Little People LLC

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires a written annual evaluation to be completed on staff. The following staff have been employed with the facility for over a year and the files did not contain an annual written evaluation: Staff #1 and Staff #2.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric First Aid/ CPR and Health and Safety Training Update.

The outlet near the wood shelf, accessible to children in the young toddler's room, did not have a protective receptacle cover on it.

There was an unlidded trash can in the kitchen area that had contaminated food items in it.

The infant room did not have a first-aid kit.

During snack time, children did not have their hands washed before consuming food. Also, there was no handwashing sign posted by the diapering area.

There was no key to indicate which rest equipment was assigned for use by a specific child. The rest equipment was not individually labeled otherwise.

The record for child #2 did not have proof of the influenza vaccination for the year of 2022, and no letter of exemption was present in the record.

Medication was found in a child's bookbag that was on a low shelf in a toddler's room. The medication was easily accessible to a child.

During the inspection, no fire drill log was on record at the facility. The Director stated that the facility has not yet conducted a fire drill.

During the inspection, the facility did not have documentation on file which showed that a fire detection system was tested every 30 days.

There were no documents on file which included an annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

Staff persons #2 and #3 (see code sheet for date of hire) did not have documentation that they completed the following required pre-service training within 90-days of hire: Health and Safety training. Staff person #3 (see code sheet for date of hire) did not have documentation that they completed the following required pre-service trainings within 90-days of hire: pediatric first aid and CPR.

The facility did not have policies to provide to parents surrounding supervision or dismissal.

No transportation plan was posted in each child care space which identified the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The files for child #2, child #3, and child #5 did not have any documentation which included signed parental consent for the facility's administration of minor first-aid procedures by facility staff.

During the inspection, the operator did not have continuity of operations in the emergency plan.

During the initial inspection, the emergency plan did not include the method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

During the initial inspection, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted in the facility.

During the initial inspection, the first aid kit in every child care space was missing soap.

During the initial inspection, there was no sign posted by toilet, sink or diapering area stating a facility person and a child must wash hands after toileting and before eating.

During the initial inspection, in the infant room by the diapering area, there was no source of running water for handwashing.

During the initial inspection, the operator did not have shelter in place and lockdown procedures in the emergency plan. The emergency plan also did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the initial inspection, the operator did not have verification that the emergency plan present at the facility was sent to the county and local emergency management agencies for review.

During the initial inspection, the provider did not have a written policy which includes, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.