Childrens Courtyard 4

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

Two electrical outlets did not have safety covers.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization · Medium High

The operation failed to report an injury to a child that required medical attention.

746.307(c) - Parental Notification of Less Serious Injuries · Medium

The operation failed to notify a parent of an injury that occurred while the child was in care.

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

While conducting a walk through one caregiver was found to be sleeping.

746.1309(b) - Documented Annual Training - 6 Hours of annual training required · Medium

Of the 8 staff records that were checked all of them are missing the required trainings in child growth and development, discipline and guidance, age appropriate curriculum, and teacher-child interaction.

746.1329(b)(4) - Documentation of Training Requirements - Trainer's Name · Low

Most of the staff training certificates were missing the trainer's signature or name and the employee's signature.

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

During the follow up, 2 infants did not have an updated feeding schedule.

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

There were three 1-inch size holes in the wall and were accessible to children in three different classrooms.

746.1609 - Maximum Group Size 13 or More Children · Medium High

There was a total of 44 school age children playing together.

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

During the follow up, 8 infants did not have an updated feeding schedule.

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

The toddler class was one child over ratio. This was corrected when one child was removed.

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

There were three 1-inch size holes in the wall and were accessible to children in two different classrooms. The ceiling in the growfit room was cracked. There was plastic baseboard missing and ripped throughout the room and accessible to children.

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

During the follow up, there were uncovered outlets in several rooms.

746.901(5) - Required Personnel Records- Training Hours · Medium

During the follow up, two caregivers were still missing required hours of training.

746.1205(a)(5) - Responsibilities of Caregivers - Intervene to ensure each child's safety · High

Caregivers were not able to intervene when a child was able to climb over the playground fence and leave the operation.

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

The operation did not report to Child Care Regulation when a child was placed at risk.

HRC42.04412(a) - Interference with an investigation · High

The operation would not provide a copy of the surveillance footage of the incident.

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

Six out of ten caregiver files did not have current CPR/First Aid certifications. During the follow up inspection personnel files were missing training hours.

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

There was an infant feeding schedule signed in advance by parent for the month of July.

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

There were three 1-inch size holes in the wall and were accessible to children in two different classrooms. The ceiling in the growfit room was cracked. There was plastic baseboard missing and ripped throughout the room and accessible to children.

746.603(a) - Children's Records Maintained · Medium

Four children files were missing vaccinations, one child file was missing a health statement, one child file was missing the permission to have medical treatment, one child was missing start date,and one child file was missing the address for pick up persons. During the follow up inspection, children's files were missing immunizations.

746.605(16) - Required Admission Information-Completed Food Allergy Plan · Medium High

There is a child file that did not have an allergy plan signed by their physician.

746.901 - Required Personnel Records · Medium

Three caregiver files did not have proof of education, five caregiver files did not have forms stating they had orientation training, one caregiver file did not have a signed statement that they have received a copy of the operational policies. Personnel records were not completed during follow up inspection.

746.901(5) - Required Personnel Records- Training Hours · Medium

Training hours for caregivers were not available at time of inspection. Personnel training hours were not complete and ready for review during follow up inspection.

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

Six out of ten caregiver files did not have current CPR/First Aid certifications. During the follow up inspection personnel files were missing training hours.

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

There were two 1-inch size holes in the wall and were accessible to children. During the follow up inspection, the ceiling in the growfit room was cracked. There was plastic baseboard missing and ripped throughout the room and accessible to children.

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

Several classrooms were missing outlet covers. Several classrooms were missing outlet covers during follow up inspection.

746.603(a) - Children's Records Maintained · Medium

Four children files were missing vaccinations, one child file was missing a health statement, one child file was missing the permission to have medical treatment, one child was missing start date,and one child file was missing the address for pick up persons. During the follow up inspection, children's files were missing immunizations.

746.605(16) - Required Admission Information-Completed Food Allergy Plan · Medium High

Two children were missing food allergy plans. Allergy plans were not available during follow up inspection.

746.801(2) - Required Records Maintained and Made Available - Infant Feeding Instructions · Medium

Infant feeding schedules were not available or updated. Updated feeding schedules were not availiable during follow up inspection.

746.901 - Required Personnel Records · Medium

Three caregiver files did not have proof of education, five caregiver files did not have forms stating they had orientation training, one caregiver file did not have a signed statement that they have received a copy of the operational policies. Personnel records were not completed during follow up inspection.

746.901(5) - Required Personnel Records- Training Hours · Medium

Training hours for caregivers were not available at time of inspection. Personnel training hours were not complete and ready for review during follow up inspection.

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

Six out of ten caregiver files did not have current CPR/First Aid certifications.

746.2805(6) - Prohibited Punishments - Using Harsh, Abusive or Profane Language · High

Two caregivers were heard speaking loudly and harshly to children.

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

There were two 1-inch size holes in the wall and were accessible to children.

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

Several classrooms were missing outlet covers.

746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired · Medium High

A play mat had a large rip in it. This was corrected when the mat was removed the mat from the classroom.

746.603(a) - Children's Records Maintained · Medium

Four children files were missing vaccinations, one child file was missing a health statement, one child file was missing the permission to have medical treatment, one child was missing start date,and one child file was missing the address for pick up persons.

746.605(16) - Required Admission Information-Completed Food Allergy Plan · Medium High

Two children were missing food allergy plans.

746.801(2) - Required Records Maintained and Made Available - Infant Feeding Instructions · Medium

Infant feeding schedules were not available or updated.

746.901 - Required Personnel Records · Medium

Three caregiver files did not have proof of education, five caregiver files did not have forms stating they had orientation training, one caregiver file did not have a signed statement that they have received a copy of the operational policies.

746.901(5) - Required Personnel Records- Training Hours · Medium

Training hours for caregivers were not available at time of inspection.

746.4103(b) - Policies for Release of Children - Record Identity of Person · Medium High

This standard was reviewed during investigation and found out of compliance. The identity of person picking was not identified by the operation was not requested at pickup. This was marked into compliance at the time of inspection when the acting director and caregiver stated ID's will be checked going forward at the operation. The acting director stated retraining was given to caregiver on child release retraining.

746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization · Medium High · No longer displayed by the state

The standard was evaluated during the investigation and found out of a compliance. A parent was not notified of an injury that may require medical attention in a timely manner. The standard was marked into compliance at the time of the inspection. The director stated that all staff members have been retrained on policies and procedures regarding injuries.