Elsie Steele

2 children's enrollment agreements were incomplete for parent signatures, emergency medical information, parent's rights and water safety permission.

Operational polices was missing information for parent's rights, outdoor policies, release of children, medication policies, emergency preparedness plan, suspension, illness, open door policy, parent participation, gang free zones, the child abuse hot line and the local telephone number and address of the nearest regulations office.

Two children were observed asleep in a restrictive device. One child was removed and placed on a cot, the other child left with a parent.

A child was observed asleep in a restrictive device during naptime. This was corrected during the inspection when the child was pick up by the parent.

During the inspection, the operation did not have an up to date copy of the operational policies and procedures. Multiple additions were missing: the promotion of outdoor activities, the emergency preparedness plan, exclusion policy, the local licensing location and number, the Child and Abuse Hot line, parent visitation, medication, animals, and handling medical emergencies,

During the inspection an dog was present in the home. This was found to be deficient. There was no record of a current vaccination record on file. The last vaccine was 06/11/2020.

During the inspection, 4 children's records were evaluated and found to be deficient. Each record was missing the signed health statement, and the special needs statement. There were no signature pages from the parents on the back pages of the enrollment agreement.

During the inspection it was found that the operation was utilizing screen time for children not used for under two. This was corrected at inspection when the television was turned off and an alternative activity was provided.

During the inspection it was found that the operation did not have a personnel record for substitute caregiver.

During the inspection it was found that the caregiver did not complete background check for persons that required background checks that were associated with the operation.

During the investigation it was found that the operation did not have an exclusion criteria listed in the operational policies.

During the investigation it was found that the operation was not utilizing an qualified caregiver.

During the inspection it was found that the operation did not have documentation of monthly drills being completed. This was corrected at inspection when a fire drill was completed with the children in care.

During the inspection it was found that 4 out of the 10 children files reviewed did not have up to date immunization records.

During the inspection it was found that three out of the ten children records reviewed did not have health statements available for review.