Childrens Choice Day Care

In Room #4 there were diabetes pen's for Child #2 that did not have the written instructions from the individual who prescribed the medicine.

The file for Child #1 contained an emergency contact form that was lacking signed parental permission for emergency medical care for the child.

The file for Child #1 contained an emergency contact form that was lacking signed parental consent for administration of minor first aid by facility staff.

The toilet in Room 3 was lacking a handwashing sign above it.

There were foam blocks with bite marks on them observed in Room 3 and Room 8.

The file for Child #1 contained a health assessment where the doctor did not check the box concerning the child's health history.

The file for Child #1 contained a health assessment where the doctor did not check the box concerning the child's allergies.

The file for Child #1 contained a health assessment where the doctor did not check the box concerning the child's medication and reason for the medication.

The file for Child #1 contained a health assessment where the doctor did not check the box concerning any health problems that the child might have.

The file for Child #1 contained a health assessment where the doctor did not check the box concerning the child's ability to participate in child care and appears to be free from contagious or communicable disease..

The file for Staff #1 contains a Health Assessment that was obtained after their date of hire.

The file for Child #1 contained an emergency contact form that was lacking the name, address and phone number of the child's physician or source of medical care.

The staff file for Staff person #3 contained a current Child Abuse clearance dated 2/8/23 which was not renewed within 60 months of the previously dated 1/25/18 Child Abuse clearance expiring.

Outside on the Preschool Playground a drawstring bag containing two spray canisters of sunscreen was observed hanging from the metal chain link fence at a height accessible to the preschool aged children who were playing outside. Also in Room 6, a bookbag containing one spray canister of sunscreen was observed hanging on the wall behind the teachers' desk at a height that was considered accessible to the preschool children in care. In the hallway outside of Room 7 a bottle of detangler hair spray, labeled, 'Keep Away from Children' was observed inside a child's cubby and accessible to children in care. In the hallway outside of Room 4, a container of Desitin diaper rash cream labeled, "Keep Out of Reach of Children' was observed stored in a child cubby storage unit on a shelf accessible to children in care. In Room 5, the left cabinet under the sink in the classroom was observed to be unlocked making a 64oz. container of bleach and container of Clorox wipes accessible to children in care. A lock was observed inside the cabinet door; however, at time of inspection, the lock was not engaged.

Room 7 was observed to lack a first-aid kit.

Outside on the Preschool Playground a drawstring bag containing a first-aid kit, was observed hanging from the metal chain link fence at a height accessible to the preschool children who were playing outside. Also in Room 6, a bookbag containing a first-aid kit was observed hanging on the wall behind the teachers' desk at a height that was considered accessible to the preschool children in care.

In Room 3 the first-aid kit was observed to lack scissors.

In Room 7, the sink in the classroom was observed to lack a lidded waste receptacle. In Room 1 there was a waste receptacle next to the sink in the classroom that was observed to not have a lid on it. In Room 5 there were two waste receptacles, one in the toilet area and one near the sink in the classroom, that were observed to not have their lids on them; the lids for the waste receptacles were observed leaning against a wall.

The staff file for Staff person #1 contained a current health assessment dated 12/19/22 that lacked a physical examination.

The staff file for Staff person #2, functioning as a Group Supervisor, contained a Bachelor of Science degree that lacked the academic field of study as well as lacked a transcript. Therefore, it cannot be determined if the field of study meets regulatory requirements.

In Room 1, the sheets being used in two Pack N Plays, which are both used by an infant in care, were observed to be loose- fitting, thus allowing them to bunch up and cause a potential suffocation hazard.

In Room 3 and Room 4, at approximately 12:45pm during nap time, both rooms were observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

The facility emergency plan lacked information regarding volunteer emergency preparedness and continuity of operations included in their emergency plan.

In Room 3 and Room 4, at approximately 12:45pm during nap time, both rooms were observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

The Infant/Toddler playground was observed to have an embedded plastic play structure that lacked loose-fill or protective surface covering per the recommendations of the United States Consumer Product Safety Commission.

At approximately 10:45am six older toddlers where observed to be outside in the playground area that contained mulch.

Child #1, who is an infant [SEE IS Code Sheet], lacked a written feeding schedule from the parent.

In the Infant/Toddler Playground a wooden fence was observed to have numerous areas of splintering wood.

In the Infant/Young Toddler playground a small patch of peeling paint was observed to the bottom left side of the doorway in to the facility.

All toilets throughout the facility lacked a handwashing sign.

The entry gate of the chain link fence between the Infant/Toddler and Preschool playgrounds was observed to have exposed bolts. The chain link fence that surrounds the Preschool playgrounds was observed to have exposed bolts.

The facility lacked proof of purchase for their interconnected smoke detection system.

The facility's emergency plan lacked the evacuation route to their off site location.