Lil Farmer's Child Development Center

2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.

The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.

Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.

No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.

Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.

13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.

One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.

Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.

Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.

Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.