Carters Open Arms · Brookhaven

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and #3 and it did not contain signed parental consent for the facility to administer emergency medical care for the child.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #1, and there was no insurance policy number. The file for child #3 did not have any health insurance coverage listed or policy number.

During the renewal inspection on 8/12/2024, the child files for child #1, #2, and #3 were reviewed and the Emergency Contact Form and the financial agreement were not update in a 6-month period. The forms for child #1 were dated 9/29/22, for child #2 the Emergency Contact Form was dated 9/3/21 and agreement dated 5/10/19, and child #3 the forms were dated 7/25/22.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and #3 and it did not contain signed parental consent for the facility to administer minor first aid care for the child.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and the Emergency Contact Form did not contain signed parental consent or transportation, walking excursions, swimming and wading.

During the unannounced monitoring dated 10/12/2023, certification representative observed an infant child asleep in a bouncy chair instead of a nearby crib. The sleeping position of the child was not the position recommended by the American Academy of Pediatrics.

During the onsite complaint investigation dated 10/12/2023, certification representative observed that staff person #1 was lying on a mat in infant room, covered with a blanket and asleep while there were 3 infants in the room that were unsupervised.

During the renewal inspection dated 9/14/2023, certification representative observed that there was a closet in hallway that was unlocked and had toxics in it and they were accessible to the children, and in the infant room, there was hand sanitizer and disinfectant near the changing table and it was accessible to the children.

During the renewal inspection dated 9/14/2023, certification representative observed chipped paint and plaster in rm next to crayon room, 2nd room on right, 2nd rm to left of front desk, bathroom toilet, purple room, and rm next to purple room on right.

During the renewal inspection dated 9/14/2023, certification representative observed a child's resting mat that had broken open on all sides and the styrofoam inside was coming out of mat.

During the renewal inspection dated 9/14/2023, certification representative observed that the file for child #1 had a health report that had no doctor signature on it.

During the renewal inspection dated 9/14/2023, certification representative reviewed the file for staff person #1 and the most recent Health assessment was completed on 7/13/21 which is expired past the 24 month requirement.

During the renewal inspection dated 9/14/2023, certification representative observed that emergency contact information was NOT present in a childcare space for children receiving care in the space.

ON DATE OF INSPECTION THE FOLLOWING WERE OBSERVED: A BROKEN CRIB, DISREPAIRED NAP MATS AND PEELED DAMAGED PAINT ON THE WALLS AND DOOR PANELS. A CRIB IN THE INFANT/ YOUNG TODDLER ROOM WAS AGAINST A WALL WITH A LARGE HOLE, EXPOSING SHEET ROCK AND PLASTER. THE DESK/ CHAIR FURNITURE WERE IN DISREPAIR. LIGHT FIXTURES CONTAINED BLOWN-OUT BULBS. WOOD-LIKE FLOOR PANELS WERE IN DISREPAIR, AREA RUGS AND FLOORING THROUGHOUT THE FACILITY WERE DIRTY.

ON DATE OF INSPECTION, INFANTS WERE SLEEPING IN CRIBS THAT WERE NOT LABELED FOR THEIR SPECIFIC USE. NAP MATS USED BY THE CHILDREN WERE IN DISREPAIR.

AT RENEWAL THE FACILITY'S EMERGENCY PLAN DID NOT INCLUDE A POLICY FOR SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA.

ON DATE OF INSPECTION MULTILPLE SMOKE DETECTORS WERE OPERATIONALLY DISREPAIRED.