Little Dreamers Daycare & Preschool

Observed Vaseline and diaper cream, "labeled keep out of the reach of children", accessible to children in a bag on a low hook in the hallway.

Observed a spray bottle in the young toddler room which was not labeled with the contents. Observed a bottle of cleaner on the top of the refrigerator next to cereal.

Observed the outdoor first-aid kit did not contain tweezers or scissors.

Observed multiple exposed bolts on the fence in the outdoor play area. Observed damaged drywall behind the bathroom door in the preschool prep room. Observed a loose hanging swing cord, accessible to crawling infants, was a visible hazard in the infant room.

Observed peeling paint on the door sill leading to the outdoor play area in the young toddler room.

Observed two wooden toy shelves in the older toddler room which were not securely anchored. Observed a toy shelf in the pre k room which had an exposed metal hinge with a sharp corner.

Observed plastic bags accessible to young children in an unlocked cabinet under the infant room diaper changing table. Observed plastic bags accessible to children, on a low hook in the young toddler bathroom.

Observed the updated health assessment for child file #1, a young toddler at the time of the update, was dated more than 10 months after the previous valid health assessment.

Observed the updated health report for child file #2 was dated more than 15 months after the previous valid health assessment.

Observed the facility did not have written instructions from the individual who prescribed the medicine or a prescription label for an epi-pen in the young toddler room.

Observed the facility did not have an established medication log for a child's ibuprofen and tylenol.

Observed the facility did not document the annual emergency drill on the department approved form. The drill documentation did not contain all of the required information on the departments form.

Observed staff file #1, did not contain documentation of an 8th grade education.

During an interview with staff members, it was revealed that Staff person #1 was witnessed and observed routinely calling older-toddler aged children nicknames such as "Hooker" and referring to their behaviors as "hanky Panky". Staff using these nicknames for and descriptions of children does not promote the development of skills, social competence and self-esteem.

The file for child #1 was observed to lack an updated health report at least every 6 months, as evidenced by health reports dated 03/08/23 and 11/08/23 present in the file.

The facility was observed to have an emergency plan that provides for the accommodations of infants, however, the emergency plan failed to provide accommodations for toddlers, children with disabilities and children with chronic medical conditions.

The file for Child #2 was observed to contain an emergency contact form that did not include the enrolling parent's home address, work address, home phone number or work phone number.

The file for staff person #1 did not contain documentation of 12 hours of child care training as evidenced by documentation of 8 hours present in the file.