746.3505(e) · Diapering Procedures - Sanitizing Diaper Changing Area

During the investigation inspection it was observed that one of the changing pads had crumbs and other debris on it, reflecting that it was not being cleaned after every use.

Corrected Corrected by Feb 13, 2025

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

746.605(13)(B)(i) · Required Admission Information - Reasonable Accommodations or Modifications

Three children files observed were not updated. The childcare facility did not update the children files to portray the updated required information by 09/01/2023. The files observed did not include an updated special care needs section, modifications, and/or the child's swimming ability.

Corrected Corrected by May 1, 2024

Marked corrected in the state record.

746.3701(3) · Safety - Air Conditioners, Fans, Heaters Safeguarded

The toddler and the school-age classroom were observed with operating air conditioner units in the window while children were present. The toddler classroom was observed napping. The cord to the air conditioner in the school-age classroom was hanging from the unit into the outlet plug. The air conditioner was observed in the classroom, and accessible to children in care.

Corrected Corrected by Apr 30, 2024

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

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

One staff training certificate's were not available for review. The Director training certificates were not available for review upon request. Training hours for staff employed at the childcare center was printed and provided while Licensing inspector while present.

Corrected Corrected by May 1, 2024

Category: recordkeeping. Marked corrected in the state record.

746.3505(b) · Diapering Procedures - Wash Infant's Hands

A caregiver was viewed not washing hands after changing a diaper. A caregiver was viewed on camera not washing a child's hands after the child took a soiled diaper and walked away with it.

Corrected Corrected by Aug 2, 2022

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

746.3503(b) · Diaper Changing Equipment - No Play or Eating Surfaces Used

A caregiver was viewed on camera placing a used diaper on the table where children play, eat, and do crafts.

Corrected Corrected by Aug 2, 2022

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

746.3415(4) · Employee Handwashing After Diapering a Child

A caregiver was viewed on camera not washing hands after changing a diaper.

Corrected Corrected by Aug 2, 2022

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

746.3505(f) · Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

A caregiver was viewed on camera placing a soiled diaper accessible to children. Another child was seen taking the diaper off the table and walking away with it.

Corrected Corrected by Aug 2, 2022

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

746.201(1) · Policies Comply with Rules

During the time of inspection operational policies have not been development.

Corrected Corrected by Oct 20, 2021

Marked corrected in the state record.

746.901 · Required Personnel Records

A caregiver is present and supervising children and does not have a personnel record file.

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. Marked corrected in the state record.

746.5617(a)(3) · Required Equipment in Vehicles - Information About Facility

1 out of 5 vans is lacking information about the facility.

Corrected Corrected by Oct 20, 2021

Category: transportation. Marked corrected in the state record.

746.4505 · Storage for Individual Belongings

School age children do not have a storage for individual belongings. In the toddler room 4 out of 18 children is lacking labeled cubbies.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

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

A child was given asthma medication on 10/18/2021 and the child's name is not on the container and the medication is not in the original container.

Corrected Corrected by Oct 20, 2021

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

746.3407(10) · Center Heated, Lighted and Ventilated Properly

Toddler classroom is lacking adequate lighting.

Corrected Corrected by Oct 22, 2021

Marked corrected in the state record.

746.631(a) · Sign-in and Sign-out Tracking System

During the time of inspection operation was lacking a sign in and sign out tracking system. Director was not able to make it available for review.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

746.2403(4) · Infant Care Area - Crib Placement

Cribs in the infant room were not far enough apart. So children can not touch each other.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

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

During the time of inspection emergency medical information were not made available for transportation services conducted on 10/20/2021.

Corrected Corrected by Oct 20, 2021

Category: transportation. Marked corrected in the state record.

746.401(9) · Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

A caregiver present was not listed on the current employee list.

Corrected Corrected by Oct 22, 2021

Marked corrected in the state record.

746.613(a) · Required Immunizations

6 out of 12 children's file are lacking required immunizations.

Corrected Corrected by Oct 22, 2021

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

746.5617(a)(1) · Required Equipment in Vehicles - List of Children

During the time of inspection a list of children were not made available for transportation services conducted on 10/20/2021.

Corrected Corrected by Oct 20, 2021

Category: transportation. Marked corrected in the state record.

746.2417(1) · Activities for Infants - Outdoor Play Daily

Caregiver and Director stated that the infants do not go outside.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

746.1609 · Maximum Group Size 13 or More Children

There were 29 children in a group size, the Specified age group of the chidlren is age 2

Corrected Corrected by Oct 20, 2021

Category: ratio. Marked corrected in the state record.

746.603(a)(3) · Children's Records - Health Statement

2 out of 12 children's records are lacking health statements.

Corrected Corrected by Oct 22, 2021

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

746.631(b) · Caregivers Have Access to Tracking System

During the time of inspection caregivers do not have a tracking system to determine what group of children are in their care during their work shift.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

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

Daily schedules do not reflect two opportunities for outdoor play in 5 out of 5 classrooms.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

746.2431(5) · Infant Daily Report - Summary of Activities

Infant daily report is lacking a summary of activities the infant participated in

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Director administers medication but is lacking current training in medication.

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. Marked corrected in the state record.

746.3407 · Maintenance of Building, Grounds and Equipment

During the time inspection a toilet in the toddler's room was not working properly. A toilet in the boy's bathroom was not working properly. The girl's restroom was lacking toilet tissue. The sink in the waddlers classroom was broken. The bottom of the cabinet in the infant's classrooms was damage and coming apart and pieces of wood was accessible to the crawling infants.

Corrected Corrected by Oct 25, 2021

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

746.4503(b) · Cots, Beds, Mats Labeled With Child's Name

A child was asleep on a cot that was not labeled.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

746.3805(c)(3) · Medication Records - Date, Time and Amount Given

Medication was given on 10/19/2021 and the amount given and time was not listed.

Corrected Corrected by Oct 20, 2021

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

746.901(4) · Required Personnel Records - Required Affidavit

3 out of 13 staff files are lacking a notarized affidavit

Corrected Corrected by Oct 22, 2021

Category: recordkeeping. Marked corrected in the state record.

746.2207(c)(1) · Screen Time Activities - Related to Planned Activities

During the time of inspection children were seen using tablets. Tablet use and screen time is not apart of the planned activities.

Corrected Corrected by Oct 20, 2021

Marked corrected in the state record.

746.2431(4) · Infant Daily Report - Infant's Mood

Infant's daily report is lacking infant's general mood for the day.

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. Marked corrected in the state record.

746.605(6) · Required Admission Information - Emergency Contact

3 out of 12 children records are lacking emergency address for the designated contact person.

Corrected Corrected by Oct 22, 2021

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

746.401(5) · Posting Requirements - Activity Plans for each group of children in the child care center

School age children do not have an activity plan posted.

Corrected Corrected by Oct 20, 2021

Marked corrected in the state record.

746.3805(c)(4) · Medication Records - Name of Employee Who Administered

Medication was given on 10/19/2021 and the employee who administer the medication did not put a full name.

Corrected Corrected by Oct 20, 2021

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

746.2409(a)(10) · Safety Requirements for Cribs - Label for Each Infant

An infant present did not have a labeled crib.

Corrected Corrected by Oct 21, 2021

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

746.4405 · Location of Handwashing Sink

The sink in the waddlers classroom is lacking paper towels.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

746.801(1) · Required Records Maintained and Made Available - Children's Records

3 out of 12 children records are missing admission files.

Corrected Corrected by Oct 25, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the time of inspection 1 out of 5 vans safety alarm was not working properly.

Corrected Corrected by Oct 20, 2021

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

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

During the time of inspection employee's attendance was not made available.

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. Marked corrected in the state record.