 did not have documentation of current Medication Administration Training that is approved by the Board of Nursing and meets the requirements in the Drug Control Act related to the administration of medication in licensed centers.”

Rule 8VAC20-780-245-J-1.

Based on observation, it was determined that not all areas of the center inside and outside were maintained in a safe condition.

“Evidence: 1. On the playground, the wooden fence had four nails protruding out from the fence approximately one-half inch in length and nails were protruding from the bottom of the fence creating an impalement and scratch hazard. 2. The wooden fence had three warped boards, one of the boards had become separated at the bottom and was projecting toward the play area creating a trip hazard.”

Rule 8VAC20-780-270-A.

Based on review of documentation and interview; the center did not implement a monthly practice evacuation drill.

“Evidence: Repeat Violation The drill log did not contain documentation of a drill conducted in November 2023.”

Rule 8VAC20-780-550-D.

8VAC20-780-130-A

“Based on review of two child records, the facility did not obtain documentation that each child has received the required immunizations prior to the child’s first date of attendance. Evidence: the record for child #1 (date of first attendance: September, 2022) did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-160-C

“Based on review of four staff records, the facility did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at least every two years from the date of the initial screening. Evidence: the record for staff #4 had documentation of a TB test/screening dated: 1/21/2021.”

Rule 8VAC20-780-160-C.

22.1-289.058

“Based on observation and an interview with staff, the facility is not equipped with at least one carbon monoxide detector as required. Evidence: per staff, there was no carbon monoxide detector in the facility.”

Rule 22.1-289.058.

8VAC20-780-550-D

“Based on review of documentation, not all evacuation drills were practiced as required. Evidence: there is no documentation that an evacuation drill was conducted in May, 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-60-A

“Based on review of two children’s records, it was determined that not all records contained all required information. Evidence: the record for child #2, with a diagnosed food allergy, did not contain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-C

“Based on review of two staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #1 had a TB test/screening dated 3/5/2020.”

Rule 8VAC20-780-160-C.

8VAC20-780-40-M

“Based on observation, and an interview with staff, the facility failed to have a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: there is no written list of children’s allergies and there is an enrolled child who has a diagnosed food allergy.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-F

“Based on review of documentation, and an interview with staff, the facility failed to implement an annual lockdown drill to practice lockdown procedures. Evidence: there is no documented lockdown drill listed on the emergency drill log.”

Rule 8VAC20-780-550-F.

22VAC40-185-510-J

“Based on observation, and an interview, not all medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: the medication was observed in an unlocked cabinet in the office area.”

Rule 22VAC40-185-510-J.

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: there was a can of Lysol spray sitting on a paper towel holder in one bathroom and Lysol disinfecting wipes in an unlocked cabinet in a second bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-D

“Based on review of documentation, and an interview, the center failed to implement a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills each year. Evidence: the last documented evacuation drill was dated: 10/5/2021. There was no documentation of a shelter-in-place drill in 2020 or 2021.”

Rule 8VAC20-780-550-D.