A Childs Nest

During the renewal inspection on 10/30/2024, the files for staff #1 and staff #2 were reviewed and staff #1 did not have a completed National Sex Offender Registry Clearance and staff #2 did not complete the Mandated Reporter Training. (see code sheet for hire dates)

During the renewal inspection on 10/30/2024, it was observed in the Koala room that there was one electrical outlet without a protective cover on it.

During the renewal inspection on 10/30/2024, it was observed that in the Penguins room there was Lysol on the back of the toilet, and in the Tigers room there was a Swiffer with Swiffer cleaner sitting in a bucket on the floor in the bathroom. These toxic substances were accessible to the children.

During the renewal inspection on 10/30/2024, it was observed that in the Tigers room and also in the Frog room, the first aid backpack was hanging on a doorknob and was accessible to the children.

During the renewal inspection on 10/30/2024, it was observed that there was exposed wiring in the phone jack outlet in hedgehog room.

During the renewal inspection on 10/30/2024, it was observed that there was chipping paint and plaster in the Zebra room near the window, chipped paint on the walls in the Koala room, the Frog room, the Busy Bees room, and the bathroom of the Tigers room.

During the renewal inspection on 10/30/2024, it was observed that the facility van had ripped seat covers, 2 resting mats in the Penguin room and 3 mats in the Tigers room were split at the seams, a child loveseat chair covering was ripped, and the rug in the corner was curling and was a tripping hazard.

During the renewal inspection on 10/30/2024, it was observed that there were bookcases that were not secure in the Zebra room, the Penguin room, the Hedgehogs room and in the Tigers room. There were cubbies not secured in the Angelfish room, the Koala room, and outside of the Busy Bees room.

During the renewal inspection on 10/30/2024, the health assessment reviewed for staff person # 3 was not updated within a 24-month period. The health assessment was dated 06/21/22.

During the renewal inspection on 10/30/2024, the file for child #1 was reviewed and did not contain a Health Assessment. (see code sheet for admission date).

During the renewal inspection on 10/30/2024, the Emergency Contact Form in the file for child #2 did not have signed parental consent for transportation, walking excursions, swimming and wading.

During the complaint investigation on 4/3/2024, the video footage showed staff person #1 leaving child in the bathroom unsupervised for approximately 22 minutes while staff #1 cleaned up child's accident and tried to get clothes for the child to change into after the child urinated on themself. Continued non-compliance for supervision.

During the investigation on 3/21/2024, Certification Representative observed on video that staff person #1 left child #1 outside in play area alone and unsupervised for 4 minutes.

During the renewal inspection dated 11/30/2023, certification representative observed that in the toddler 2 room, the School Age 5-10 room, and the infant room, there were electrical outlets accessible to children 5 years of age or younger that did not have protective receptacle covers in them.

During the renewal inspection dated 11/30/2023, certification representative observed toxic windshield washer fluid in the facility vehicle, and also observed hand sanitizer in the entrance way of the facility, and the toxics were accessible to children.

During the renewal inspection dated 11/30/2023, certification representative observed in the Pre K room that the baseboard trim was coming off the wall.

During the renewal inspection dated 11/30/2023, certification representative observed that there was chipped paint and/or chipping plaster in Room to the right of the office, the toddler #2 room, the school age 5-10 room, the infant room, the toddler room #1, the 2yr old room, the 3-5yr old room, the 3yr old room, the unused room near the pre-k room. In the hallway, there is a hole in the plaster where a door stop once was.

During the renewal inspection dated 11/30/2023, certification representative observed that the resting mats in the young toddler room, and the 2yr room were not labeled for each child.

During the renewal inspection dated 11/30/2023, certification representative observed that the cribs did not have 2 feet on three sides as required by the regulations while child #1 and child #2 were sleeping.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #1 and observed that the child health assessment form did not have the physician's signature and professional title listed, as required by the regulations.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #3 and child #4 and they have been enrolled more than 60 days and there were no documented immunizations in the file.

During the renewal inspection dated 11/30/2023, certification representative observed that the facility did not have a completed fire drill log present onsite during the inspection.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #3 and observed that did not have an initial health assessment in their file completed by a medical professional, but instead completed by parent. Child #3 has been enrolled in facility more than 60 days. (see code sheet for start date).

During the renewal inspection dated 11/30/2023, certification representative observed that the notification for the local traffic safety authorities was dated 12/8/2021, and that it wasn't sent out annually as required by the regulations.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #3 and observed that the emergency contact form did not have the physician's name, address, or phone number listed as required by the regulations.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #2 and observed that the emergency contact form did not have the parent's work address or work phone # listed as required by the 3270 regulations.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #2 and observed that the emergency contact form did not have the health insurance policy number and the name of the health insurance coverage.

During the renewal inspection dated 11/30/23, certification representative reviewed the file for child #4 and the emergency contact form was not signed by the parent giving parental consent to provide emergency medical care.

During the renewal inspection dated 11/30/23, certification representative reviewed the file for child #4 and the emergency contact form was not signed by the parent giving parental consent to provide for the administration of medications or special dietary needs.

During the renewal inspection dated 11/30/2023, certification representative reviewed the file of child #4 and observed that the emergency contact form did not have signed parental consent for administration of minor first-aid as required by the regulations.

During the renewal inspection dated 11/30/23, certification representative reviewed the file for child #4 and the emergency contact form was not signed by the parent giving parental consent for the facility to provide transportation, walking excursions, swimming and wading.

On 12/13/22 infant child#1 injured his forehead while playing on a large cardboard box in use as play equipment. A padded safety helmet was supplied by the parent to the facility staff persons #1 and #2 at the time of enrollment to prevent potential head injury, however, the child was not wearing the helmet at time of the incident.

A conference was held with facility person #3 and parent of injured child #1, facility person #3 viewed the video camera of incident, however, she denied the parent's request to also view the video. In addition, parent (MO) was told by facility person #3 to find a different daycare due to her (#3) concerns of the child having more falls and bumps once he's moved into the older toddler room and stating to mother it would be better for mother's mental health.

On 12/13/22 an infant child injured his forehead while playing on a large cardboard box that was in use as play equipment.

Child #1 with a medical diagnosis was denied dietary accommodations.

On date of inspection, a medication log for documenting when medication cream was applied to child #1 for his severe diaper rash was not provided on date of inspection.

Child #1 repeatedly had a soiled and soaked diaper at pick-up time. A system of ensuring that diaper checks were conducted at least every 2 hours or child's discomfort was not being implemented on the date of inspection, particularly, for child #1 who was suffering with a severe diaper rash and was repeatedly told by parent of her concerns with child's soiled diaper.

On 12/13/22 infant child#1 injured his forehead and the parent was not provided an injury report on the day of incident.