Stepping Stones Learning Center

922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements. (12) Staff shall disinfect the diapering surface after each child is diapered. (13) If staff wears disposable gloves, the gloves shall be changed and disposed after each child is diapered. Findings: General: Based on observation, a staff member failed to sanitize the diaper changing station after she changed a child's diaper in the nursery.

922 KAR 2:090. Section 11. Staff Requirements. (16) In accordance with KRS 199.896(15) and (16), a staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment in a child-care program; (b) Nine (9) hours of cabinet-approved early care and education training within the first year of employment in a child care program, including one and one-half (1 ½) hours of cabinet-a

922 KAR 2:120. Section 4. Premises Requirements. (9) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. Findings: General: Based on observation, chipped paint was on the wall in the two-year-olds' room.

922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment. Findings: General: Based on observation, the shock resistant mat placed at the bottom of the green slide was torn and created a tripping hazard in the two-year-olds' outdoor play area.

922 KAR 2:090. Section 8. General. (1) A licensee shall: (a) Be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:120, and 922 KAR 2:280; and (b) Protect and assure the health, safety, and comfort of each child. Findings: General: Based on video observation and interview, the center failed to protect the health, safety, and comfort of a child: A one-year-old child tried to get up from his cot during rest time and a staff member placed he

922 KAR 2:090. Section 10. Director Requirements and Responsibilities. (1) A director shall: (e) Manage the staff in their individual job descriptions; (f) Assure the development, implementation, and monitoring of child-care center plans, policies, and procedures; (g) Supervise staff conduct to ensure implementation of program policies and procedures; Findings: General: Based on video footage, interviews and review of documentation, the director failed to ensure staff implemented the policies/pr

922 KAR 2:120. Section 2. Child Care Services. (11) A child shall not be subjected to: (a) Corporal physical discipline pursuant to KRS 199.896(18); (b) Loud, profane, threatening, frightening, humiliating, or abusive language; or (c) Discipline that is associated with: 1. Rest; 2. Toileting; 3. Play time; or 4. Food. Findings: General: Based on video observation and interview, a one-year-old child refused to stay on a cot during naptime on 02/01/24. A staff member placed her hand on the back of

922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (c) Daily attendance records documenting the arrival and departure time of each child, including records that are required in accordance with 922 KAR 2:160, Section 13, if a child receives services from the child-care center through the Child Care Assistance Program; Findings: General: Based on observation, interview and review of documentation, the daily attendance records dated 12/13/23, did not include a documented arr

922 KAR 2:090. Section 11. Staff Requirements. (1) Child-care center staff: (b) Shall provide, prior to employment and every two (2) years thereafter: 1. A statement from a health professional that the individual is free of active tuberculosis; or 2. A copy of negative tuberculin results. Findings: General: Based on interview and review of documentation, the following was found: 1) Documentation presented for a staff member (DOH: 09/22/23) included the most recent TB skin test dated 05/04/21. 2)

922 KAR 2:120. Section 7. First Aid and Medicine. (8) Each center shall ensure that every staff member has received training on first aid and cardiopulmonary resuscitation (CPR). Findings: General: Based on interview and review of documentation, two (2) staff members (DOH: 07/10/23 and 06/05/23) had not completed first aid and CPR training.

922 KAR 2:090. Section 11. Staff Requirements. (16) In accordance with KRS 199.896(15) and (16), a staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment in a child-care program; (b) Nine (9) hours of cabinet-approved early care and education training within the first year of employment in a child care program, including one and one-half (1 ½) hours of cabinet-a

922 KAR 2:120. Section 4. Premises Requirements. (9) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. Findings: General: Based on observation and interview, the following was found: Boys Restroom: 1) A broken ceiling tile was in the corner of the restroom. Preschool classroom 1) Several areas of chipped, flaked, and peeled paint were visible on a blue bookshelf.

922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements. (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. Findings: General: Based on observation and interview, chipped paint was on the toilet seat in the boy’s restroom located adjacent to the nursery. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transp

922 KAR 2:280. Section 11. Status of Employment. (1) A child care provider shall maintain the employment or residential status of each child care staff member who has submitted to a fingerprint- based criminal background check by reporting the status using the NBCP Web-based system. Findings: General: Based on observation, interview and review of documentation, the center’s Kentucky Applicant Registry Employment System (KARES) report was reviewed 12/13/23 and determined two (2) former staff memb