Miracle Hands of Care Next Level LLC

During the inspection on 8/25/25, the most recent CPSL requirement (FBI) in the file for staff #1-hire date May, 2000 was dated for 6/10/20. The IdentoGO receipt on file was dated for 8/25/25.

While on the outdoor PlaySpace on the morning of 8/25/25, eight mixed-age children were observed in the care of one staff (Staff #3). The age of the youngest child was 2-yrs-old.

At the time of inspection on 8/25/25, the file for staff #2 did not have written proof of annual emergency plan training. The document on file was dated for 7/ /24.

During the facility visit 9/20/24, Eight mixed-aged children, (the youngest were three children each two-years-old) all observed on the rear outdoor play area in the care of staff #1. Staff #2 was caring for two infants inside the facility. Staff #3 was in the facility office area and gave admittance to the OCDEL/CR. When the CR and staff #3 entered the first classroom area, where staff #4 was standing, staff #3 asked staff #4, "did you want to help her? She is here to do the follow-up" referring to CR. Continue non-compliance from 08/05/24 renewal visit.

On 8/5/24, during the facility inspection through-out the day, there were nine - ten mixed-aged children in the care of two staff. One child arrived around 11am. he age of the youngest child was 10-months-old. The children were put in two groups, but one staffer prepared lunch leaving the second staff caring for ten children.

At nap, during the inspection on 8/5/24, staff was observed turning the classroom lights off from the breaker box. There was no light switch for the center facility classroom.

At the time of inspection on 8/5/24, there were two large cabinets with gallon size bottles on top which were not mounted. If tipped/toppled the cabinets or items on top could case a hazard to the children in care.

There was no T-safety strap on any of the three high chairs used by children in the facility during the inspection on 8/5/24. Per staff, the straps were removed to clean the chairs.

During nap, at the time of inspection, the blankets used by pre-school children were not labeled for individual use.

Upon request, there was no written feeding schedule for the one (1) infant in care at the time of inspection.

The emergency contact information in the file for facility children #1 and #2 was not updated in the past six-months.

The file for staff #1 did not have written proof of current pediatric first aid and pediatric cardiopulmonary resuscitation

At time of inspection, staff person #4 and# 5 did not have the NSOR certificate documented in their records.

At time of inspection, staff person #5 did not have training regarding the facility emergency plan documented in her record.

At time of inspection, child #2 did not have an updated health assessment completed and updated in file every 12 months as required per regulations.

At time of inspection, staff person #5 working in facility did not have required initial health assessment with TB results documented in their record.

At time of inspection, staff person # 1-3 did not have annual fire safety training documented in their records.

At time of inspection, the parents of child#1 did not have proof of an update and/or review of their child's emergency contact information and agreement form documented in child's record.

At time of inspection, the individual file for staff person #6 was not available for review at time of inspection.

During time of inspection, the black cubbies in the main room were not mounted to prevent them from falling over and possible being a hazard to children.

At time of inspection, the insurance card presented for the vehicles being used to transport children was expired as of 5/22.

The director of the facility did not provided staff person #2 with an annual evaluation.

The parents of child # 1-3 did not have the address of release person documented on their children's emergency contact forms.

At time of inspection, staff person #1 did not have the 12 hours of annual child care training documented in their record.