A & B Nursery School

The hand washing sink in the diaper changing area is used for washing and rinsing bottles. Note: corrected during inspection.

The loose-fill material mulch was depleted under the climbing structure in the playground area. This must be maintained at proper depth.

I observed two daycare vans missing a first aid kit inside. Note: corrected when staff replaced first aid kit.

I did not observe a carbon monoxide detector in the daycare building.

Upon arrival I observed in the infant 2 room a 19-month child in care with television on. Note: corrected when caregiver turned off television.

I observed in the toddler room two feeding bottles and training cup not labeled with child's name or other identifying information. Note: corrected when caregiver labeled the items.

Ten children's files were reviewed and 6 of the files did not have a date of addmission.

When reviewing personnel files it was found that the director did not have a current CPR/First aid certificate available for review.

Ten children's files were reviewed and four files did not have immunization reocrds and they were not school aged children.

Ten children's files were reviewed and three files did not have a health care provider statement.

During the walk through it was found that the operation has a hazardous piece of playground equipment on the far right of the playground.

During the walk through a caregiver was not able to provide ages of children to licensing staff when asked. This was corrected when the caregiver updated the roll sheet with the children's current ages for reference.

Ten children's files were reviewed one file did not have an address for the emergency contact and one did not have emergency contact information at all.

This standard was evaluated and found to be deficient due to the operations van window being broken, covered with a trash bag.

During the walk through I observed a caregiver change a diaper and the caregiver did not wash her hands. The inspector mentioned handwashing to the caregiver. Then the caregiver washed her hands.

While reviewing childrens records it was observed that five children's reords were missing the admission date, parent signatures and dates through the admission forms.

During the walk through I observed the unlabeled bottles. This was corrected when the caregiver labeled the bottles.

While reviewing personnel files it was found that the director and 3 caregivers were missing training hours and including abuse/neglect training.

During the walk through I observed a child inside an unlabeled crib. This was corrected when the caregiver labeled the crib.

Three infants of the ages 4 months, 5 months, and 11 months old were found asleep in restrictive devices during a walkthrough of the infant room. This was corrected when all three infants were removed from the restrictive device and placed in their cribs to sleep.

It was found that one caregiver had a pending background check while caring for 17 toddlers during naptime. This was corrected when the caregiver was asked to leave the operation.

A 6 month infant was asleep in a crib while propped up with a boppy pillow. There was no Sleep Execption Form for the infant. This was corrected when the pillow was removed.

The playground with swings did not have a depth of 6 inches of loose-fill surfacing.

In the toddler room, the two-slide indoor play structure is not installed over unitary shock absorbing surfacing. The two-slide play structure has a large rug underneath the equipment.

In the infant room 2, there were 4 bottles with no name label on them. This was corrected when all the bottles were relabeled during the inspection.

There is no loose-fill or unitary surfacing under the rocking school bus in the outside play area.

It was observed that the television in the school age room is not anchored.

During the walkthrough it was found that one child was confined to a high chair to allow the child to sleep. Note: Picture was taken and child was removed from the high chair and placed in nap mat.

Caregiver in school age room did not know how many children caregiver was responsible for.

On the pre school playground the wood barriers for the surfacing material were separating and as a result created a tripping hazard.

On the pre school age playground there was a trapeze bar with exercise rings on the play structure.

The training certificates were not available for the caregivers and director.

Two classrooms with children present was missing the fire exit diagram. Note: This was posted at inspection.

New outdoor climbing equipment with slide was placed over grass and not proper surfacing.

Two staff members who transport had expired transportation training.

It was found that the child safety alarm was not installed in the vehicle used for transporting. The vehicle was purchased 2020 when the building opened.

During the inspection it was found that the fire inspection expired 08/23/22.

It was found that the parent was not informed of the child's injury.

It was found that the food allergy plan for a child with diagnosed food allergies was not signed by the parent and physician.

Two out of ten children are missing immunization records.

All the cribs in the infant room except one did not have labels with the child's name and information. Corrected: Director put labels on each crib with the correct child's name and information.

One out of ten children is missing the special care needs statement and signature.

One out of ten children is missing the signature for the medical authorization.

The caregiver in the preschool classroom did not know the number of children that were in their care.

Four out of ten children are missing updated health statements signed by health care provider.

There was only one caregiver in the infant classroom with 7 infants. Corrected: This is was corrected at inspection when another caregiver went into the room to assist in the classroom.

One out of ten children is missing vision and hearing screenin.

Two infants did not have a signed and completed written feeding instruction.

One out of ten children is missing the physician or health care professional information.