Nanas Nest Daycare

Based on the fire drill log, a drill was not held within the last 60 days due to the fact the last date was 6-13-25.

Based on the smoke detection system testing log, the smoke detectors were not tested every 30 days due to the fact the last date documented was 6-13-25.

Observed the file of staff person #1, who was in a childcare position on the day of the inspection, did not contain a signed disclosure statement and did not contain a valid child abuse clearance which are required to be in the staff file prior to working in a childcare position.

Observed staff file #1 contained a signed disclosure which was an earlier version of a disclosure statement which was not to be used after 2/1/25. Observed staff file #1 applied for the criminal background check after staff #1 first day working with children.

Observed an electrical outlet without a protective receptacle cover on a power strip below the television.

Observed a torn diaper changing pad in the toddler room. Observed rest mats with peeling covers and exposed foam in the toddler storage room. Observed standing water in an upside-down turtle sand box.

Observed the facility did not establish a medication log for a bottle of children's Tylenol kept and used at the facility.

Observed a bottle in the toddler room which was not labeled with the child's name.

Observed the fire alarm testing log revealed that one time (12/20/24-1/20/25) the fire alarm testing was conducted more than 30 days apart.

Observed the initial health assessment for child file #1 was dated more than 60 days following the first day of attendance at the facility.

Observed the operator of the facility could not provide a complete shaken baby, abusive head trauma, and child maltreatment policy. The policy is required to contain recognizing the potential signs/symptoms of shaken baby and abusive head trauma. Strategies for coping with a crying, fussing, or distraught child. The prevention and identification of child maltreatment.

Observed the emergency contact information for child file #4 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed child file #1 did not contain documentation of parental review of the emergency contact form within the previous 6 months. Observed the documentation of parental review of the financial agreement was obtained more than 6 months after the previous parental review.

Observed staff file #1 contained a criminal background clearance which was dated 61 months ago making it not valid. On 10/17/24 observed a child abuse clearance which had expired on 10/16/24 and a new updated child abuse clearance was not in staff #1 file.

Observed staff #2 caring for a mixed group of children in which there were 6 preschool children and 1 older toddler, while the other staff from the front room was in the back toddler room.

Observed a spray bottle on a high shelf in the toddler room, which was not labeled with the specific contents.

Observed pokeweed, a toxic plant, growing in the preschool outdoor play area.

Observed peeling paint in the toddler room by the diaper changing table and by the reclining chair.

Observed chairs and rest mats in the preschool/school age main room which had peeling covers and exposed foam. Observed peeling tape on the edges of the school age table.

Observed in the toddler room, several small pieces of peeling contact paper accessible to the toddlers in care.

Observed staff file #1 contained an initial health assessment which was dated 15 months prior to providing initial service in the childcare setting.

Observed staff file #1, a provisional hire, did not contain a copy of the FBI fingerprinting receipt dated prior to the first day working in a child care position. Staff #1 has a current valid FBI clearance at this time.

Observed the most recent documented review of the emergency plan was conducted more than 12 months ago.

Observed in the cubby area, diaper cream which is labeled "keep out of the reach of children", accessible to children in a low cubby.

Observed children in the preschool room placing soiled tissues into a trash can which did not have a lid.

Observed damaged plastic on a support cable in the outdoor play area. Observed sharp edges on the edge of the fence in the outdoor play area. Observed a pedestal fan on the counter in the toddler room which could be pulled over by a child.

Observed a damaged rear basket with rough edges on the red tricycle in the outdoor play area. Observed a toddler rest mats which had a peeling cover and exposed foam.

Observed the current health assessment for child #5 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Observed child file #1 contained a valid health assessment but did not contain updated written verification of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Observed the most recent child service report for children #3, #4, and #5 were completed more than 6 months after the previously completed child service report.

Observed the agreement for child #2 did not contain the date of the child's admission.

Observed the emergency contact information for children #1, #3, and #5 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed child files #3, #4, and #5 contained documentation of review and update the emergency contact information and the financial agreement which were completed more than 7 months after the previous parental review.

Staff person #-1- was observed to be caring for children unsupervised. Staff person #-1- has not completed the following pre-service training required prior to caring for children unsupervised: 3270.31(f)(1-10).

Observed staff file #1, a provisional hire, contained a disclosure statement, a criminal background clearance, a child abuse clearance, and NSOR verification letter which were all applied for or signed after staff #1 first day working with children (see LIS code sheet).

Observed staff file #1, a provisional hire, contained a disclosure statement, criminal background clearance, a child abuse clearance, and NSOR verification letter which were all applied for after staff #1 first day working with children (see LIS code sheet). Staff file #1 did not contain copies of the requests for the criminal background clearance or the child abuse clearance.

Observed staff file #5, contained a Department of Education FBI fingerprint clearance which is not acceptable for childcare employment.

Observed staff file #5 did not contain documentation of training in the emergency plan at the time of initial employment.

Observed the first aid kit in the preschool room did not contain tweezers.

Observed rough metal edges in a drain in the toddler play area. Observed a detached ceiling support in the toddler room.

Observed peeling paint below the door in the toddler play area.

Observed in the preschool room, a toy stove with a broken support chain on the oven door. Observed exposed foam on a rocking chair in the toddler room. Observed in the back room, a diaper changing table which had loose supports on the top of the table.

Observed prescription nystatin cream which did not have written instructions provided from the individual who prescribed the medicine.

Observed a bottle in the toddler room refrigerator which was not labeled with the child's name.

Observed the facility did not have the required information documented for the annual emergency drill conducted.

Observed there was no documentation of fire drills being conducted between 8/8/22-3/6/23.

Observed staff file #1, 2, 3, and 4 contained documentation of the completed health and safety professional development training update which was completed after the due date of 12/30/22.

Observed staff file #2, 3, and 4 did not contain documentation of fire safety training completed within the previous 12 months.

Staff person #-5- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31.(f)(10).

Observed child file #1 and #2 contained child service reports which were completed more than 6 months after the previously completed child service reports.

Observed child file #1 contained documentation of parental update which was completed more than 11 months after the previous documented parental review. Observed child file #2 did not contain documentation of parental review of the emergency contact information and the financial agreement within the previous 6 months.

Observed staff #1 and #2 working in the toddler room with a mixed age group of toddlers. The mixed age group of toddlers consisted of 9 young toddlers and 2 older toddlers.

Observed staff #2, a new employee who was working in the toddler room, was not able to name the children who they were specifically assigned the responsibility for supervising.

Observed staff file #1, 2, 3, 4, and 5 did not contain documentation of training in the emergency plan at the time of initial employment at this new location.

Observed electrical outlets on an extension cord in the preschool area which did not have protective receptacle covers.

Observed hand sanitizer, labeled keep out of the reach of children, accessible to children, on a counter top in the preschool/school age area.

Observed the emergency telephone numbers were not posted by the phone, in its charging base, on the counter in the preschool/school age area.

Observed a spot of damaged drywall on the pillar in the preschool area. Observed hanging cords which were a visible hazard by the television in the preschool area.

Observed in the toddler room, there was not a platform or steps for the able toddlers to reach the sink to wash their hands.

Observed a torn diaper changing pad and a blue gray rest mat with a torn cover in the toddler room.

Observed 2 wooden shelves in the preschool/school age room which were not securely anchored to the wall. Observed a wooden shelf by the bathroom used by children which was not securely anchored to the wall.

Observed child file #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed in the toddler room, a tube of prescription diaper cream, which did not have written instructions provided from the individual who prescribed the medicine.

Observed the group of children in the toddler room did not wash their hands prior to eating lunch.

Observed staff file #1 contained an incomplete initial health assessment which was dated after staff #1 began providing initial service in a child care setting.

Observed staff file #1 did not contain documentation of 2 years (2500 hours) of experience with children.

Observed child file #1, 2, 3, 4, and 5 contained original agreements.

At the time of the initial inspection, observed a stove located in the infant and toddler room.

At the time of the initial inspection, the outdoor play space for infants and toddlers lacked fencing to restrict children from those unsafe areas or conditions.

The water at the sink in the infant/toddler space measured 117 degrees.

The baseboard heat register located in the preschool room to the right of the front entrance measured 114 degrees Fahrenheit. The baseboard heat register located in the preschool room in the far right corner of the room from the front entrance measured 115 degrees Fahrenheit. The baseboard heat register located in the infant and toddler room measured 112 degrees Fahrenheit.

At the time of the initial inspection, the diaper changing table that was designated to be used by infants and toddlers lacked a sink near the location of the diaper changing table.