30-06 · Diapering

Licensing specialist observed two changing mats with holes. Provider replaced right away and discarded the two mats. 3.10.2 Diapering Requirements E. When children in diapers are in care, there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use

Corrected Corrected by Apr 30, 2025

Category: health medication. Marked corrected in the state record.

12-02 · Facility Environment

Specialist observed there was a fountain that looked like it was being repaired but left exposing wires and sharp pieces that can cause cuts or injury. Provider will have the fountain repaired or removed by 9/24/2024. 3.1 General Health and Safety Requirements (Pg. 20 of the handbook) A. All childcare facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

13-03 · Toxic Substances, Hazardous Materials and Weapons

Specialist observed in bathroom cabinet cleaning products that were at children's reach. Staff removed and put it at a higher level within the cabinet at time of inspection. 3.2 Toxic/Hazardous Material/Firearms/Weapons (Pg. 22 of the Handbook) A. All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected Corrected by Sep 9, 2024

Category: health medication. Marked corrected in the state record.

19-05 · Nap/Sleep Space Requirements

Specialist observed children napping behind bathroom exit doors entrapped behind the door, bookcase and wall. 3.6.2 Nap/Sleep Space (Pg. 25 of Handbook) E. Napping and sleeping areas must not be in exit areas. All exits must remain clear in accordance with fire safety requirements

Corrected Corrected by Sep 9, 2024

Category: health medication. Marked corrected in the state record.

32-03 · Outdoor Equipment

Specialist observed toys with mildew or broken and jagged edges that can cause cuts or injury. Provider will dispose, replace or clean those toys that are no longer good for use by 9/24/2024. 3.12 Outdoor Equipment (Pg. 28 &29 of Handbook) B. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months. F. All equipment used in the outdoor play area must be constructed and maintained according to manufacturers recommendations and allow for water drainage. Any open containers with water must be emptied immediately after use, i.e. pots, toys, or other equipment that collects water

Corrected Corrected by Sep 9, 2024

Category: health medication. Marked corrected in the state record.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Counselor observed cleaning supplies were left on top of a table during inspection. Staff member removed the supplies and placed them on a higher shelf out of reach from the children. 3.2 Toxic/Hazardous Material/Firearms/Weapons B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected Corrected by Aug 23, 2023

Category: physical safety. Marked corrected in the state record.

30-07 · Diapering

Counselor observed unrelated items on the changing table, likes toys and garbage bags. Staff member removed them and stored in the proper space during inspection. 3.10.2 Diapering Requirements A. When children in diapers are in care, a hand-washing station that includes a sink with running water, soap, trash receptacle, and disposable towels or hand drying machines that are properly installed and maintained shall be provided in the room or in an adjoining area which opens into the room. B. Hands must be washed and dried thoroughly after each diapering or toileting procedure, and all surfaces that have been touched must be cleaned and sanitized or disinfected to prevent the spread of germs. C. Handwashing sinks must not be used for food service preparation, dishwashing, or food clean up. D. The diaper changing area must be physically separated from the food preparation, food service, and feeding area. E. When children in diapers are in care, there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use. F. Children must be directly attended at all times when being diapered or when changing clothes. Child care personnel must not leave children unattended on a table or countertop. A safety strap or harness must not be used on the diaper changing table/surface. G. Items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table. H. There must be a supply of clean diapers, clothing, and linens at all times. I. When diapers, clothing or linens that are being used become soiled or wet, they are to be changed immediately, and properly disposed. J. Soiled or wet disposable diapers must be disposed of in a plastic lined, securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily. K. Soiled cloth diapers must be emptied of feces in the toilet and soiled or wet cloth diapers shall be placed in a securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily. L. Diaper changing procedure must be posted in the changing area and followed to protect the health and safety of children and child care personnel

Corrected Corrected by Aug 23, 2023

Category: ratio. Marked corrected in the state record.

31-03 · Indoor Equipment

Counselor observed chairs were placed on top of table while children were in care. Staff member removed them and placed them in a safe place. 3.11 Indoor Equipment Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair. Provider should monitor the Consumer Product Safety Commission (CPSC) recommendations for use of equipment. Walls, ceilings, floors, furnishings, equipment, toys, and other surfaces should be suitable to the location and the users. They should be maintained in good repair, free from visible soil and clean. Equipment and furnishings must be arranged to allow direct supervision of children by child care personnel from all areas within a room/play area. Bookshelves, televisions, and other heavy furnishings must be stable and secured as to not pose a threat of falling over. In efforts to prevent children from climbing to dangerous heights or enabling them to reach hazardous items, chairs and other furnishings must be placed away from cabinets and shelves. The program should make accommodations to the program environment and schedule so that children with special needs may participate. A. A child care facility must make available toys, equipment, and furnishings suitable to each childs age and development and of a quantity for each to be involved in activities. B. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition following a routine schedule of cleaning, sanitizing and disinfecting. These items must be cleaned and sanitized or disinfected immediately or prior to another childs use if exposed to bodily fluids, such as saliva. Facilities must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings and play areas. This schedule must include items to be cleaned, sanitized or disinfected on a daily or weekly basis. Daily indoor equipment items include but are not limited to counter/tabletops, toys, drinking fountains, floors, diaper pails, toilets, and sinks. Weekly indoor equipment items include, but are not limited to linens, machine washable cloth toys, play activity centers, dress-up clothes, cribs, mats, and cots. C. Facilities must provide age-appropriate seating for the number of children eating meals and snack at one time. D. Moveable or non-stationary indoor climbing structures require padding for landing. Permanent or stationary playground equipment installed indoors must meet the same requirements for installation and use as outlined in the Outdoor Equipment section 3.12 B, C, D, E, F and I. E. Bathtubs, buckets, diaper pails, and other open containers of water must be emptied immediately after use

Corrected Corrected by Aug 23, 2023

Category: supervision. Marked corrected in the state record.

32-01 · Outdoor Equipment

Counselor observed that there was only one slide structure and a few trike-like toys for the children to play. Provider will purchase and add other toys and or toy structures to the playground area by 9/8/2023. 3.12 Outdoor Equipment A. A child care facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

46-02 · Daily Attendance

Counselor observed that there were several classrooms that had incomplete attendance rosters that would include arrival, departure or transition information. All employees completed the rosters at time of inspection. Counselor gave TA to each classroom who was not in compliance and explained the importance of having proper attendance rosters. 7.5 Daily Attendance Daily attendance of children must be taken and recorded accurately by the child care personnel, documenting the time when each child enters and departs the program. A. Attendance devices used for the purposes of tracking attendance may be used, but personnel must ensure the accuracy of the documented attendance. Each classroom must have an attendance sheet/class roster for the group of children occupying that space. Attendance sheet/class roster must accompany the child care personnel and the group of children throughout the day should they leave the classroom. B. The custodial parent or guardian may document the time when his/her child enters and departs the child care facility or program. However, child care facility personnel are responsible for ensuring that attendance records are complete and accurate. C. REMOVED. D. Attendance records must be maintained for a minimum of 12 months. E. Attendance records for Voluntary Pre-Kindergarten or School Readiness may be used, if applicable

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.