Stepping Stones Child Development Center, LLC

Staff who work directly with children shall, in addition to preservice and orientation training required, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff # 2 did not have documentation of completing annual health and safety update 2026 course. The training is overdue by two months.”

Rule 8VAC20-790-600-F.

Repeat violation

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Outside on the playground there was a fence that was detached by the AC unit had toys that were cracked and broken . There were multiple bolts that are raised around the mulch border that could cause tripping hazard. There is a track like area and the track mats are raising / buckling causing a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“There was a basketball hoop in front of the slide causing the slide not to have a 6 feet fall zone. The slide resilient surface was unable to be determine due to the mulch into shas turned into soil.”

Rule 8VAC20-780-330-B.

8VAC20-780-380-A

“There shall be a posted daily schedule that allows for flexibility as children’s needs require. The center did not have a posted daily schedule for 3 to 5 year old classroom posted.”

Rule 8VAC20-780-380-A.

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. In the 2 year old classroom, there were cots not spaced 12 inches parts.”

Rule 8VAC20-780-440-E.

8VAC20-780-550-P

“Repeat violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Injury record #1 was missing date and time parent was notified. Injury record #2 was missing time parent was notified. Injury report #3 was missing method of preventing injury and time parent was notified. Injury report #4 was missing time parent was notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-580-B

“The vehicle shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. The vehicle inspection expired on March 2026.”

Rule 8VAC20-780-580-B.

The center shall ensure that during transportation of children: Virginia state statutes about safety belts and child restraints are followed as required by ?? 46.2-1095 through 46.2-1100 of the Code of Virginia;

“There were two children who needed a booster seat. The center confirmed that there was a child on the vehicle who did not have booster seat when being transported.”

Rule 8VAC20-780-580-C.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Outside on the playground there was a broken grey truck with no wheel, broken toy push lawn mower with a broken wheel , broken plastic clear storage bin with sharp edge and a bolt raised on the border of the playground causing tripping hazard or entanglement..”

Rule 8VAC20-780-270-A.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the following all required.

“Incident report #1 was missing time parent was notified and Incident report #4 was missing Any future action to prevent recurrence of the injury and date and time parent was notified.”

Rule 8VAC20-780-550-P.

Based on observation and staff interview, the licensee did not ensure the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“Evidence: The most recent violation notice was not posted. The violation notice posted was for November 2022.”

Rule 22.1-289.011-F.

Based on observation and staff interview, the licensee did not ensure ar least every two year from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submimt the results of a follow-up tuberculosis screening.

“Evidence: Staff #5 TB test was more than 2 years old on 7/27/2024. Confirmed by staff.”

Rule 8VAC20-780-160-C.

Repeat Violation

“Based on observation, the licensee did not ensure hazardous substances s shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the main area where school age children participate in activities there was a cabinet not locked that had 2 cans of aersol spray. Labeled Keep out of reach of children and caution.”

Rule 8VAC20-780-280-B.

Based on observation and record review, the licensee did not ensure the center maintainin a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: There were not allergy list in each classroom and the list did not have a date on the allergy list in the kitchen area.”

Rule 8VAC20-780-40-M.

Based on observation and staff interview, the licensee did not ensure ratio for 2 year olds were 1 staff to 8 children.

“Evidence: On February 16, 2024 at approximatley 8:15 am there was approximatley 29 children and the youngest was two years of age with 2 staff on school age area of the classroom. The ratio for 2 years should be 1 staff for 8 children. Staff confirmed that they were not in ratio.”

Rule 8VAC20-780-350-B-3.

Based on the staff interview and observations, the licensee did not ensure there shall be a posted daily scheduled that allows for fflexibility as children’s needs require.

“Evidence: The daily routine was not posted in the 2 year old room.”

Rule 8VAC20-780-380-A.

Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. ocumentation of the screenin shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Staff #3 hire date 06/20/2023 the TB results were recieved 06/24/2023. Which the date of results were recieved were after the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation and staff interview, the licensee did not ensure hazordous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There was aersol spray /disinfectant in the front of the van.”

Rule 8VAC20-780-280-B.

Based on observation and staff interview, the licensee did not ensure there emergency evacuation and shelter in place procedures or maps were posted in location conspicous to staff and children in the building.

“Evidence: Staff confirmed the evacuation procedure or map were not posted. There was a diagram of the building posted.”

Rule 8VAC20-780-550-C.

Based on review of children’s record, and interview, the center did not ensure the physical examination and immunizations were signed by a physician, his designee, or an official of a local health department.

“Evidence: In Child#1’s record (start date: 03/16/23), there was no physician signatures found on the physical examination and immunizations. Interview with staff confirmed the available documentation for review during the inspection.”

Rule 8VAC20-780-150-B.

Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There were multiple disinfectant spray observed unlocked under the sink with the labels “keep out of reach of children” and “caution””

Rule 8VAC20-780-280-B.

Based on review of documentation and interview, the center did not ensure to maintain documentation of all emergency drills.

“Evidence: There was no documentation found for two practiced shelter in place for 2022. Interview with staff confirmed the documentation was available for review during the inspection.”

Rule 8VAC20-780-550-G.

Based on observation and interview, the center did not ensure to be equipped with at least one carbon monoxide detector.

“Evidence: During the inspection, there was no observation of a carbon monoxide detector at the center. Interview with staff confirmed a carbon monoxide detector was not installed at the center during the inspection.”

Rule 22.1-289.058.