Stepping Stones Child Care
Stepping Stones Child Care
License/Registration ID: 890359
16 Twin Wells Ct. Middletown, NY 10940
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This Checklist reflects a partial list of the regulatory requirements based on the inspection performed. Additional violations may have been cited that are not included in the inspection checklist.
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Inspection ID:
2025-I-YRO-106628
Date:
10/15/2025
Inspection Type:
Monitoring
Inspection Result:
Violations found
Compliance Status:
Y-Compliant, N-Noncompliant, N/O-Not Observed, N/A-Not Applicable, P/V-Prior Violation
Reg
Compliance Status
413.3 Enforcement of Regulations
*
Posting of Compliance History Document
413.3(g)(3)(i)
Y
416.3 Building and Equipment
Diagram of home shows 2nd floor as child care space and shows two stairways as means of egress
416.3(a)
Y
416.4 Fire Protection
*
Paths of egress, both interior and exterior are free of obstructions and debris including ice/snow
416.4(h)(4)
Y
416.5 Safety
All caregivers are able to operate phone
416.5(m)(4)
Y
All cleaning materials must be used and stored such that they will not present a hazard
416.5(k)
Y
Animals Inside or outside do not present a threat and appear healthy and free of parasites
416.5(l)(1)
Y
Egress doors can be opened from the inside without a key. Protective doorknob covers prohibited
416.5(s)(3)
Y
Hazards such as wells, holes, pits, etc have compliant barriers in place to prevent access
416.5(f)(2)
Y
*
No pools/ponds/water hazards located on or adjacent to the program property; or if present, barriers exist to prevent access
416.5(f)(1)
Y
No trampolines used larger than a one person exercise trampoline
416.5(w)
Y
Poisonous, toxic, flammable and dangerous items are inaccessible to children
416.5(j)
Y
Two shelter in place drills are held annually
416.5(b)(4)
Y
Windows above 1st floor have barriers to prevent children from falling out (unless egress window)
416.5(q)
Y
Working phone on premises and available to all caregivers
416.5(m)(1)
Y
416.7 Program Requirements
Appropriate hygiene practices in use
416.7(c)
Y
Children may not sleep in car seats, baby swings, strollers, infant seats or bouncy seats
416.7(j)
Y
Children who choose not to nap cannot be confined to a cot, crib, bed or mat
416.7(t)
Y
Infants are put to sleep on their backs unless medical documentation provided
416.7(m)
Y
416.8 Supervision of Children
*
Approved provider is the primary caregiver
416.8(e)
Y
*
Competent supervision is maintained at all times with exceptions only as specified in regulation
416.8(a)
Y
*
One caregiver observed for either 6 children not yet in school or 8 when at least 2 are school age
416.8(j)(1)
Y
*
One caregiver present for every 2 children under 2 years in attendance
416.8(j)(3)
Y
Two caregivers present when more than 6 children, none of whom are school age, are in care
416.8(j)(2)
N
416.11 Health and Infection Control
Adequate supply of diapers available
416.11(i)(11)
Y
Diapering area near sink not used for food prep
416.11(i)(10)
Y
Garbage cans covered and cleaned
416.11(i)(27)
Y
Health checks of each child conducted daily and recorded as described in health care plan
416.11(c)(2)(i)
N
Medication, if administered by relatives, must be over 18 and within 3rd degree of consanguinity
416.11(f)(2)(i)
Y
Thermometers and toys washed and disinfected as appropriate
416.11(i)(28)
Y
416.14 Training
*
A caregiver certified in First Aid and CPR is present at all times children are in care
416.14(m)
Y
Each identified staff and volunteer completed Federal Health and Safety training within required timeframes
416.14(b)
Y
Each identified staff supervising children alone completed Federal Health and Safety training.
416.14(b)
Y
First Aid & CPR certificates must be appropriate to the ages of the children in care
416.14(n)
Y
Prior to becoming a Provider, the individual completed Federal Health and Safety training
416.14(b)
Y
Provider completed Federal Health and Safety training within required timeframes
416.14(b)
Y
416.15 Management and Administration
*
Numbers and ages of children present are within licensed or registered capacity
416.15(a)(9)
Y
*
Office notified of any change to the home or program
416.15(b)(12)
Y
Only approved caregivers have unsupervised contact with the day care children
416.15(b)(20)
Y
Summary of Violations
Date Cited
Regulation
Regulation Description
Compliance Status
Corrected on- Site?
10/15/2025
416.5(a)
Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.
Corrected
N
10/15/2025
416.7(l)
Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.
Corrected
N
10/15/2025
416.8(j)(2)
Two caregivers must be present when more than six children, none of whom are school age, are in care.
Corrected
N
10/15/2025
416.11(a)(1)
No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.
Corrected
N
10/15/2025
416.11(a)(3)
The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.
Corrected
N
10/15/2025
416.11(c)(2)(i)
The health care plan must describe the following; how a daily health check of each child for any indication of illness, injury, abuse or maltreatment will be conducted and documented;
Corrected
N
10/15/2025
416.15(c)(3)
The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;
Corrected
N
10/15/2025
416.15(c)(5)
The program must maintain on file at the group family day care home, available for inspection daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;
Corrected
N
Date Cited
10/15/2025
Regulation
416.5(a)
Regulation Description
Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.7(l)
Regulation Description
Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.8(j)(2)
Regulation Description
Two caregivers must be present when more than six children, none of whom are school age, are in care.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.11(a)(1)
Regulation Description
No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.11(a)(3)
Regulation Description
The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.11(c)(2)(i)
Regulation Description
The health care plan must describe the following; how a daily health check of each child for any indication of illness, injury, abuse or maltreatment will be conducted and documented;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.15(c)(3)
Regulation Description
The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
10/15/2025
Regulation
416.15(c)(5)
Regulation Description
The program must maintain on file at the group family day care home, available for inspection daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;
Compliance Status
Corrected
Corrected on- Site?
N
Inspections may be conducted outside of program operating hours and/or off-site (where inspector was not on premises where care is provided) for the following reasons:
For additional information on this program and compliance history, contact:
Office: Westchester Regional Office
Phone: (845) 708-2400