Child Steps INC

During renewal inspection on October 15, 2025, the emergency contact information of children #4, 8 and 9 did not include the address of the individuals designated by the parent to whom a child may be released.

During renewal inspection on October 15, 2025, the agreements of children #1, 2, 3, 4, 6, 7, and 8 did not include the date of signature following review.

During renewal inspection on October 15, 2025, the emergency contact info of children #4, 5 and 8 did not contain signed parental consent for emergency medical care, and the emergency contact forms of children #5 and #8 did not contained signed parental consent for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

During renewal inspection on October 15, 2025, the record of staff #2 contained only one written, nonfamily reference.

During the renewal inspection staff #2, 11 did not have FBI clearance, staff #12 did not have criminal clearance, staff #9 did not have the NSOR certificate, staff #4, 5 and 11 did not have a disclosure on file.

During the renewal inspection cert rep observed the emergency plan did not include the continuity of operations.

During the renewal inspection the water in the first-floor girl's bathroom water temperature was 112 degrees and the boy's bathroom temperature was 117 degrees. The second-floor girl's bathroom was 120 degrees and the boy's bathroom temperature was 125 degrees.

During the renewal inspection child #6 did not have a medication log on file for all prescribed medications.

During the renewal inspection staff #9, 10 and 13 did not have a current health assessment on file.

During the renewal inspection cert rep observed the annual emergency drill was not on file. A copy of the emergency plan and subsequent plan updates was not sent to the local municipality and to the county emergency management agency.

During the renewal inspection child #4 did not have a current health assessment on file.

During the renewal inspection cert rep observed there was no written letter notifying the local traffic safety authorities annually of the location of the facility on file.

During the renewal inspection there was no comprehensive general liability insurance on file.

During the renewal inspection staff #5, 6 and 10 did not have verification of age on file.

During the renewal inspection child #1-5 fee agreement was not signed by the operator.

During the renewal inspection child #1-5 fee agreement did not include the date of admission and specify any extra services.

During the renewal inspection child #4 emergency contact did not include the physicians address and phone number on file.

During the renewal inspection the emergency contact for child#1 did not include the parents work address and child #4 work address and phone number on file.

During the renewal inspection the emergency contact for child #3 and 4 did not have the information for the child's special needs on file.

During the renewal inspection the emergency contact for child #4 did not include the health insurance policy number.

During the renewal inspection the emergency contact for child #1, 2 and 4 did not include the release persons information.

During the renewal inspection the fee agreement for child #1 and 2 was not updated at least once in a 6-month period.

During the renewal inspection the emergency contact for child #4 did not contain signed parental consent for emergency medical care and for administration of medications or special dietary needs.

During the renewal inspection child #4 emergency contact did not contain signed parental consent for administration of minor first-aid procedures, transportation, walking excursions, swimming and wading.

During the renewal inspection staff #1, 3, 4, 5, 6, 7, 8, 9, 10, and 12 did not have verification of child care experience. Staff # 4, 5, 6, 7, 9, 10, and 12 did not have verification of education on file.

During the renewal inspection staff #3, 4, 6, 7, 8 and 10 did not have two nonfamily references on file.

It was reported that a child was sitting in a chair on their knees and fell over into a plastic bin and hit the left side of their head.

A child fell out of a chair and hit the left side of her head on a plastic bin. The parents were not notified when the incident occurred or when the parent picked the child up at the end of the day. The director was not notified of the incident when it happened.

During the renewal inspection staff #7 did not have the FBI clearance on file. Staff #16-18 did not have the NSOR clearance on file.

During the renewal inspection staff #11,16 and 17 did not have emergency plan training on file.

During the renewal inspection there was no emergency plan on file.

During the renewal inspection The Ducklings, Doves, Cardinals, Toucans and Eagles classrooms did not have medication logs on file for medication on hand.

During the renewal inspection staff #4 did not have a health assessment on file.

During the renewal inspection written notification of safe routes was not posted.

During the renewal inspection staff #1-3, 5, 6, 10, 12 and 13 did not Health and Safety training on file.

During the renewal inspection child #3 fee agreement did not include the release person's name.

During the renewal inspection the fee agreement for child #2 and 3 did not include the date of admissions on file.

During the renewal inspection child #1-3 emergency contact did not include the parents work address and work phone number.

During the renewal inspection child #1 emergency contact did not include the information on the child's disabilities.

During the renewal inspection the emergency contact for child #3 did not include the release person's name and address on file.

During the renewal inspection the emergency contact for child #1-5 was not updated within a 6-month period.

During the renewal inspection staff #8, 9, 12, 17 and 18 did not have verification of child care experience on file.

During the renewal inspection staff #15,-18 did not have two written nonfamily references on file.

During the renewal inspection staff #10 did not have 12 clock hours of child care training on file.

The file of child #1, enrolled more than 60 days at the facility, did not contain documentation of HepA 2vaccinations, as required based on the child's age as per the ACIP recommended schedule.

During a renewal inspection conducted on 11/8/2022, Certification Representative observed that the windows in the 3rd floor child care space and the girls and boys bathrooms. did not have stoppers to prevent the windows from opening to 6 or few inches.

During a renewal inspection conducted on 11/8/2022, Certification Representative observed peeling paint in the girls and boys bathroom stall on the 3rd floor of the facility.

During a renewal inspection conducted on 11/8/2022, 10 staff files were reviewed. Staff members # 1, 3 and 7 files did not include a tuberculosis screening by the Mantoux method at initial employment.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49 and 50 files contained fee agreements that were not signed by the operator.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 6 file contained a fee agreement that did not specify the amount of the fee to be charged per day or per week.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 6 file contained a fee agreement that did not specify the date on which the fee is to be paid.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 6 and 44 files contained a fee agreement that did not specify the child's arrival and departure times.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 6 and 44 files contained a fee agreement that did not specify the persons designated by a parent to whom the child may be released.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child #4 file contained an emergency contact form that did not list the telephone number of the child's physician or source of medical care. Child # 8 file contained an emergency contact form that did not list the address of the child's physician or source of medical care.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 34 and 40 files contained emergency contact forms that did not include the work address of the enrolling parent. Child # 42 and 45 files did not contain the work telephone number of the enrolling parent.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 36 file contained an emergency contact form that did not include the written consent signed by a parent for emergency medical care.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 23 file contained an emergency contact form that did not include the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 1,2,3,8,9,10,11,20,26,27,32,42,44,37,39,47 and 49 files contained an emergency contact form that did not include the addresses of the person designated by the parent to whom the child may be released.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 36 file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

signed parental consent for administration of minor first-aid procedures by facility staff. Child # 22 and 23 files contained a emergency contact form where the section for signed parental consent for transportation was not addressed.

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 - state police was incomplete. actual clearance was not in file just a receipt -no documentation of NSOR in file -Staff # 1 s mandated reporter training was the incorrect training

During unannounced monitoring on 4/28/22, while reviewing staff files, Staff # 1 did not have documentation of emergency plan training in file

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 file did not have documentation to show staff was 18 years of age

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation to show that staff was enrolled in an approved training curriculum or the minimum total 600 clock hours

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation of health and safety training in file

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1did not have documentation of child care experience in file

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation of health assessment and TB in file

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation of 2 written references in file

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation of Pediatric CPR/First Aid in file

On 4/5/22 the facility was notified via telephone call by a parent of a suspected child abuse that may have occurred at the facility. Facility owner did not make a report to the proper Departments.