17-02 · Technical assistance is provided to ensure the outdoor play area must be clean and free from litter, nails, glass and other hazards

During this inspection, Counselor observed the flooring in one (1) year old; two (2) year old and three (3) year old playground has an uneven surface. The artificial turn in all of the playgrounds have depressions in the flooring which may result in children tripping/falling. The playground surfaces have what may be roots underneath the turn which a child could stumble and fall. The playground for the one- year-olds has weeds growing in the area (picture) and there is a black-greenish substance on the fence within reach of the children. The two-year old playground has a Toy, Finger Paint sign, has broken plastic (picture); there is also a large screen protruding out of the ground. All of the playground surfaces, with the exception of the one-year-old playground, are covered with dried/dead leaves which are accessible to children. (pictures taken)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-06 · Technical assistance provided to ensure that 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. Resolved at time of inspection by staff removing toys from crib

During this inspection, Counselor observed an infant sleeping with toys in the crib which pose a chocking/strangulation hazard (picture taken)

Corrected Corrected by Feb 6, 2025

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

27-02 · Technical assistance is provided to ensure that a current Copy of license or permit for caterers is maintained at the Facility

During this inspection, Counselor observed the license for the Caterer, Health Cameals expired on 02/01/25

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

30-03 · Technical assistance is provided to ensure that items unrelated to hand washing where there is diapering hall not be located/in the handwashing sink. Handwashing sink will include soap towels or hand drying machines that are properly installed and maintained

During this inspection, Counselor observed bowls, eating utensils, paint brush and sponge were in the handwashing sink in the infant room where diapering occurs. Completed at time of inspection by Personnel removing the items from the sink

Corrected Corrected by Feb 6, 2025

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

30-06 · Diapering

During this inspection, Counselor observed tears/rips in the diaper changing pad. (picture) Technical l assistance is provided to endure that the diaper changing pad has an impermeable surface that is cleaned and sanitized or disinfected after each use

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-09 · Technical assistance provided to ensure all child care personnel who work in a facility that offers care to infants must have within 30 days of hire at the facility training regarding guidance on safe sleep practices

Child Care personnel listed on the supplemental did not complete safe sleep training within 30 days of hire

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Technical assistance is provided to ensure that all personnel must signed on or before hire date and annually thereafter by all child care personnel. Reviewed All Staff Files - Total Staff 11

The two personnel listed on the supplemental had an expired child abuse and neglect

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

17-02 · Outdoor Play Area/Fencing

Broken Plastic floorboard. Item discarded by owner and placed back into compliance. Technical Assistance offered that all playground equipment should be safe and free from danger

Corrected Corrected by Oct 2, 2024

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

11-06 · Child Discipline

Parent and Director discussed the issue and training was conducted regarding discipline

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

03-01 · Ratio Sufficient

2:12(1/infant's, 11/1's) 2:16 (16/2's) 1:18 (18/4's) 2:16 (16/3's) 2:8 (8/infant's) A three-year-old child was moved to the four-year-old classroom. A Teacher was put in the one-year-old classroom. 3:12(1/infant's, 11/1's) 2:16 (16/2's) 1:19 (18/4's, 1/3's) 1:15 (15/3's) 2:8 (8/infant's)

Corrected Corrected by Sep 21, 2023

Category: ratio. Marked corrected in the state record.

41-01 · Technical assistance was provided to the Provider that all children should have an updated Immunization record

Counselor found that several children do not have Immunization records within 30 days of enrollment. An immunization record should be obtained for the child

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Technical assistance was provided to the Provider that all children should have a current immunization record

Counselor found that several children immunization records were expired. The immunization record should be obtained

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was provided to the Provider that student health examination forms should be obtained with 30 days of enrollment

Counselor found that several children do not have student health examination forms within 30 days of enrollment. The student health examination forms should be obtained

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Technical assistance was provided to the Provider that the child abuse and neglect form should be completed annually

Counselor found that a staff child abuse and neglect form expired on 9/21/22. The child abuse and neglect form was signed by the staff during the inspection

Corrected Corrected by Sep 21, 2023

Category: recordkeeping. Marked corrected in the state record.

24-21 · Food Preparation Area

Counselor noted hot dogs and lunch meat in refrigerator open and not dated. Resolved ,Provider discarded

Corrected Corrected by May 30, 2023

Category: ratio. Marked corrected in the state record.

28-02 · Bottles, Breastmilk, Formula and Infant Food

Counselor noted sippy cups in one- year old and two-year-old classroom did not have first and last names. Provider place last name on sippy cups and bottles

Corrected Corrected by May 30, 2023

Category: nutrition. Marked corrected in the state record.

32-07 · Outdoor Equipment

Site has a grass covering over all the playground - counselor is unable to measure to verify 6 inches of resilient surface under the grass covering. On the edges where measurement could be taken there was not 6 inches of resilient surface

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-10 · Outdoor Equipment

Counselor observed an empty inflatable pool on the toddler playground, staff advised they had a water day on Friday. Resolved pool was deflated and removed. TA was provided that wading pools are not permitted

Corrected Corrected by May 30, 2023

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