We Care Family Day Care

The use zone to the sides of a slide structure are 1'10" to 3'.

A total of 14 children were present at the operation. In the playground, two caregivers were providing care for 9 children ages 12mo-13yo. Age difference between youngest and oldest child exceeds 18 months.

Napping cots / mats are set up too close to each other not allowing sufficient space for staff to walk and have access to children without walking on or over the cots or mats of other children. Note: This was corrected at inspection when mats were repositioned.

Based on the information obtained during the course of the investigation, staff provided no planned activities / guidance toward the end of the day and young children remained in bucket seats for long periods of time.

Based on the information obtained during the course of the investigation, staff members walked in and out of the room leaving the classroom unsupervised and did not intervene appropriately when children were misbehaving.

Based on the information obtained during the course of the investigation, a staff member roughly grabbed and pulled a child by the arm/hand twice during naptime.

The operational policies reivewed were missing the following information: The criteria the operation will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play; Parents rights; and Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in rule 746.2202.

A child who was ill was accepted at the child care center without a a health care professional's statement stating that the child no longer has an excludable disease or condition. Note: Child was picked up from the center during the inspection.

The activity plans posted in the toddler room and pre-k room did not have information identifying the age group the activity plan is designed for and the dates the plan covers. Note: This was CORRECTED during the inspection as the missing information was documented on the activity plans

The operation did not notify child care regulation about converting a multipurpose room into an office.

There was no written activity plan available for the infnat group. Activity plans reviewed for toddler and pre-k children did not include the dates the plans covered.

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); operational policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

A caregiver was missing annual training on Preventing and responding to emergencies due to food or an allergic reaction; A caregiver was missing annual training on the following topics for training year 8/05/2021 - 8/04/2022: (1) Emergency preparedness; (2) Preventing and responding to emergencies due to food or an allergic reaction; and (3) 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 A caregiver was missing annual trainng on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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.

The First Aid Kit one transportation vehicle was incomplete. The following items were missing: (1) Tweezers; (2) Waterproof, disposable gloves. (3) Cotton balls; and (4) Thermometer

The director is was missing annual training on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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

2 of 5 children's immunization records reviewed were not current. 3 of 5 children's records reivewed were missing the child's emergency contact address. 1 of the children's file was missing the child's emergency contact information. 3 of 5 children's records reviewed were missing a statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use.

The center director did not have training in transportation safety.

The director was missing annual traiing on the following topics: 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?).

Three caregivers were missing annual training on the following topics: 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?).

There was no record available for review for a child in care. Two of four children's files reviewed did not have the child's current immunization record.