1.10(B)(8) · Staff wash hands after diapering

Staff person was advised that hands must be washed between diapering even with the use of disposable gloves.

Open Not marked corrected in the state record

Category: Diapering and Toileting. Open / not marked corrected.

1.14(C)(1) · Staff-child guidance and interactions

Staff was observed using a harsh tone, and becoming frustrated during walk through. Liscensor and technical assistance spoke with admin regarding postitive interaction between staff and child as well as providing the staff additional staff during times of transition as it was observed that students needed additional guidance during this time.

Open Not marked corrected in the state record

Category: Curriculum, Activities, and Teaching. Open / not marked corrected.

1.11(F)(1) · Sight/sound supervision provided at all times

Licensor observed mats being used as dividers during rest time. Licensor spoke with admin and staff and discussed how this impedes staffs ability to supervise children during rest time.

Open Not marked corrected in the state record

Category: Supervision, Interactions, and Prevention of Maltreatment. Open / not marked corrected.

1.9(C)(6) · Medications labeled/stored appropriately

Medication not on site for students. Staff advised epi pen has been stored in students backpack in the past. Licensor discussed storing medication in a secure location out of the reach of children

Open Not marked corrected in the state record

Category: Medication. Open / not marked corrected.

1.9(C)(1) · Required documentation to administer medication

Admin was advised all over the counter and prescription medication ( epi pens, benadryl, tylenol and childrens fever reducer) can only be used for children when it is accompanied with a written order from medical provider as well as having meeting all additional medical regulations.

Open Not marked corrected in the state record

Category: Medication. Open / not marked corrected.

1.9(G)(1) · Facility/equipment clean and free of hazards

Licensor observed a broken outdoor umbrella, debris and a hose stored in the playground area within access to the children.

Open Not marked corrected in the state record

Category: Equipment and Materials. Open / not marked corrected.

1.9(G)(3) · Toxic substances labeled/safely stored

Cleaning supplies left within the reach of children

Open Not marked corrected in the state record

Category: Cleaning, Sanitizing, and Disinfecting. Open / not marked corrected.

1.9(H)(2) · Staff follow handwashing procedures

Hands not washed after diaper changing

Open Not marked corrected in the state record

Category: Handwashing and Hygiene. Open / not marked corrected.

1.9(H)(3) · Staff ensure children follow handwashing procedures

Hands not washed after diaper changing

Open Not marked corrected in the state record

Category: Handwashing and Hygiene. Open / not marked corrected.

1.9(J)(4) · First aid kit available/stocked

First aid kit needed outside with PreK. Licensor spoke with admin and staff regarding having the first aid kit with the classroom at all times.

Open Not marked corrected in the state record

Category: Illness and Injury. Open / not marked corrected.

1.14(C)(2) · Staff-child interactions during mealtimes

Licensor observed blankets to be stored in crib. Admin was advised that blankets can not be stored in the crib.

Open Not marked corrected in the state record

Category: Food Preparation, Mealtime, and Nutrition. Open / not marked corrected.

1.12(F)(10) · Completion of annual infant specific PD

Discussed annual infant specific PD with provider. At time of visit provider was unaware of this specific regulation.

Open Not marked corrected in the state record

Category: Staff Orientation and Professional Development. Open / not marked corrected.