The Learning Experience

The operation does not know the location of the CO detection and it has not been tested by the operation.

The operation's fire inspection is past due and has not been scheduled.

A child sustained an injury to the head, and the proper first aid was not provided following the incident.

Based on information gathered during the investigation, it was determined that the operation failed to notify the person at pick-up or the child's parent of an injury sustained while in care. As a result, the child required medical treatment.

The operation did not provide the parent of an injured child with an incident report promptly, as outlined in standards.

Three staff files were missing a signed and dated statement that they have recieved the center policies.

Three staff are missing the following trainings; Recognizing and preventing shaken baby syndrome and abusive head trauma, Understanding and using safe sleep practices and preventing sudden infant death syndrome and Understanding early childhood brain development.

Four children files are missing information in the special care statements.

Staff files were observed missing the following trainings for the last full year; -Two staff are missing training in preventing and controlling the spread of communicable diseases, -Five staff are missing training in preventing and responding to emergencies due to food or an allergic reaction, -Three staff are missing training in understanding building and physical premises safety, and -Three staff are missing training in handling, storing, and disposing of hazardous materials

Infants and toddlers were observed eating entire pieces of broccoli for lunch. The broccoli was not cut up.

The menus observed for Weeks 1 through 4 do not follow the USDA food guidelines.

During the inspection, it was determined that the Infant A classroom has not been going outside.

One child does not have the epiPen on file that is listed on the food action plan.

During the inspection, a caregiver did not wash their hands after diapering two children.

Two children did not wash their hands after having diapers changed.

Based on interviews during the investigation, it was determined that infant handwashing is not properly being done.

There was water on the floor in the operation causing a child to be injured. The operation failed to maintain the floor.

The operation contacted the parents after a child was injured but the operation did not use good judgement when they did not send the child home or to seek medical attention for the child's injury.

Ten children's files were observed and missing the updated required information for special care statements.

One caregiver during the inspection, did not know the correct ages of the children that were in the classroom.

Seven feeding instructions have not been properly updated.

One staff does not have a valid certificate for first aid.

One staff does not have a valid certificate for CPR.

Ten children files are missing the new section for if the children can swim and if not, what assistance is needed.

In the two infant classrooms, the cribs were touching next to each other, while the infants were napping.

It was determined that children are not recieving the same napmat everyday. Napmats in some classrooms have numbers and some do not. Some classrooms have number charts which are not being followed or have not been updated.

The operation did not notify Child Care Regulations within 2 days of receiving notification of positive cases.

The Infant A classroom was observed out of ratio. There was one caregiver and 6 infants with a specified age group of 0 to 11 months.