Pinnacle Montessori of Melissa

During the inspection one child who had a doctor diagnosed food allergy was not listed on the posted food allergy list. This was corrected during the inspection when the child's name and allergies were added to the list.

Six out of ten records reviewed did not have updated training in responding to food allergies.

The records of six out of ten children did not contain updated immunization records.

Six out of ten records reviewed did not have updated SIDS training.

During the inspection, one of the operation's passenger vans had a fire extinguisher with no charge.

During the inspection, electrical outlets accessible to children under the age of five were found in two classrooms. The operation director supplied appropriate covers to the outlets when this was noted.

During the inspection of a playground at the operation, the turf had holes in it in the active play area, presenting a tripping hazard to children.

This standard was found to be deficient due to a missing wooden board on the playground fence, which was accessible from both the neighboring facility and the children on the playground.

The operation did not immediately notify parents of a child that was left in a classroom unsupervised.

When a class was transitioning to the playground, a child was left in the bathroom, resulting in the child being unsupervised for approximately 15 minutes.

It has been determined that caregivers in a classroom did not share information about a child, resulting in the child being left unsupervised in the bathroom for 15 minutes.

Based on interviews with child witness, staff, and the video, it has been determined that the operation is not compliant with the standard evaluated. The caregiver disciplined the children inappropriately by pulling their arm and ears.

While reviewing staff records, I observed that one caregiver did not have a notarized employee affidavit in their record.

This standard was evaluated during the investigation and was found to be deficient. A child was bitten multiple times after caregivers did not properly supervise children in care.

This standard was evaluated during the investigation and was found to be deficient. Caregivers allowed children to pick up and drink from sippy cups which have been left out in the classroom by other children.

Based on interviews with staff, the standard was found not to be in compliance. An assistant caregiver did not communicate with the lead caregiver or management that a child had fallen on the ground and hurt his/her shoulder during outdoor activities. The parents informed management the next day that the child received a fractured arm.

Based on the operation's video footage, a caregiver did not redirect a child in a positive manner. The caregiver was observed redirecting a child aggressively by grabbing and lifting the child by the wrist from the carpet to the trash can to throw away a tissue then escorted the child to a chair in a corner of the classroom to sit for timeout.

This standard was tasked over for this investigation and found to be deficient. A child was left unattended in his for approximately 14 minutes while his classmates were outside of the classroom. The child was found unattended in the class by his parent. The operation and director has implemented additional training and monitoring for the caregiver that was left iin charge. Observation of proper supervision was observed during the inspection time as well.

This standard was tasked over for this investigation and found to be deficient. After reviewing footage of the timeframe leading up to the incident, the caregiver in the classroom was observed sweeping and cleaning for a long period of time; not interacting with or supervising the children fully at this time.

This standard was tasked over for this investigation and found to be deficient. The child involved in this incident was observed left in time out for more than the allowed number of minutes based on his age of 2 years; more than 2 minutes.