Apples Greatest Beginnings 1

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

The director did not have a CPR First Aid certificate available for review.

746.4503(c) - Napping Floor Mats Marked with Sleeping Side Distinguished · Medium

Nap mats were not labeled with name or which side faces down.

746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room · Medium High

an evacuation diagram was not posted in one classroom.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

A caregiver was present with children before an eligible background check was determined.

746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors · Medium

The operation did not have record that they conducted a fire drill in May 2024. The operation has no documentation that the fire extinguishers were checked in 2024.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based · Medium High

Two caregivers completed online CPR training.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

One caregiver changed a child's diaper and did not wash their hands. This was brought to the caregiver's attention and the child's hand's were washed during inspection.

746.603(a)(3) - Children's Records - Health Statement · Medium

The operation did not have a statement of the child's health from a health-care professional for two children in care.

746.613(a) - Required Immunizations · High

The operation did not have immunization records for one child in care.

746.909 - Access to Personnel Records · Medium

The operation's personnel files were not available for review by licensing during the inspection as they are not stored at the operation.

746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner · Medium High

a trash can containing food or diapers was not coveered. A lid was provided for the trash can at the inspection

746.3701(1) - Safety - Electrical Outlets Covered · Medium High

Outlet covers were observed to be missing covers.

746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation · Medium High

The first aid kit contained expired items.

746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger · High

safe sleep policies were not available for parents, as part of the operational policies.

746.2205(a)(1) - Written Activity Plan - Group Name and Dates · Medium

There was no activity plan for toddlers.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age · High

2 young children were sleeping in cribs with blankets. One had a blanket covering their body along with a mat and pillow and the other young child had a small stuff animal and blanket in the crib. This was corrected at Inspection when the director removed both blankets, stuff animal, and mat with pillow out of the crib.

746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist · Medium

The monthly inspection checklist was last completed on Nov. 22. This was corrected at inspection when the director completed the monthly checklist for this month and updated that her playground area is not in use at this time due to equipment that has fallen apart and needs to be put back together.

746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes · Medium High

Documentation show that fire drills are not completed on a monthly basis and not within 3 minutes or less.

746.1309(e) - Documented Annual Training- Required Content · Medium

Two caregivers are missing training in emergency preparedness, food allergies, building and physical premises safety, SIDS and shaken baby syndrome, and hazardous materials.

746.1311(a) - Director Annual Training 30 Hours Required · Medium

The director is missing 2 out of the 30 required training hours. The director is missing training in emergency preparedness, food allergies, building and physical premises safety, SIDS and shaken baby syndrome, and hazardous materials.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age · High

An 11 month old was sleeping in a crib with a boppy pillow. This was corrected when the caregiver removed the boppy pillow from the crib.

746.4135(b) - Children's Products- Annual Certification · Medium

The Consumer Product Safety Commission (CPSC) recall list has not been reviewed since April 2019. This was corrected when the director reviewed the recall list and signed the The Consumer Product Safety Commission (CPSC) form.

746.605(6) - Required Admission Information - Emergency Contact · Medium High

Out of 4 children files reviewed, 3 did not have release information or health statements. 2 out of 4 children files did not have emergency contact information or current immunizations.