746.311(b) · Parental Notification - Safe Sleeping Deficiency Use Form 2970

The operation did not notify the parents of the safe sleep deficiency by using Form 2970, Notification of Safe Sleeping Deficiency.

Corrected Corrected by Oct 8, 2024

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

746.603(a) · Children's Records Maintained

Records were evaluated for six children enrolled and the following was determined: Six children needed a health statement Five children needed emergency contact information, Three children needed a special needs statement. Two children needed updated immunization records. One child needed an address for the emergency care center.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

746.2426(a)(2) · Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

Upon entering the infant classroom I observed two children ages seven and eleven months old asleep in rockers.

Corrected Corrected by Sep 30, 2024

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

746.901 · Required Personnel Records

Records were evaluated for five staff members and the following was determined: A Pre-Employment Affidavit for Applicants for Employment is needed for five staff members. Four staff members need documentation showing how they meet the minimum education qualifications. Five staff members need a statement of center policies.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

During this inspection a caregiver allowed two infants ages seven and eleven months to use blankets while napping.

Corrected Corrected by Sep 30, 2024

Marked corrected in the state record.

746.1301(a)(2)(A) · Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

Two staff members who do not have two years of experience have not completed 24 hours of preservice training.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1205(a)(4) · Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

Upon arrival a four year old was observed alone in the pre-k classroom watching television. Note: The caregiver removed the child from the classroom and placed them with the group of children who were seated in the lobby area.

Corrected Corrected by Aug 16, 2024

Category: supervision. Marked corrected in the state record.

746.5617(a)(4) · Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child

The operations transportation binder was reviewed and it did not include parent's names and telephone numbers and emergency telephone numbers for each child that was transported.

Corrected Corrected by Aug 14, 2024

Category: transportation. Marked corrected in the state record.

746.3317(6) · Food Service and Preparation Requirement - Use Sanitary Holders

A twelve month old was served a blueberry pancake during today's visit. The child was not provided a sanitary holder for the pancake.

Corrected Corrected by Aug 14, 2024

Category: ratio. Marked corrected in the state record.

746.1315(b) · Each Caregiver and the Director Must Have Current Training in pediatric CPR

Pediatric first CPR certificates for one director and a staff member who transports children expired 08/01/2024. Documentation of current pediatric CPR training was not available for an additional director.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1315(a) · Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

Pediatric first aid training certificates for one director and a staff member who transports children expired 08/01/2024. Documentation of current pediatric first aid training was not available for an additional director.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1301(a)(7)(A) · Training Requirements for Employees, Caregivers, and Directors - Transportation training

Current transportation training is needed for two directors and one staff member who transports children.

Corrected Corrected by Aug 15, 2024

Category: transportation. Marked corrected in the state record.

746.2417(2)(B) · Activities for Infants - Not in Restrictive Device for more than 15 Minutes

An infant was observed in a restrictive device longer than fifteen minutes during this inspection and was brought to the attention of the caregiver in charge. Note: The child was observed in the restive device for approximately 47 minutes. The director removed the child from the restrictive device upon arrival.

Corrected Corrected by Aug 14, 2024

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

745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation

A caregiver responsible for transporting a group of five children ages 4-9 years old did not have an active background check. The operation replaced the driver during this inspection.

Corrected Corrected by Aug 14, 2024

Category: ratio. Marked corrected in the state record.

746.5617(a)(2) · Required Equipment in Vehicles - Emergency Medical Information

Emergency medical transport and treatment authorization forms were not available for five children who were transported during today's visit.

Corrected Corrected by Aug 14, 2024

Category: transportation. Marked corrected in the state record.

746.5617(b) · Driver Has Current Driver's License

A current driver's license is needed for one director.

Corrected Corrected by Sep 16, 2024

Marked corrected in the state record.

746.301(7) · Notification of Additional Services Offered

The operation is not permitted for field trips. During this inspection it was observed the operation took a total of five field trips in the month of June.

Corrected Corrected by Jul 1, 2024

Marked corrected in the state record.

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

During this inspection I observed two unlabeled bottles in the infant classroom. Note: This was corrected during inspection when the caregiver labeled the bottles.

Corrected Corrected by Jul 1, 2024

Marked corrected in the state record.

746.2401(6) · Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

A four month old infant was observed sleeping in a play yard with a bib and pacifier with attachment. Note: The infant caregiver removed the pacifier and attachment.

Corrected Corrected by Jul 1, 2024

Marked corrected in the state record.

746.1315(b) · Each Caregiver and the Director Must Have Current Training in pediatric CPR

During this inspection, one caregiver did not have documentation of current pediatric CPR training.

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1315(a) · Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

During this inspection, one caregiver did not have documentation of current pediatric first aid training.

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. Marked corrected in the state record.

746.3701(3) · Safety - Air Conditioners, Fans, Heaters Safeguarded

Electrical fans were observed on shelving accessible to children in the toddler and pre-k classrooms.

Corrected Corrected by Mar 26, 2024

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

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

The diaper changing pad in the toddler classroom was torn.

Corrected Corrected by Apr 1, 2024

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

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

I observed a bottle of cleaning solution near the handwashing sink in the toddler classroom. Note: This was corrected during inspection.

Corrected Corrected by Mar 26, 2024

Category: nutrition. Marked corrected in the state record.

746.603(a) · Children's Records Maintained

Records were evaluated for ten children enrolled and the following was determined: Two children needed the telephone number of the school they attend. Two children needed the date of admission. Two children needed a health statement signed by a physician. One child needed an emergency contact other than the parent. Two children needed emergency care information such as physician name, address, and phone number. One child needed authorization for emergency care. A food allergy emergency plan is needed for one child with a diagnosed food allergy. A parent signature is needed on the food allergy emergency plan for one child.

Corrected Corrected by Apr 9, 2024

Category: recordkeeping. Marked corrected in the state record.