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

One caregiver was observed with a group of fourteen children ages two-three years old. The caregiver did not have an eligible background check.

Corrected Corrected by Apr 23, 2024

Category: ratio. 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

Two caregivers responsible for a group of nine children ages three to eight months were present without an eligible background check. Note: The caregivers were removed from the classrooms during this inspection.

Corrected Corrected by Apr 10, 2024

Category: ratio. Marked corrected in the state record.

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

A caregiver in the Bunnies classroom was unaware of the number of children responsible for. The caregiver stated nine children were present, however ten children were observed in the room. A caregiver in the Lady Bugs classroom was unaware of the number of children present. The caregiver stated nine children were present, however ten children were observed in the room.

Corrected Corrected by Apr 10, 2024

Marked corrected in the state record.

746.1601 · Child/ Caregiver Ratio - 13 or More Children

One caregiver was observed caring for ten children ages 18 months-22 months. The specified age group for the room is 18-23 which allows for a maximum of nine children. The caregiver was over ratio by one child.

Corrected Corrected by May 3, 2023

Category: ratio. Marked corrected in the state record.

746.801(8) · Required Records Maintained and Made Available - Playground Maintenance Records

Daily Building and Grounds Checklist were available for the weeks of March 27th and April 10th.

Corrected Corrected by Apr 17, 2023

Category: recordkeeping. 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: Nine children needed an address for the emergency contact listed. One child needed an emergency contact other than the parent. Four children needed a food allergy emergency plan signed by parent and physician. Four children were in need of a special needs statement. One child needed a health statement. One child needed an updated immunization record.

Corrected Corrected by May 11, 2023

Category: recordkeeping. Marked corrected in the state record.

746.3805(b)(1) · Administering Medication - Original Container with Child's Name, Date

Medication for three children enrolled was not stored in its original container.

Corrected Corrected by May 11, 2023

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

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

Updated feeding instructions are needed for three infants enrolled.

Corrected Corrected by Apr 19, 2023

Marked corrected in the state record.

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

Documentation of the annual certification was not available for review during this inspection.

Corrected Corrected by Apr 21, 2023

Marked corrected in the state record.

746.5205(3) · Sheltering Drills for Lock-Down-4 times in a calendar year

The operations emergency practices were reviewed and showed the last documented lock down drill occurred on 02/15/2022.

Corrected Corrected by Apr 19, 2023

Marked corrected in the state record.

746.5202(1) · Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

The Emergency Preparedness Plan did not include the following: -Procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency. -The address of the alternate shelter away from the center that will be used as needed. -How staff will evacuate and relocate with the essential documentation including: Parent and emergency contact telephone numbers for each child in care and authorization for emergency care for each child in care

Corrected Corrected by Apr 21, 2023

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

746.2407 · Infant Care Area Furnishings and Equipment -Use of Safety Straps

A four month old was observed seated in a bouncer. The safety straps were not fastened.

Corrected Corrected by Apr 17, 2023

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

746.3809 · Medication No Longer Used

During this inspection I observed expired medication stored for two children enrolled.

Corrected Corrected by Apr 17, 2023

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

746.5205(2) · Sheltering Drill For Severe Weather-Four times a calendar year

The operations emergency practices were reviewed and showed the last documented severe weather drill occurred on 02/16/2022.

Corrected Corrected by Apr 19, 2023

Marked corrected in the state record.

746.901 · Required Personnel Records

Inspector reviewed over personnel files during this visit. Documentation showing staff hire dates and trainings completed during the most recent complete training year was not available for review.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.