Stepping Stones at Cve

The facility did not have written documentation of a review and/or update to the emergency plan within the past 12 months. The last renew/updated was documented as being completed in 9/2022.

The mulch which surrounded the embedded equipment did not meet the recommendations of the United States Consumer Product Safety Commission measuring approximately 6 inches at the fall zone of the slide.

The emergency plan did not include the evacuation routes to the location away from the facility premises in the event of an emergency.

The file of staff #1 did not contain documentation of fire safety training within the last 12 months. Documentation of the last fire safety training was dated 1/12/2023.

The emergency contact information for child #1, #2, #3, #4 and #5 did not identify the names, addresses and telephone numbers of persons designated by the parent to whom the child may be released or that this was not applicable to the child.

The depth of the mulch beneath the embedded equipment in the outside play space was less than 9 inches (approximately 5 inches) which did not meet the recommendations of the United States Consumer Product Safety Commission.

The most recent health assessments of facility person #1 exceeded 24 months (9/30/2020 and 10/11/2022).

The written notification of safe routes was not posted in a conspicuous location in the child care facility.

Fire drills conducted on 9/15/2022 and 10/11/2022 had the same hypothetical location of the fire (Room 5).

The facility emergency plan did not contain evacuation routes to the safe location away from the facility.

The file of child #1 did not contain documentation of an approved form to provide information to the family about the child's growth and development in the context of the services being provided.

The file of facility person #1 contained an application and completed child abuse clearance after their start date (See LIS CODE SHEET) with children and an acceptable FBI clearance dated after their start date and provisional hire period without documentation of fingerprinting.

A clear bin containing shape manipulatives, was cracked exposing children to sharp edges.

The mulch under the embedded outdoor equipment measured between 5-6 inches which does not meet the recommendations of the United States Consumer Product Safety Commission.

The initial health assessment of child #1, identified as a school-age child, was not in accordance with the requirements for medical examinations for school attendance and the initial health assessment of child #3 did not contain a date to determine if the health assessment is in compliance with the regulation. The initial health assessment of child #6 did not include an immunization record.

The health assessment of child #6 was not dated or signed by a physician, physician's assistant or a CRNP.

The health assessment of facility person #1 was competed after their start date (See CODED LIS SHEET) with children.

The tuberculosis screening of facility person #1 was dated after their start date (See CODED LIS) with children.

The facility had documentation of an emergency drill dated 2/10/2022, but lacked documentation of an emergency drill between 12/19/2020 and 12/19/2021.

Based on discussion and lack of documentation, the facility did not send their emergency plan to their local municipality.

The emergency contact form of child #2 did not contain information, or documentation it is not applicable, of medications and allergies which would be needed in an emergency situation.

The emergency contact form of child #4 did not include the address and telephone number of one of the release persons designated by the parent to whom the child may be released.

The documentation of the reviews and/or updates to the emergency contact forms of child #1 and 4 exceeded 6 months and child #3 did not contain documentation of a review and/or update within 6 months of the prior form. The financial agreements of child #1-6 did not contain documentation of a review and/or update within 6 months of the previous form.

Pediatric first aid and pediatric CPR of facility person #1 was not completed within 90 days of their start date with children (See LIS CODE SHEET).

The facility did not have the current certificate of compliance posted at the facility.