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746.1309(e) · Documented Annual Training- Required Content

Four out of six staff files reviewed are missing trainings on the following topics: -Hazardous Materials; -Administering Medications; -Emergency Preparedness; and -Building and Physical Premises Safety.

Corrected by Oct 16, 2025

746.501(a)(18) · Written Operational Policies - Promotion of Physical Activity

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of the minimum standards (relating to Developmental Activities and Activity Plan); the policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at the operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at the operation; (D) Each setting in which the physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; (F) The criteria the operation will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (G) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

Corrected by Nov 18, 2024

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

The director was missing annual training for training year 3/22/2023-3/21/2024 on the following topics: 1. Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and 2.Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected by Nov 18, 2024

746.801(3) · Required Records Maintained and Made Available - Personnel and Training Records

The personnel records for two caregivers were not available for review at the operation during the inspection.

Corrected by Nov 18, 2024

746.2911 · Adequate Lighting During Naptime

The lighting in the infant room during naptime was not adequate and did not allow visual supervision of all children in the room.

Corrected by Nov 14, 2024

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

Two infants in the infant room were observed asleep on swings for an undetermined amount of time.

Corrected by Nov 14, 2024

746.1601 · Child/ Caregiver Ratio - 13 or More Children

Child/caregiver ratios were not met in the infant room when a caregiver was caring for five infants. The ages of the children in the group were a 4 month old, 7 month old, 9 month old, 14 month old, and 19 month old. According to the ratio chart the maximum number of children one caregiver may supervise is 4. The group was out of ratio by one child.

Corrected by Nov 21, 2023

746.3407 · Maintenance of Building, Grounds and Equipment

The grass in the outdoor playground was not maintained.

Corrected by Nov 27, 2023

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

The feeding instructions available for review were not current for three infants who are not yet ready for table food. Two of the feeding instruction forms had a date of 8/28/2023, and a third form had a date of 9/26/2023.

Corrected by Nov 22, 2023

746.801(3) · Required Records Maintained and Made Available - Personnel and Training Records

A caregiver's record was not available for review at the operation during the inspection. A second caregiver's training record was not available for review during the inspection.

Corrected by Nov 30, 2023

746.5625(b) · Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions

The electronic child safety alarm in the transportation vehicle was not maintained. When testing the electronic child safety alarm there was no sound indicating the alarm was working properly.

Corrected by Dec 19, 2022

746.801(5) · Required Records Maintained and Made Available - Employees' Attendance

There were no time sheets available for one of the directors.

Corrected by Dec 16, 2022

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

1 of 4 children's immunization records reviewed was not current.

Corrected by Dec 24, 2021

746.1316(a) · Transportation Safety Training -Director and Employee Complete 2 Hours Annually

One of two directors was not current on transportation safety training.

Corrected by Dec 24, 2021