Creme de la Creme

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

One caregiver was present without an eligible background check. This was corrected when the caregiver left the operation.

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

One infant was observed sleeping in a crib with a stuffed animal. This was corrected when the stuffed animal was removed from the crib.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

Information obtained throughout the investigation shows that a caregiver failed to demonstrate good judgement by allowing a child to wear a fleece jacket outside in the summer heat. Information obtained throughout the investigation shows that the operation failed to administer first aid to a child who sustained an injury while in care.

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

Information obtained throughout the investigation shows that a caregiver yells at children.

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

Information obtained throughout the investigation shows that the operation failed to notify parents during pick up of a less serious injury.

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

Two caregivers did not know how many children they were responsible for.

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

The operation did not have a fire current fire inspection.

746.3809 - Medication No Longer Used · Medium

One child's medication was expired.

746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers · High

An infant was sleeping in a crib with a pacifier clip attached to the infant's clothing. This was corrected when the pacifier clip was removed from the crib.

746.1013(a)(3) - Director's Absence - Caregiver in Charge Has Access to All Records · Medium

Administrators in charge in directors absence did not have access to all information need during the inspection, as it was locked and the director had the key.

746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training · Medium High

Five caregivers were short on the required 24 hours of annual training.

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

A child had an expired immunization exception.

746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records · Medium

Ten caregivers were missing their diploma. Four caregivers did not have pre-employment affidavits and three employees did not have notarized affidavits.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

A caregiver hit a child, which is a form of corporal punishment.

745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone · High

A caregiver, with direct access to children, was present without a background check eligibility. The caregiver was sent home during the inspection.

746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity · Medium

Operational did not have statement on the promotion of physical activity.