Little Nest CDC LLC

746.2419(3) · Requirements for Feeding Infants - Never Prop Bottles

Bottle propping was observed for a younger child when the caregiver used a blanket to prop the bottle for the child during feeding time.

Corrected by Oct 13, 2023

746.3301(f)(1) · Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

Children were observed having meal and snack without water being available during these times by staff.

Corrected by Oct 13, 2023

746.701(2) · Licensing Incident/Illness Report Form - Illness Requiring Hospitalization

An incident/illness report was not completed when a child was hospitalized. **This was corrected at inspection when it was completed by the staff at inspection.

Corrected by Oct 13, 2023

746.3415(4) · Employee Handwashing After Diapering a Child

One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.

Corrected by Sep 14, 2023

746.2411(2)(E) · Safety Requirements for Play Yards - Minimum Height of 22 Inches from Top of Railing to Mattress Support at Lowest Level

A bassinet was observed at inspection as sleep equipment for a 6 month old infant. The manufacturer instructions specifies this sleep equipment is for 0-5 month olds. Additionally, a bassinet of 11.5 inches in height from the sleep surface to the top of the rail does not meet the play yard guidelines of at least 22 inches required.

Corrected by Jul 25, 2023

746.4907(d) · Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.

Corrected by Aug 9, 2023

746.3505(e) · Diapering Procedures - Sanitizing Diaper Changing Area

Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.

Corrected by Jul 25, 2023

746.2426(a)(1) · Infant May Not Sleep in a Restrictive Device

An infant was observed at inspection asleep in a restrictive device.

Corrected by Jul 25, 2023

746.3701 · Safety - Areas Free From Hazards

Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.

Corrected by Jul 25, 2023

746.3417(3) · Children Handwashing After Toileting or Diapering

Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.

Corrected by Jul 25, 2023

746.1205(a)(3) · Responsibilities of Caregivers - Know children's names and ages

Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.

Corrected by Jul 25, 2023