Little Hugs Childcare LLC DBA Milestones

The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

The operation did not have a playground maintenance checklist available for review.

There was a 14 month old in a group where the oldest child was 4 years old. This was corrected when the 14 month old was moved to the infant classroom.

One child did not have immunization records available for review.

Two caregivers did not have current training in pediatric first aid.

Three caregivers did not have training in medication administration, food allergies, hazardous materials, or SIDS and shaken baby syndrome.

The operation did not have a playground maintenance checklist available for review.

One infant was sleeping in a crib with a bib on placing the child at risk of strangulation. This was corrected when the bib was removed from the infant.

The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

Two caregivers did not have current training in pediatric CPR.

The operation does not have a current fire inspection on file.

Three caregivers do not have annual training in communicable diseases, and one caregiver does not have training in hazardous materials.

Two staff hired after 9/1/2023 do not have the preemployment affidavit.

The operation does not have a current sanitation inspection on file.

Three infants do not have updated feeding instructions.

A caregiver was using screen time activities with children under the age of 2 years. This was corrected during the inspection when the caregiver turned the screen off.

There was not a current sanitation inspection. The last sanitation inspection was completed on 12/8/21.

One caregiver was present without an active background check status. This was corrected at inspection when the director had the caregiver leave.

Out of 6 employee records reviewed, 2 were missing the following: - documentation showing the date of the first day on the job - a notarized Licensing Affidavit for Applicants for Employment form - a statement signed and dated by the employee showing they have received a copyof the child-care center's operational and personnel policies - a statement signed and dated by the employee verifying the date the employee attended training during orientation

Out of 6 children records reviewed, 2 were missing a health statement signed by a doctor and 2 were missing hearing and vision test results required after children turn 4 years old.

The Director was missing the required Building and Physical and Premises Safety training.

Out of six personnel records reviewed, the following was observed: Five records were missing Building and Physical Premises Safety training; Three records were missing Using/Handling/Disposing of Hazardous Materials training; Two records were missing training on Responding to Food Allergies; and, One record was missing current SIDS/Shaken Baby Syndrome Training

It was found during an investigation that good judgment was not used when ankle weights were used on an infant's ankles without parental or physician consent.

Out of eight children's records reviewed, two records were missing complete emergency contact information. This was corrected at inspection, as the information was obtained and placed in the children's files.

Out of eight personnel records maintained, the following was observed: -Three records were missing a Notarized Affidavit of Employment; and, -One record was missing Proof of Education, a Photo ID, and Proof of Orientation completion.

One caregiver was present at the operation without having a background check letter of eligibility.