Kids R Kids #33

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

Information obtained throughout the investigation shows that a child was left unsupervised in a restroom when the class transitioned outside.

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

Information obtained throughout the investigation shows that the operation failed to notify Child Care Regulation of an incident that placed a child at risk.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained throughout the investigation shows that parents were not notified immediately of a situation that placed their child at risk.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

Information obtained throughout the investigation shows that the operation failed to obtain a parent signature on the incident report within 48 hours of when the incident occurred.

746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training · Medium High

Six staff members did not have the required transportation training.

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

The operation did not have the required medication for the child per the emergency plan.

746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required · Medium High

Out of ten staff files reviewed, two staff were missing proof of SIDS/Shaken Baby/Early Brain Development Training.

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

Four infant's feeding instructions were not reviewed and signed by the parent within the past 30 days.

746.3401(a) - Annual Sanitation Inspection · Medium High

The annual sanitation inspection was not available.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling · High

A caregiver was observed lifting a child who dropped themselves to the floor to a standing position by one of their arms.

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 a background check. This was corrected at inspection when the caregiver left and the director started the process for the background check.

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

A caregiver gave the incorrect number of children they were responsible for when they were asked twice. This was corrected at inspection when the caregiver gave the correct number of children after it was pointed out there was one less child in the room than they had originally stated.

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

Information obtained through the investigation shows that an individual was present at the operation and had access to children without receiving a background check eligibility letter.

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

Information obtained through the investigation shows that five children were left unsupervised in a classroom for ten minutes.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

Information obtained through the investigation shows that the operation called parents immediately but failed to provide incident reports to the parents within the required 48 hours when five children were left unsupervised in a classroom for ten minutes.

746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child · Medium High

There was sufficient evidence found during the investigation to show that one child was served food that they have a diagnosed allergy to.

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

Two outdoor playground equipment structures were observed to be lacking the required 6 inches of loose fill under them.

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

The last documented fire inspection was observed to be completed on 10/31/2022. A fire inspection was scheduled during the inspection.

746.5401 - Requirement of Gas Leak Inspection · Medium High

The last documented gas inspection was conducted in July of 2022. A gas inspection was scheduled during the licensing inspection.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

Observed 3 caregivers in the same room supervising children. All three caregivers have conditions placed on their background checks that they cannot be supervised by other caregivers who also have conditions. This was corrected when a caregiver without conditions was placed in the room.

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

Observed 5 staff files, one caregiver did not have 24 hours of annual training in 2021-2022 year. The caregiver had 7.5 hours in their file. This was corrected when I spoke to the director about the hours needed for each caregiver. The director is working on updating the staff files to ensure that training for year 2022-2023 is complete.

746.201(5) - Reporting Suspected Abuse, Neglect, Exploitation · Medium High

It was found during interviews, that a caregiver was told about suspected abuse and did not report within 488 hours.

746.201(5) - Reporting Suspected Abuse, Neglect, Exploitation · Medium High

The operation staff was notified of suspected abuse and did not make a report to Child Care Regulation.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

A caregiver with provisional conditions, restricting being left alone with children was observed walking down a hallway alone with two children in her care.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

2 caregivers with provisional conditions, restricting being left alone with children, were left as the sole caregivers in classrooms with napping children.

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

5 of 5 training files reviewed did not have proof of hazardous material training. 3 of 5 trainings reviewed did not have proof of medication training.

746.3701(5) - Safety - Play Materials and Equipment Safe · Medium High · No longer displayed by the state

During the investigation inspection the staff members stated the shelf outside was not secured causing it to tip over when the child climbed on it.