Stepping Stones Child Development Center, LLC

8VAC20-780-270-A · 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.

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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..

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22.1-289.011-F · 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.

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8VAC20-780-350-B-3 · 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.

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8VAC20-780-160-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.

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8VAC20-780-150-B · 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.

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22.1-289.058 · 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.

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