Childcare Network #195

Through the investigation it was found that a caregiver escorted a child to another classroom, leaving a group of children alone. In the time the caregiver stepped out one child kicked another child in the head.

Based on information obtained during the investigation, a caregiver was placed in a classroom to supervise a group before they had completed training, which led to inadequate supervision of the group.

Based on information obtained in the investigation, a parent reported concern of a caregiver thumping their child to the administration of the operation and it was not reported to Childcare Regulation.

5 of the 7 infants present did not have written feeding instructions updated in the last 30 days.

At the time of the inspection multiple bottles for multiple children were not labeled with the child's first name and last initial.

At the time of the inspection a child in care had an allergy notice, but it was not signed by the child's primary care doctor.

At the time of the visiti 1 child did not have a complete food allergy action plan that included the description of what the reaction looks like for the child and steps to take in case an allergen is interacted with.

This standard was evaluated as part of a DFPS investigation and found deficient. It was found through interview that a caregiver was telling children they would bring a snack to school for them the next day if they behaved the current day.

This standard was evaluated as part of a DFPS investigation and found deficient. It was found through interview that a child was bitten and a parent was not notified when the child left the operation for the day. The parent brought it up to the staff the following day and was told they were aware of the incident happening.

This standard was evaluated as part of a DFPS investigation and found deficient. Based on interviews a caregiver hit a child on the back of the head when the child was exhibiting resistant behaviors due to being upset.

At the time of the investigation inspection and conclusion of investigation an incident report that was requested for an incident was not able to be located and provided to Childcare Regulation by operation staff.

Based on information obtained it was found that a child was not supervised in a manner that prevented them from accessing areas the operation that are outside the regulated space.

Based on information obtained it was found that 2 reportable incidents occurred at the operation and were not reported to Childcare Regulation.

At the time of the inspection medication that had been administered regularly was not documented as required.

At the time of the visit 3 infants did not have updated written feeding instructions within the last 30 days.

At the time of the inspection areas along the fence had nails sticking out at a child's eye level that could cause injury or catch clothing.

Based on information provided through a DFPS investigation, multiple caregivers did not conduct a face to name accounting for children as they transitioned from the playground area back to the classroom as is required by the operation. This resulted in a child being left on the playground for approximately 45 minutes.

Based on information provided through a DFPS investigation, it was determined that staff present were moved to other classrooms and there was no clear communication between staff regarding the children present or about daily on-goings to be taken into consideration by staff coming to the room.

Based on information provided through a DFPS investigation, it was determined that the caregivers present were aware of a child's habit of hiding behind a tree in the play area and did not adjust the level of supervision for the group to account for this habit. The caregivers pulled a child from behind the tree and then when entering the building did not complete a check of the playground area including checking behind the tree.

Based on information provided through a DFPS investigation, in the director's absence the person left in charge did not verify the face to name count was conducted as the class transitioned from the outdoor play area to the indoor classroom. This was stated to be a policy requirement of the operation.

Based on information provided through a DFPS Investigation it was determined that the operation neglected a child when caregivers failed to properly account for children and a child was left on the playground for 45 minutes.

Based on information provided through a DFPS investigation, Caregivers present had incorrectly signed a child out of the operation on their transition sheet and stated they were not aware the child that had accidently been signed out was still present.

At the time of the inspection the fencing in the older children's play area had nails sticking out at the level of a child's head, missing boards, and loose boards.

At the time of the inspection a classroom was observed with nap cots arranged directly next to each other, with no space for children or caregivers to walk between them.

At the time of the inspection there were 3 classrooms with diaper changing areas that had trash cans missing a cover, with the cover either being tucked behind the can, or no cover being present at all. These were in areas that children had access to the trash can easily.

At the time of the inspection the gas inspection had not been conducted since 10/2020, exceeding the 2 year requirement to be conducted.

At the time of inspection a handwashing sink near a diaper changing station had used sippy cups in them and dishwashing soap nearby. It was explained by staff that these were rinsed out in this sink and used for water for the children.

At the time of the inspection the 2 vehicles used for transportation did not show to have functioning child safety alarms.

It was found that a caregiver exhibited poor judgement when multiple instances were observed of the caregiver picking up infants in a manner that was unsafe and inappropriate based on their developmental needs.

When a new director was designated, it was found through phone call with designee that the assistant director had been acting as director until a new director was designated. The assistant director had been acting as director from 10/2022 to 12/2022.

A new director was reported on 01/06/2023. After a phone call to the designee it was found that the previous director had left the operation in 10/2022. The paperwork for the new director was signed and dated 12/02/2023. These changes were not reported within the required 5 days.

At the time of the inspection 2 of the 10 children's files reviewed had missing emergency contact information.

At the time of the inspection a single caregiver was present in a room during nap time with 7 children ages 12 to 18 months of age. This was corrected when a second caregiver returned from their lunch break.

At the time of the insepction an emergency inhaler for a child was stored without the original container.

At the time of the inspection the operation's annual fire inspection was not available for review.

A caregiver's CPR training did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. The training was done online and did not consist of a curriculum that incudes use of a CPR manikin.

The center did not have verification of a current fire inspection.

I observed missing ceiling tiles in all of the class rooms. Wiring was hanging down from the ceilings. There is exposed insulation. Electrical cords, tools. paint buckets, screws, and miscellaneous construction materials were on the floors. The fire alarm was dangling from the wall in the infant room. The Smart Steps room has a piece of plywood in front of a broken window. There are broken fence pickets on the playground. One fence panel is no longer secure to the post. Photographs were taken of the deficiencies.