Martin Luther Lutheran Church Day School

An infant was observed with a bib around the neck while asleep in the crib. This was corrected at inspection when the bib was removed.

2 out of the 6 staff files reviewed were missing notarized affidavit forms.

There was a diaper changing mat that was observed to be torn.

Based on information gathered, an employee was using a cell phone while caring for children.

A caregiver in the infant room did not have pre-service training in the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma, (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) and (3) Understanding early childhood brain development.

The youngest child in the room was 11 months and the oldest child was 5 leaving more than an 18 month age gap.

Children under 18 months were grouped with older children during the opening time of the operation.

The feeding instruction for 5 infants were not up to date as January 2022. One of the 5 feeding instructions was last updated in October 2021. Three of the 5 feeding instructions were last updated in November 2021. One of the 5 feeding instructions was last updated in December 2021.

There were several packets of breastmilk stored for one infant and all packets were not individually labled with the child's first name, last initial as required. *This was corrected at inspection when the packets were labeled correctly and stored.

The operation was made aware that a child was seen by a doctor after an incident that occurred while in care on 12/16/2021. The operation failed to report the incident to Child Care Regulations (Licensing).