591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Licensing Study conducted on November 7, 2023 ; It was determined based on observation that infant feeding plans were not posted and available within the classroom when requested and were within the office. It was further determined that three of four infant feeding plans did not have directions on introduction to solid foods, and one did not have the parent's initials on the introductions to solid foods.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.15(3) · Rule 591-1-1-.15(3) requires baby bottles and formula to be labeled with the individual child's name; supplied by the Parent daily in bottles; and refrigerated at a temperature of forty (40) degrees Fahrenheit or less. Only the current day's formula or breast milk shall be served. If formula must be provided by the Center, only commercially prepared, ready-to-feed formula shall be used. Refrigerated or frozen breast milk shall only be heated or thawed under warm running water or in a container of warm water.

During a Licensing Study conducted on April 20, 2023 ; It was determined based on observation that bottles were not premade as they had powder formula inside and the staff member had to fill the bottles with water for feeding.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.15(3) · Rule 591-1-1-.15(3) requires baby bottles and formula to be labeled with the individual child's name; supplied by the Parent daily in bottles; and refrigerated at a temperature of forty (40) degrees Fahrenheit or less. Only the current day's formula or breast milk shall be served. If formula must be provided by the Center, only commercially prepared, ready-to-feed formula shall be used. Refrigerated or frozen breast milk shall only be heated or thawed under warm running water or in a container of warm water.

During a Licensing Study conducted on November 7, 2023 ; It was determined based on observation and staff statement that bottles are being made by the center and not coming premade.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(1)(a)3 · Rule 591-1-1-.30(1)(a)3 requires that each crib shall have only an individual, tight-fitting sheet which is changed daily or more often as needed and prior to a change of occupant.

During a Licensing Study conducted on April 20, 2023 ; It was determined based on staff statements that crib sheets are changed "every other day".

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.30(1)(a)3 · Rule 591-1-1-.30(1)(a)3 requires that each crib shall have only an individual, tight-fitting sheet which is changed daily or more often as needed and prior to a change of occupant.

During a Licensing Study conducted on November 7, 2023 ; It was determined based on observation that two of six cribs sheets were not tight-fitting as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Licensing Study conducted on April 20, 2023 ; It was determined based on observation that In Room B a staff member did not wash hands after diapering or cleaning a child's nose.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Licensing Study conducted on November 7, 2023 ; It was determined based on observation that a staff member did not wash their hands prior to diapering as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.18(4) · Rule 591-1-1-.18(4) requires kitchen lights to be shielded.

During a Licensing Study conducted on April 20, 2023 ; It was determined based on observation that the kitchen lights were not shielded.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.18(4) · Rule 591-1-1-.18(4) requires kitchen lights to be shielded.

During a Licensing Study conducted on November 7, 2023 ; It was determined based on observation that the kitchen lights were not shielded. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.