Mainspring at Live Oak

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

There is a violation of this standard, as a child was left unsupervised for 2 minutes.

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

A staff member didn't have a current training in pediatric first aid with rescue breathing and choking, as was expired. *Compliance was met, as the current training in pediatric first aid with rescue breathing and choking was completed after, the certificate was sent via email with a renewed date of 12/02/2024.

745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter · High

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

746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep · Medium

Based on the evidence gathered during the inspection, a caregiver attempted to restrict a child during nap.

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

Five out of ten staff files reviewed did not have the required annual training hours.

746.901(8) - Required Personnel Records- Photo Identification · Medium

Five out of ten staff did not have a photo ID in their file.

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

A child with a food allergy did not have a food allergy plan available for review.

746.605(12) - Required Admission Information - Emergency Medical Authorization · High

Two out of ten children's files did not have emergency care authorization.

746.613(a) - Required Immunizations · High

Three out of ten children's files did not have updated immunization records.

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

The operation did not report an incident to Child Care Regulation that placed a child at risk.

746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk · Medium

The operation did not complete an incident report for an incident that placed a child at risk.

746.4101 - Release of Children · High

The operation withheld a child from their parent.

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR · Medium High · No longer displayed by the state

Two caregivers did not have current CPR and First Aid training.

746.603(a)(3) - Children's Records - Health Statement · Medium · No longer displayed by the state

Two children were missing health statements.

746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training · Medium High · No longer displayed by the state

Six caregivers were missing some of their required annual trainings.

746.901 - Required Personnel Records · Medium · No longer displayed by the state

One caregiver was missing documentation of orientation and the notarized Licensing Affidavit for Applicants for Employment form.

746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional · Medium · No longer displayed by the state

The operation did not have updated infant feeding schedules signed by the parents.