33-04 · Training Requirements

Employee listed on supplement was hired on 8/10/2022, left the industry on 11/15/2022, returned to the industry on 9/5/2024 with completing the 40 hours Introductory Training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-06 · Training Requirements

Employee listed on supplement was hired on 8/10/2022, left the industry on 11/15/2022, returned 9/5/2024. Early Literacy was not completed with 12 months of hire date. Employee completed Early Literacy on 11/11/2024. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma

Corrected Corrected by Nov 12, 2024

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

39-03 · Accident/ Incident Notification and Documentation

An incident report was not written, as child did not return

Corrected Corrected by Oct 17, 2024

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

41-02 · Technical assistance was provided to the Provider that all children should have acceptable Immunization records

Counselor found 4 children Immunization record expired. The provider should get a current Immunization record for the children

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

14-01 · Technical assistance was provided to the Provider that there should be sufficient light in all classrooms

Counselor found that the facility had 13 foot candles at three feet from the floor in the morning. All light were turned on during the inspection, so that the classroom would have at least 30-foot candles

Corrected Corrected by Aug 15, 2023

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

40-01 · Medication

Child is no longer attending the facility

Corrected Corrected by May 3, 2023

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

01-03 · Technical assistance was provided to the Provider that all advertising should include the facility license number

Counselor found that a sign of the facility advertising did not include there license number. The provider should include there license number

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Ratio Sufficient

1:10 (7/2's, 3/1's) 1:3 (1/1's, 2/2's) 2:6 (6/1's) 1:10 (10/4's) 1:11 (11/3's) The one year old children were moved to the one year old classroom. 1:9 (9/2's) 1:3 (1/1's, 2/2's) 2:9 (9/1's) 1:10 (10/4's) 1:11 (11/3's)

Corrected Corrected by Mar 6, 2023

Category: ratio. Marked corrected in the state record.

12-01 · Technical assistance was provided to the Provider that children are much more susceptible to the adverse effects of environmental factors, materials and toxicants. It is imperative that the child care environment is conducive to the healthy development of children. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor and outdoor play areas must be inspected daily for basic health and safety. Animals must be properly vaccinated, free from disease, and clean. Animals that are poisonous and/ or aggressive in nature are prohibited. Strangulation hazards strings and cords long enough to encircle a child neck such as those on toys and window coverings must not be accessible to children in care. Pest control must not take place while rooms are occupied by children

Counselor observed that the two-year-old and one year old classroom had a fan with buildup dirty that needs to be cleaned. Counselor found a kitchen sink toy in the four-year-old classroom with buildup dirty that needs to be cleaned. The Provider should clean the fan and kitchen sink

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

12-02 · Technical assistance was provided to the Provider that children are much more susceptible to the adverse effects of environmental factors, materials and toxicants. It is imperative that the child care environment is conducive to the healthy development of children. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor and outdoor play areas must be inspected daily for basic health and safety. Animals must be properly vaccinated, free from disease, and clean. Animals that are poisonous and/ or aggressive in nature are prohibited. Strangulation hazards strings and cords long enough to encircle a child neck such as those on toys and window coverings must not be accessible to children in care. Pest control must not take place while rooms are occupied by children

Counselor found holes and chipped paint at the bottom of the walls in middle bathroom, one year old, three-year-old, and four-year-old classroom that needs to be repaired. The holes need to be repaired and the wall needs to be painted

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

12-06 · Technical assistance was provided to the Provider that stand water should not be in the facility

Counselor found stand water in a bucket in the middle of the hallway. The Provider removed the water from the bucket

Corrected Corrected by Mar 6, 2023

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

13-03 · Technical assistance was provided to the Provider that 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. 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 the reach of children at all times

Counselor found Lysol Spray and Clorox wipes on a cabinet in two-year-old classroom that was accessible to children. Counselor found clorox wipes in left middle classroom that was accessible to children. Counselor found Clorox wipes and hand sanitizer that was accessible to children in the one-year-old classroom. Counselor found hand sanitizer that was accessible to children in the one-year-old and two-year-old classroom. Counselor found Clorox wipes and Lysol spray in a bottom cabinet the three-year-old classroom that was accessible to children. All harmful items were removed from the classroom

Corrected Corrected by Mar 6, 2023

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

17-01 · Technical assistance was provided to the Provider that the outdoor play area must be clean and free from litter, nails, glass and other hazards. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. The outdoor play area must provide shade

Counselor found several large pieces of wood on the play area # 1 and play area # 2 that could be a tripping hazard for children. Counselor found an open bag of miracle grow on the floor on the play area that was accessible to children. The large pieces of wood and miracle grow was removed from the play area

Corrected Corrected by Mar 6, 2023

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

23-06 · Technical assistance was provided to the Provider that each licensure year the facility should conduct monthly fire drills, (12). Prior to the license renewal inspection, a nap time fire drill, an alternate exit fire drill, and a fire drill with the Counselor are required. Up to three emergency drills, such as a lockdown, severe weather, bomb scare, etc., may be substituted for a fire drill

Counselor found that the facility did not complete a fire drill in December, January, and February. A fire drill should be completed

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

25-17 · Technical assistance was provided to the Provider that food should be sealed, labeled, and dated

Counselor found tater tots and meat balls in the freezer were not stored properly to prevent contamination or spoilage. All food was sealed during the inspection

Corrected Corrected by Mar 6, 2023

Category: nutrition. Marked corrected in the state record.

26-01 · Technical assistance was provided to the Provider that meal and snack menus must be planned, written, dated, and posted at the beginning of each week in an easily seen place, accessible to the parents. Any menu substitutions must be noted on the menu. A generalized menu of possible snack choices for programs that receive food donations is acceptable. All meals and snacks prepared outside of the facilitys kitchen or designated food preparation area, such as catered food, must be listed along with the source. Daily meal and snack menus must be maintained for a minimum of four months for licensing purposes. Operators who participate in the USDA Food Program must keep menus in accordance with the Department of Health and USDA requirements

Counselor found that the children were served strawberries and blueberries instead of pears this morning for breakfast. The Provider updated the menu to show that strawberries and blueberries was served for breakfast this morning

Corrected Corrected by Mar 6, 2023

Category: nutrition. Marked corrected in the state record.

28-02 · Technical assistance was provided to the Provider that bottles and sippy cups provided by the facility must be washed, rinsed, and sanitized between each use and do not have to be labeled. 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. Breastmilk and formula must be handled in a sanitary manner at all times and according to manufacturers instructions and instructions by parents

Counselor found bottles and sippy cups in the two-year-old, one year old, and three-year-old classroom that was not labeled with the child first and last name. The bottles and sippy cups were labeled with the child's first and last name during the inspection

Corrected Corrected by Mar 6, 2023

Category: nutrition. Marked corrected in the state record.

29-16 · Technical assistance was provided to the Provider that employees, volunteers, substitutes, and children must wash their hands thoroughly with soap and running water, dry, and follow personal hygiene procedures for themselves and while assisting others. The use of hand sanitizers does not substitute for handwashing. If children are sleeping overnight in the program facility, program staff must ensure accepted bedtime routines are practiced, such as brushing teeth and washing face and hands. For facilities that prepare food, non- disposable food equipment, tableware, and utensils utilized for food preparation must be properly cleaned by pre-rinsing or scraping, washing, rinsing, sanitizing, and air drying. If the Child Care Facility lacks adequate dishwashing and sanitation described in this section for dishes, equipment and utensils, only disposable single-use items may be used. All single service items must be discarded after each use. Food equipment, tableware and utensils used to prepare food must be washed and sanitized on-site except when a catered is used and the caterer is responsible for dishwashing as evidenced by a written agreement. The first compartment must be used for washing; the second compartment must be used for rinsing; and the third compartment must be used for sanitizing

Counselor found that a hand hygiene procedure was not posted in the food preparation area by the handwashing sink. A hand hygiene procedure should be posted

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

30-07 · Technical assistance was provided to the Provider that 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. 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

Counselor found a bottle of children drink on the changing table in the two-year-old classroom. The Child drink was removed from the changing table

Corrected Corrected by Mar 6, 2023

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

32-04 · Technical assistance was provided to the Provider that a physical environment inspection should be completed and documented monthly

Counselor found that the facility did not conduct and document monthly inspections of all supports, above and below the ground, all connectors, and moving parts for December, January and February. The Provider should complete an inspection of all supports, above and below the ground, all connectors, and moving parts

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

40-09 · Technical assistance was provided to the Provider that child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed

Counselor found that the facility did not have written authorization from a Parent to administer Diazepam. The Parent signed a medication from during the inspection

Corrected Corrected by Mar 6, 2023

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

40-15 · Technical assistance was provided to the Provider that child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed

Counselor found destin on a cabinet in the middle left classroom that was accessible to children. The destin cream was removed from the classroom and not accessible to children

Corrected Corrected by Mar 6, 2023

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

45-09 · Technical assistance was provided to the Provider that the facility has ten days to remove and add all employees that start or end their employment at the facility

Counselor found that the Provider failed to remove old employees on the clearing house roster. The old employees should be removed from the clearing house roster

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

46-01 · Technical assistance was provided to the Provider that the 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

Counselor found that the one year old classroom did not have a classroom attendance. The attendance was taken by the Teacher

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

15-03 · Technical assistance was provided to the provider that all classrooms should not go over the classroom capacity

15 children were in a classroom with a classroom with a capacity of 14. During the onsite visit the classroom was within the classroom capacity

Corrected Corrected by Jan 21, 2023

Category: ratio. Marked corrected in the state record.