Toddler House 5

Of the six personnel records, one caregiver lacked First Aid Training.

Of the six personnel records evaluated, two caregivers did not training in one or more of the following topics for the previous training year: food allergies and administering medications.

Background check for two former staff have not been inactivated within seven days of their last day of employment.

An infant was combined with children that were more than 18 months older than the youngest child in the group.

An air blower was found to be accessible to children in a classroom that did not have a safegaurd or barrier around it. This was corrected when the blower was removed out of the classroom.

A mop bucket with water was accessible to children in the children's restroom. This was corrected when the mop bucket was removed from the restroom an away from children's access.

Of the eight children's records evaluated, one was behind with immunizations.

Of the seven personnel records evaluated, two did not complete the required 24 clock hours of training for their respective training year.

Infants are not going outside daily.

Caregivers did not receive at least six clock hours of training through in-person training.

Of the seven personnel records evaluated, two have not completed 24 clock hours of pre-service training.

Of the seven children's records evaluated, two lacked a parent signed health statement that the child has been examined by a health care professional within the past year.

The daily report sheet for one child did not include the times or amount of food the child is eatinig throughout the day.

One caregiver did not complete training in communicable diseases including immunizations and food allergies.

The operational policies did not include the following information: 1. The benefits of outdoor play. 2. Recommended clothing and footwear. 3. The criteria used to determine when the weather will prevent outdoor play. 4. Parent's Rights. 5. The correct website for Child Care Regulation.

The First Aid Kits on the buses was missing supplies. Bus 12 was missing scissors, tweezers and adhesive tape and Bus 11 was missing a thermometer.

Of the eight children's records evaluated, one lacked a health statement from a health care professional.

The director received 22 of the 30 clock hours of required annual training for the March 2024-March 2025 training year. The director will need to complete 8 clock hours of training.

The written feeding instructions for one infant has not been updated within the last 30 days.

Waster hoses used on Friday were on the toddler playground. This was corrected at inspection.

A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Two children's records lacked a health statement from a health care professional.

A follow-up inspection was conducted and compliance was not met. The loose fill surfacing in the use zone for equipment on the infant/toddler playground is not measuring at least 6 inches.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.

Of the 8 personnel records evaluated, 1 staff has not completed 8 clock hours of pre-service training prior to being counted in the child/staff ratio.

The First Aid Kits on the buses did not include a Guide to First Aid and the kit in the building did not have tweezers.

Of the 8 personnel records evaluated, the following information was not available for review: 1. One staff lacked the age and education requirements 2. One staff lacked photo identification 3. One staff lacked signed documentation that a copy of the parent handbook was received. 4. All staff lacked a pre-employment affidavit 5. One staff lacked a notarized affidavit

The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.

The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.

The director is not current with the required transportation safety training. This was corrected at inspection.

Infant children were not being properly supervised. The caregiver was sitting in the doorway of the classroom and playground. Three children were observed playing on the playground. The other two children were in the classroom.

Of the 8 children's records evaluated, 2 lacked a health statement from a health care provider.

Background checks for persons no longer affiliated with the operation has not been inactivated.

The loose fill surfacing in the use zones for equipment at least 5 feet high is not being maintained at a depth of at least 6 inches.

The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.

The diaper changing tables are not equipped with a smooth, non-absorbent easy to clean pad. Diapers are being changed on a wooden surface.

The CPSC form has not been completed for 2025. The last one was completed in January 2024.

Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials

Of the 8 personnel records evaluated, one did not complete an orientation that included the following topics: administering medication, responding to and preventing food allergies, understanding building and physical premises safety, handling, storing and disposing of hazardous materials and precautions when transporting children.

Of the 8 children's records evaluated, 2 lacked the name and address of the doctor for the health statement.

During the follow up completed a 7 month was combined with two older 2 year olds (32 Months) for nap time. There were 14 children total in the building.

Based on the investigation completed it found that the director is not present at the center. It was found that the director is present less than 75% of the time or less than 30 hours a week.

Based on the investigation completed it was determined that a staff member is using inappropriate discipline with the children. This includes yelling and humiliating the children.

One child out of eight child files reviewed is missing the health statement on file.

One personnel file reviewed had a education document in a foreign language and not translated to english.

During the inspection it was found that the health inspection was last completed on 3/28/23 and expired on 3/28/24.

One out eight child files reviewed is missing the immunization on file.

A file for a newly enrolled child was not available for review during the inspection.

During the inspection, children were observed on the swings without any surfacing underneath. Picture taken