2024-02-07 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: Yes. Correction date: 2024-02-07. Correction verified: Not recorded.
The changing mat observed in the infant classsroom has rips and holes making the material absorbant and not easy to clean. The director changed the mat to a new one with no holes or rips.
2023-09-12 · 746.1203(4) · Medium High
Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs
Corrected at inspection: No. Correction date: 2023-10-20. Correction verified: 2023-10-30.
A child was injured while in care and the caregivers have no knowledge of how it happened. They did not see the incident.
2023-09-12 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2023-10-20. Correction verified: 2023-10-30.
An injury that a child received while in care, was not reported to parents accurately.
2023-06-22 · 746.4601(4) · High
Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
Corrected at inspection: No. Correction date: 2023-06-26. Correction verified: 2023-06-28.
I observed playground equipment that presents strangulation risk as there are string hanging down from the structure. Photos were taken.
2023-02-09 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-02-09. Correction verified: 2023-02-21.
The 3 year old classroom was observed out of ratio with 17 children and 1 teacher.
2023-02-09 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2023-02-10. Correction verified: 2023-02-09.
1 caregiver does not have current CPR training,
2023-02-09 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2023-02-10. Correction verified: 2023-02-10.
1 caregiver does not have current first aid training,
2022-12-07 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-12-07. Correction verified: 2022-12-14.
2 caregivers were unaware of how many children they were responsible for. They stated that they had 18 children, when there was 19 children in the classroom.
2022-12-07 · 746.3505(g) · Medium High
Diapering Procedures-Soiled clothes sent home
Corrected at inspection: Yes. Correction date: 2022-12-07. Correction verified: Not recorded.
There is soiled pants accessible to other children in the bathroom of the 2 year old classroom. The pants were not sealed in a plastic bag.
2022-11-30 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: Yes. Correction date: 2022-11-30. Correction verified: Not recorded.
There is one child with a diagnosed food allergy that does not have medication present. Mom brought the epi pen to the operation to keep.
2022-11-04 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-11-04. Correction verified: 2022-11-08.
Children were observed playing in the restroom unsupervised for 15 minutes. The children could be seen playing with items in the bathroom and sticking their hands down into the toilet multiple times.
2022-10-28 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2022-12-01. Correction verified: 2022-12-07.
A caregiver was observed using excessive force when handling 3 children at naptime.
2022-10-28 · 746.1003(3) · High
Director Responsibilities - Employee Assignments
Corrected at inspection: No. Correction date: 2022-12-01. Correction verified: 2022-12-07.
A caregiver did not have the skills or abilities needed to care for children in the 2?3-year-old classroom. This resulted in using excessive force during nap time.
2022-10-28 · 746.2805(4) · High
Prohibited Punishments - Hitting with Hand or Instrument
Corrected at inspection: No. Correction date: 2022-12-01. Correction verified: 2022-12-07.
A caregiver was observed hitting a child in the head with an open hand.
2022-10-28 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2022-11-04. Correction verified: 2022-11-08.
A caregiver grabbed a child by the arm in a harsh manner as a means of discipline and guidance.
2022-09-28 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-09-28. Correction verified: 2022-10-11.
One caregiver offered a child's left over lunch when they were done to another child. The food offered was on the plate and had been touched by the child who did not want to finish the food.
2022-09-28 · 746.3319(a)(2) · Medium
Meal and Snack Service - Allow Children to Feed Themselves
Corrected at inspection: Yes. Correction date: 2022-09-28. Correction verified: Not recorded.
The 4-6 year old children were not given utensils for lunch and they were eating with their hands. Meagan gave all of the children utensils when she entered the classroom at the end of the meal.
2022-09-28 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-11.
There was no fire drill conducted in August.
2022-09-28 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-09-28. Correction verified: 2022-10-11.
On the playground, there was animal feces, missing loose fill where water has washed it out, and a considerable amount of stickers in the grassy area of the outdoor space. Meagan used a shovel to remove the animal feces and even out the mulch where it was missing.
2022-09-28 · 746.1203(3) · Medium High
Responsibilities of Caregivers - Know Children's Names and Ages
Corrected at inspection: No. Correction date: 2022-09-28. Correction verified: 2022-10-11.
One caregiver was unsure of the children's ages that she was responsible for. The list of birthdays was not complete so she was not able to confirm the ages without doubt.
2022-09-28 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2022-09-29. Correction verified: 2022-09-30.
1 of 10 caregivers did not have current first aid training available for review at the time of the inspection.
2022-09-28 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2022-09-29. Correction verified: 2022-09-30.
1 of 10 caregivers did not have current CPR training available for review at the time of the inspection.
2022-09-28 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: Yes. Correction date: 2022-09-28. Correction verified: Not recorded.
There is a bottle for children's motrin that is stored in the office for a child that is no longer enrolled. The medication was thrown away immediately/
2022-07-18 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-07-18. Correction verified: 2022-07-28.
The sanitation inspection was due February of 2022.
2022-07-18 · 746.605(16) · Medium High
Required Admission Information-Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2022-07-21. Correction verified: 2022-07-26.
One child that is allergic to eggs does not have an emergency allergy plan at the operation.
2022-07-18 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2022-07-21. Correction verified: 2022-07-21.
1 of 4 children's files I reviewed was missing a special needs statement.
2022-07-18 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2022-07-21. Correction verified: 2022-07-21.
4 of the 4 children's records that I reviewed was missing an address for the emergency contact.
2022-07-08 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2022-07-11. Correction verified: 2022-07-26.
Licensing was notified 3-5 days after the operation was notified about 5 different COVID cases.
2022-07-05 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2022-07-08. Correction verified: 2022-07-18.
4 of the 10 childrens records that I reviewed was missing an address for the emergency contact.
2022-07-05 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
There was medication brought by the parent but did not fill out authorization for administering medication.
2022-07-05 · 746.3803(c) · Medium
Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
A parent instructed the operation to administer 6mL of a medication, but the instructions state "do not use unless instructed by a doctor" for the age of the child.
2022-07-05 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
The sanitation inspection was due February of 2022.
2022-07-05 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
I observed diaper cream that specified 'keep out of reach of children' on a low shelf that children has access to.
2022-07-05 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2022-07-08. Correction verified: 2022-07-08.
1 of the 10 childrens files that I reviewed indicated a diagnosed food allergy but was missing an emergency allergy plan.
2022-07-05 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2022-07-08. Correction verified: 2022-07-18.
1 of the 10 childrens records I reviewed was missing a special needs statement.
2022-07-05 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
The caregivers have access to a tracking system, however there was no unique identifier for who signed the children in and there way only 8 of 16 present children signed in.
2022-07-05 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
The director is not ensuring the employees are operating in compliance of the minimum standards.
2022-07-05 · 746.2417(1) · Medium
Activities for Infants - Outdoor Play Daily
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
The infant caregiver mentioned that they are not taking the infants outside on a daily basis.
2022-07-05 · 746.2905(1) · Medium
Children Not Required to Sleep - May Not Force Child to Sleep
Corrected at inspection: Yes. Correction date: 2022-07-05. Correction verified: Not recorded.
During naptime, I observed 7 children with blankets on their head.
2022-07-05 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
There was a child who did not wash her hands after using the restroom.
2022-07-05 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
When I arrived, I observed 13 children (SAG: 2yrs) with one caregiver in one todder classroom and 16 children (SAG: 3 yrs) with one caregiver in another toddler classroom.
2022-07-05 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
An infant was observed sleeping in a restctive equipment.
2022-07-05 · 746.2205(a)(2) · Medium
Written Activity Plan - Outline Daily Activities
Corrected at inspection: No. Correction date: 2022-07-08. Correction verified: 2022-07-18.
There was no activity plan that specified the daily activities for the current date. The June activity plan was the same for all ages and is not specific to the age groups.
2022-07-05 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: Yes. Correction date: 2022-07-05. Correction verified: Not recorded.
1 of 10 childrens records reviewed is missing a health care statement.
2022-07-05 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2022-07-19. Correction verified: 2022-07-18.
Although the center is practicing the emergency drills, they are not exiting the building in the required time. January, March, April, and June is documented with an exit time of 4 minutes and more.
2022-07-05 · 746.3420(5) · Medium High
Hand Sanitizer - Stored Out of Child's Reach When Not in Use
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
Hand sanitizer was observed within reach of children when not in use in the two older classrooms.
2022-07-05 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
There is medication present for a child that has recently disenrolled.
2022-07-05 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
Medication at the operation did not have the date the medication was brought to the operation or the full name of the child labeled on the packaging.
2022-07-05 · 746.1203(3) · Medium High
Responsibilities of Caregivers - Know Children's Names and Ages
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
A caregiver did not know the ages of the children she was responsible for nor did she have access to their birth dates.
2022-07-05 · 746.2417(2)(B) · High
Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Corrected at inspection: No. Correction date: 2022-07-05. Correction verified: 2022-07-18.
There was 4 infants that were observed sitting in an infant feeding activity table for approximately 45 minutes.