Hiland Child Care Center

The file for Staff #1 contained Mandated Reporter Training that had been updated in an interval greater than 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/4/21 and the update being dated 2/19/26.

The file for Child #2, a preschooler, contained health reports updated in an interval greater than 12 months.

The file for Child #2, enrolled for more that 60 days at the facility, did not contain documentation of a 2nd and 3rd dose of the DTAP vaccination, 2nd dose of the HIB vaccination, 2nd dose of the Polio vaccination, and a 2nd and 3rd dose of the Pneumococcal vaccination as required based on the child's age as per the ACIP recommended schedule.

Child #3 had an expired Ibuprofen in the classroom.

The file for Staff #1 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to others exposed to this individual.

The loose cord running from the electrical outlet to the air purifier in Toddler 2 created a tripping hazard to the children in care.

Observed a window in the School Age 2 Room that was accessible to children and was not modified to limit the opening to 6 inches or fewer.

The first aid kit located in the Toddler 1 Room lacked sterile gauze pads.

The sink and diapering area in the Toddler 2 Room lacked hand washing signs.

In the Toddler 1 Room and Early Learning 1 & 2 Room, the corners and edges of several resting mats were observed to be ripping and not in good repair.

In the Infant Room, large foam blocks were observed to be tearing on the corners and not in good repair.

The file for staff person #1 was observed to have documentation of Mandated Reporter training that was not completed within 90 days of their date of hire (SEE LIS CODE SHEET): 6/29/22. The file for staff person #1 was observed not to contain NSOR clearance results within 45 days of hire (See LIS CODE SHEET). Staff person #1 has NSOR clearance results dated 9/16/22.

In the Early Learners 1 & 2 room, two plastic knobs on a children's Little Tikes tool bench were observed to be broken causing rough edges and not in good repair.

The file for children #1 and #2 were observed not to contain a health report within the last 12 months. The most recent health reports on file for child #1 is dated 8/16/21 and child #2 is dated 8/16/21.

The health assessment on file for staff person #1 lacked documentation of an examination for communicable diseases and the results of that examination.

The file for staff person #2 lacked an annual minimum of 12 clock hours of child care training for the year December 19, 2021-December 19, 2022. The file for staff person #2 was observed to have 7 annual hours of child care training.

The outlet in the hallway leading to the infant and toddler room was observed to lack a protective receptacle cover and was accessible to the children.

The file for child #2, with a birthday date of 11/7/17, had a health assessment completed on 11/11/20, which is more than 12 months ago.

The evacuation routes were not posted on the second floor.

The written plan of daily activities was not posted in the kitchen area of the school age room.

The agreement and file for child #1, child #2, and child #3 lacked the date of the child's admission.