• Not Met - Technical Assistance

  CI 1.2: Emergency preparedness and response planning. The child care provider shall comply with all other requirements related to emergency preparedness provided under T.C.A. § 71-3-517

  Fire drill not documented for September of 2025. Additionally, the emergency preparedness plan did not have the childrens names listed that had rescue medication.

  Open Not marked corrected in the state record

  Category: health medication. Open / not marked corrected.

• Not Met - Technical Assistance

  E 1.3: Sufficient indoor space for children, adults, and furnishings. Ample space for adults and children to move around.

  The doors did not have easily accessible door handles. This is a quality indicator and not a rule violation.

  Not marked corrected in the state record

Summary of Serious Incident Investigation Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and a Serious Incident Visit. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.

Disposition: Not Applicable

Summary of Complaint follow up investigation Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulation and complaint. Technical Assistance Provided: 1. LC showed how to use the Ctrl F feature in the rules to look up specific words. 2. LC discussed what records are needed for the agency and offered a TAM referral to help with ensuring records are maintained. 3. LC reviewed the agency's parent handbook and policies. A TAM referral will be completed to help organized these to follow licensing rules. 4. LC shared information about the necessity of roller/flipper signs for all infants in cribs. Educators reported they understand and will get it posted soon. 5. LC observed and educator eating in the room and gave TA about eating during breaks or when food is also available to children. Educators and assistant director reported they understand. 6. We reviewed Bactraks and there are some other volunteers listed. LC suggested that if some volunteers are background checked all should be. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. Currently, documentation for admin staff sign-in and out is not available for review. Records of substitutes and volunteers shall include their names, addresses, telephone numbers and hours and dates of service are not available for review during the visit.

Disposition: Yes

Summary of Complaint Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and complaint investigation. Technical Assistance Provided: 1. LC explained the importance of having a volunteer file and how to find this requirement in the rules. 2. LC reminded that all rooms should have the DHS ratio chart posted. 3. LC reminded educators that food for children should not be out for more than 15 minutes. 4. LC reminded the director to ensure her LC knows about any closures. 5. TAM referral will be completed to support business management and parent communication. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.