| Feb 7, 2024 | §746.3503(a) Staff qualifications & clearances | Medium-high risk | Corrected | Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface: The changing mat observed in the infant classsroom has rips and holes making the material absorbant and not easy to clean. The director changed the mat to a new one with no holes or rips. |
| Sep 12, 2023 | §746.307(c) Safety hazards | Medium risk | Corrected | Parental Notification of Less Serious Injuries: An injury that a child received while in care, was not reported to parents accurately. |
| Sep 12, 2023 | §746.1203(4) Supervision & ratios | Medium-high risk | Corrected | Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs: A child was injured while in care and the caregivers have no knowledge of how it happened. They did not see the incident. |
| Jun 22, 2023 | §746.4601(4) Safety hazards | High risk | Corrected | Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings: I observed playground equipment that presents strangulation risk as there are string hanging down from the structure. Photos were taken. |
| Feb 9, 2023 | §746.1315(a) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.: 1 caregiver does not have current first aid training, |
| Feb 9, 2023 | §746.1601 Supervision & ratios | Medium-high risk | Corrected | Child/ Caregiver Ratio - 13 or More Children: The 3 year old classroom was observed out of ratio with 17 children and 1 teacher. |
| Feb 9, 2023 | §746.1315(b) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric CPR: 1 caregiver does not have current CPR training, |
| Dec 7, 2022 | §746.3505(g) Sanitation & hygiene | Medium-high risk | Corrected | Diapering Procedures-Soiled clothes sent home: There is soiled pants accessible to other children in the bathroom of the 2 year old classroom. The pants were not sealed in a plastic bag. |
| Dec 7, 2022 | §746.1203(2) Facilities & equipment | High risk | Corrected | Responsibilities of Caregivers - Know Group Responsible For: 2 caregivers were unaware of how many children they were responsible for. They stated that they had 18 children, when there was 19 children in the classroom. |
| Nov 30, 2022 | §746.605(13) Supervision & ratios | Medium-high risk | Corrected | Required Admission Information - Special Needs Statement: There is one child with a diagnosed food allergy that does not have medication present. Mom brought the epi pen to the operation to keep. |
| Nov 4, 2022 | §746.1203(4) Supervision & ratios | High risk | Corrected | Responsibilities of Caregivers - Supervision of Children: Children were observed playing in the restroom unsupervised for 15 minutes. The children could be seen playing with items in the bathroom and sticking their hands down into the toilet multiple times. |
| Oct 28, 2022 | §746.2805 Other | High risk | Corrected | Prohibited Punishments - No Harsh, Cruel or Unusual: A caregiver was observed using excessive force when handling 3 children at naptime. |
| Oct 28, 2022 | §746.1003(3) Staff qualifications & clearances | High risk | Corrected | Director Responsibilities - Employee Assignments: A caregiver did not have the skills or abilities needed to care for children in the 2?3-year-old classroom. This resulted in using excessive force during nap time. |
| Oct 28, 2022 | §746.2803(4) Other | Medium-high risk | Corrected | Discipline - Positive Methods of Discipline and Guidance: A caregiver grabbed a child by the arm in a harsh manner as a means of discipline and guidance. |
| Oct 28, 2022 | §746.2805(4) Other | High risk | Corrected | Prohibited Punishments - Hitting with Hand or Instrument: A caregiver was observed hitting a child in the head with an open hand. |
| Sep 28, 2022 | §746.3809 Health records & medication | Medium risk | Corrected | Medication No Longer Used: There is a bottle for children's motrin that is stored in the office for a child that is no longer enrolled. The medication was thrown away immediately/ |
| Sep 28, 2022 | §746.1315(b) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric CPR: 1 of 10 caregivers did not have current CPR training available for review at the time of the inspection. |
| Sep 28, 2022 | §746.1201(1) Staff qualifications & clearances | High risk | Corrected | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: One caregiver offered a child's left over lunch when they were done to another child. The food offered was on the plate and had been touched by the child who did not want to finish the food. |
| Sep 28, 2022 | §746.5205(1) Fire safety & emergency drills | Medium-high risk | Corrected | Fire Drill Monthly - Exit in 3 Minutes: There was no fire drill conducted in August. |
| Sep 28, 2022 | §746.1315(a) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.: 1 of 10 caregivers did not have current first aid training available for review at the time of the inspection. |
| Sep 28, 2022 | §746.3407 Facilities & equipment | Medium-high risk | Corrected | Maintenance of Building, Grounds and Equipment: On the playground, there was animal feces, missing loose fill where water has washed it out, and a considerable amount of stickers in the grassy area of the outdoor space. Meagan used a shovel to remove the animal feces and even out the mulch where it was missing. |
| Sep 28, 2022 | §746.1203(3) Other | Medium-high risk | Corrected | Responsibilities of Caregivers - Know Children's Names and Ages: One caregiver was unsure of the children's ages that she was responsible for. The list of birthdays was not complete so she was not able to confirm the ages without doubt. |
| Sep 28, 2022 | §746.3319(a)(2) Food & nutrition | Medium risk | Corrected | Meal and Snack Service - Allow Children to Feed Themselves: The 4-6 year old children were not given utensils for lunch and they were eating with their hands. Meagan gave all of the children utensils when she entered the classroom at the end of the meal. |
| Jul 18, 2022 | §746.3401(a) Sanitation & hygiene | Medium-high risk | Corrected | Annual Sanitation Inspection: The sanitation inspection was due February of 2022. |
| Jul 18, 2022 | §746.605(16) Supervision & ratios | Medium-high risk | Corrected | Required Admission Information-Completed Food Allergy Plan: One child that is allergic to eggs does not have an emergency allergy plan at the operation. |
| Jul 18, 2022 | §746.605(13) Facilities & equipment | Medium-high risk | Corrected | Required Admission Information - Special Needs Statement: 1 of 4 children's files I reviewed was missing a special needs statement. |
| Jul 18, 2022 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: 4 of the 4 children's records that I reviewed was missing an address for the emergency contact. |
| Jul 8, 2022 | §746.305(a)(4) Supervision & ratios | Medium-high risk | Corrected | Report Outbreak of Communicable Illness: Licensing was notified 3-5 days after the operation was notified about 5 different COVID cases. |
| Jul 5, 2022 | §746.2205(a)(2) Records, permits & program | Medium risk | Corrected | Written Activity Plan - Outline Daily Activities: There was no activity plan that specified the daily activities for the current date. The June activity plan was the same for all ages and is not specific to the age groups. |
| Jul 5, 2022 | §746.1203(3) Other | Medium-high risk | Corrected | Responsibilities of Caregivers - Know Children's Names and Ages: A caregiver did not know the ages of the children she was responsible for nor did she have access to their birth dates. |
| Jul 5, 2022 | §746.1601 Supervision & ratios | Medium-high risk | Corrected | Child/ Caregiver Ratio - 13 or More Children: When I arrived, I observed 13 children (SAG: 2yrs) with one caregiver in one todder classroom and 16 children (SAG: 3 yrs) with one caregiver in another toddler classroom. |
| Jul 5, 2022 | §746.2905(1) Other | Medium risk | Corrected | Children Not Required to Sleep - May Not Force Child to Sleep: During naptime, I observed 7 children with blankets on their head. |
| Jul 5, 2022 | §746.603(a)(3) Safety hazards | Medium risk | Corrected | Children's Records - Health Statement: 1 of 10 childrens records reviewed is missing a health care statement. |
| Jul 5, 2022 | §746.1003(1) Staff qualifications & clearances | High risk | Corrected | Director Responsibilities - Operate in Compliance: The director is not ensuring the employees are operating in compliance of the minimum standards. |
| Jul 5, 2022 | §746.5205(1) Fire safety & emergency drills | Medium-high risk | Corrected | Fire Drill Monthly - Exit in 3 Minutes: Although the center is practicing the emergency drills, they are not exiting the building in the required time. January, March, April, and June is documented with an exit time of 4 minutes and more. |
| Jul 5, 2022 | §746.2426 Facilities & equipment | High risk | Corrected | Infant May Not Sleep in a Restrictive Device: An infant was observed sleeping in a restctive equipment. |
| Jul 5, 2022 | §746.2417(1) Facilities & equipment | Medium risk | Corrected | Activities for Infants - Outdoor Play Daily: The infant caregiver mentioned that they are not taking the infants outside on a daily basis. |
| Jul 5, 2022 | §746.3417(3) Sanitation & hygiene | Medium-high risk | Corrected | Children Handwashing After Toileting or Diapering: There was a child who did not wash her hands after using the restroom. |
| Jul 5, 2022 | §746.3809 Health records & medication | Medium risk | Corrected | Medication No Longer Used: There is medication present for a child that has recently disenrolled. |
| Jul 5, 2022 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: 4 of the 10 childrens records that I reviewed was missing an address for the emergency contact. |
| Jul 5, 2022 | §746.3401(a) Sanitation & hygiene | Medium-high risk | Corrected | Annual Sanitation Inspection: The sanitation inspection was due February of 2022. |
| Jul 5, 2022 | §746.3805(b)(1) Supervision & ratios | Medium-high risk | Corrected | Administering Medication - Original Container with Child's Name, Date: Medication at the operation did not have the date the medication was brought to the operation or the full name of the child labeled on the packaging. |
| Jul 5, 2022 | §746.3819 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Emergency Plan Signed by Parents and Health Care Professional: 1 of the 10 childrens files that I reviewed indicated a diagnosed food allergy but was missing an emergency allergy plan. |
| Jul 5, 2022 | §746.3803(c) Supervision & ratios | Medium risk | Corrected | Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions: A parent instructed the operation to administer 6mL of a medication, but the instructions state "do not use unless instructed by a doctor" for the age of the child. |
| Jul 5, 2022 | §746.3420(5) Sanitation & hygiene | Medium-high risk | Corrected | Hand Sanitizer - Stored Out of Child's Reach When Not in Use: Hand sanitizer was observed within reach of children when not in use in the two older classrooms. |
| Jul 5, 2022 | §746.3807(1) Health records & medication | High risk | Corrected | Storage of Medication - Inaccessible to Children: I observed diaper cream that specified 'keep out of reach of children' on a low shelf that children has access to. |
| Jul 5, 2022 | §746.3803(a)(1) Health records & medication | Medium-high risk | Corrected | Medication Authorization - Signed and Dated: There was medication brought by the parent but did not fill out authorization for administering medication. |
| Jul 5, 2022 | §746.631(a) Other | Medium-high risk | Corrected | Sign-in and Sign-out Tracking System: The caregivers have access to a tracking system, however there was no unique identifier for who signed the children in and there way only 8 of 16 present children signed in. |
| Jul 5, 2022 | §746.605(13) Safety hazards | Medium-high risk | Corrected | Required Admission Information - Special Needs Statement: 1 of the 10 childrens records I reviewed was missing a special needs statement. |
| Jul 5, 2022 | §746.2417(2)(B) Food & nutrition | High risk | Corrected | Activities for Infants - Not in Restrictive Device for more than 15 Minutes: There was 4 infants that were observed sitting in an infant feeding activity table for approximately 45 minutes. |
