Advisory · not a violation
CI 1.1: Administration of medication
There was an inhaler that expired 6/25
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Home › TN › Nashville › McNeilly Center for Children
License #197551930 · Center · Child Care
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Ages served
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This complaint investigation · safety plan monitoring inspection recorded no violations or advisories.
This complaint investigation · safety plan monitoring inspection recorded no violations or advisories.
Formal actions published by Tennessee TDHS (corrective action plans, suspensions, revocations, fines, and similar orders). These are separate from routine closed/expired license statuses.
Summary of QRIS,Safety Plan and complaint Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations QRIS, complaint and safety plan]. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans
Summary of Follow and serve Safety plan Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and safety plan and Follow up. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Notice of probation order Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and to serve Probation order and safety plan visit. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Follow up Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations, Follow up from Violation and serve safety plan. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Safety Plan, Incident and Complaint Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations complaint and safety plan. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. During an unannounced visit to investigate a complaint, after interviews with educator and director it was determined that educators didn't inform parent of child being bit until the next day after the occurance.
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. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. During an unannounced visit to investigate a complaint, after interviews with educators it was determined that a 4 year old male child's parent was not told of his eye being puffy and swollen before he was picked up for the day.
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. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. During an unannounced visit to investigate a supervision complaint, after LC interviewed educators and director it was determined that a child got out of their classroom and was found by a parent in the large gross motor area. During an investigation of a supervision complaint after LC interviewed educators and director it was determined that a report was not made to the DHS/DCS to report a child being found by a parent outside of their classroom in the large gross motor area.
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. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. During an unannounced visit to investigate a complaint it was determined that there was a lack of Supervision in a classroom that resulted in an injury of a child. During an unannounced visit to investigate a complaint LC interviewed educators and after those interviews it was determined that a incident report was not completed and given to parent the day of the occurance.
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Generated from this facility's specific inspection record
Data synced from Tennessee Department of Human Services, Child Care Services on Jul 11, 2026 · Source records · Report an error
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This qris monitoring visit · complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
Advisory · not a violation
There was an inhaler that expired 6/25
Advisory · not a violation
There was a bottle of hand sanitizer on the counter in Room 3.
This safety plan monitoring · incident or injury investigation · complaint investigation inspection recorded no violations or advisories.
Advisory · not a violation
There was not any children's artwork displayed. LC didn't OBSERVE children being read to during observation 10:30am-11:10am
Advisory · not a violation
There were no classroom rules posted.
Advisory · not a violation
There were no supervision lapse during this visit. The points are being taken off for a previous violation 2/2025.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan served · follow-up visit inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This safety plan monitoring · follow-up visit inspection recorded no violations or advisories.
This notice of probation served · safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This complaint investigation · safety plan monitoring inspection recorded no violations or advisories.
This safety plan served · follow-up visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This order of civil penalty served inspection recorded no violations or advisories.
This order of civil penalty served inspection recorded no violations or advisories.
This notice of probation served inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This qris monitoring visit · safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan served · follow-up visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation · safety plan monitoring inspection recorded no violations or advisories.
This incident or injury investigation inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This follow-up visit · safety plan served inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This safety plan served inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit · complaint investigation inspection recorded no violations or advisories.
This serious injury investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This serious injury investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This serious injury investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This notice of probation served · order of civil penalty served · safety plan monitoring inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This order of civil penalty served · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This safety plan monitoring inspection recorded no violations or advisories.
This safety plan served · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This follow-up visit · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This follow-up visit · qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · follow-up visit · qris monitoring visit inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This follow-up visit · qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation · qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This follow-up visit inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This qris monitoring visit inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This complaint investigation inspection recorded no violations or advisories.
This pre-licensure walkthrough inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
This licensing inspection recorded no violations or advisories.
Summary of Serving a Civil Penalty Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and serve a Civil Penalty. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Serve Civil Penalty The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and serve civil Penalty. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Order of Probation served Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and Serve Probation order. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Safety Plan Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and serve safety plan and follow up from Violation. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Follow up Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations, a follow up visit and to also serve a Safety Plan. Technical Assistance Provided: 1. LC informed adm. staff Jessica that the PON needs to also be posted for parents to read with the parent letter and signature page. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
Summary of Serve Safety Plan Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and Serving safety plan. Technical Assistance Provided: 1. LC observed children on playground walking around with their water cups. LC reminded educators in room 5 that children can't walk around with their water cups on the playground. They all need to be seated in one place with an educator close to children. 2. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans.
See Below for Detailed Information
Disposition: Yes
Summary of Complaint Visit The visit conducted today included monitoring of the agency's compliance with Licensing Rules and Regulations and to investigate a complaint. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. A 1y and 10 month old male was found outside on the covered landing part of classroom 3 alone. He was found by a staff member.
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 reminded Preschool educators to conduct name to face roll call when entering and exiting classrooms using name to face roll sheets. 2.LC discussed with director name to face roll call for the toddler educators , they will keep using Brightwheel. 3. LC Reminded Director and other admistrative staff that the Security guard is to not be left alone with children. If any violations were received, details can be observed in the compliance details section of the visit along with corresponding corrective action plans. Educator did not conduct name to face roll call when entering the classrom, when children returned from restroom, or when children were taken to another classroom. Four year old was left unattended in a classroom for 1 1/2 minutes.
Disposition: Yes
This is a new option that is available after 12/20/2022
Disposition: Yes
See Below for Detailed Information Observation- A written incident report was not completed the day that the child was left alone on the playground. Written incident report was not given to parent to signed to be placed in child's file. 1240-04-01-.09 INCIDENT REPORTING. Corrective Action: Agency agreed to do incident report and receive training. Observation- The Director reported that the agency left a 4year child on the playground unsupervised for a period of time. 1240-04-01-.11 SUPERVISION. Corrective Action: Agency agreed to get additional training. Technical assistance given at visit. Observation- Director self reported to LC that a 4 year old child was left alone on the playground 8-10mins. 1240-04-01-11 Supervision Corrective action: Technical assistance given at visit. Agency will receive additional training from Child Care Resource and Referral
Disposition: Yes
See Below for Detailed Information Directors/Staff did not ensure efficient operation of incident with staff and protocols regarding supervision and proper reporting. 1240-04-01-.06 STAFF. (1) Responsibility for Staff. (a) Owners, directors, and primary educators shall be responsible for: 1. Selecting qualified and capable staff; 2. The supervision, training, and evaluation and performance management of the staff; 3. The efficient operation of the child care agency’s program; Director did not notify parent of incident immediately after it had taken place and when PE made phone call, no incident report had been filed or parent signature had been received. 1240-04-01-.09 INCIDENT REPORTING. (1) Reports of Incidents, Illnesses, Accidents, Injuries, and Fatalities. (a) Incidents, accidents, injuries, and signs of illness shall be reported to the parent/guardian no later than the child’s release to the parent/guardian or authorized representative on the date of occurrence. (d) Incidents, accidents, injuries, and signs of serious illness to children shall be documented immediately with the following information: 1. Child’s name and date of birth; 2. Name of the person writing the report; 3. Date and time; 4. Date and time of completion of incident report; 5. Description of incident and circumstances; and 6. Action(s) taken by the child care agency. (e) The documentation shall be provided to the parent/guardian the same day of the incident, and filed in the child’s record. (f) The child care agency shall notify the Department of all serious incidents the same day of the incident, by contacting the Complaint Hotline at 1-800-462-8261. Serious incidents include but are not limited to the following: 1. Any injury that requires medical treatment beyond on-site first aid; 2. Reports made to the Department of Children’s Services, law enforcement, or anytime it is necessary to call 911; 3. Any incident that may result in staff exclusion from child care per 1240-04-01-.07; 4. Transportation accidents and traffic citations (such as a driver cited for speeding) that occur when children are on the vehicle; and 5. Any child or adult fatality at the child care agency. Violation #3: PE was notified of the child being left on playground approximately 8-10 mins. Proper roll call and face to name was not conducted by the educators in the classroom before entering the building according to the director. 1240-04-01-.12 HEALTH AND SAFETY. (1) The onsite staff shall be responsible for the daily health and safety of children in care. (3) Playground Supervision. (b) Child care agencies shall develop and follow a written playground supervision plan that includes: 1. Arrival and departure procedures; 2. Playground design and placement of equipment; 3. Individual staff duties to ensure age-appropriate supervision can be given to each child at all times; 4. Individual children’s needs, including high risk behaviors; 5. Emergency procedures, including communication with other staff; and 6. Roll call before leaving classroom and upon arrival at playground and prior to leaving playground and upon arrival in classroom. (c) Playground supervision plans shall be updated as needed. PE was made aware of child being left on playground for 8-10 minutes. This was not reported to DCS upon incident occurring. 1240-04-01-.10 DUTY TO REPORT CHILD ABUSE AND NEGLECT. (1) Duty to Report Child Abuse and Neglect. (a) Duty to Report. 1. Every operator, owner, licensee, director, primary educator or staff member of, or substitute staff member or volunteer in, a child care agency licensed by the Department of Human Services is individually responsible and required to immediately report any reasonable suspicion of child abuse or neglect to either the Department of Children’s Services and/or local law enforcement or the judge of the juvenile court in the county of the child’s residence, pursuant to T.C.A. §§ 37-1-403 and 37-1-605. 3. Determining Suspicion of Abuse/Neglect. (i) The child care agency and/or individual staff shall not delay reporting possible abuse or neglect in an attempt to investigate or verify the abuse/neglect allegations. Child Care Program Evaluator (CCPE) Rachel Reinhardt-Mpagi conducted a virtual complaint (272633) investigation. CCPE Reinhardt-Mpagi determined a two (2) year old child was left outside the building without an educator’s knowledge. The agency states the child could have been left unattended for 8-10 minutes possibly. 1240-04-01-.11 SUPERVISION. (1) Supervision Procedures. (a) To ensure the health and safety of all children enrolled, the management of the child care agency shall maintain a system that enables all children to receive a level of supervision that is appropriate to their age and their developmental, physical and mental status. The childcare agency staff shall know where children in their care are at all times, be aware of their activities, and be able to intervene appropriately. (c) If any child is left unattended at any time, the childcare agency is subject to summary suspension, denial or revocation of the license. This includes but is not limited to a child: 1. Walking out of a child care agency without the knowledge of staff; (iii) For any violation of any licensing laws or regulations that, due to negligence or intentional disregard of licensing law or regulations, results in children leaving the child care agency premises without supervision, or children left unsupervised that may result in imminent harm, the Department may assess a civil penalty in a range from Seven Hundred Fifty Dollars ($750.00) up to One Thousand Dollars ($1,000.00). The Department shall determine the amount of the penalty based upon the extent of the potential harm to the child and whether the potential harm to the child was a result of negligence or intentional disregard of the licensing regulations. Consideration of the licensee's history of prior violations shall also be a factor in the determination of the amount of the civil penalty.
See Below for Detailed Information 1240-04-01-.11 2. Meal and Snack time Supervision (B) During meal and snack times, educators that are providing supervision are prohibited from performing other activities and classroom duties unrelated to food service. 240-04-01-.16 Physical Facilities 1240-04-01.16 (D) building and grounds. 5. Children shall not be present if the indoor temperatures can not be maintained between 68 degrees to 78 degrees.
Disposition: Yes
See Below for Detailed Information Physical Facilities 1240-04-01-.16 (7) The child care agency shall ensure that the physical facilities are: (a) safe (b) clean (c) in good repair Environmental Health Specialist I noted: The back bathrooms in the second building was slightly dirty with all the toilets full in unflushed toilet paper from the children, but the other bathrooms in the facility were clean. PE noticed toilets were not flushed
Disposition: Yes
See Below for Detailed Information Observation: assessor found that tone class did not have adequate materials/centers. 1240-04-01.15 Program (1) (g) 2 (11) (1) a Corrective Action: Materials need to be taken out and accessible. They are available. Observation: Assessor stated mulch was sharp and large. 1240-04-01.14 Equipment (1) (d) 2 pg. 44 Corrective Action: Correct at next mulch purchase. Observation: Assessor observed lack of handwashing during meal time and after table clearing. 1240-04-.01.13 Food (1) (a) pg. 40 Corrective Action: Retraining on hand washing and sanitation.
Disposition: Yes
See Below for Detailed Information Observation: PE viewed a damaged couch, tore torn rug, taped mats and rubber damaged on the wall. 1240-04-03.08 Equipment Corrective Action: Teachers should remove damaged items. Damaged couch was removed and is currently being upholstered (pic). Teachers should removed damaged items and request new items. Torn rug was removed from class. Work order for maintenance for wall is complete. Observation: One child in class 2B was not signed in. 1240-04-03-.05 Ownership, Organization, Administration Corrective Action: Parents are called to sign children in when sheets are checked and a child is not signed in. Teacher initials acknowledge child is on roll pending signature.
Disposition: Yes
See Below for Detailed Information Observation: One child was not signed into a toddler classroom by the custodial representative. 1240-04-03-05 Ownership, Organization and Administration
Disposition: Yes
See Below for Detailed Information Observation: Several accounts confirm that a 4yr old left his group during transitioning and returned to his classroom on 4.12.16. He was unsupervised in the classroom for approximately 3 minutes. Childcare rules require that children be supervised at all times. 1240-04-03-06 Supervision
Disposition: Yes
See Below for Detailed Information Observation: Records for two (2) new caregivers were not available (with exception of disclosure/results letter) due to building renovation. Childcare rules require that staff records be available for review at all times. 1240-04-03-05 Owner, Organization and Administration
Disposition: Yes
See Below for Detailed Information Observation: One (1) child was not signed into RM 2A; two (2) children were not signed out of RM 8 as required by childcare rules. 1240-04-03-05 Ownership, Organization and Administration
Disposition: Yes
See Below for Detailed Information Observation: There were fifteen (15) children grouped together, ranging from age sixteen (16) months to three (3) years old. The age grouping was not in compliance with the child care licensing rules. 1240-04-03-06 Supervision
Disposition: Yes
See Below for Detailed Information Observation: CCPE noticed that there was one child not signed in the two year old classroom. Rule: 1240-04-03-.05 Ownership, Organization & Administration Observation: CCPE Cruz, observed a child in the hallway unsupervised. Child is enrolled in the three year old classroom . The Caregiver had taken the children to the bathroom and this child was left in the hallway, and the Caregiver the rest of the children were already in the classroom. Rule: 1240-04-03-.06 Supervision Observation: Caregiver stated that she had fallen asleep while the children were napping. This left the children unsupervised. Rule: 1240-04-03-.06 Supervision
Disposition: Yes
See Below for Detailed Information 1240-04-03-.06 SUPERVISION. (1) Supervision Procedures. (a) Agency Responsibility for the Children¿s Supervision. 1. The management of the agency shall maintain a system that enables all children in the agency¿s care to receive a level of supervision of their status and activities that is appropriate to their age and their developmental, physical and mental status so as ensure their health and safety and that allows agency personnel to know the whereabouts of each child in their care. (b) Children six (6) weeks of age through nine (9) years of age: 1. The adult must be able to hear the child at all times, must be able to see the child with a quick glance, and must be able to physically respond immediately. OBSERVATION: A three year old child was left unsupervised in the restroom of unoccupied classroom 5 on Friday, July 6, 2012. 1240-04-03-.05 OWNERSHIP, ORGANIZATION, AND ADMINISTRATION. (6) Requirements for Communication with Parents. (f) Parents shall give written permission in advance of the child¿s removal from the premises, including prior notification and consent for each off-site activity, except in cases of emergencies or investigative procedures conducted pursuant to the child protective service laws or other applicable laws. (12) Release of Children. (b) The person to whom the child is released must sign the child out of the agency. OBSERVATION: On Thursday, July 12, 2012 a child was not signed out when he left the child care center to go to a therapy session at Susan Gray/Vanderbilt. The child¿s file did not contain written permission for this off-site activity.
Disposition: Yes
See Below for Detailed Information 1240-04-03-.07 STAFF. (1) Responsibility for Staff. (b) The director, with the guidance of the board or owner of the center, shall be responsible for supervision, training and evaluation of the staff, the program and the day-to-day operation of the center. OBSERVATION: Management failed to communicate with one another to make sure that M. Thompson's safety plan was not violated while he worked at McNeilly/Center for Children. 1240-04-03-.07 STAFF. (10) Exclusion of Persons from Contact with Children. (c) Failure to exclude individuals with a criminal history or abuse or neglect finding. Failure to immediately exclude any individual subject to exclusion or supervision pursuant to this subchapter or T.C.A. §71-3-507, as directed by the Department, may result in the immediate suspension, denial or revocation of the child care agency¿s license. OBSERVATION: A safety plan that was issued for M. Thompson on 4/5/12 was violated on 4/17/12 as M. Thompson was helping out in a classroom at McNeilly/Center for Children.
Disposition: Yes
See Below for Detailed Information 1240-04-03-.12 PHYSICAL FACILITIES. (1) Inspections and Compliance with Fire, Health and Safety Standards. (a) All facilities shall annually pass an inspection verifying compliance with all applicable state and local fire and environmental requirements. (5) Continuing Compliance. Physical facilities shall maintain compliance with all applicable codes as set forth in paragraph (1) above, throughout the licensing year, and shall additionally comply with any updated standards issued by the Department of Health and the State Fire Marshal. Observation: Agency management acknowledged that specifics of complaint alleging that mice were present on 6/30/11 and in the past were valid. Ass't Exec Director JoAnne Chase states that that agency has had a persistent problem for many months because the mice were hiding in the teacher's closet. A volunteer group was cleaning out the teacher's closet 6/30/11 and the mice came out of hiding. Traps have been set and agency will continue to monitor with outside assistance from US Pest.
Disposition: Yes
See Below for Detailed Information 1240-4-3-.06 (3)(d) 1. Adult:Child Ratios (Observation: A two year old classroom had eleven children with one caregiver. The adult:child ratio for two year olds is 1:7.
Disposition: Yes
See Below for Detailed Information 1240-04-03-.06 SUPERVISION (5) Playground Supervision. (b) A playground supervision plan shall be written and implemented which includes: 2. Supervision assignments of staff to assure that all areas of the playground can be seen so that all children can remain within sight of the caregivers; Observation: A child, age two (2), was able to leave the playground area unnoticed and enter the building where he was unsupervised by staff for approximately thirty (30) minutes,
Disposition: Yes
Disposition: Yes