The Childrens Courtyard

Two children's files did not have current immunization records.

One child's admission form did not have emergency medical authorization statement completed.

Based on information obtained it was determined that the operation did not make adequate adjustments to supervision in the classroom to prevent children from becoming too rambunctious and causing injuries.

At the time of the inspection the operation had not had a gas inspection completed in the required time frame.

A caregiver sprayed a child with soap and water while cleaning the tables.

This was evaluated as part of a DFPS investigation and found deficient. Based on information provided a caregiver was assigned to a classroom where multiple employees stated the caregiver had difficulty managing.

This was evaluated as part of a DFPS investigation. Based on information provided it was found that a child was in a dark closet space inside the classroom while the caregiver was changing diapers. The operation director and staff were aware of this happening and made no reports.

This was evaluated as part of a DFPS investigation and found deficient. Based on information provided a caregiver could not maintain visual awareness or ability to intervene when a child was shut in a dark closet inside the classroom. The room is used to store nap mats and other class items.

This was evaluated as part of a DFPS investigation and found deficient. Based on information provided the operation did not create an incident report for an incident where a child was found in a closet inside of a classroom.

At follow up it was discussed that caregivers are able to use a child lock on the closet doors in the classrooms and it was discussed with caregivers that these should be closed so children do not enter.

1 of the 10 employee records reviewed had an expired CPR/First Aid Certificate

At the time of the inspection 1 child with a food allergy was not included on the posting of food allergies in the child's classroom.

At the time of the inspection 1 child with a food allergy did not have a food allergy action plan on file signed by the health care physician.

4 of the 10 children's records reviewed did not have updated immunization records.

3 of the 10 children's records reviewed did not have a health statement from the child's health care provider.

At the time of the inspection 4 of the 10 employee records required the 2912 form and it was not signed or present in the employee's file.

At the time of the inspection the loose fill around the preschool playground structure was not maintained at a depth of six inches. Dirt underneath fill was visible without effort of moving it and grass growth through the fill was visible.

At the time of the inspection the border of the school age playground had bolts standing up from the border that could catch on a shoe or clothing item causing a fall. There is a section of the playground border that has a crack that creates a concern for pinching or a child getting their finger stuck in this.

At the time of the inspection the annual fire inspection had not been conducted and was past due for the time frame needing to be completed.

At the time of the inspection the border of the school age playground had bolts standing up from the border that could catch on a shoe or clothing item causing a fall. There is a section of the playground border that has a crack that creates a concern for pinching or a child getting their finger stuck in this.

At the time of the inspection the loose fill around the preschool playground structure was not maintained at a depth of six inches. Dirt underneath fill was visible without effort of moving it and grass growth through the fill was visible.

Based on the information gathered a caregiver tried to pick up an infant, while holding an infant already. In doing this, the caregiver pulled the infant to stand and tried to help them to walk forward. The caregiver did this knowing the infant was not developmentally ready to take steps and was unstable on their feet.

At the time of the inspection 1 of the 10 children's records reviewed did not have an immunization record on file.

At the time of the inspection 1 of the 10 staff records reviewed did not have training records available at the time of the visit.

At the time of the inspection 1 of the 10 children's files reviewed did not have a health statement signed by the child's pediatrician.

At the time of the inspection multiple infants did not have updated written feeding instructions signed by their parent within the last 30 days.

At the time of inspection a caregiver was present in a classroom with a background check status as pending.

At the time of inspection a caregiver was present in a classroom with a background check status as pending.

At the time of the inspection a classroom was observed with 11 children present ages 13 months to 3 years of age, which exceeds the 18 month age difference between oldest and youngest. The classes were split before the inspection was concluded.

At the time of the inspection there was not a health inspection available for review.

At the time of the inspection a play structure intended for children ages 5-12 years of age had a play surface over 7 ft in height. The surface area measured at 7 ft 4 inches exceeding the maximum height allowed by 4 inches.

At the time of the inspection a fire inspection had not been completed.

At the time of the inspection a fire inspection had not been completed.

At the time of the inspection there was not a display for the area for required postings.

At the time of the inspection all bathrooms present had a push button lock in each classroom. The door handle had no exterior mechanism for the door to be unlocked.

At the time of the inspection there was not a health inspection available for review.

At the time of the inspection a play structure intended for children ages 5-12 years of age had a play surface over 7 ft in height. The surface area measured at 7 ft 8 inches exceeding the maximum height allowed by 8 inches.

At the time of the inspection a box cutter, metal pole, and metal ribbon of loose measuring tape were found on the playground area. In the infant classrooms two pull up bars were mounted with screws missing and the bar being loose and wobbly.

At the time of the inspection one large playground area had 2 structures. One structure had a rope web that children could climb on, but no clear separation of the structures for the younger and older age groups. The structure with the flexible web rope climbing piece would be accessible to children under 5 years of age.

At the time of the inspection it was found that the use zone for 2 slides completely overlapped one another.

At the time of the inspection one playground for children younger than 3 years had no loose fill and the other 2 playgrounds did not have the required 6 inches of loose fill.

At the time of the inspection the operation did not have a designated evacuation meeting point off site of the center.