Freda Cartwright

4 out of 4 children's files evaluated did not contain a signed health statement.

Documentation showing completion of the full 30 hours of annual training was not available for review upon request. Only 15.5 hours has been completed.

Operational Policies were not available for review upon request.

Current CPR/First aid training was not available for review upon request.

A severe weather drill has not been conducted since September 2022.

The provider has not conducted any fire drills since September of 2022.

2 out of 4 children's files evaluated did not contain authorization for emegency medical attention.

3 out of 4 children's records evaluated still did not contain a health statement.

Admission information was still missing for 5 out of 5 children's records evaluated. Missing informaiton included addresses and phone numbers of emergency contact person, authorization for emergency medical treatment, missing special needs statements.

The operational policies still did not contain the following information: (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 (C) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time.

Documentation of the full 30 hours of annual training was not available for review upon request. Only 8 hours has been completed.

The operational policies did not contain the following information: - Safe Sleep Policy for Infants under 12 months - Promotion of Physical Activities

During the inspection there were 8 children in care with one caregiver. There were 2 children under 17 months old, and the other 6 children were all 2 years old. The maximum number of children allowed, who are 18 months and older is no more than 4 children. The provider was over ratio by 2 children.

3 out of 4 children's records evaluated did not contain immunizations.

Electricial outlets in the restroom used by children were not covered and was accessible to children.

There are several broken wood pieces with nails protruding in the outdoor play area that could injure a child.

3 out of 4 children's records evaluated did not contain a health statement.

The provider has not conducted any fire drills since 2020.

A severe weather drill has not been conducted since 2020.

A child was observed sitting in a blue high chair that was missing safety straps. The high chair is supposed to be equipped with safety straps and the child could fall out of the chair.

A 9 month old was observed in a crib that had blankets and toys in it.

Admission information was missing for 5 out of 5 children's records evaluated. Missing informaiton included addresses and phone numbers of emergency contact person, authorization for emergency medical treatment, missing special needs statements. 1 child in care did not have any admission information available for review.

The first aid kit did not contain any gauze.