747.1701 · Child/ Caregiver Ratio - Registered Child Care Home

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. There were 9 children in care. There were 3 children 0-17 months old and 6 children 18 months old and older.

Corrected Corrected by May 21, 2025

Category: ratio. Marked corrected in the state record.

747.207(9) · Comply with Child-care Licensing Law and Rules

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The primary caregiver is not operating the child care home in compliance with Minimum Standards rules and laws. The home continues to be in out of compliance with child/staff ratios.

Corrected Corrected by May 21, 2025

Marked corrected in the state record.

747.2326(a)(1) · Infant May Not Sleep in a Restrictive Device

Infants were observed sleeping in restrictive devices.

Corrected Corrected by May 19, 2025

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

747.207(10) · AP Never exceed capacity of the home

The child care was over the capacity. There were 13 children in care.

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

747.3203(4) · Sanitize Sleeping Equipment

The playyard was not sanitized prior to placing a different child in it.

Corrected Corrected by May 19, 2025

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

747.3301(2) · Diaper Changing Steps- Cleanse Child with Individual Cloths

Individual cloths/wipes are not being used to clean children during diaper changes. Children are being splashed with water from the sink while lying on the counter top.

Corrected Corrected by May 19, 2025

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

747.801(1) · Records Maintained and Made Available - Children's Records

A completed admission form was not avaialble for two children.

Corrected Corrected by Jun 2, 2025

Category: recordkeeping. Marked corrected in the state record.

747.4303(a) · Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

Children were observed napping on the sofa and blankets on the floor. Children must nap on a cot or non-absorbent mat.

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

747.1701 · Child/ Caregiver Ratio - Registered Child Care Home

There were 13 children in care; 5 children age 0-17 months and 8 children 18 months old and older.

Corrected Corrected by May 19, 2025

Category: ratio. Marked corrected in the state record.

747.207(9) · Comply with Child-care Licensing Law and Rules

The primary caregiver is not operating the child care home in compliance with Minimum Standards rules and laws. The center continues to receive deficiencies in relation to ratios, infant safety and record keeping.

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

747.2705(1) · Prohibited Punishments - Corporal Punishment

The primary caregiver was observed hitting a child on the arm as a discipline method.

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

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

Of the 10 children's records evaluated, the following information was missing: 1. Two lacked the address of the emergency contact 2. Four lacked updated information regarding special needs and water activities. 3. One lacked a phone number for a person that pick up the child 4. One child was behind with immunizations

Corrected Corrected by Jun 2, 2025

Category: recordkeeping. Marked corrected in the state record.

747.2305(1) · Infant Care Area Furnishings and Equipment -Non-walking

The home was not equipped with enough cribs/pack n' plays for each non-walking infants. There were four infants in care and only one pack n' play being used.

Corrected Corrected by Jan 30, 2025

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

747.2319(2) · Requirements for Feeding Infants - Never Prop Bottles

A child was observed being fed their bottle with it propped up by a blanket.

Corrected Corrected by Jan 23, 2025

Marked corrected in the state record.

747.1007(5) · Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR

The primary caregiver is not current with CPR and First Aid training. The training expired in November 2024.

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

747.4303(a) · Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

Children 18 months old to 4 years old were observed sleeping on the sofa and not a non-absorbent cot or mat.

Corrected Corrected by Jan 24, 2025

Marked corrected in the state record.

747.3501(9) · Safety - Bodies of Water Inaccessible to Children

Several barrels that are collecting rain water are accessible to children. Pictures were taken.

Corrected Corrected by Jan 27, 2025

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

747.2311(2)(A) · Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads

Additional padding was in the play yard while being used by a child in care.

Corrected Corrected by Jan 23, 2025

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

747.1701 · Child/ Caregiver Ratio - Registered Child Care Home

The child care home was not in compliance with child/staff ratios. There were 9 children in care: 4 infants and 5 children 18 months old and older.

Corrected Corrected by Jan 23, 2025

Category: ratio. Marked corrected in the state record.

747.901 · Personnel Records

The following information was not on file for the assistant caregiver: 1. Date of employment 2. How the education requirement was met 3. Notarized affidavit 4. Pre-employment affidavit 5. Signed documentation that orientation to the home was completed 6. Photo identification

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

747.1303(2)(A) · Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR

The assistant caregiver does not have CPR and First Aid training.

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

747.2326(a)(1) · Infant May Not Sleep in a Restrictive Device

Two infants were observed sleeping in restrictive devices.

Corrected Corrected by Jan 23, 2025

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

747.611(a) · Required Health Statement

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

Corrected Corrected by Feb 22, 2024

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

747.3303(b) · Diaper Changing Equipment - No Play or Eating Surfaces Used

Diapers are being changed in an area where children play.

Corrected Corrected by Feb 8, 2024

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

747.2305(1) · Infant Care Area Furnishings and Equipment -Non-walking

The infant is being placed on a pallet on the floor to nap and not the play yard.

Corrected Corrected by Feb 9, 2024

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

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

Children's records were reviewed and the following infromaiton was missing: 1.. Three lacked required infromation for an emergency contact. 2. One lacked the admission date. 3. One lacked authorization for emergency medical care. 4. One lacked the name of the school the school age child attends.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

747.2104(a)(3)(A) · Written Activity Plan - Child-Initiated - Equipment/Materials In Reach

The home is not equipped with age-appropriate equipment for the children such as musical toys, blocks, trucks, dolls, shaking toys, rattlers, puzzles, etc.

Corrected Corrected by Feb 22, 2024

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

747.3307(d) · Diapering Procedures- Sanitizing the Diapering Area

The diaper changing surface is not being sanitized after each use. The primary caregiver is only using water to clean the diaper changing surface.

Corrected Corrected by Feb 8, 2024

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

747.2105(a) · Screen Time Activities - Not Used for Under Two

A child under the age of 2 was watching television.

Corrected Corrected by Feb 8, 2024

Marked corrected in the state record.

747.2105(c)(1) · Screen Time Activities - Related to Planned Activities

School-age children were playing random games on their electronic devices.

Corrected Corrected by Feb 8, 2024

Marked corrected in the state record.

747.3501 · Safety - Areas Free From Hazards

The outside area contains many hazards such as lawn equipment, containers of gasoline, paint, bug sprays, car batteries and old tires. Pictures were taken.

Corrected Corrected by Feb 22, 2024

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

747.4303(a) · Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

Children 4 years old and younger are not napping on a non-absorbent surface like a mat or cot. The children are napping on pallets on the floor.

Corrected Corrected by Feb 15, 2024

Marked corrected in the state record.

747.1309(a) · Primary Caregiver Annual Training -30 Hours Required

The primary caregiver received 25 of the 30 clock hours of required training for the August 2022-August 2023 training year. The caregiver will need to receive 5 clock hours of make-up training.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. Marked corrected in the state record.

747.3607(1) · Storage of Medication - Inaccessible to Children

Medications were accesisble to children in care.

Corrected Corrected by Feb 8, 2024

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

747.801(7) · Records Maintained and Made Available - Safety Drills Documentation

The primary caregiver is not documenting that fire drills, severe weather drills, checks of the smoke and carbon monoxide detector are being done.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

747.3211(4) · Caregiver Handwashing After Diapering a Child

It was observed that the caregiver did not wash hands after changing two diapers.

Corrected Corrected by Feb 10, 2022

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

747.5107(b) · Fire Extinguishers Serviced

Fire extinguisher was observed not full.

Corrected Corrected by Feb 14, 2022

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

747.1501(c)(4) · Additional Responsibilities of Caregivers- Supervision of Children Adjusting Appropriately for Different Ages and Abilities

Children were repeatedly left unattended throughout the inspection.

Corrected Corrected by Feb 10, 2022

Category: supervision. Marked corrected in the state record.

747.2101(a) · Planned Activities

It was observed that children did not have planned activities. Throoughout the inspection children were observed watching television. There were no educational toys observed for children to play with, and there were only four teddy bears.

Corrected Corrected by Feb 10, 2022

Marked corrected in the state record.

747.1501(c)(5) · Additional Responsibilities of Caregivers - Children in Control

During the inspection children were observed running around the room, some were sleeping, and one was crying and wondering around the house.

Corrected Corrected by Feb 10, 2022

Marked corrected in the state record.

747.3303(b) · Diaper Changing Equipment - No Play or Eating Surfaces Used

Primary caregiver was observed changing diapers in the area used for eating, napping, and playing.

Corrected Corrected by Feb 10, 2022

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

747.4101 · Outdoor Space Requirements - 80 Sq. Feet Per Child

The outside area does not have 80 square feet of space per child. The outside area has numerous tools for gardening, several large cooking equipments, plants, and refrigerators.

Corrected Corrected by Feb 25, 2022

Marked corrected in the state record.

747.1701 · Child/ Caregiver Ratio - Registered Child Care Home

During the inspection the operation was out of ratio by 2 children. There was 8 children in care ages ranging from 4 months to 4 years old.

Corrected Corrected by Feb 10, 2022

Category: ratio. Marked corrected in the state record.

747.1501(c)(1) · Responsibilities of Employees and Caregivers -Competency, Good Judgment, Self-control

During the walkthrough two children( 4 months and 3 years) were found hidden in the restroom. Note: The children were removed from the restroom and placed in the daycare area. It was observed that older children were sleeping in restrictive devices.

Corrected Corrected by Feb 10, 2022

Marked corrected in the state record.

747.3213(3) · Children Handwashing After Toileting or Diapering

During the inspection it was observed that the two children who had diaper changes, did not have their hands washed.

Corrected Corrected by Feb 10, 2022

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

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

One out of 8 child records reviewed was missing admission information including immunization records.

Corrected Corrected by Feb 18, 2022

Category: recordkeeping. Marked corrected in the state record.

747.5301(a) · Heating Devices Safe - Gas Appliances

Gas stove outside was observed with a small flame and there was a strong gas odor in the area.

Corrected Corrected by Feb 10, 2022

Marked corrected in the state record.

747.2319(5) · Requirements for Feeding Infants - Label Bottles/Cups

Bottles were observed not properly labeled with the child's first name and initial of last name.

Corrected Corrected by Feb 10, 2022

Marked corrected in the state record.

747.2317(2)(B) · Activities for Infants - Not in Restrictive Device for more than 15 Minutes

Infant was observed in an restrictive device for a duration of an hour.

Corrected Corrected by Feb 10, 2022

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