Titis Learning Academy

At the time of renewal inspection, health assessment of staff #5 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

At the time of renewal inspection, health assessment of staff #2 did not include the physician's or CRNP's assessment of the person's suitability to provide childcare. Health assessment of staff person #3 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

At the time of renewal inspection observed that written documentation that emergency drill was conducted annually was not available.

At the time of renewal inspection files of staff person #6 didn't include verification of child care experience that qualifies for a position of an assistant group supervisor and is required prior to service at the facility. Staff person #6 had only one year of verified childcare experience.

At the time of renewal inspection, file of staff person #1, #2, #3, #4, #5, #7, #8, and #9 did not contain acceptable verification that education had been evaluated to determine US equivalency and qualify staff person #1, #4, #5, #7, #9 for the position of an assistant group supervisor and staff person #2, #3, #8 for the position of an aide.

At the time of renewal inspection record of staff person #8 include only one written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

Child 1 did not have proof of the flu immunization nor an exemption letter on file at the time of the inspection. Child 2 did not have proof of a current polio immunization nor an exemption letter on file at the time of the inspection.

Staff 1 did not have proof of education and experience on file at the time of the inspection.

During the Inspection, it was observed that in one group that was walking had 21 children with 3 staff, the youngest child was an Older Toddler. Another group was observed to have 21 children, the youngest one was an Young Toddler, with 4 staff.

Staff 1 did not have their Pre-service training completed at the time of the inspection, and was past their 90 days, in the areas of subsections (f)1-10.

STAFF # 1 WAS OBSERVED TO BE CARING FOR CHILDREN UNSUPERVISED. STAFF 1 HAS NOT COMPLETED THE FOLLOWING PRE-SERVICE TRAINING REQUIRED PRIOR TO CARING FOR CHILDREN UNSUPERVISED: BUILDING BLOCKS FOR QUALITY [3270.31(F) 1 THROUGH 9].

THE FILE OF STAFF PERSON#1 DID NOT INCLUDE A CHILD ABUSE CLEARANCE AND STAFF PERSON 1 WAS UNSUPERVISED WITH 10 SCHOOL AGE CHILDREN.

STAFF 3'S FILE DID NOT CONTAIN A PHYSICAL NOR THE RESULTS OF A TB TEST AT THE TIME OF THE INSPECTION.

STAFF 2'S PHYSICAL DID NOT STATE IF STAFF 2 WAS FREE FROM COMMUNICABLE DISEASE AND SUITABLE TO WORK IN CHILD CARE.

Staff person # 1, 2, AND 4--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(F) 1 THROUGH 9.

CHILDREN'S EMERGENCY CONTACT FORMS WERE NOT UPDATED IN CLASSROOMS 1, 3 INFANT AREA, AND PRESCHOOL AREA (UP FRONT)

STAFF 1 MOVED CHILD 1 BY PULLING CHILD 1'S ARM ABOVE THEIR HEAD CAUSING CHILD 1 TO STAND UP AND PULLED CHILD 1 BY THE ARM THAT WAS STILL ABOVE THEIR HEAD AND MOVE CHILD 1 TO THE RUG AREA THEN TWISTING THE ARM SO THE CHILD TURN AROUND AND THEN LET GO OF THE ARM. - SEEN ON VIDEO

STAFF 1 MOVED CHILD 1 BY PULLING CHILD 1'S ARM ABOVE THEIR HEAD CAUSING CHILD 1 TO STAND UP AND PULLED CHILD 1 BY THE ARM THAT WAS STILL ABOVE THEIR HEAD AND MOVE CHILD 1 TO THE RUG AREA THEN TWISTING THE ARM SO THE CHILD TURN AROUND AND THEN LET GO OF THE ARM. - SEEN ON VIDEO

STAFF 1 WAS CARING FOR CHILDREN UNSUPERVISED. STAFF 1 HAS NOT COMPLETED THE FOLLOWING PRE-SERVICE TRAINING REQUIRED TO CARE FOR CHILDREN UNSUPERVISED: professional development in the topics of 3270.31(f)(1 -- 10).

INCIDENT OF A CHILD TAKEN TO THE ER WAS NOT REPORTED TO THE REGIONAL OFFICE WITHIN 24 HOURS.

THERE WERE 28 CHILDREN PLAYING IN THE DOWNSTAIRS LARGE ROOM THAT IS LICENSED FOR 23 CHILDREN.

Staff person # 1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): professional development in the topics of 3270.31(f)(1 -- 10).

STAFF 1 DID NOT HAVE PROOF OF 2 YEARS EXPERIENCE FOR THE POSITION OF AGS AND WAS ALONE WITH 5 OLDER TODDLER CHILDREN.

A YOUNG TODDLER WAS ASLEEP IN A CRIB WITH A BLANKET COVERING THE TRAY AND THEIR BODY.

STAFF 1 MOVED TO THE OTHER SIDE OF THE HALF WALL LEAVING 3 SLEEPING INFANTS. AT LEAST 1 INFANT COULD NOT BE SEEN (THE PACK N PLAYS OF THE OTHER 2 BLOCKED THE VIEW OF THE THIRD) CAUSING THEM TO BE OUT OF STAFF 1'S SIGHT.