12-18 · Technical assistance was given to provider per CCF handbook " All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper- resistant electrical outlets, outlets shall have safety covers. "

FSC observed electrical outlets to be missing out throughout facility. Provider was able to correct by placing covers on electrical outlets

Corrected Corrected by May 11, 2023

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

13-03 · Toxic Substances, Hazardous Materials and Weapons

FSC observed cleaning supplies accessible to children in bathroom of arrival room. Stepping stool was left next to toilet and above toilet was a basket that held cleaning supplies. Provider was able to correct at the time of inspection by removing stepping stool Technical assistance was given to provider per CCF handbook " 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 May 11, 2023

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

17-06 · Technical assistance was given to provider per CCF handbook "The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or build-up to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided."

FSC observed fencing to have multiple gaps in fencing (larger than 3 1/2 inches)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

18-02 · Technical assistance was given to provider per CCF handbook "Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Nap bedding is not required for school-age children; however, the program must provide an area for children that choose to rest. A. Sleep bedding includes beds, cribs, or mattresses. Air and foam mattresses are prohibited. B. If children are sleeping overnight in the facility, child care personnel must ensure accepted bedtime routines are practiced, such as brushing teeth and washing face and hands. 1. Toothbrushes, towels, and wash cloths may not be shared. 2. Toothbrushes must be stored so that they cannot touch each other. C. Nap bedding includes sleep bedding, cots, playpens, play yards or floor mats. Air and foam mattresses are prohibited. D. Floor mats must be at least one-inch thick and covered with an impermeable surface. E. Bedding must be appropriate for the childs size. F. Linens, if used, must be washed at least once a week and more often if soiled or dirty. Linens used by more than one child must be washed in between usage. Linens must be provided when children are sleeping, and pillows and blankets must be available. For children under the age of one, please follow the requirements outlined in section 3.6.4. G. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. All bedding and linens must be thoroughly cleaned and sanitized at least once a week, and Bedding and linens shall not be stored in the bathroom, unless stored in cabinets. I. No double or multi-deck cribs, cots, or beds may be used. "

FSC observed bedding to be unsafe and posed a threat to the children health/safety. Bedding was observed to be stored in bathroom, items were placed on clots (not limited to shoes, bookbags, wipes) and children individual linens were on kept on cots and then stacked. Provider were able to correct at the time inspection by removing cots from bathroom and removing linens along with other items on cots

Corrected Corrected by May 11, 2023

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

25-07 · Technical assistance was given to provider per CCF handbook "An accurate thermometer designed to measure cold storage temperature must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made."

FSC observed refrigerator thermometer in infant room to be greater than 41 degrees

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-02 · Technical assistance was given to provider per CCF handbook "Bottles and sippy cups brought from home shall be individually labeled with the childs first and last name and shall be returned to the custodial parent or legal guardian daily."

FSC observed in infants room multiple bottles to not be labeled with first and last name

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

18-12 · Bedding and Linens

FSC observed at the time of the inspection that the children's beds were placed on top of each other with the linens on. TA was given to the provider: (Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. All bedding and linens must be thoroughly cleaned and sanitized at least once a week, and before use by another child)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

20-07 · Crib Requirements

FSC observed at the time of the inspection that the children's cribs did not maintain the indicated separation between cribs or from the window. TA was given to the provider: (Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards, other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard). The situation was fixed at the time of inspection

Corrected Corrected by May 9, 2023

Category: ratio. Marked corrected in the state record.

22-01 · Operable Phone

FSC asked the person in charge if they had a cord phone in the center connected and they answered that they did not. TA was given to the person in charge: (There must be at least one operable corded telephone that is neither locked nor located at a pay station that is available to all child care personnel at all times during the hours of operation)

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

24-11 · Food Preparation Area

FSC observed at the time of the inspection that the garbage container did not have a lid. TA was given to the provider: (Leak-proof, non- absorbent containers covered with a tight-fitting lid for all food waste stored inside the facility. The container must be emptied, cleaned, and sanitized or disinfected daily)

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

45-09 · Background Screening Documents

The Clearinghouse employee roster was not updated at the time of the inspection. TA was given to the provider: The employer/owner/operator must add child care personnel to their Employee/Contractor Roster in the Clearinghouse within 10 days of when the individual has received a child care eligible result and has been hired at the facility. Employer/owner/operator must add an end date for individuals on the Employee/Contractor Roster in the Clearinghouse within 10 days of the employment termination

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.