Stepping Stones

The activity plans posted in the infant room and toddler/pre-k room did not include the age group the activity plan is designed for and the dates (daily, weekly, or monthly) the plan covers. Note: This was CORRECTED during the inspection as the missing information was documented on the activity plans.

The daily menu posted in the front lobby and kitchen were not current. The menu was from the month of August and did not match the food items served during lunch. Note: This was CORRECTED during the inspection as the current menu was printed and posted in the front lobby and kitchen.

A record was not available for review for a child in care. 1 of 4 children's records reviewed was missing the child's immunization record.

There was more than an 18 month difference when older children of varying ages and an infant were combined during naptime. The oldest child in the group was 4 years of age and the youngest child was 15 months old.

An additional employee was not present in the building during naptime when more than 13 children were in care.

There were no records available for review for two children in care.

The caregivers personal purse was observed on top of a children's shelf. The purse posed a safety hazard as it was within children's reach. A fence in the outdoor playground enclosing the air conditioner unit was not maintained. The fence was observed with an exposed screw. This posed a safety hazard as the thread and tip of the screw were exposed and accessible to children. Note: The purse was removed and stored in an area out of children's reach.

The directorr was missing 30 of 30 clock hours in required annual training for the training year 11/25/2020 - 11/24/2021.

Child/Caregiver ratios were not met when a caregiver was caring for 8 children of varying ages. The children in the group were an infant between 0-12 months of age and 7 children between 18 months to 3 years of age. Based on the ratio chart the number of children one caregiver may supervise when 12 or fewer children are present at the child-care center is 1 infant between 0-17 months of age and a maximum of 5 children between the ages of 18 months to 4 years age. The group was of ratio by 2 children.

The emergency practices form was not maintained. The last fire drill document was on April 2022. The safety documentation for fire extinguishers, smoke detectors, and Carbon Monoxide detector was not maintained. The last date documented on the form was April 2022.

A caregiver was missing 24 of 24 clock hours in required annual training for the training year 11/25/2020 - 11/24/2021.

Soiled diapers were observed in the same trash can with no cover next to the infant room. This standard was re-cited. Note: This was addressed with the director and the trash bag containing the soiled diapers was removed and disposed of.

The metal door leading into the center from the outdoor playground was observed with rust and significant amounts of loose corrosion. The rust at the bottom part of the door ate through the metal, leaving holes in the door which pose a safety hazard to children during outdoor play. Plastic bags containing soiled diapers were observed hanging from the door handle in the outdoor playground. Note: The plastic bags with soiled diapers were removed and discarded.

A caregiver did not properly sanitize the diaper changing table after conducting a diaper change. The caregiver was observed only spraying a mixture of clorox and water to sanitize the diaper changing mat. A soiled diaper was observed in a trash can with no cover next to the infant room. Note: This was addressed with the operation and the trash bag containing the soiled diapers was removed and disposed of.

The director was missing 9 of 30 clock hours in required annual training for the training year 11/25/2019 - 11/24/2020.

The director and a caregiver did not have current training in pediatric CPR. The expiration dates on the certificates were July 2021 and August 2021.

A water hose was observed on the floor in the outdoor playground within children's reach posing as a tripping hazard. Note: This was CORRECTED during the inspection as the water hose was stored out of children's reach.

There was no sheet covering the mattress of a play yard that was in use for an infant. Note: This was CORRECTED during the inspection as a fitted sheet was provided and placed on the play yard's mattress.

The food allergy emergency plan reviewed for a child with a known food allergy was incomplete and missing the child's heath care professional's signature.

The director and a caregiver did not have current training in pediatric first aid with rescue breathing and choking. The expiration dates on the certificates were July 2021 and August 2021.

The operational policies reviewed were missing the following information: The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

There were no records available for review for two children in care. One of 4 records reviewed was missing the child's immunization record.

A caregiver was missing 14 of 24 clock hours in required annual training for the training year 11/25/2019 - 11/24/2020.

An infant was observed sitting on a high chair without the safety straps fastened.