Burketts Watch Me Grow Learning Center

Based on information obtained during the course of the investigation, it was determined that staff #1 yelled at the children in a harsh and intimidating manner causing the children to cry.

Staff #1 was observed to be caring for children unsupervised. Staff #1 has not completed the following pre-service training required prior to caring for children unsupervised: 3270.31f.10

Observed a spot of damaged paint on the blue wall in the preschool 4 room.

Observed in the toddler play area, a detached playhouse door. Observed a red chair in the preschool room with a loose support screw.

Observed child file #3, a young toddler, contained an updated health assessment which was dated more than 9 months after the previous valid health assessment.

Observed child files #1 and #2, both preschool aged children, contained updated health assessments which were dated more than 14 months after the previous valid health assessments.

Observed the staff in the infant room was bagging diapers and not discarding immediately by placing the diaper into a plastic-lined, hands-free covered can.

Observed detached baseboard trim in the downstairs preschool bathroom. Observed a ceiling vent which needed to be cleaned in the downstairs preschool bathroom.

Observed the older infant room, where children are walking and stable on their feet, did not have steps for the children to use to reach the sink to wash their hands.

Observed the diaper changing table in the older infant room was not anchored securely to the wall and was unsteady due to being on wheels. Observed a broken toy bin in the upstairs preschool room. Observed the diaper changing table in the young infant room was not securely anchored to the wall. Observed a torn mat with a peeling cover in the downstairs preschool room.

Observed child file #1 contained an updated health assessment which was dated more than 12 months after the previous valid health assessment in the file.

Observed the initial health assessment for staff file #1, which was dated within 12 months prior to providing initial service in a childcare setting, contained documentation of a TB test which was dated 18 months prior to providing initial service in a childcare setting.

Observed staff #1 and #2 with a mixed age group of children. This group consisted of 6 young toddlers, 1 older toddler and 3 preschool children. Staff #1 named 5 young toddlers. Staff #2 named 1 young toddler, 1 older toddler, and 2 of the three preschool children. Staff #2 kept looking at the child but did not know the child's name. Staff #1 stated that she did not know the child's name either. Both staff asked the child what his name was.

Based on information obtained during the inspection, staff #3 stated she has let infants sleep in their car seats when the infants have arrived and were asleep.

Based on information obtained during the inspection, it was determined that there was only one staff person present when more than 1 child was receiving care when the facility opens in the morning. The opening staff person usually has 3-4 children in her care prior to the second staff/facility person arrives at the facility.

Observed staff file #1, contained a volunteer child abuse clearance which is not acceptable for childcare employment. Observed staff file #3, contained an incomplete criminal background clearance (rap sheet was missing) making the clearance not valid for childcare employment.

Observed the first aid kit in the pre-K room did not contain tweezers or soap.

Observed a spot of detached and broken fencing in the preschool outdoor play area. Observed zip ties used to anchor the fencing which had long plastic ends sticking into the play area as a visible hazard. Observed loose swing cords in the infant room which were a visible hazard to the crawling infants.

Observed exposed foam and peeling cover on a rest mat used in the toddler room.

Observed in the toddler room, a young toddler sleeping in a pack n play which was not labeled for use with the child's name.

Observed the refrigerator in the infant room and the toddler room did not have operable thermometers.

Observed staff file #2, contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation which was completed more than 90 days after the first day working in a childcare position.

Observed staff #1 leave the infant and toddler room to answer the door. When certification representative followed staff #1 back into the infant and toddler room, it was observed there had been only 1 staff member caring for 3 young toddlers and 2 infants while staff #1 was outside of the room.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: 3270.31.(f)(10).

Observed staff #1 walk from preschool room 2 to preschool room 1, leaving 7 preschool children alone in preschool room 2 without a staff person present and preschool room 2 non-compliant with the staff; child ratio.

Observed staff #1 walk from preschool room 2 to preschool room 1 leaving 7 preschool children alone in preschool room 2 without a staff person present to supervise the children in the childcare space where the children were receiving care.

Observed an infant sleeping in a bouncy chair in the infant/toddler room.

Based on interviews conducted during the inspection, it was determined that staff were instructed to tell parents they were not permitted to walk back to the childcare rooms.

Observed the emergency phone numbers were not posted next to the telephone in the preschool room on the right side of the hall.

Observed in the preschool play area, two fence posts which are missing the fence post caps and a piece of detached metal edging with a sharp edge. Observed a ceiling vent in the toddler bathroom and in the men's room which needed to be cleaned. Observed a spot of detached floor trim in the toddler bathroom and outside of the men's room. Observed the toddler toilet was missing the anchor bolt covers.

Observed a broken toy bin with a rough edge in the fellowship child care space. Observed in the preschool room(Left side of hall) had 2 exposed metal brackets on the side of the moveable toy shelf.

Observed in the toddler play area, multiple small objects (wood chips) with a diameter less than 1 inch, accessible to children who are still placing objects in their mouths.

Observed the pack n plays used by the young toddlers at nap time were not labeled for the use of a specific child.

Observed the young toddlers sleeping in pack n plays which did not have 2 feet of space on three sides of the rest equipment.

Observed staff file #1 and #2 which contained initial health assessments which did not contain all of the required correct information to be a valid health assessment.

Observed the facility did not have documentation of the proof of purchase for the interconnected fire alarms.

Observed the facility did not have documentation of the submission of the emergency plan to the local municipality and to the county emergency management agency.

Observed staff file #3 contained documentation of a high school diploma but did not contain documentation of the required 2 years of experience with children(2500 hours).

Observed staff file #4, contained documentation of completion of the required health and safety training dated 11/17/18 and was for 6 training hours. Beginning 7/1/18 the health and safety training from Better Kid Care was required to be the 10 hour training.