Stepping Stones Learning Academy

8VAC20-780-520-C

“Diaper ointment or cream does not need to be kept locked but shall be inaccessible to children. Diaper ointment was found in the twos classroom on a shelf near the toilet and in the cubbies in the bathroom, all accessible to children.”

Rule 8VAC20-780-520-C.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains documentation of confirmation of up to date information in the child’s record. The record for Child #2, #3 and # 4 was missing the 2024 annual update of child information.”

Rule 8VAC20-780-60-A.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. At 10:28 am on 11/14/2024 staff #1 brought the children inside from the playground. Child #1, (age 20 months) was left alone on the playground. By 10:30 am another staff on the adjacent playground observed the child alone and used the walkie talkie to ask for assistance from administration.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with the center’s own policies. Staff #1 failed to follow the centers own policy in regards to leaving the playground, resulting in a child, (20 months) being left alone for 2 minutes. The staff handbook says “staff must count heads and match names to faces to ensure the proper and correct number of children being supervised”.”

Rule 8VAC20-780-40-E.

8VAC20-780-510-E

“The centers procedures for administering medication includes methods to prevent use of outdated medication. The medication for child #1 had expired 2 months ago.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify the parents that the medication must be picked up within 14 days of the authorization expiring. The medication for child #1 was onsite, but the medication authorization had expired 2 months ago and the medication was not returned as required.”

Rule 8VAC20-780-510-P.

Based on a review of staff files, the child day program does not have a central registry finding within 30 days of employment.

“Evidence: Reviewed 5 staff files and found that Staff #5, (hire date of 11/27/2023) does not have a central registry finding on file.”

Rule 8VAC20-770-60-C-2.

Based on a review of staff files ,the facility did not provide orientation on recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by 63.2-1509 of the code of Virginia. (Within 7 days of the date of assuming job responsibility)

“Evidence: Staff #5 (date of hire 11/27/2023) has a certificate of Child Abuse and Neglect training dated April 25, 2024.”

Rule 8VAC20-780-240-C.

Based on inspection of cribs in infant class, a crib was not identifiable for use by a specific child.

“Evidence: Child #1 was asleep in the crib without a label identifying the crib for use by that child.”

Rule 8VAC20-780-440-B.

Based on a review of medication and written authorization from provider, the medication name on the authorization form, did not match the name of prescribed medicine on the original label in accordance with prescriber’s instructions.

“Evidence: Child #5 had an authorization from the prescriber with the name brand of medicine needed, the original box of medicine had the generic name.”

Rule 8VAC20-780-510-I.

Based on staff interviews and observation of the center’s video recording, children under the age of 10 years of age were not always within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

8VAC20-790-600-F

“Based on a review of staff records, staff have not completed the annual health and safety update course. Evidence: Several staff have not completed the 3 hour annual health and safety update course. Staff #1 date of hire 1/6/2020 has not completed the 3 hour annual health and safety update. Staff #2, date of hire 10/12/2020 has not completed the 3 hour annual health and safety update. Staff #3, date of hire 11/1/2021 has not completed the 3 hour annual health and safety update.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

“Based on a review of staff records, the child day care has not obtained a search of child abuse and neglect registry check for staff residing in another state within the past 5 years. Evidence: Staff #1, date of hire 10/12/2020 documented on the sworn statement that they have resided in the state of Georgia within the past 5 years. A search of the child abuse and neglect registry for that state has not been completed.”

Rule 22.1-289.035-B-4.

8VAC20-780-245-J-3

“Based on a review of children medications and staff training, children for whom emergency medications have been prescribed are not always in the care of a staff member trained in Medication Administration. Evidence: There were 2 children that have been prescribed emergency medication, there is not a staff member with Medication training during the hours of 4:30 pm-6:30 pm.”

Rule 8VAC20-780-245-J-3.

8VAC20-780-270-A

“Based on observation, areas and equipment of the center are not maintained in a safe and operable condition. Evidence: Wires from electronics were observed hanging down the wall in the reach of children in the toddler and two year classroom. The door leading to the outside playground was sticking, making it very difficult to open. This is also an exit door used in an emergency.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-M

“Based on a review children allergies and classroom observations, the center is not maintaining a current written list of all children’s allergies in each room. Evidence: Each classroom has a list of children’s food sensitivities but the list does not contain the children’s allergies. One child has medication for food allergies and their name is not on the list posted in each room.”

Rule 8VAC20-780-40-M.

8VAC20-780-80-A

“Based on observation and staff interview, the center is not maintaining a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Classrooms were observed between 10:00 am through 11:30 am, staff have not completed daily attendance as the children arrived to the program. One child went home around 10:30 am, the departure was not documented. Staff are not documenting the departure of children as it occurs.”

Rule 8VAC20-780-80-A.

8VAC20-780-410-1

Rule 8VAC20-780-410-1.

8VAC20-780-160-C

“Based on staff record review, at least every two years from the date of the first initial screening or testing, staff members have not obtained and submit the results of a follow-up tuberculosis screening. Evidence: Two staff have not updated their TB screening every 2 years from their last training. Staff #1 TB dated 10/7/2020 Staff #2 TB dated 8/12/2020”

Rule 8VAC20-780-160-C.

8VAC20-780-160-A-2

“Based on a review of staff records, the TB screening documentation has not been completed within the last 30 calendar days of the date of employment and be signed by a physician. Evidence: Staff #1, date of hire 5/24/2022 does not have documentation of a TB screening. Staff #1 was observed caring for children this date.”

Rule 8VAC20-780-160-A-2.

8VAC20-780-510-E

“Based on a review of medications, the center is not following the procedures for administering medications by not having a parent and physician authorization for long term prescription medication. Evidence: Child #1 has prescription and over the counter medication for a food allergy, the medication was on site but there was no documentation of parent or physician authorization to administer these medications.”

Rule 8VAC20-780-510-E.

8VAC20-780-550-D

“Based on a review of the fire evacuation log and director interview, the center has not completed monthly evacuation drills. Evidence: There was no documentation of monthly fire evacuation drills for October 2021-december 2021. The director stated that they were conducted but just not documented.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Based on a review of the evacuation log and director interview, the center has not completed shelter in place drills twice a year. Evidence: There was no documentation of shelter in place drills for the year 2021. The last documented drill was dated 12/2020. The director stated that they have not completed shelter drills in the past year.”

Rule 8VAC20-780-550-E.