Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

On 8/23/24 at unannounced inspection certification representative confirmed a self-reported non-compliance event that occurred on 8/14/24. Staff person # 1 left child # 1 unattended in a car seat for approximately one minute.

3270.113(a) · Corrected Aug 26, 2024

Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 3/13/24 staff #1 was in the bathroom with some children while one of her children was in the hallway and eloped with another classroom that was walking by and went with them to the bathroom. Child left her group with staff #1 and went with the other classroom to the gym out of staff #1 supervision group.

3270.113(a)(1) · Corrected Mar 29, 2024

A facility person may not use any form of physical punishment, including spanking a child.

On 12/16/23 at complaint investigation certification representative that staff verified staff person # 1 put a baby wipe in the child's mouth to keep the child from crying during a diaper change.

3270.113(b) · Corrected Dec 16, 2024

Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

A child known to have a dairy allergy was served a dairy cupcake at the facility.

3270.21/3270.133 · Corrected Aug 1, 2023

Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

At approximately 4:30 PM on 9/29/22 an incident occurred in which Child #1 was left inside the school unsupervised, while the class was playing on the playground. According to our security cameras, Staff person #1 can be seen taking two students, including child #1 towards the preschool classroom playground door to use the bathroom at 16:30. Staff person #1 can be seen on the video at 16:32 walking away from the door without child #1.

3270.113(a) · Corrected Jan 13, 2023

Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

At approximately 4:30 PM on 9/29/22 an incident occurred in which Child #1 was left inside the school unsupervised, while the class was playing on the playground. According to our security cameras, Staff person #1 can be seen taking two students, including child #1 towards the preschool classroom playground door to use the bathroom at 16:30. Staff person #1 can be seen on the video at 16:32 walking away from the door without child #1.

When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At the time of the inspection the emergency contact information for child #1 was not in the space they were receiving care.

3270.124(c) · Corrected Sep 5, 2022

A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of the inspection the health assessment in the record of staff person #1 was dated 2/24/20

3270.151(a)/3270.192(3) · Corrected Sep 15, 2022

A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

At the time of the inspection there was no tape in the first aid kit the preschool room as well as toddler 2 room.

3270.75(c) · Corrected Sep 5, 2022

Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1may not work in a child care position at the facility.

At the time of the inspection the record of staff person #1 contained and FBI clearance dated over 60 months from the date of the inspection.

3270.32(a)/3270.192(4) · Corrected Sep 29, 2021

A first-aid kit shall be in a child care space.

At the time of the inspection the preschool group was utilizing the "all purpose" room adjacent to their official classroom. no first aid kit was in the room they were in. In the large muscle play space there was a group of older toddlers and no first aid kit was in the space where they were receiving care.

3270.75(a) · Corrected Oct 15, 2021

The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

During the course of this inspection an incident involving child #1 was discovered. Child was taken to the ER and facility did notify the regional office 3 days after the incident.

3270.20(a)(1) · Corrected Sep 15, 2021