Graham's Day Care Center

Fire drills were not practiced monthly and/or the drill record was incomplete. The center did not have documentation that a monthly fire drill was done fore December 2025.

Violation confirmed corrected by letter received from provider on 3/24/2026

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the closet door unlocked that stores cleaning supplies, making the hazardous products accessible to children.

Violation corrected during visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The center did not have documentation of completing a playground inspection for October 2025.

Violation confirmed corrected by letter received from provider on 3/24/2026

A safe indoor and outdoor environment was not provided for the children. I observed a telephone wire hanging low, within reach of children, on the Outdoor Learning Environment.

Violation confirmed corrected by letter received from provider on 9/3/2925

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member was present(DG) did not renew their criminal background check that expired on 6/29/25.

Violation confirmed corrected by letter received from provider on 9/9/2025

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. I observed no record of arrival and departure times for children on numerous days.

Violation confirmed corrected by letter received from provider on 3/3/2025

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, I observed one electrical outlet without a safety cover.

Violation corrected during visit

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the closet door in the bathroom unlocked, this is storage for hazardous cleaning products.

Violation corrected during visit

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival a child entered the facility and did not wash their hands.

Violation confirmed corrected by letter received from provider on 9/3/2024

Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One side of the four (4) foot fence had a large gap lowering its height to less than four (4) feet, there were also protrusions on that side of the fence which could be harmful. The fence on both sides of the facility was leaning and was not secure.

Violation confirmed corrected by letter received from provider on 9/3/2024

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. There was no first aid poster in any of the rooms or in a place for referral to be used.

Violation corrected during visit

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, I observed disinfectant wipes on a desk/ not properly stored and accessible to children.

Violation corrected during visit

A violation was found for which there is no item number. During the walk-through of the center, the kitchen door was observed open and accessible to the children.

Violation corrected during visit

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. I observed the door of the storage room in the back opened, which is where a hazardous product was stored (compound wall repair).

Violation corrected during visit

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two out of four staff members did not have documentation of reviewing the EMC plan.

Violation confirmed corrected by letter received from provider on 9/11/2023

All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two out of four staff members did not complete recertification of First Aid training. (DG, SW)

Violation confirmed corrected by letter received from provider on 9/27/2023

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two out of four staff members did not complete recertification for CPR training.

Violation confirmed corrected by letter received from provider on 9/27/2023

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three out of four staff members did not complete the required number of on-going training hours. (DG, TMW, ZW)

Violation confirmed corrected by letter received from provider on 9/27/2023

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member (DG) is scheduled to work in the infant/toddler classroom. Staff member SIDS training expired on 1/23/2023

Violation confirmed corrected by letter received from provider on 9/27/2023

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three out of four staff members did not have an annual staff evaluations and staff development plan. (SW, TMW, ZW)

Violation confirmed corrected by letter received from provider on 9/11/2023

Emergency information did not name childs health care professional. One children's file did not have the hospital preference name and phone number.

Violation confirmed corrected by letter received from provider on 9/11/2023

Medical exam or health assessment record was not on file before or within 30 days after admission. One child with a start date of 3/3/23 medical exam records were dated for 8/8/23.

Violation confirmed corrected by letter received from provider on 9/27/2023

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child with a start date of 3/3/23 immunization was dated for 8/8/2023.

Violation confirmed corrected by letter received from provider on 9/27/2023

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Two out of four staff members did not have documentation of reviewing the EPR plan annually. (SW, TMW)

Violation confirmed corrected by letter received from provider on 9/27/2023

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four out of four staff members did not complete the health and safety training topics.

Violation confirmed corrected by letter received from provider on 9/27/2023