LMM Sunset

Caregiver was watching six children in the age group 12-17 months. Maximum for one caregiver for this age group is five children. NOTE: During inspection caregiver shifted their 18 month old child to the other classroom to come into ratio.

The Emergency Preparedness Plan provided did not include: 1. The emergency telephone number. 2. How staff will communicate with local authorities. 3. How staff will evacuate and relocate with parent and emergency contact telephone numbers for each child in care as well as authorization for emergency care. 4. How staff will continue to care for the children until each child has been released. 5. How children will be reunited with their parents.

A caregiver responsible for a group of children ages 18 months-4 years old was unaware of the number of children responsible for. The caregiver stated 14 children were present however 16 were observed in the room.

Upon arrival I observed a six month old and a three year old unsupervised in the primary class.

Monthly checklist were not available for review during today's visit.

Records were evaluated for four children enrolled and the following was determined: One child needed a health statement signed by a physician. Three children needed current immunization records. An address for the emergency contact is needed for one child. One child needed release persons.

During today's inspection a six month old and three year old were observed in the primary classroom.

The Emergency Practices form was reviewed and showed the last fire drill was completed 10/2022.

During this inspection I observed unlabeled nap cots. Note: This was corrected during inspection.

The Emergency Practices form was reviewed and showed the fire extinguishers, smoke detection system, and carbon detection system were last checked 10/2022.

The fire extinguisher in the infant room is in need of servicing.

Records were evaluated for four children enrolled and the following was determined: Two children needed a special needs statement. One child needed an updated immunization record. One child needed a health statement. One child needed emergency care info such as address and telephone number.

The director was observed caring for seven children ages 6 months, 7 months, 9 months, 13 months, 14 months, 16 months, and 20 months in the Young Toddler classroom. The specified age group was 12-17 months. The maximum number of children one caregiver may supervise is for this age range is five children. The director was over ratio by two children.

Four personnel records were evaluated and the following was determined: One staff member needed proof of how they meet minimum education qualifications. One staff member needed a current ID/Driver's License.

A non-walking infant was napping on a mat. A crib must be provided for each non-walking infant to nap in. This was corrected at inspection.

A follow-up inspection was conducetd and compliance was not met. A staff is still performing other job duties that take her away from properly supervising her group of children. This deficiency is being re-cited.

An additional caregiver was not in the building during nap time. The caregivers that were present were responsible for supervising children. If only caregiver is needed to meet ratio requirements there must be an additional caregiver or employee in the building.

A caregiver counted in the child/staff ratio has not completed at least 8 clock hours of pre-service training.

A food allergy plan has not been completed for a child with a diagnosed food allergy.

The infant caregiver was observed leaving the classroom to get the car seat for a child that was being picked up. Another teacher was unable to properly supervise her group of children due to performing other job duties.

One staff's file did not have documentation showing they meet the age and education requirements.

Toys, equipment and tyhe diaper changing surface are not always being sanitized properly. Caregivers are using baby wipes or a bleach/water solution to sanitize equipment. When a bleach water solution is used, the following steps must be followed: . Spray with soap and water 2. Rinse with clear water 3. Spray or soak in a disinfectant solution for at least two minutes. Rinse with cool water items children are likely to place in their mouths. 4. Allow the surface/articel to ar dry The spray bottles can be labeled #1, #2 and #3 to help caregivers remember the steps and the steps can be posted in each diaper changing area. This process must be used when sanitizing all equipment and toys.

A staff's file lacked photo identification.

A caregiver with unsupervised access to children in care had not completed a valid CPR class.

One staff's file did not have a notarized affidavit.