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

There were 12 children in care and only 11 children signed in on the sign in sheet. This was corrected during the inspection by updating the sign in sheet.

Corrected Corrected by Apr 19, 2023

Marked corrected in the state record.

745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation

Upon arrival, there were 2 persons providing care for the 12 children. Neither person has had a background check ran on them through licensing. A 3rd caregiver who has provisions came back from lunch. This was corrected during the inspection when all children were sent home for the day. Background checks were ran while this inspector was present.

Corrected Corrected by Apr 21, 2023

Category: ratio. Marked corrected in the state record.

746.3805(a)(1) · Administering Medication - According to Label Directions

There was a prescription medication that had the proper authorization, but it stated to administer in the am. There was no one in the building that is properly trained on administering medication.

Corrected Corrected by Apr 19, 2023

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

746.3805(a)(1) · Administering Medication - According to Label Directions

The operation is administering children's tylenol to a child under the age of 2, and the package insrtruction require a doctor note for children under 2 years of age.

Corrected Corrected by Apr 6, 2023

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

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

An older infant was observed wearing an amber bead necklace. The necklace was removed during the inspection.

Corrected Corrected by Apr 6, 2023

Marked corrected in the state record.

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

of the 3 children records reviewed, 2 were missing updated short records, date of adminssion and completed emergency authorization. Physciain statements were also missing.

Corrected Corrected by Apr 21, 2023

Category: recordkeeping. Marked corrected in the state record.

746.901(8) · Required Personnel Records- Photo Identification

2 of the records reviewed were missing a copy of the proof of high school diploma, photo id, one was missing proof of CPR training. One was missing proof of required preservice training.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. Marked corrected in the state record.

746.5205(1) · Fire Drill Monthly - Exit in 3 Minutes

It was determined the operation has not conducted a fire drill since the first week of March. A drill was conducted during this inspection which brings them into compliance.

Corrected Corrected by May 5, 2022

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

746.3417(3) · Children Handwashing After Toileting or Diapering

Children were observed being given lunch without washing hands. The caregiver did not wash her hands or those of children that had diaper changes, until asked to do so.

Corrected Corrected by Aug 26, 2021

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

746.901 · Required Personnel Records

All caregiver's cpr expired 8-12-21. The director is missing 5 annual hours, and does not have the topics required for annual compliance. There was a sub present, who had no documentation of orientation. No caregiver had current sids/shaken baby training, and there were 2 children under the age of 2 present.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.

746.1003(1) · Director Responsibilities - Operate in Compliance

Due to the number of citations issued during this inspection, and the overall observations, the director is not ensuring the operation is operating in compliance.

Corrected Corrected by Aug 27, 2021

Marked corrected in the state record.

746.3301(b) · Nutrition and Food Service - Follow Meal Patterns

No water was available for children during lunch. One older infant was provided their meal, and ate the majority of it, before milk was offered. An 11 month old infant drop-in was only supplied formula for lunch. Parents may bring meals, but they must sign stating they are responsible for the nutritional value.

Corrected Corrected by Aug 30, 2021

Category: nutrition. Marked corrected in the state record.

746.603(a)(1) · Children's Records - Enrollment Agreement

Of the 5 children's files reviewed, some were missing the address of the emergency contact, one did not have authorization for emergency medical care, and there were 2 drop in children in care and no records were available for these children.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

746.3407 · Maintenance of Building, Grounds and Equipment

There were multiple holes in the fence that would allow a child to become trapped or escape the fence line. There are ants on the mulch play area where children play. There are swings that are not compliant. The meal table was not washed and sanitized after children were playing with play dough, and prior to meal service. This was corrected when the table was cleaned.

Corrected Corrected by Sep 24, 2021

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

746.1203(6) · Responsibilities of Caregivers - Free of other activities

The director had to go to the kitchen and prepare children's meal, leaving the children in care in the main room of the building with the inspector and a volunteer sub. Nap mats were in another room, and while trying to put the mats out and doing other tasks, children were observed climbing over each other while laying down, an infant was crawling on top of other children, children were taking each others blankets. There was no orderly meal to nap time routine observed.

Corrected Corrected by Aug 27, 2021

Marked corrected in the state record.

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

There are 4 cribs in the operation and none have labels.

Corrected Corrected by Aug 30, 2021

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