Little Hugs Childcare LLC DBA Milestones

746.501(a)(20) - Written Operational Policies - Parent Rights · Medium

The operational policies did not include the parent's rights information.

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

The following records were not available for review. One staff member was missing proof of orientation, diploma, and notarized affidavit.

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

A 6 month old was sleeping in a crib with a toy in the crib. This was corrected when the toys was removed from the crib.

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

Four infants do not have infant feeding instructions.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation does not have a current sanitation inspection.

746.501(a)(20) - Written Operational Policies - Parent Rights · Medium

The operational policies did not include the parent's rights information.

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

The operation does not have a current fire inspection.

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

Four children did not have current immunization records. Two children did not have health statements. One child was missing emergency contact and authorized pick up information.

746.631(a) - Sign-in and Sign-out Tracking System · Medium High

The operation does not currently have system to sign children in and out.

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

The following records were not available for review. Two staff members were missing proof of orientation, diplomas, and notarized affidavits.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age · Medium High

There was a 14 month old in a group where the oldest child was 4 years old. This was corrected when the 14 month old was moved to the infant classroom.

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

The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

746.801(8) - Required Records Maintained and Made Available - Playground Maintenance Records · Medium

The operation did not have a playground maintenance checklist available for review.

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

Three caregivers did not have training in medication administration, food allergies, hazardous materials, or SIDS and shaken baby syndrome.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. · Medium High

Two caregivers did not have current training in pediatric first aid.

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

Two caregivers did not have current training in pediatric CPR.

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

One infant was sleeping in a crib with a bib on placing the child at risk of strangulation. This was corrected when the bib was removed from the infant.

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

One child did not have immunization records available for review.

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

The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

746.801(8) - Required Records Maintained and Made Available - Playground Maintenance Records · Medium

The operation did not have a playground maintenance checklist available for review.

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

Three caregivers do not have annual training in communicable diseases, and one caregiver does not have training in hazardous materials.

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

Three infants do not have updated feeding instructions.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation does not have a current sanitation inspection on file.

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

The operation does not have a current fire inspection on file.

746.901(5) - Required Personnel Records - Required Affidavit (Form 2912) · Medium Low

Two staff hired after 9/1/2023 do not have the preemployment affidavit.

746.2207(a) - Screen Time Activities - Not Used for Under Two · Medium

A caregiver was using screen time activities with children under the age of 2 years. This was corrected during the inspection when the caregiver turned the screen off.

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 active background check status. This was corrected at inspection when the director had the caregiver leave.

746.3401(a) - Annual Sanitation Inspection · Medium High

There was not a current sanitation inspection. The last sanitation inspection was completed on 12/8/21.

746.801(1) - Required Records Maintained and Made Available - Children's Records · Medium

Out of 6 children records reviewed, 2 were missing a health statement signed by a doctor and 2 were missing hearing and vision test results required after children turn 4 years old.

746.901 - Required Personnel Records · Medium

Out of 6 employee records reviewed, 2 were missing the following: - documentation showing the date of the first day on the job - a notarized Licensing Affidavit for Applicants for Employment form - a statement signed and dated by the employee showing they have received a copyof the child-care center's operational and personnel policies - a statement signed and dated by the employee verifying the date the employee attended training during orientation

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

Out of six personnel records reviewed, the following was observed: Five records were missing Building and Physical Premises Safety training; Three records were missing Using/Handling/Disposing of Hazardous Materials training; Two records were missing training on Responding to Food Allergies; and, One record was missing current SIDS/Shaken Baby Syndrome Training

746.1311(e) - Director Annual Training - Additional required topics · Medium

The Director was missing the required Building and Physical and Premises Safety training.

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

It was found during an investigation that good judgment was not used when ankle weights were used on an infant's ankles without parental or physician consent.