Dolores Appling

One out of four children's files had a parent listed as an emergency contact.

One out of Four children's records reviewed is missing a health statement.

RECITED - Verification of 100% compliance had not been provided by the original compliance date of 10/06/2023. Out of the 4 records for children evaluated during the inspection, none included the required information listed on their enrollment form.

RECITED - Pictures provided on 10/27 and 10/30 do not show compliance. The entire yard must be cleaned of all debris. Several safety hazards were observed in the outdoor space designated for children have a narrow walkway from the door to the yard due the large number of items present. The yard was observed to be cluttered with items like wooden boards, concrete mix, tires, insecticide and other hazardous materials.

RECITED - The updated operational policies provided still did not include all of the required information, specifically, 747.501(8)(b); 747.5010(8)(c) 747.501(9); 747.501(10); 747.501(11), and the emergency preparedness plan did not include procedures for 747.5003(1)(b); 747.5003(4) and 747.5003(5) The operational policies available for review during the inspection did not include policies and procedures for the following: (1) Safe Sleep; (2) Promotion of indoor and outdoor physical activity that is consistent with Developmental Activities and Activity Plan, the policy must include (a)The duration of physical activity at your home, both indoor and outdoor ; (b)The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (c) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time; (3) Your emergency preparedness plan and (4) Procedures for parents to visit the child-care home any time during your hours of operation to observe their child, program activities, the home, the premises, and equipment without having to secure prior approval.

The operational policies available for review during the inspection did not include policies and procedures for the following: (1) Safe Sleep; (2) Promotion of indoor and outdoor physical activity that is consistent with Developmental Activities and Activity Plan, the policy must include (a)The duration of physical activity at your home, both indoor and outdoor ; (b)The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (c) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time; (3) Your emergency preparedness plan and (4) Procedures for parents to visit the child-care home any time during your hours of operation to observe their child, program activities, the home, the premises, and equipment without having to secure prior approval.

Several safety hazards were observed in the outdoor space designated for children have a narrow walkway from the door to the yard due the large number of items present. The yard was observed to be cluttered with items like wooden boards, concrete mix, tires, insecticide and other hazardous materials.

Out of the 4 records for children evaluated during the inspection, none included the required information listed on their enrollment form.

Documentation of Safe Sleeping Policies for Infants under 12 months was not listed in the operational policies. Note: The Safe Sleep Policy Form was given to the provider during the inspection.

The last fire drill was conducted on June 15th, 2022.

A 1 year old child was observed watching television during the inspection. Note: This was corrected during the inspection when the provider turned the television off.

The primary caregiver has only completed 2 hours of annual training. An additional 28 hours of training is required.

A pool of water in a wading pool was accessible to children. There are bricks and other tripping hazards in the outdoor play area.

A substitute caregiver has not completed 24 hours of annual training.

Feeding instructions for a 5 month old was not available for review upon request during the inspection.

Promotion of Physical Activities was not included in the operational policies.