746.901 · Required Personnel Records

Six staff files were reviewed. Two files are missing high school diploma or equivalent. One if is missing ID. One file is missing pre-service related training certificates. Five files are missing annual training certificates on the topics of food allergies, building and physical premises safety, emergency preparedness, communicable diseases and Abuse/Neglect.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

746.501(a)(18) · Written Operational Policies - Promotion of Physical Activity

Operational policies were reviewed and the following information is missing: (18)(A) The benefits of physical activity and outdoor play; (18)(B) The duration of physical activity at your operation, both indoor and outdoor; (18)(C) The type of physical activity that children may engage in at your operation; (18)(D) Each setting in which your physical activity program will take place; (18)(E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (18)(F) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (18)(G) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. (28) Information on vaccine-preventable diseases for employees.

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

746.1311(a) · Director Annual Training 30 Hours Required

The director was missing annual training for trainig year 9/14/2022 - 9/13/2023 on the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development. (1) Emergency preparedness; (2) Preventing and responding to emergencies due to food or an allergic reaction;and (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic;

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. Marked corrected in the state record.

746.5205(1) · Fire Drill Monthly - Exit in 3 Minutes

A fire drill was not practiced for the month of January. According to staff the last time a fire drill was practiced was in December 2023. The emergency practices form documentation was reviewed and the last fire drill practiced was on December 14, 2023.

Corrected Corrected by Feb 9, 2024

Category: physical safety. Marked corrected in the state record.

746.403(b) · Posting Requirements - Child's Food Allergy Plans

a list of two children's food allergies that require an emergency plan was not posted in the kitchen or in the room where the children spend time in. Note: This was CORRECTED during the inspection as the list was created and posted in the kitchen and classroom.

Corrected Corrected by Feb 5, 2024

Category: nutrition. Marked corrected in the state record.

746.1309(a) · Documented Annual Training Area - 24 Hours Required

A caregiver was missing annual training for traiing year 10/22/2022 - 10/21/2023 on the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development. (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Preventing and responding to emergencies due to food or an allergic reaction; (4) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (5) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. Marked corrected in the state record.

746.3819 · Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A food allergy emergency plan was not available for two children with a known food allergy.

Corrected Corrected by Feb 12, 2024

Category: health medication. Marked corrected in the state record.

746.3407 · Maintenance of Building, Grounds and Equipment

A wooden sand box was not maintained. One of the wooden pieces was broken and several nails were exposed. This posed a safety hazard as the nails were within children's reach and a child could injure themselves if accidentaly fell on top of it.

Corrected Corrected by Feb 7, 2023

Category: physical safety. Marked corrected in the state record.

746.4135(b) · Children's Products- Annual Certification

The Children's products certification form used to indicate that the center has reviewed the United States Consumer Product Safety Commission (CPSC) recall list was not current. The form should be updated annually and the last date documented was 9/02/2021.

Corrected Corrected by Feb 7, 2023

Marked corrected in the state record.

746.1309(a) · Documented Annual Training Area - 24 Hours Required

Two caregivers were missing annual training on the following topics: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Preventing and responding to emergencies due to food or an allergic reaction; (4) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1311(a) · Director Annual Training 30 Hours Required

The director was missing annual training on the following topics: (1) Prevention, recognition, and reporting of child maltreatment (2) Emergency preparedness; (3) Preventing and controlling the spread of communicable diseases, including immunizations;

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

746.603(a) · Children's Records Maintained

2 of 6 children's immunizations records reviewed were not current. 2 of 6 children's files reviewed were missing the child's immunization record. 3 of 6 children's records reviewed were missing a statement of the child's health from a health-care professional. 1 of 6 children's files reviewed was missing the Name, address, and telephone number of the child s physician or an emergency care facility.

Corrected Corrected by Mar 3, 2023

Category: recordkeeping. Marked corrected in the state record.

746.901 · Required Personnel Records

2 of 6 personnel records reviewed were missing the documentation showing how the employee meets the minimum age and education qualifications. 2 of 6 personnel records reviewed were missing a notarized Licensing Affidavit for Applicants for Employment form. Note: The employees education documentation were obtained during the inspection.

Corrected Corrected by Feb 8, 2023

Category: recordkeeping. Marked corrected in the state record.

746.3425(1) · Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

A caregiver did not use gloves when cleaning a child's mouth with a napkin after the child fell and injured their lower lip.

Corrected Corrected by Dec 5, 2022

Marked corrected in the state record.

746.3407(9) · Floors, ceilings and Walls in Good Repair and Clean

Two walls in the new added classroom were not maintained. Walls were observed with peeling paint.

Corrected Corrected by Jun 10, 2022

Marked corrected in the state record.

746.5307(a) · Inspect Fire Extinguishers Monthly

Two fire extinguishers were not currently serviced. The service date on the tag was July 2020.

Corrected Corrected by Feb 18, 2022

Category: physical safety. Marked corrected in the state record.

746.1605 · Child/Caregiver Ratio - 18 Months Difference in Age

5 infants were combined with older children during the afternoon snack time. There was more than an 18 month difference between the youngest child and oldest child in the group. The youngest child in the group was 3 months of age and oldest child in the group was 5 years of age.

Corrected Corrected by Feb 8, 2022

Category: ratio. Marked corrected in the state record.

746.2419(6) · Requirements for Feeding Infants - Label Bottles/Cups

Eight bottles in the infant room were not labeled with the infant's first name and initial of last name. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.

Corrected Corrected by Feb 8, 2022

Marked corrected in the state record.