| Jan 12, 2024 | §746.1301(a)(1)(A) Staff qualifications & clearances | Medium-high risk | Corrected | Training Requirements for Employees, Caregivers, and Directors - Orientation: Based on the investigation findings, 3 new hires have not completed their orientation training within seven days of employment. |
| Jan 12, 2024 | §746.1205(a)(4) Supervision & ratios | High risk | Corrected | Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity: Based on the investigation findings, proper supervision is not being maintained at the operation. |
| Jan 12, 2024 | §746.4305 Fire safety & emergency drills | Medium-high risk | Corrected | Fenced Outdoor Activity Space: During an inspection conducted for the investigation on 1/17/24, it was found that the Pre-k class for the 3- to 4-year-old children utilize the big playground that has no fence enclosing the play space. The big playground is located next to an open parking lot that has an entrance and exit gate that is kept open for parents and visitors. |
| Jan 12, 2024 | §746.1605(1) Supervision & ratios | Medium-high risk | Corrected | Child/Caregiver Ratio - 18 Months Difference in Age: Based on investigation findings, it was found that a 2-year-old toddler would be in the infant room during naptime with the youngest infant being 4 months old. It was also found that infants under the age of 17 months have been combined with children 18 months and older during the morning intake with 27 children in care from the ages of 4 months to 4 years old. |
| Jan 12, 2024 | §746.305(a)(6) Facilities & equipment | High risk | Corrected | Report Situation Placing Children at Risk: A self-report was not made to licensing reporting a situation where a 3-year-old ran into the parking lot from an unfenced playground. |
| Jan 12, 2024 | §746.707 Health records & medication | Medium risk | Corrected | Incident/Illness Report Form Shared with Parent: Based on information and documents obtained for the investigation, the guardian was not provided with an incident report to sign and date regarding their 3-year-old running into the parking lot from the unfenced playground. |
| Jan 12, 2024 | §746.301(2) Facilities & equipment | Medium risk | Corrected | Notification of Change in Space: During the investigation, it was found that there was no written notification to licensing regarding a change in added outdoor space for a playground. |
| Dec 4, 2023 | §746.1605(1) Supervision & ratios | Medium-high risk | Corrected | Child/Caregiver Ratio - 18 Months Difference in Age: In the infant room, there were two 3 year olds combined with a younger infant of the age of 4 months old. The oldest a child could be in the room is 22 months old, but there were two 36 month old children. This was corrected when both children were removed from the room and brought to the Pre-K room. |
| Nov 30, 2023 | §746.2805(7) Facilities & equipment | High risk | Corrected | Prohibited Punishments - Placing Child in Locked or Dark Room: Based on the information obtained during the investigation, it was found that a child was placed in a dark restroom as punishment. |
| Nov 30, 2023 | §746.605(3) Facilities & equipment | Medium-low risk | Corrected | Required Admission Information - Date of Admission: Based on the documentation obtained during the investigation, 2 children's admission forms did not have an admission date documented. |
| Nov 27, 2023 | §746.2426(a)(1) Facilities & equipment | High risk | Corrected | Infant May Not Sleep in a Restrictive Device: A 3 month old infant was asleep in a restrictive device. This was corrected when the 3 month old was removed from the device and placed in a crib. |
| Nov 27, 2023 | §746.909 Staff qualifications & clearances | Medium risk | Corrected | Access to Personnel Records: Requested files were not made immediately accessible for review. Files were requested at 11:30AM and were made available to review over the timespan of 5 hours. The director was assisting in and out of classrooms and assisting with lunch and nap time before providing licensing with the requested files. One caregiver file was never made available for review. |
| Nov 27, 2023 | §746.2207(c)(4) Facilities & equipment | Medium risk | Corrected | Screen Time Activities - Not Used During Eating or Rest Times: During naptime in the toddler room, a christian video was playing while the children were falliing asleep on the mats.This was corrected when the video was turned off and music was playing. |
| Nov 27, 2023 | §746.3407(12) Safety hazards | High risk | Corrected | Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children: In the infant room, two bottles of cleaning supples were on the low ledge of the window making them accessible enough to walking infants. This was corrected when the caregiver removed the cleaning supplies by placing them in a locked cabinet. |
| Nov 27, 2023 | §746.1403(a)(4)(A) Supervision & ratios | Medium-high risk | Corrected | Training requirements for substitutes, volunteers, and contractors-Pediatric CPR: A person identified as a volunteer had unsupervised access to children in care in the infant room without having pediatric CPR training.There were 3 infants in care of the ages 3 months old and two 17 months old. |
| Nov 27, 2023 | §746.1403(a)(3)(A) Supervision & ratios | Medium-high risk | Corrected | Training requirements for substitutes, volunteers, and contractors-Pediatric first aid with rescue breathing: A person identified as a volunteer had unsupervised access to children in care in the infant room without having pediatric first aid training. There were 3 infants in care of the ages 3 months old and two 17 months old. |
| Nov 27, 2023 | §746.1201(1) Supervision & ratios | High risk | Corrected | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: A person who was identified as a volunteer caregiver was found asleep in the infant room while one infant was asleep in a restrictive device and two infants sleep on mats. This volunteer was counted in ratio and left alone to care for infants. This was corrected when the caregiver was asked to wake up and remove the sleeping 3 month old infant from the restrictive device. |
| Nov 27, 2023 | §746.1003(4) Supervision & ratios | High risk | Corrected | Director Responsibilities - Employees Supervised: A person identified as a volunteer caregiver was counted in child/caregiver ratio while not having current CPR/First Aid training. This person was also found asleep while caring for 3 infants of the ages 3 months old and two 17 months old. The 3 month old infant was found asleep in a restrictive device. This person was identified as a volunteer by the director, but has been present at the operation consistently. There are no training records for this person. |
| Nov 14, 2023 | §746.1329(b)(2) Staff qualifications & clearances | Medium-low risk | Corrected | Documentation of Training Requirements - Date: Based on documentation obtained for the investigation, it was found that one caregiver's training certificate shows inaccurate date information. This certificate counts a total of 30 clock hours completed on 7/8/23. There is a breakdown of clock hours for each training given on the certificate, but dates are not listed for each training as 30 clock hours cannot be completed in one day. |
| Nov 14, 2023 | §746.1403(a)(5)(A) Supervision & ratios | Medium-high risk | Corrected | Training requirements for substitutes, volunteers, and contractors-24 annual: Based on documentation obtained during the investigation, records showing that a volunteer has been constantly working at the operation from April 12, 2022 without having started or completed 24 clock hours of annual training. This volunteer was counted in child/caregiver ratio and has cared for children unsupervised. |
| Nov 14, 2023 | §746.501(b)(1) Supervision & ratios | Medium-low risk | Corrected | Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours: The operational policies or parent handbook does not state that parents may visit anytime during operating hours without requiring prior approval. In the parent handbook, it states that parents have to acquire prior approval before touring and visiting the school. |
