Tiny Tots Childcare & Learning Center

Observed several small holes approximately 1/4-inch to 1/2-inch in diameter on the drywall behind the door and on the drywall across from the door in the Playroom. Observed peeling paint to the right of the doll house in the Playroom. Observed approximately a 1-inch by 1/2-inch hole in the drywall to the right of the dollhouse and above the electrical outlet in the Playroom. Observed 2 approximately 1/2-inch holes in the drywall to the right of the door leading to the Playroom. Observed 2 approximately 1/2-inch pieces of drywall missing to the right of the sink in the Infant Room. Observed several small holes in the drywall on the archway to the right of the door leading to the outdoor play space.

Observed approximately a 2-foot by 2-foot foam square with loose pieces in the Infant Room. Observed approximately a 3-inch tear at the bottom of the Mickey Mouse children's sofa in the Preschool Front Room.

Observed rest equipment not labeled for the use of a specific child in the Activity Room.

The file of Child #2, a 35-month-old, lacked Pneumococcal immunizations according to the recommendations of the ACIP. Child #2 had documentation of 3 Pneumococcal immunizations.

The operator did not conspicuously post the menu at least 1 week in advance.

Staff #1, #2, and #3 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification on file for Staff #1, #2, and #3 was dated 10/3/24 with the previous certification dated 9/8/22.

The file of Staff #3 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #3 contained a written evaluation dated 9/30/24 with a previous one dated 7/1/23.

Emergency contact information for Child #1 did not include the address of the individual designated by the parent to whom the child may be released.

On the day of inspection, January 24, 2024, it was observed that staff #1 came to the door and left one infant, two young toddlers, two old toddlers and two preschool children with one staff member.

A large upright freezer in the child care space, accessible to children was observed not to be locked. A large fax machine with a phone cord hanging off the top cubby in the front room was observed, posing a threat to the safety of children.

It was observed that the finial on the railing of the outdoor deck was broken and cracked causing splintering.

It was observed samples of sting relief and liquid skin in the first aid kit in the childcare front room that was not labeled for individual use. It was also observed insect repellent in a child's open diaper bag accessible to other children marked "Keep out of reach of Children".

It was observed on the day of inspection, that a staff member put a soiled diaper in a plastic bag and then discarded it in the hands-free covered can.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing being done; 1/2/23-2/3/23- 3/4/23, and also 7/3/23-8/6/23; 11/3/23-12/12/23.

Two large deep freezers in the childcare space, accessible to children were observed not to be locked posing a threat to the safety of children.

It was observed outside an exposed screw on the deck railing.

It was observed in the back restroom that a handwashing sign was not posted above the toilet.

It was observed located in the play kitchen area; green bubble wrap accessible to children who are still placing objects in their mouths.

The health report on file for Child #1 and Child #2 did not contain documentation of an influenza vaccine being administered with in the last year in accordance with the recommendations of the ACIP.

There were sample packets of insect sting repellent in the first aid kit not labeled for individual use.

It was observed the facility did not have posted the most up to date Certificate of Compliance on the back bulletin board. This was evidenced by the certificate being dated 4/6/21 to 4/6/22.

The infant room was observed having a hot water temperature of 117° F.

It was observed that the door trim around the outside door exiting to the playground area was missing exposing large gaps and splintering causing children in care to rough edges and sharp areas.

It was observed in the large main play space an ABC block was split and cracked and the back of a yellow dump truck was cracked along the bottom edge, exposing children in care to rough edges and sharp corners.

It was observed the facilities emergency plan did not list accommodations of infant and toddlers, children with disabilities and children with chronic medial conditions.

The file for Child #1 was observed to not have information on the disability of a child, Health Insurance or release person's address or parents work address.

The file for Child #1 was observed to not have information on the disability of a child, Health Insurance or release person's address or parents work address.

The file for Child #1 was observed to not have information on the disability of a child, Health Insurance or release person's address or parents work address.

The file for Child #1 was observed to not have information on the disability of a child, Health Insurance or release person's address or parents work address.

The file for child #2 was observed not to have release person's address listed on the Emergency Contact Form.

It was observed that the facility did not provide the parent of each child in the facility with information on how to access the regulation electronically.