Primrose Schools 4s Ranch

Based on observation, the licensee did not comply with the section cited above. Changing tables observed today did not have a padded surface. This poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above. Staff did not maintain 15-minute nap logs. This poses a potential health, safety or personal rights risk to persons in care.

Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs. This requirement is not met as evidence by: 1 Director stated the staff members involved were counseled and all infant staff members has been retrained on bottle tracking and feeding procedures on 11/18/2023. On 11/10/2023, staff fed the wrong bottle of formula milk to infant #1. Infant #1 did not sustain any allergic reaction from drinking infant #2's formula milk. This poses a potential health and safety risk to children in care. This is a repeat violation that also happened on 04/05/2023. Director provided the 11/18/2023 staff members sign in sheet and the agenda to LPA.

Responsibility for Providing Care and Supervision for Infants- Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidence by: During the facility's monthly staff meeting on 11/18/2023. Director and licensee reminded everyone about the visual supervision requirements and proper positioning during all transition. On 11/16/2023 around 10:51am, a day care child walked from the playground door towards his class without visual supervision for about a minute during the outdoor to indoor transition in the toddler 1 class. A staff brought the child back to his teachers at the playground that were trying to transfer the kids inside. This poses a potential health and safety risk to children. 8 Director provided the 11/18/2023 staff members sign in sheet and agenda to LPA.

Based on record review, the licensee did not comply with the section cited above in 1 out of 5 staff's file does not have a transcript available for review as the staff's credential had expired two months ago. This poses/posed a potential health, safety or personal rights risk to persons in care.

Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs. This requirement is not met as evidence by: 1 Director stated that all staff members involved were counseled and all infant staff members has been retrained on bottle tracking and feeding procedures on 03/17/2023. On 03/16/2023, staff #1 fed the wrong bottle of milk to infant #1 because she did not clearly verify the bottle information prior to feeding. Infant#1 did not sustain any allergic reaction to the wrong bottle of breast milk. This is a potential health and safety risk to children in care if not corrected. Director stated that she will submit the agenda along with the staff members's name and signed in sheet to LPA with the updated bottle verfication form by 04/14/2023.