2024-11-05 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2024-11-05. Correction verified: 2024-11-21.
Infant was sleeping with a pacifier containing a string attached to their clothing. Note: The string removed from the infants clothing during the inspection.
2024-10-17 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
The operation combined a 6 month old infant with older children during the inspection. The oldest child in the group was 5 years old. The oldest child can be no older than 23 months old. Note: Caregivers transitioned children to their assigned classrooms during the inspection.
2024-10-17 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2024-10-17. Correction verified: Not recorded.
Children under two were observed watching television during the inspection. Note: Caregivers turned the television off during inspection.
2024-10-17 · 746.3317 · Medium High
Food Service and Preparation Requirement - Safe and Sanitary
Corrected at inspection: Yes. Correction date: 2024-10-17. Correction verified: Not recorded.
Expired milk was served to children for breakfast during the inspection. Note: The provider purchased and provided new milk during the inspection.
2024-10-17 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
During the inspection the child to caregiver ratio was 11 children to 1 caregiver. The specified age group was 18-23 months and the maximum number of children allowed with this group should've been 9. Note: An additional caregiver was added to the group once they arrived.
2024-07-19 · 746.3805(c)(2) · Medium High
Medication Records - Name of Medication
Corrected at inspection: Yes. Correction date: 2024-07-19. Correction verified: Not recorded.
The medication log was missing the name of medication that was administered to a child in care. The name of medication was listed as pain medication. Note: The provider found the medication that was given and documented it on the medication log during the inspection.
2024-07-19 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2024-08-01. Correction verified: 2024-07-31.
The operational policies provided for review did not contain the following information: A Safe Sleeping Policy for Infants under 12 Months The criteria the operation will use to determine when extreme weather conditions pose a significant health risk to children Information on vaccine-preventable diseases for employees Required annual trainings for employees in preventing and responding to abuse and neglect of children Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect Methods for increasing employee and parent awareness of prevention techniques for child abuse and neglect Strategies for coordination between the center and appropriate community organizations Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect.
2024-07-19 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: Yes. Correction date: 2024-07-19. Correction verified: Not recorded.
A caregiver did not have information available to them in the classroom showing all of the children's ages who were in care during the inspection. Note: The provider updated the children's ages during the inspection.
2024-07-19 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2024-08-01. Correction verified: 2024-07-31.
Children's admissions information was evaluated and missing the following documentation: Dates of Admission Incomplete Health Statements Incomplete Emegency Contact Information Incomplete Signature for the Receipt of Operational Policies Missing Special Needs Statements Missing Signatures on the Authorization for Emergency Medical Transporation and Treatment
2024-07-19 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2024-08-01. Correction verified: 2024-07-29.
10 employee records were evaluated and were missing the following information: Proof of Background Check Eligibility Letter Signed and Updated Personnel and Operation Policies from staff Notarized Employment Affidavit Forms Dates of Employment Completion of Orientation
2024-07-19 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2024-07-19. Correction verified: 2024-07-19.
A caregiver with provisional eligibility was observed in a classroom alone with children. The conditions of the caregivers background check were not followed during the inspection.
2024-07-19 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-07-26. Correction verified: 2024-07-22.
The feeding instructions for 1 infant was last signed and dated by the parent on 3/7/2024.
2024-05-29 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: No. Correction date: 2024-06-05. Correction verified: 2024-06-14.
Children did not wash their hands before eating their snack during the follow up inspection.
2024-05-16 · 746.5617(a)(6) · High
Required Equipment in Vehicles - First-aid Kit
Corrected at inspection: No. Correction date: 2024-05-17. Correction verified: 2024-05-29.
The first aid kit in the van was missing gauze and antiseptics solution.
2024-05-16 · 746.1203(6) · Medium High
Responsibilities of caregivers-Set appropriate behavior expectations
Corrected at inspection: No. Correction date: 2024-05-23. Correction verified: 2024-05-29.
Children were observed fighting one another during the inspection.
2024-05-16 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2024-05-23. Correction verified: 2024-05-29.
The child safety alarm in the white van is not functioning properly. When the driver pressed the button to turn the alarm off it continued going off after testing multiple times.
2024-05-16 · 746.5617(a)(4) · High
Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
Corrected at inspection: No. Correction date: 2024-05-17. Correction verified: 2024-05-29.
Emergency phone #'s were missing for 2 children who were transported. Note: One child's emergency phone # was corrected during inspection.
2024-04-30 · 746.2401(7) · High
Basic Requirements for Infants - Never Unsupervised
Corrected at inspection: No. Correction date: 2024-04-30. Correction verified: 2024-05-16.
During the follow up inspection, 5 infants were left unsupervised and there was no caregiver present in the room. Note: A caregiver returned to the classroom during the inspection. Discussed with the provider that infants are never to be left alone and another staff must step in when the caregiver needs to leave the room.
2024-04-16 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2024-04-22. Correction verified: 2024-04-22.
The maintenance checklists do not document broken equipment observed on the playground.
2024-04-16 · 746.4803 · Medium
Measurement of Use Zone for Stationary Equipment
Corrected at inspection: Yes. Correction date: 2024-04-16. Correction verified: Not recorded.
The use zone for stationary equipment did not meet the 6 feet requirement. Note: The provider arranged the equipment during the inspection so that it meets 6 feet on all sides.
2024-04-16 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: No. Correction date: 2024-04-22. Correction verified: 2024-04-22.
Smoke and Carbon Monoxide detectors were not tested in February of 2024.
2024-04-16 · 746.3313(1) · Medium
Daily Menus - Record Comparable Substitutions
Corrected at inspection: Yes. Correction date: 2024-04-16. Correction verified: Not recorded.
The daily menu showed pineapples were to be served for lunch when children were served fruit cocktail. Note: The provided noted the substitution on the menu during inspection.
2024-04-16 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2024-04-22. Correction verified: 2024-04-22.
The emergency preparedness plan does not address the designated sheltering/lock-down location within the center where children should gather.
2024-04-16 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2024-04-22. Correction verified: 2024-04-22.
Fire drills were not conducted in February of 2024.
2024-04-16 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-04-22. Correction verified: 2024-04-19.
A food allergy emergency plan was not available for review for a child with a food allergy to peanuts.
2024-04-16 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-04-16. Correction verified: 2024-04-30.
A caregiver did not know the correct number of children they were responsible for during the inspection. The caregiver stated there were 14 children when only 13 children were accounted for.
2024-04-16 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2024-04-22. Correction verified: 2024-04-30.
Observed a broken fence on the outdoor play area with nails that are exposed and accessible to children.
2024-04-16 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-04-16. Correction verified: Not recorded.
Lysol spray was observed on a low shelf in reach of children during the inspection. Note: The provider removed the cleaning supplies from the shelf during inspection.
2024-02-08 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2024-02-16. Correction verified: 2024-02-08.
During the follow up inspection, a screw was observed under the play structure.
2024-02-08 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-02-08. Correction verified: Not recorded.
Observed a bottle of Clorox and Draino in an unlocked cabinet in the 4's and 5's room during the follow up inspection. Note: The provider removed the cleaning supplies during the inspection.
2024-02-08 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2024-02-16. Correction verified: 2024-02-08.
During the follow up inspection, children's records were still missing special care needs statements and complete emergency contact information.
2024-02-08 · 746.4813(a) · Medium High
Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
Corrected at inspection: No. Correction date: 2024-02-16. Correction verified: 2024-02-14.
The use zone for rotating and bouncing equipment on the playground does not extend 6 feet.
2024-02-08 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-02-16. Correction verified: 2024-02-13.
During the follow up inspection, toilet seats were broken and observed broken toilet roll despenser.The tiles in the restroom used by school age children are in need of repair.
2024-01-12 · 746.3301(f)(1) · Medium High
Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-02-08.
Water was not made readily available to children during lunch.
2024-01-12 · 746.2409(a)(10) · Medium
Safety Requirements for Cribs - Label for Each Infant
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-01-17.
An infants crib was not labeled with their name during the inspection.
2024-01-12 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-02-08.
Observed two broken tissue roll holders in the 3 &4's classroom. The deck in the outdoor play area contains uneven surfaces that pose a tripping hazard.
2024-01-12 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-02-08.
Children's records for 5 children in care did not contain the following information: 3 were missing consent for field trips, transportation and water activities. 1 was missing signature from the parent authorization for emergency medical treatment. 1 was missing the school name and phone #. 1 was missing an immunization record.
2024-01-12 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-02-08.
The van used to transport chidren is not equipped with a child safety alarm.
2024-01-12 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-02-08.
A physician's statement was missing on a food allergy emergency plan for a child with a known food allergy.
2024-01-12 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-01-26.
A caregiver was observed in the 4 & 5 year old classroom with direct access to children. The provider has not received an eligiblity determination from CBCU stating they can be present.
2024-01-12 · 746.3317(10) · Medium High
Food Service and Preparation Requirement - Poisonous/Toxic Materials Stored Separate from Food
Corrected at inspection: Yes. Correction date: 2024-01-12. Correction verified: Not recorded.
Observed a box of disinfectant spray stored in the pantry where the food is located.
2024-01-12 · 746.4215(a) · Medium High
Share Indoor Activity Space With Written Plan
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-17.
The operation is sharing space with another program. A written plan of shared space was not available for review during the inspection.
2024-01-12 · 746.3805(c)(3) · Medium High
Medication Records - Date, Time and Amount Given
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-17.
The medication log was missing dates and amounts of medication given to children on various dates,
2024-01-12 · 746.5315 · Medium High
Smoke-Detection System Tested
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-01-17.
Documentation showing the current annual smoke detection system testing was not available for review upon request.
2024-01-12 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-01-23.
A fire inspection has not been conducted since December 15th, 2022.
2024-01-12 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: Yes. Correction date: 2024-01-12. Correction verified: Not recorded.
Observed expired medication during the inspection that has not been disposed. Note: The provider put the expired medication in the trash can during the inspection.
2024-01-12 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-02-08.
Observed several nails, screws and washers in the outdoor play area that pose a safety hazard to children.
2024-01-12 · 746.4003(a)(5) · Medium
First Aid Kit Incomplete - Scissors
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-01-17.
There were no scissors in the first aid kit.
2024-01-12 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-17.
1 out of 5 staff files is in need of skill based CPR training.
2024-01-12 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-17.
The last Children's Product Certification has not been completed since December 12th, 2022.
2024-01-12 · 746.4309 · Medium High
Fenced Outdoor Activity Space -Gates Locked
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-02-08.
A fenced in area to the outdoor play area cannot be properly opened by each caregiver.
2024-01-12 · 746.4003(b) · Medium
First Aid Kit - Supplies Not Expired
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-17.
Expired alcohol wipes were observed in the first aid kit,
2024-01-12 · 746.2409(a)(3) · Medium High
Safety Requirements for Cribs - Waterproof, Washable Mattress
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-02-08.
Sheets in a crib in the infant room were not snug fitting and had to be tied to fit to the mattress.
2024-01-12 · 746.3407(10) · Medium High
Center Heated, Lighted and Ventilated Properly
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-17.
A lightbulb was out in the toddler room restroom.
2024-01-12 · 746.3311(d) · Medium High
Special Diets - No Nutrient Concentrates or Supplements
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-01-22.
Observed a bottle in the infant room filled with a brown protein mixture. Documentation of written consent from a health care professional or dietician was not available upon request.