Children's Courtyard

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

7 of the 9 infants that required feeding sheets had not been updated by a parent in over 30 days.

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

One child was unsupervised while in care at the operation.

746.2203(a) - Written Activity Plans · Medium

The operation did not have an activity plan for one classroom of children in care.

746.2207(c)(2) - Screen Time Activities - Age-appropriate · Medium

Six children were on YouTube watching videos that were not part of a planned activity that is working towards meeting educational goals. This was corrected when the staff had the children shut off the cell phones and tablets.

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages · Medium High

One caregiver was unsure of the ages of the children that she was caring for and walked away as I tried to obtain this information from her. This was corrected when the director assisted her with providng the children's ages during the inspection to help determine if the group was in ratio.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

A caregiver disciplined a child by loudly telling the child to stop while cupping the child's face.

746.305(a)(6) - Report Situation Placing Children at Risk · High

The operation did not report an incident that placed a child at risk for injury or harm to CCR.

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

Two caregivers did not have current Pediatric CPR Training that was taken in person.

746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional · Medium

Three infants did not have feeding instructions. This was corrected at inspection when the director had the parents provide feeding instructions for the infants.

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

The operation was not serving all of the required components for breakfast.

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

Two classrooms had a trash can without lids that had trash accessible to children in care. This was corrected at inspection when the director covered the two trash cans with lids.

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

Two classrooms with children under 5 years of age did not have electrical outlets covered. This was corrected at inspection when all outlets were covered by the staff.

746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date · Medium High

One child's Epinephrine auto-injector and allergy medication was not in original packaging. The medications were both in ziploc bags.

746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation · Medium

The operation did not have the letter or form from the most recent Licensing inspection or investigation posted. This was corrected at inspection when the staff posted the last 2936 inspection form.

746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name · Medium Low

The operation did not have a current employees list posted. This was corrected at inspection when the staff posted a current list of employees.

746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less · Medium High

Two areas underneath two slides outside on the playground did not have the required amount of loose-fill.

746.5205(2) - Sheltering Drill For Severe Weather-Four times a calendar year · Medium High

The operation had only completed two severe weather drills for 2023.

746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit · High

Two busses used for transporting children did not have first aid kits.

746.909 - Access to Personnel Records · Medium

The director was having technical difficulties and was not able to access staff training files during the inspection.

746.2805(8) - Prohibited Punishments - Restrictive device for time out · High

Observed a child in care sitting in a floor seat with the tray attached for timeout. This was corrected when the child was removed out of the chair.

746.2205(a)(4) - Written Activity Plan - No Long Waiting Periods · Medium

It was found during the investigation, that after snack time the children were sent to the carpet to wait for an unknown amount of time without an activity.

746.2607(1) - Activities for Pre-Kindergarten Age - Outdoor Play · Medium High

There was enough evidence throughout the course of the investigation to determined that the operation was not allowing children to engage in outdoor play prior to the ice storm.

746.3401(a) - Annual Sanitation Inspection · Medium High

Current sanitation inspection was not available for review.

746.3407 - Maintenance of Building, Grounds and Equipment · Medium High

Observed fallen tree and tree branches obstructing the playground area. The operation has submitted a work order to have the tree branches and fallen tree removed and the fence repaired.

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

Current fire inspection was not available for review.

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

Last fire drill completed at the operation was in December.

746.613(b) - Immunization Records, Exceptions, and Exemptions Current · Medium High

Current immunization records was not available for review for three of the ten children records reviewed.

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

Observed a staff member supervising a group of children without an active background check on file.

746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over · Medium High

TV in the I'click room was not anchored to the shelf. This was corrected when the staff member removed the Televison set.

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

A staff member at the operartion does not have a current background check on file.

746.303(a)(4) - Report Change in Director · Medium High

Change in director was not reported to CCR.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children · High

Inappropriate supervision was found at the operation. A child was left unsupervised.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children · High

Inappropriate supervision was found at the operation. A child was left unsupervised.