746.4501(b) · Chairs - Safety Straps Used if Required by Manufacturer

An infant observed sitting at a kidney shaped table did not have the safety straps fastened.

Corrected Corrected by Oct 5, 2023

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

746.1309(a) · Documented Annual Training Area - 24 Hours Required

A caregiver was missing annual training for training year 3/26/2022-3/25/2023 on the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?).

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1311(a) · Director Annual Training 30 Hours Required

The director was missing annual training on the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); (3) Understanding early childhood brain development. (4) Preventing and controlling the spread of communicable diseases, including immunizations; (5) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); and (6) Preventing and responding to emergencies due to food or an allergic reaction;

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

746.3417(1) · Children Handwashing Before Eating

Six school age children did not have their hands washed before eating their snack, after arriving to operation. NOTE: This was addressed with the caregiver during the inspection and children were directed to wash their hands.

Corrected Corrected by Oct 5, 2023

Marked corrected in the state record.

746.1315(b)(1) · CPR Training and Recertification Adhere to Guidelines-skill based

Two caregivers obtained their CPR training online.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

746.5207(b) · Emergency Evacuation and Relocation Diagram - Posted in Each Room

An emergency evacuation and relocation diagram was not posted in the toddler room. Note: This was CORRECTED during the inspection as the diagram was posted near the entrance of the room.

Corrected Corrected by Oct 5, 2023

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

746.3701 · Safety - Areas Free From Hazards

Several electrical outlets were observed in the pre-k room without a safety cover. One electrical outlet was observed in the toddler room without a safety cover. Television cords were observed hanging connected to an extension cord. This posed a safety hazard as the electrical outlets and television cords were within children's reach. Note: This was CORRECTED during the inspection as safety covers were placed on the electrical outlets and the television cords were removed.

Corrected Corrected by Oct 5, 2023

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

746.3407(9) · Floors, ceilings and Walls in Good Repair and Clean

A hole was observed on a wall in the afterschool room. The hole measured 3 1/2 inches wide and 3 inches high and was accessible to children in care.

Corrected Corrected by Oct 13, 2023

Marked corrected in the state record.

746.2909(2) · Arrangement of Napping Equipment - Not Set Up During Other Activities

A pre-k child was observed napping on a floor mat in the carpet area during other activities.

Corrected Corrected by Nov 10, 2022

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

746.603(a) · Children's Records Maintained

A child's admission form was missing the following information: A statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use; and A signed statement from the parent giving the name and address of a health-care professional who has examined the child within the past year stating that the child is able to participate in the program.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

746.2426 · Infant May Not Sleep in a Restrictive Device

An infant was observed sleeping on a floor bouncer for an undetermined amount of time.

Corrected Corrected by Nov 10, 2022

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

746.1301(2)(A) · Training Requirements for Employees and Caregivers - Pre-service Training

Two caregivers did not complete 24 clock hours of pre-service training in the specific required topics. A caregiver with a DOE 4/4/2022 was missing 4 clock hours of training and a caregiver with DOE 3/02/2022 was missing 7 clock hours of training.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

746.3701 · Safety - Areas Free From Hazards

A pack of plastic edging stakes were observed on the ground in the outdoor playground. This posed a safety hazard as the plastic stakes were accessible to children. The artificial grass rug on the outdoor playground was not secured and presented a tripping hazard for children when playing outdoors.

Corrected Corrected by Apr 13, 2022

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

746.3407 · Maintenance of Building, Grounds and Equipment

Several children's disposable face masks and a used band-aid were observed in the outdoor play ground accessible to children. Note: This was CORRECTED during the inspection as the face masks and used band-aid were disposed of.

Corrected Corrected by Apr 13, 2022

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

746.901 · Required Personnel Records

3 of 5 personnel records reviewed were missing a notarized Licensing Affidavit for Applicants for Employment form. 2 of 5 personnel records reviewed were missing a statement signed and dated by the employee showing he has received a copy of the child-care center s: Operational policies; and Personnel policies. A statement signed and dated by the employee verifying the date the employee attended training during orientation. The director had an expired driver's license.

Corrected Corrected by Apr 25, 2022

Category: recordkeeping. Marked corrected in the state record.

746.201(1) · Policies Comply with Rules

The operational policies reviewed were incomplete. The following information was missing: The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your 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; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. The procedures for parents to participate in the child-care center s operation and activities.

Corrected Corrected by Apr 22, 2022

Marked corrected in the state record.

746.1309(a) · Documented Annual Training Area - 24 Hours Required

A caregiver with DOE 5/30/2018 was missing 12 clock hours of annual training. A caregiver with DOE 3/26/2021 was missing annual training on the following topics: Emergency preparedness; Preventing and responding to emergencies due to food or an allergic reaction; and 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 Corrected by Apr 22, 2022

Category: recordkeeping. Marked corrected in the state record.

746.1203(5) · Responsibilities of Caregivers - Children in Control

A caregiver did not ensure that children in the after school room were not out of control. Children were observed running around the running and sitting under tables. No activities were provided by the caregiver.

Corrected Corrected by Apr 13, 2022

Marked corrected in the state record.

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

Three caregivers that conduct transportation did not have current training in transportation safety.

Corrected Corrected by Apr 14, 2022

Category: transportation. Marked corrected in the state record.

746.3317 · Food Service and Preparation Requirement - Safe and Sanitary

Expired milk was served to children during the lunch meal. Several milk gallons stored in the refrigerator had an expiration date of 4/11/2022.

Corrected Corrected by Apr 13, 2022

Category: ratio. Marked corrected in the state record.

746.5617(a)(5) · Required Equipment in Vehicles - Fire Extinguisher

The fire extinguisher in the transportation vehicle was located in the trunk and not secured in the passenger compartment and accessible to the caregiver.

Corrected Corrected by Apr 15, 2022

Category: transportation. Marked corrected in the state record.

746.2431 · Infant Daily Report - Share with Parent

Infant daily reports were not being completed or shared with parents on a daily basis. The last daily report available for review was dated 4/8/2022.

Corrected Corrected by Apr 13, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency medical transport and treatment authorization forms, and Parent s names and telephone numbers and emergency telephone numbers were not available in the transportation binder for two children being transported. Note: This was CORRECTED during the inspection as the required forms were obtained and included in the transportation binder.

Corrected Corrected by Apr 13, 2022

Category: transportation. Marked corrected in the state record.

746.4003(a) · First Aid Kit - Incomplete Kit

The first aid kit in the transportation vehicle was incomplete. The following items were missing: 1.Adhesive tape; 2. cotton balls; and 3.thermometer Note: This was CORRECTED during the inspection as the missing items were obtained and included in the first aid kit.

Corrected Corrected by Apr 13, 2022

Marked corrected in the state record.

746.603(a) · Children's Records Maintained

2 of 6 children's files reviewed were missing the child's current immunization record. 3 of 6 children's records reviewed were missing the address, and telephone number of the child s physician or an emergency-care facility. A child's record reviewed was missing the parent's authorization to obtain emergency medical care and to transport the child for emergency medical treatment. A child's record reviewed was missing the name and telephone number of the school that a school-age child attends. A child's record reviewed was missing the Vision and hearing screening results.

Corrected Corrected by Apr 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Time sheets were not maintained for a caregiver present at the operation.

Corrected Corrected by Apr 13, 2022

Category: recordkeeping. Marked corrected in the state record.

746.4901(a) · Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

A slide that required surfacing was observed in the children's outdoor playground. Note: This was CORRECTED during the inspection as the slide was removed from the playground.

Corrected Corrected by Apr 13, 2022

Marked corrected in the state record.

746.2206(1) · Written Activity Plan - Outdoor Play Opportunities

Children were not being provided with outdoor play twice a day. According to the center director the children did not go out to the outdoor playground this morning due to it being too windy outside.

Corrected Corrected by Apr 14, 2022

Marked corrected in the state record.

746.2409(a)(9) · Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules

There was no documentation available for review to verify that a crib in the infant room met applicable federal rules at Title 16, Code of Federal Regulations, Parts 1219or 1220, concerning Safety Standards for Full Size Baby Crib".

Corrected Corrected by Apr 15, 2022

Category: recordkeeping. Marked corrected in the state record.