Nurturing Arms INC

At the time of the inspection, the NSOR on file for staff person #3 was not received until 2/11/26 and not at or before the time of initial service in the facility. Staff person #3 has had direct contact and routine interaction with children (see LIS code sheet for date of hire).

At the time of the inspection, in the outdoor play space, an easel with exposed screws was observed. This was in poor repair. Two green plastic turtle sandboxes were observed. The lid of one sandbox was cracked, and the other sandbox had a crack in the base causing a hole and creating pinch points.

At the time of the inspection, on the emergency contact form for child #1 and child #4, there was no address and/or phone number of the child's physician or source of medical care. The emergency contact form for child #5 did not include the work addresses and telephone numbers of the enrolling parent.

At the time of the inspection, the emergency contact form for child #3 did not include health insurance policy number for a child under a family policy or Medical Assistance benefits and the address of the individual designated by the parent to whom the child may be released.

At the time of the inspection, child #7, an infant, was observed sleeping on his stomach in a crib that was designated for another child. Staff person #2 admitted to placing child #7 on his stomach to sleep. This sleeping position is not recommended by the American Academy of Pediatrics.

CONTINUED NON-COMPLIANCE: During the inspection on 4/21/25, a camera wire was observed hanging and was not properly secured to a surface. The outdoor play area had plastic cups, ramen noodle wrappers and other trash laying on the ground. An acceptable plan of correction was received stating the correction would be implemented by 4/24. An inspection occurred on 5/30/25, the outdoor play area had snack pack containers and other trash laying on the ground.

CONTINUED NON-COMPLIANCE: During the inspection, the health assessment for child #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. An acceptable plan of correction was received stating the correction would be implemented by 5/12/25. An inspection occurred on 5/30/25. The health assessment for child #3 still did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

During the inspection on 4/21/25, a camera wire was observed hanging and was not properly secured to a surface. The outdoor play area had plastic cups, ramen noodle wrappers and other trash laying on the ground.

During the inspection on 4/21/25, there was a circular plastic play structure that was cracked and exposing sharp corners. The playhouse had broken wooden floor planks resulting in exposed screws sticking up and splinters.

During the inspection, in the play yard, the smaller embedded climber, the slide, the larger embedded climber and the circular climber had fall heights of 30", 34", 34" and 46" respectively. These pieces of equipment only had 2 inches of loose fill rubber mulch under them and surrounding the structures. These embedded pieces of equipment require there to be 6 inches of loose fill rubber mulch under and surrounding the structures,

During the inspection, the immunization record for child #3 was missing the following immunization according to the recommendations of the ACIP: HEP A#2.·

During the inspection, the health assessment for child #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the inspection, staff person #1 was observed changing a child's diaper. She did not wash her hands nor the child's hands after diapering.

During the inspection, staff person #1 was observed changing a child. Staff person #1 lifted the lid of the hands-free trash can, with her hand, to dispose of the diaper.

At the time of the inspection, the emergency plan on file for child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

At the time of the initial inspection, the baseboard heaters in the Preschool, Infant, Toddlers, and School Age exceeding 110° F. The measured temperatures of these baseboards were 130° F, 140° F, 129° F and 140° F, respectively.

At the time of the initial inspection, an emergency exit door in the toddler room was observed to be obstructed by a shelf placed in front of it.