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Inspection visit

Routine inspection

STEPPING STONES LEARNING CENTER AND INFANT CARELicense 3043702265 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Mila Quinto conducted an onsite inspection for the purpose of an Annual Random. LPA and director toured the facility inside and outside and the floor and yard plan were verified. Census was taken in individual classrooms. The overall census observed was 6 preschool staff and 38 preschool children. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 6:30a.m.- 6 p.m., Monday through Friday. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the inspection of the indoor activity space, items which could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Lunch is catered by an outside vendor and the facility provide snacks. Food is properly stored. Menus were posted where they could be reviewed by parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. There is drinking water available to children indoors by bottled water with child’s name on it. The children's bathrooms are clean and sanitary. Children nap on cots, and bedding is stored individually and is taken home weekly to be washed by parents at end of week. The facility has conducted an emergency drill within the past six months. The facility has a working carbon monoxide detector and fire extinguisher. Facility met all posting requirement . The California Child Passenger Safety Law was posted by the entrance of the facility. This facility has not conducted the water lead testing. Page 2 The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material made of rubber mats around the climbing equipment and slides appeared to be enough to absorbs falls. There is a separate playground for the toddler class. The surface of the outdoor activities space is cushioned by a carpet and rubber mats on top of the artificial grass; LPA observed part of the artificial grass have holes and are lifting from the ground. Drinking water in the outdoor activity space is provided by bottled water with the child’s name on it. The facility also has a water fountain located next to the toddler playground. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The 7 staff files were reviewed for staff present during the facility inspection on this date. Health screening and immunizations as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1596.7995 states, a person shall not be employed or volunteer at a child care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff present were reviewed and within compliance. 1 of 7 staff files reviewed did not have the tuberculosis test document available for review. Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires on March 2024. A random sample of 5 children's records were reviewed, and there was a separate, complete and current record for each child. In the areas reviewed the children’s files were not in compliance. The toddler classroom did not maintain the sleep log for children under 24 months old. Sign in/out procedure was reviewed for compliance. The person who signs the child in and out uses their full legal signature and records the time of the day. Page 3 LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Child 1’s prescribe medication was not in the original label. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm The licensee was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov and may request to be added to an email list to receive a Quarterly Update from www.ccld.ca.gov and select Receive Important Updates link. An electronic copy of the 2016 “A Child Care Providers Guide to Safe Sleep” was provided to the director. English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials · Always place infants on their backs for sleeping · Use only a tight-fitting sheet on the crib or play yard mattress · Do not hang any items from the crib or above the crib · Keep all items, including blankets, out of the crib or play yard · Pacifiers may be used as long as they do not have items attached to them · Infants should not be swaddled or have any items covering them while sleeping · The temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold Page 4 Based on LPAs observations, record reviews and interviews the following violations were observed and are being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 3, Section 101226 e(1)(B) Health-Related Services; 101238.2 (d)( 2)Outdoor Activity Space; 101429(a)(2)(B) Responsibility for Providing Care and Supervision for Infants; 101217 (a)(12) Personnel Records and Health and Safety 1597.16(a)(1) Lead. See LIC 809D. An Inspection and exit interview was completed with director. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 ) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 101217(a)(12)Type B

    Based on record review, staff 6 did not have the tuberculoses test documents available for review. This poses a potential health and safety risk to children in care.

  • HEALTH-RELATED SERVICES

    Based on observation, the facility did not comply with the section cited above. Child 1's prescribed medication did not have the original label. This poses a potential health, safety or personal rights risk to persons in care.

  • OUTDOOR ACTIVITY SPACE

    Based on observation, the facility did not comply with the section cited above. The toddler playground has a carpet of which the side is liftng from the ground and can be a tripping hazard. The ground also has an artifical grass and rubber square on some areas and is approimately 1 inch higher from the ground that is also a potential tripping hazard. This poses a potential safety risk to children in care.

  • RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION FOR INFANTS

    Based on interview, the facility do not have the sleep log for the 6 toddler in care who are under 24 months. This poses a potential health and safety risk to children in care.

  • ARTICLE 3. Administration

    Based on interview, the facility did not comply with the section cited above. The director stated was not aware of the water lead testing requirement effective January 2023.

FAQ · About this visit

Common questions about this visit

What happened during the August 25, 2023 inspection of STEPPING STONES LEARNING CENTER AND INFANT CARE?

This was a inspection inspection of STEPPING STONES LEARNING CENTER AND INFANT CARE on August 25, 2023. 5 citations were issued: 5 Type B.

Were any citations issued to STEPPING STONES LEARNING CENTER AND INFANT CARE on August 25, 2023?

Yes, 5 citations were issued (0 Type A, 5 Type B). The first citation was for: "Based on record review, staff 6 did not have the tuberculoses test documents available for review. This poses a potentia..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

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