746.4603(5) · Prohibited Equipment - Multiple Occupancy Swings

In the outdoor play area there was a teeter toter for the children to play with. A teeter totter is prohibited. This was corrected at inspection and the teeter totter was removed.

Corrected Corrected by Oct 1, 2025

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

746.2427(a) · AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

One 3 month old child in the infant room was placed on stomach for sleep without doctors safe sleep exception form on file. This is corrected at inspection.

Corrected Corrected by Oct 1, 2025

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

746.3407(12) · Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

Cleaning supplies in the dining area were left on a counter where children could reach. This was corrected at inspection and the cleaning supplies were placed were children do not have access.

Corrected Corrected by Oct 1, 2025

Category: nutrition. Marked corrected in the state record.

746.3701(1) · Safety - Electrical Outlets Covered

One outlet cover was missing in the 18 month room and one was missing in the one in the 2 year old room. This was corrected at inspection and covers were place in the outlets.

Corrected Corrected by Oct 1, 2025

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

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

A solution of bleach/water is being used as a disinfectant without the other required steps of soapy water and clear water to rinse being done.

Corrected Corrected by Jan 8, 2025

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

746.1045 · Education Outside of U.S.

The foreign education document for one staff has not been translated into English.

Corrected Corrected by Jan 29, 2025

Marked corrected in the state record.

746.2421(b) · Written Feeding Instructions - Review and Update Every 30 Days

The written feeding instructions for one infants have not been updated within the last 30 days.

Corrected Corrected by Jan 15, 2025

Marked corrected in the state record.

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

The infant's bottles were only labeled with the child's first name. The bottles should be labeled with the child's first name and initial of the last name.

Corrected Corrected by Jan 8, 2025

Marked corrected in the state record.

746.611(a)(3) · Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

Of the 10 children's recods evaluated five lacked the name and address of the doctor who examined the child within the last 12 months.

Corrected Corrected by Jan 15, 2025

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

746.3503(a) · Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

The diaper changing mat in the infant and 2 year old classroom has tears in it; therefore, it is no longer non-absorbent. This was corrected at inspection.

Corrected Corrected by Jan 11, 2024

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

746.3805(c)(4) · Medication Records - Name of Employee Who Administered

Staff who administer medication to children are not documented their full name-first and last name. This was corrected at inspection.

Corrected Corrected by Jan 11, 2024

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

746.1329(b)(5) · Documentation of Training Requirements - Trainer's Qualifications

Training certificates do not include the trainers qualifications.

Corrected Corrected by Jan 25, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1301(a)(4)(A) · Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

One caregiver has not completed an in-person CPR class which allows for practice with a manikin.

Corrected Corrected by Jan 25, 2024

Category: recordkeeping. Marked corrected in the state record.

746.3417(1) · Children Handwashing Before Eating

Childsren are not washing their hands with runnig water and soap before eating breakfast.

Corrected Corrected by Jan 11, 2024

Marked corrected in the state record.

746.2207(c)(1) · Screen Time Activities - Related to Planned Activities

Children were watching a cartoon that was not educational or related to planned activities.

Corrected Corrected by Jan 11, 2024

Marked corrected in the state record.

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

A solution of bleach/water is being used as a disinfectant without the other required steps of soapy water and clear water to rinse being done. This was corrected at inspection when Lysol spray and Clorox wipes were placed in the classrooms.

Corrected Corrected by Jan 11, 2024

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

746.1205(a)(2) · Responsibilities of Caregivers - Know number of children responsible for

One caregiver did not know the number of children she was responsible for.

Corrected Corrected by Oct 17, 2023

Marked corrected in the state record.

746.201(1) · Policies Comply with Rules

A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. Please provide verification of compliance by 2/17/23. The operational policies is missing the following information: 1. Procedures for parental notification 2. Procedures for handling medical emergencies 3. Safe sleep policy for infants 12 months old and younger 4. Hearing and vision screening requirements 5. Procedures for parents to review and discuss concerns/questions with the director 6. Procedures for parents to participate in the center's activities 7. Inform parents mothers have a comfortable pace to breastfeed and that breastmilk can be provided 8. Inform parents of the annual training requirements for abuse and neglect; procedures to increase staff and parent awareness regrading abuse and neglect; procedures to increase staff and parent awareness for prevention techniques; community organizations and actions a parent of a child who is a victim should take to obtain assistance 9. Staff vaccination policy 10. Inform parents they may visit the center at any time 11. Inform parent the center is in a gang free zone 12. Inform parents of the requirement for outdoor play and physical activity; The benefits of physical activity and outdoor play [Medium]; the duration of physical activity at both indoor and outdoor the type of physical activity children may engage in; each setting in which your physical activity program will take place; the recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and a plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play

Corrected Corrected by Mar 10, 2023

Marked corrected in the state record.

746.501(a)(24) · Written Operational Policies - Emergency Preparedness Plans

A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. Please provide verification of compliance by 2/17/23. The emergency preparedness plan was reviewed and the following information is missing: 1. How children under the age of 2 will be evacuated 2. How parent/emergency contact information will be evacuated 3. How emergency medical information will be evacuated 4. How the children will be cared for during the emergency 5. How children will be reunited with their parents 6. Staff responsibility in emergencies 7. Who is responsible for calling emergency authorities and Child Care Regulation

Corrected Corrected by Feb 17, 2023

Category: ratio. Marked corrected in the state record.

746.613(a) · Required Immunizations

Of the 10 children's records evaluated, two are behind with immunizations.

Corrected Corrected by Jan 26, 2023

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

746.1301(2)(A) · Training Requirements for Employees and Caregivers - Pre-service Training

Of the 10 personnel files evaluated, two have not completed the required 24 clock hours of pre-service training.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

746.501(a)(24) · Written Operational Policies - Emergency Preparedness Plans

The emergency preparedness plan was reviewed and the following information is missing: 1. How children under the age of 2 will be evacuated 2. How parent/emergency contact information will be evacuated 3. How emergency medical information will be evacuated 4. How the children will be cared for during the emergency 5. How children will be reunited with their parents 6. Staff responsibility in emergencies 7. Who is responsible for calling emergency authorities and Child Care Regulation

Corrected Corrected by Jan 26, 2023

Category: ratio. Marked corrected in the state record.

746.1301(4)(A) · Training Requirements for Employees, Caregivers, and directors - Pediatric CPR

Of the 10 personnel records evalauted, two did not have training in CPR.

Corrected Corrected by Jan 26, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Bottles and cups are not labeled with initial of the child's last name.

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

746.901 · Required Personnel Records

The personnel files were lacking the following information: 1. Hire dates 2. Signed documentation that a copy of the personnel policies were received 3. Signed documentation that a copy of the operational policies were received 4. Notarized affidavits 5. Copy of drivers' licenses for van drivers 6. Documentation of how the caregiver meets the education requirements 7. Documentation that an orientation was completed

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1309(e) · Documented Annual Training- Required Content

Of the 10 personnel records evaluate, two did not receive training in understanding building and physical premises safety for the previous training year.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

746.5205(4) · Documentation of Drills

The length of fire drill is not being documented.

Corrected Corrected by Jan 26, 2023

Category: recordkeeping. Marked corrected in the state record.

746.611(a)(1) · Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program

Of the 10 children's records evaluated, three lacked a health statement from a health care professional.

Corrected Corrected by Apr 28, 2023

Category: ratio. Marked corrected in the state record.

746.2426 · Infant May Not Sleep in a Restrictive Device

Two infants were observed sleeping in swings. The caregiver said the children had been sleep for 20 minutes. Children may not sleep in restrictive devices. This was corrected at inspection.

Corrected Corrected by Jan 12, 2023

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

746.1301(5)(A) · Training Requirements for Employees and Caregivers - 24 Annual Training

Of the 10 personnel records evaluated, four did not receive 24 clock hours of training for their previous training year.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1309(d) · Documented Annual Training - Caregivers of Children Under 24 Months Required

Of the 10 personnel records evaluated, two did not complete a training in SIDS, Shaken Baby Syndrome, Abusive Head Trauma and Understanding Early Childhood Brain Development for the previous training year.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

746.611(b) · Health Statement on File within 1 Week of Admission

Of the 10 children's recods evaluated, four lacked a health care statement.

Corrected Corrected by Apr 28, 2023

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

746.201(1) · Policies Comply with Rules

The operational policies is missing the following information: 1. Procedures for parental notification 2. Procedures for handling medical emergencies 3. Safe sleep policy for infants 12 months old and younger 4. Hearing and vision screening requirements 5. Procedures for parents to review and discuss concerns/questions with the director 6. Procedures for parents to participate in the center's activities 7. Inform parents mothers have a comfortable pace to breastfeed and that breastmilk can be provided 8. Inform parents of the annual training requirements for abuse and neglect; procedures to increase staff and parent awareness regrading abuse and neglect; procedures to increase staff and parent awareness for prevention techniques; community organizations and actions a parent of a child who is a victim should take to obtain assistance 9. Staff vaccination policy 10. Inform parents they may visit the center at any time 11. Inform parent the center is in a gang free zone 12. Inform parents of the requirement for outdoor play and physical activity; The benefits of physical activity and outdoor play [Medium]; the duration of physical activity at both indoor and outdoor the type of physical activity children may engage in; each setting in which your physical activity program will take place; the recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and a plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play

Corrected Corrected by Jan 26, 2023

Marked corrected in the state record.

746.1311(d) · Director Annual Training - Caring for children under 24 months

The director did not receive training in SIDS, Shaken Baby Syndrome, Abusive Head Trauma and Understanding Early Childhood Brain Development for the previous training year.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1311(e) · Director Annual Training - Additional required topics

The director did not receive training in understanding building and physical premises safety for the previous training year.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

746.2431(2) · Infant Daily Report - Times and Amount of Food

The amount of food the child eats is not being listed on the daily report sheet.

Corrected Corrected by Jan 13, 2023

Category: nutrition. Marked corrected in the state record.

746.1301(3)(A) · Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

Of the 10 personnel records evaluatted, two did not have training in First Aid.

Corrected Corrected by Jan 26, 2023

Category: recordkeeping. Marked corrected in the state record.

746.603(a)(2) · Children's Records - Admission Information

Of the 10 children's records evaluated; the following information was missing: 1. Six children's records lacked the address and/or phone number for the emergency contact 2. One lacked the name and phone number of a person allowed to pick up the child 3. One lacked the name, address and phone number for the child's doctor or emergency facility

Corrected Corrected by Jan 26, 2023

Category: recordkeeping. Marked corrected in the state record.

746.303(b) · Report Number of Employees

A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

Corrected Corrected by Mar 5, 2022

Category: recordkeeping. Marked corrected in the state record.

746.3415(7) · Employee Handwashing After Handling or Cleaning Bodily Fluids

Caregiver was observed wiping a child's nose and did not wash hands afterwards. This was corrected at inspection after I discussed with caregiver the appropriate times to wash hands. The caregiver was observed washing her hands.

Corrected Corrected by Jan 20, 2022

Marked corrected in the state record.

746.3420(5) · Hand Sanitizer - Stored Out of Child's Reach When Not in Use

Hand sanitizer was observed accessible to children in three classrooms observed during walkthrough of operation. The hand sanitizer was removed and stored in a cabinet unaccessible to children during inspection.

Corrected Corrected by Jan 20, 2022

Marked corrected in the state record.