Stepping Stones Childrens Center/Gibsonia

The water in the infant room was observed to be 141.8 degrees.

In the orange room the first-aid kit was observed to be missing gauze pads.

In the outdoor non-fenced area a plastic toy house was observed to have a screw protruding out of the roof.

It was observed that the emergency drill was conducted more than 12 months from the previous emergency drill. The emergency drill logs were dated 8/2/23 and 9/4/24.

It was observed that a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the indoor gym.

During staff interviews on 10/11/24 it was verified that child #1 was sitting on a bike outside in the fenced in playground and was holding onto the fence and shaking the fence. Staff person #1 grabbed the child's wrist to get the child to let go. Once staff person #1 let go of the child's wrist the child tried to hit her. Then staff person #1 grabbed the child's wrist again, lifted the child off of the bike from the child's wrist, and sat him down very roughly onto the ground.

**During staff interviews on 10/11/24 it was verified that child #1 was sitting on a bike outside in the fenced in playground and was holding onto the fence and shaking the fence. Staff person #1 grabbed the child's wrist to get the child to let go. Once staff person #1 let go of the child's wrist the child tried to hit her. Then staff person #1 grabbed the child's wrist again, lifted the child off of the bike from the child's wrist, and sat him down very roughly onto the ground.

In the Green Room there was a power strip under the sink accessible to children 5 years of age or younger that was observed to be missing 2 protective receptacle covers. In the Blue Room there was a power strip next to the teacher's desk accessible to children 5 years of age or younger that was observed to be missing 3 protective receptacle covers.

In a plastic container on a cubby in the hall next to the Green Room accessible to children a container of Aquaphor was observed labeled "Keep Out of Reach of Children."

In the gym a cozy coupe was observed to be missing the steering wheel causing rough edges.

In the Green Room two bottles of Zyrtec labeled for the use of specific children were observed to have expired on 8/2024 and 6/2024.

The file for staff person #1 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file is dated 9/21/22 and 10/9/23.

In the children's restroom down the hall to the left of the main entrance a bottle of Oxivir All Purpose Cleaner Disinfectant that was labeled "Keep Out of Reach of Children" was in an unlocked changing table cabinet accessible to the children.

A plastic toy bin in the outside play area was observed to be broken on the left front corner causing rough edges and sharp corners. In the green room a plastic toy dress up hat was observed to be cracked causing pinch and crush points.

The file for staff person #5 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 5/17/21 and 5/23/23.

It was observed that the last 9 fire drills were all conducted around the same time in the morning between 10:30am and 11am.

The file for child #1 lacked a child health report within 60 days following the first day of attendance at the facility (See LIS Code Sheet). The child health report in the file was dated 5/26/23.

The file for staff person #2 lacked firesafety training that was conducted 12 months from the previous firesafety training. The firesafety training in the file is dated 6/13/22 and 7/18/23. The file for staff person #3 lacked firesafety training that was conducted 12 months from the previous firesafety training. The firesafety training in the file is dated 1/27/22 and 7/13/23. The file for staff person #4 lacked firesafety training that was conducted 12 months from the previous firesafety training. The firesafety training in the file is dated 7/6/22 and 8/2/23.

The files for children #1 and #5 lacked the date of the child's admission.

The files for children #1, #2, #3, #4, and #5 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

On multiple occasions, Staff #1 was reported to have grabbed children by the arm.

The file for staff person #1, whom was hired as a group supervisor on (See LIS Code Sheet), lacked a valid State Police Clearance. The birthdate on the State Police Clearance was incorrect.

In the Rose Room two pairs of sharp adult scissors that may pose a threat to the safety of the children were on a desk accessible to the children.

In the hallway a green shark back pack was observed to have a small bottle of hand sanitizer hanging from it accessible to the children and labeled "Keep Out of Reach of Children." In the Tangerine Room the following toxics were accessible to the children a bottle of Fabuloso, 3 cans of Brighten Surface Disinfectant and Deodorant, a bottle of Fantastik, a jug of Sta-Flo, and one box of Borax all labeled "Keep Out of Reach of Children." In the Rose Room a bottle of hand sanitizer was on a desk accessible to the children labeled "Keep Out of Reach of Children." In the Periwinkle Room a bottle of Peroxide, one can of Lysol, one bottle of Fantastik, and a jug refill of Fantastik were in a box on the floor accessible to the children labeled "Keep Out of Reach of Children."

In the Tangerine room the first-aid kit was on an open shelf accessible to the children.

In the Tangerine Room a cupboard door was observed to have the white covering peeling off of it. In the Aquamarine room the corner of the cupboard was observed to have the white covering peeling off of it.

The file for child #1 lacked an influenza immunization for 2022 according to the recommendations of the ACIP. The influenza immunizations in the file are dated 11/9/21 and 2/27/23.

In the Aquamarine Room a box containing Equate Antacid & Pain Relief was observed not to have the name of the child for whom the medication was intended.

In the Aquamarine Room a box of Equate Antacid & Pain Relief was observed to be expired on 2/2023.

The Fire Drill and Fire Detection Log was observed there were 33 days between 2/16/22 and 3/21/22, 40 days between 7/7/22 and 8/16/22, 32 days between 12/2/22 and 1/3/23, and 41 days between 1/3/23 and 2/13/23.

The file for staff person #2 lacked a written evaluation from the director that was 12 months from the previous written evaluation. The written evaluations in the file are dated 1/19/22 and 2/16/23. The file for staff person #3 lacked a written evaluation from the director that was 12 months from the previous written evaluation. The written evaluations in the file are dated 1/26/22 and 2/15/23. The file for staff person #4 lacked a written evaluation from the director that was 12 months from the previous written evaluation. The written evaluations in the file are dated 1/19/22 and 2/7/23. The file for staff person #5 lacked a written evaluation from the director that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 1/25/22 and 2/1/23.

It was observed in the Tangerine, Aquamarine, and Periwinkle rooms that a written plan of daily activities was not posted in the group space.

An open garbage bag was observed with soiled tissues hanging on the fence of the outdoor play space.

The first-aid kit in the Blue Room was observed to lack tape.

Splintered wood was observed along the back edge of the sandbox.

An unlabeled allergy relief medication was observed in the hall locked cabinet.

The files for Staff #1 and #3 contained consecutive health assessments dated more than 24 months apart

The 30 day testing log of the interconnected fire detection system was observed to have more than 30 days between tests from 5/23 - 6/20/21; 7/9 - 8/31/21; 10/20 - 11/22/21; and 1/4 - 2/16/22

The file for Staff #4 contained documentation of health and safety training dated more than 90 days after hire.

The file for Staff #2 contained consecutive child abuse mandated reporter trainings dated more than 60 months apart.

The file for Staff #3 contained consecutive staff evaluations conducted more than 12 months apart.

Instructions on how to contact the Western Region child care office were not posted for parents.

The file for Staff #2 contained 7.5 of the 12 required child care training hours for the anniversary year. The file for Staff #3 contained 5 of the 12 required child care training hours for the anniversary year.