Ready Set Grow Learning Services

Based on record review, C1s individual feeding plan indicated C1 was to be fed every two hours. Per documentation, C1 was being fed every three hours, which is not in accordance with C1 individual plan. This poses a potential Health, Safety or Personal Rights risk to the persons in care.

Based on record review, the licensee did not comply with the section cited above in three of six infant files reviewed did not contain documenation that the needs and service plan was updated at least quartrly, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two of six infant files reviewed were missing immunization paperwork, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two of twelve infants in attendance were not signed into the Center, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in six of six infant feeding plan records were missing the plan for introducing new food, plan for introducing cups and utensils, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interviews, and record review, the licensee did not comply with the section cited above when the Center was caring for 12 infants which is beyond the conditions and limitation specified on the License. The License allows the Center to care for 11 infants. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in when C1 was observed sleeping in a crib with a pacifer in their mouth. The pacifier was attached to C1 clothing, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above when LPA observed five cribs in the infant sleeping area. During LPAs inspection the Center had six children who required a crib for sleeping, therefore the Center failed to provide a crib for each infant who is unable to climb out of a crib, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in three of five cribs mattress were covered in a polyester material which is not vinyl or a similar moisture-resistent material, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in when LPA observed one tummy mat and one mobile for the children birth to 12 months. Based on LPA observation the Center does not appear to have a proper amount of materials to encourage and provide auditory, visual, tactile and manipulative stimulation for the infants under one year of age, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in three out of three crib mattress were covered in a cloth material not a vinyl or similar moisture-resistent material, as required which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above when vinyl blocks on the shelving units in the infant room, had tears along the edges and corners of the materials. In addition LPA observed the molding at the base of the wall was ripped and had a sharp edges exposed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in one of the low shelving units did not have rounded edges which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in one of one first aid kit located in the infant room did not contain a current edition of a first aid manual which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(record review)], the licensee did not comply with the section cited above when the last disaster drill was completed in October 2020 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above when the soft mats which were previously secured to the concrete were not secured at the time of this inspection. Mats were observed upside down with the glue exposed and scattered around the outdoor activity area, the mats posed a potential tripping hazard to the infants in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above when the outdoor licensed space, was observed to have nails, construction materials, empty beer bottles, water bottles, used facial masks, and additional trash accessible to the children in the licensed space. Furthermore there were 6 inch plants growing in licensed space, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above when the sandbox had five piles of animal feces. Based on LPA observation the area was not inspected daily and kept free of hazardous material which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in four of six staff files reviewed were missing documentation that the employee had received or declined the influenza vaccination between August 1 and December 1 of 2021, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two of six files reviewed did not have documentation that the mandated reporter training had been renewed within the last two years, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review the licensee did not comply with the section cited above in eight of ten infant files reviewed were missing a medical assessment of the child preformed a licensed physician, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above when C1 was at the Center five days in June The sign in and out sheets for all five days did not have the time that C1 was signed into the Center. Furthermore, on June 17 and 20 the sign in and out was missing the signature of the person who signed C1 into care which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in nine of ten infant Needs and Services Plans were not signed by the Center staff they were completed by the Parent which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in four of the ten infant files reviewed were missing an individual Infant Sleeping Plan as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in four out of the ten infant files reviewed did not have the Needs and Service Plans updated quarterly as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

Facility staff are not feeding an infant in care.