Handprints Child Care 24 LLC

The operation did not adhere to the required meal pattern, as they consistently ran out of the necessary components.

The operation did not properly document substitutions to the daily meals as required.

A child received a severe injury while in care. The injury required immediate medical treatment, and the operation did not contact emergency medical services.

The operation did not follow its own policy for handling medical emergencies when a child sustained a severe injury. Their policy requires staff to contact 911 first in the event of a serious medical emergency. Staff failed to implement this step and did not immediately call emergency services.

During the inspection, certain areas of the center exhibited low temperatures. Two thermostats indicated readings of 60 degrees and 64 degrees, while the external temperature was recorded at below 40 degrees.

It was determined through interviews and observations that certain areas of the center experience flooding during inclement weather.

The operation was found deficient with this standard. Based on the pictures and information gathered from the parent, it indicates the child was not changed promptly that caused him to have diaper rash and the caregiver did not provide a report to the parent.

One caregiver did not have the required abuse/neglect training.

This standard was evaluated as part of an investigation and found to be deficient. The caregiver failed to share information with the incoming caregiver.

PreK Classroom ceiling damaged from weather related flooding. Operation will not use classroom until repairs are completed.

Small toys presenting a choking hazard were present. One child had two pieces stuffed in mouth during the inspection.

The Infant Classroom was out of ratio.

I observed the 4 year olds having snack when I arrived. They were having graham crackers and milk. You must ensure a supply of drinking water is always available to each child at every snack, mealtime, and after active play and is served in a safe and sanitary manner. I explained this and the children were given water at that time. I spoke to the person who makes the snacks to send to the classroom and she said she will start sending a pitcher of water as well as milk to the classrooms for snack.

The utility room outside the building has cleaners detergents, plastic liners in there. The room will not lock to keep these hazards inaccessible to the children.

I observed 11 children who were 18 months-2 years old being supervised by only one caregiver. There must be no more than 9 children per 1 caregiver for children 18-23 months old. One child had been sent over there from the 2 year old class by his caregiver because the child wanted to go. I informed her that he must come back to his own classroom as that caregiver already had too many children in her class without that extra one. CHILD CAREGIVER RATIO MUST BE IN COMPLIANCE BY THE COMPLIANCE DATE INDICATED. A FULL PERMIT WILL NOT BE ISSUED WTIHOUT PROPER CHILD CAREGIVER RATIO IN PLACE.

The operation had not documented a smoke detector test since 10/13/21. I asked the person in charge to check them while I was there and 2 were not working.

The operation has not had a fire drill since October 14, 2021. You must practice a fire drill every month.

The carbon monoxide detector had not been tested since 10/13/21. The person in charge tested it during the inspection.