Tiny Tot Child Development Center

The facility self-reported that on 5-19-26, Staff #1 left a group of children in the gym area to be supervised by Facility person #2 who is not qualified as a staff person. Child #1 was then left in the gym area unsupervised as Facility person #2 returned the group to their classroom.

The facility self-reported that on 5-19-26, Staff #1 left a group of children in the gym area to be supervised by Facility person #2 who is not qualified as a staff person. Child #1 was then left in the gym area unsupervised as Facility person #2 returned the group to their classroom.

The facility self-reported that on 5-19-26, Staff #3 was left alone to supervise a mixed age group of 9 young toddlers and preschoolers.

Staff person #2, who was supervising children alone, does not have 2 years of verified experience with children to qualify as an assistant group supervisor.

The facility self-reported that child #1 (see LIS code sheet) left the class as they waited outside the bathroom on a hallway bench. Staff #1 was responsible for the supervision of the child at this time. The child left the building and was found outside by staff #2 and was unsupervised for 3-4 minutes. During the time Staff #2 went to look for the child, staff #1 was out of ratio with 11 preschoolers.

The facility self-reported that child #1 (see LIS code sheet), left the class as they waited outside the bathroom on a hallway bench. Staff #1 was responsible for the supervision of the child at this time. The child left the building and was found outside by staff #2 and was unsupervised for 3-4 minutes.

The facility self-reported that child #1 (see LIS code sheet) left the class as they waited outside the bathroom on a hallway bench. Staff #1 was responsible for the supervision of the child at this time. The child left the building and was found outside by staff #2 and was unsupervised for 3-4 minutes.

The NSOR clearance for staff person #1 is dated 6/26/25, which is after the staff person's date of hire (see LIS code sheet).

The refrigerator in the Redwood Room lacked a thermometer.

The current health assessment for child #4, a preschool child, is dated 6/5/24, which is more than 12 months ago.

The written verification of immunization for child #3 is dated 6/11/25, which is more than 60 days after the date of enrollment (see LIS code sheet).

The initial health assessment for child #3 is dated 6/11/25, which is more than 60 days after the date of enrollment (see LIS code sheet).

The emergency contact information for child #1 and child #2 was not updated in writing once in a 6-month period. The signature dates for child #1's emergency contact update were 10/30/24 and 5/20/25. The signature dates for child #2's emergency contact update were 5/29/24 and 1/10/25.

Based on conversations with staff and review of documents, the following was confirmed: On April 16, 2025, between 9:30 and 10:00 AM, Child #1 was in the care of Staff Person #1 and #2. During this time, Child #1 was pushed by another child, which resulted in an injury above the child's eye. Staff Person #2 put a Band-Aid and a cold pack on the wound. The injury was a gash, which resulted in the child needing emergency care and required three stitches. The injury was not reported to the parent until 4:00 PM when Staff Person #3, who was now supervising the child, removed the Band-Aid and determined that the injury was more significant than recorded in the incident report and required emergency medical care.

A two-year old child (child #1), and another two-year old were pulling on a piece of furniture that sits low to the ground. The piece of furniture fell over, hitting child #1 in the lip. His lip immediately began bleeding.

Based on conversations with staff, it was determined that Staff Person #1 swatted Child #1 in the mouth after the child stuck his tongue out at her.

The file for Facility Person #1 did not include documentation of emergency plan training at the time of initial employment.

In the Willow, Pin Oak, Redwood, and Dogwood rooms bleach spray and sanitizing solution were stored on top of the refrigerator. They were not in a bin or other protective container, potentially contaminating food and/or food preparation areas and constituting a hazard to children.

In the Pin Oak room (OT), child locks on drawers in the counter did not function properly, making the drawers accessible to children. Plastic bags were stored in the left-side drawer and batteries were stored in the right-side drawer.

The emergency contact information and financial agreement for Child #1 were not signed once in a 6-month period. The dates they were signed were 11/1/23 and 6/27/24.

The file for Facility Person #1 did not include two written, non-family references from individual attesting to the person's suitability to serve as a facility person.

The child file for Child #1 was observed to contain an updated financial agreement form that lacked the child's admssion date.

Two windows in both the Pin Oak Room and Willow Room, as well as three windows in the Boxwood Room, all of which are above the ground floor and open directly to the outdoors, were observed to lack a modification to limit the opening to 6 inches or fewer.

In the Pin Oak Room a toddlers storage shelving unit with an acrylic mirror on the back was observed to have a broken piece of acrylic towards the bottom of the unit causing it not to be in good repair.