Little Hands Learning Center

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

Two children's records indicated by the parent their child had a food allergy. Ther was no emergency care plan on file.

Corrected by Dec 31, 2025

746.1309(e) · Documented Annual Training- Required Content

The required annual training on the following topics were not available for review on 2 caregivers. The required training topics are 3. administering medication 4.preventing and responding to emergencies due to food or an allergic reaction and 6. handling, storing, and disposing of hazardous materials.

Corrected by Dec 31, 2025

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

The required annual training on the following topics were not available for reveiw for the director; 6. handling, storing, and disposing of hazardous materials.

Corrected by Dec 31, 2025

746.603(a)(4) · Children's Records - Immunizations

One child's record lacked the updated immunization record for the child's age.

Corrected by Dec 31, 2025

746.901(2) · Required Personnel Records- Meets Requirements

Three staff did not have proof of education in the file for review.

Corrected by Jan 24, 2024

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

Two children enrolled in care did not have the required physician health statement.

Corrected by Jan 12, 2024

746.605(12) · Required Admission Information - Emergency Medical Authorization

One child enrolled in care did not have authorization for emergency medical care and consent to transport.

Corrected by Jan 9, 2024

746.2207(c)(4) · Screen Time Activities - Not Used During Eating or Rest Times

In the schoolers classroom, 2 out of 12 children were observed sleeping, 5 were observed on electronic devices and the other children were observed watching a movie during naptime/rest time.

Corrected by Jul 5, 2023

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

Medication for a child in care was not in the original container labeled with the child s full name and the date it was brought into the operation.

Corrected by Jan 13, 2023

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

The food allergy emergency plan form was not signed and dated by the parent.

Corrected by Jan 11, 2023

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

The operation did not have medical treatment authorization forms for each child in being transported.

Corrected by Jan 13, 2023

746.2426 · Infant May Not Sleep in a Restrictive Device

An 11 month old infant was observed sleeping on the boucer during the investigation inspection walkthough. The infant was removed from the bouncer and was placed in the crib for napping

Corrected by May 12, 2022

746.3501(6) · Diaper Changing Steps-Supplies Kept Out of Child's Reach

A restroom used by children in care had diaper changing supplies (Caldesene Baby poweder, Honest soothing bottom wash, 2 Boogie Bottom Diaper Rash Spray) that were within reach of children.

Corrected by Jan 28, 2022

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

An infant was observed sleeping with a pacifier attachment with a clip that was attached to the infant. This was removed at the time of inspection.

Corrected by Jan 24, 2022

746.2207(a) · Screen Time Activities - Not Used for Under Two

A group of children under the age of 2 years old were observed watching Baby Shark at the time of inspection.

Corrected by Jan 24, 2022

746.1003(1) · Director Responsibilities - Operate in Compliance

The director failed to ensure that training requirements and safe sleep practices were being met at the operation.

Corrected by Feb 4, 2022

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

Two caregivers supervising infants at the time of inspection did not have CPR/First aid training. A caregiver supervising infants did not have current CPR or First Aid training. The certification expired in May of 2021.

Corrected by Feb 4, 2022

746.2428 · No Swaddling of Infant Unless Completed Sleep Exception Form on File

A 3 month old infant was swaddled in a crib while sleeping. The swaddle was removed at the time of inspection.

Corrected by Jan 24, 2022

746.1329(d) · Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

An employee hired on or around July 2019 did not have a signed/dated proof of orientation and preservice at the time of inspection.

Corrected by Jan 28, 2022

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

An infant caregiver did not have annual training in the following topics: Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) and Understanding early childhood brain development.

Corrected by Feb 4, 2022

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

Emergency medical authorization information was not located in the vehicle used to transport children.

Corrected by Jan 24, 2022

746.1301(6)(A) · Training Requirements for Directors 30- Annual Training

The director had completed 15 hours of 30 hours of annual training (August 2020-August 2021) at the time of inspection.

Corrected by Feb 4, 2022