Angel Care Academy

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

Infants were mixed with children greater than 18 months older than they are.

746.1613(a)(4) - Naptime Child/Caregiver Ratio - Additional Employee Required · Medium High

Upon CCR's arrival the operation was using a reduced nap time ratio with only 1 caregiver present in the building and more than 13 children.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

Infants were mixed with children greater than 18 months older than they are.

746.1613(a)(4) - Naptime Child/Caregiver Ratio - Additional Employee Required · Medium High

Upon CCR's arrival the operation was using a reduced nap time ratio with only 1 caregiver present in the building and more than 13 children.

746.1505(1) - Placement of Groups - Groups Kept Separate · Medium

The large classroom was not properly divided allowing children to move freely between the two spaces.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

Infants were mixed with children greater than 18 months older than they are.

746.1505(1) - Placement of Groups - Groups Kept Separate · Medium

Children of mixed ages including infants were combined in one room.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

When CCR arrived there was one caregiver in a room with 21 children of mixed ages.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

Infants were combined with children more than 18 months older than them in one room.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

A caregiver gave an inaccurate count of the number of children present.

746.1505(1) - Placement of Groups - Groups Kept Separate · Medium

It was observed that 24 children of mixed ages were sharing one open space.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

There was one caregiver outside with 20 children including infants.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

Children of mixed ages were combined outside for over an hour including infants.

746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes · High

An infant was observed in a restrictive device outside for a prolonged period of time.

746.3301(b) - Nutrition and Food Service - Follow Meal Patterns · Medium High

Lunch did not follow the CACFP guidelines. There were no fruits or vegetables offered.

746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center · Medium

The operation did not have a menu but did provide lunch.

746.4301(a) - Outdoor Space Requirements - 80 Sq. Feet Per Child · Medium

It was observed that more children were outside than the outdoor space allows.

746.1105(3) - Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985) · Low

One caregiver did not have form 2985 notarized.

746.1105(3) - Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985) · Low

One caregiver did not have form 2985 notarized.

746.1613(a) - Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met · Medium

During nap time it was observed that one caregiver was supervising 15 children with the youngest being 3 months of age.

746.2419(7) - Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup · Medium High

An infant was observed sleeping in a crib with a bottle of milk.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children · High

Clorox wipes were observed in two locations within reach of children.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training · Medium High

A caregiver does not have pre-service training.

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR · Medium High

A caregiver has CPR that was taken online.

746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age · Medium

Two nap mats were observed with tears. This was corrected during the inspection the mats were removed and replaced.

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR · Medium High

A caregiver does not have current first aid/CPR.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional · Medium High

A child with a food allergy does not have all required medications on site.

746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age · Medium

Four napping mats were observed to be torn and/or missing cushions.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days · Medium

Two infants do not have feeding instructions.

746.2505(4)(A) - Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler · Medium

Six children's bottles/cups were not labeled. This was corrected during the inspection when the director and caregivers labeled the bottles.

746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean · Medium High

Chipped paint was observed in a classroom.

746.603(a)(4) - Children's Records - Immunizations · Medium

Three children do not have current or updated immunization records on file.

746.901 - Required Personnel Records · Medium

Four staff files did not have one or more of the following: proof of education, proof of pre-service training, a photo ID, the hire date, proof of the background check, proof orientation was completed.

746.5205(4) - Documentation of Drills · Medium

The operation has not provided documentation of drills.

746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment · Medium High

A high chair was observed to have dried food stains. This was corrected during the inspection when the chair was cleaned.

746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean · Medium High

Chipped paint was observed on the walls of a classroom.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

Two children were observed unattended. This was corrected during the inspection when the caregiver returned to the children.

746.3415(1) - Employee Handwashing Before Eating or Handling Food · Medium High

A caregiver did not wash their hands after rubbing their eyes and before handling food. This was corrected during the inspection when the caregiver washed her hands.

746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface · Medium High

A diaper changing table has two small tears. This was corrected during the inspection when the diaper changing table was replaced.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional · Medium High

A child with a diagnosed allergy does not have an allergy plan on file.

746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age · Medium

One nap mat was torn and one nap mat was missing a cushion. This was corrected during the inspection when the nap mats were replaced.

746.5205(4) - Documentation of Drills · Medium

The operation does not have documentation of the emergency drills practices.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation does not have a current sanitation inspection.

746.501(a)(1) - Written Operational Policies - Operating Times · Medium

The operation does not have the following operational policies: days and months of operation, infant safe sleep, nursing mothers, procedures for inclusive services, gang-free zone policy, parent's rights, unassigned epi-pens, outdoor play and extreme weather criteria, insect/sunscreen, and communicationg with the director.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation does not have a current fire inspection.