The Children's Courtyard #3213

All equipment and furnishings were not in good repair. There were deteriorating wood pieces and/or sections on the wooden stationary structures on the playgrounds designated for two-year-old children, three and four-year-old children, and school-age children. On the playground designated for school-age children, there was a torn section of the artificial surfacing approximately six inches square under the bar structure. On all the playgrounds, the metal poles and some of the metal equipment pieces had chipping paint.

Violation confirmed corrected by letter received from provider on 8/7/2026

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports dated from June 2025 to the present date had been added to an electronic incident log but had not been filed in the children’s record files.

Violation confirmed corrected by letter received from provider on 8/5/2026

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on 10/14/25 had a medical report dated 6/30/26.

Violation confirmed corrected by follow-up visit made by consultant on 8/7/2026

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member employed on 10/14/25 had a TB test dated 7/17/26.

Violation confirmed corrected by follow-up visit made by consultant on 8/7/2026

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/2/26 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/7/26.

Violation confirmed corrected by follow-up visit made by consultant on 8/7/2026

Staff did not complete the health and safety training within one year of employment. One employee (date of hire 12/31/2024) had not completed trainings for nine out of ten health and safety training topics or the training certificates were not available for review during the visit.

Violation confirmed corrected by letter received from provider on 8/7/2026

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. One employee (date of hire 01/09/2023) had completed health and safety training prior to employment was required to complete a training related to the health and safety training topic, administration of medication with standards for parental consent, due by 04/2026 but had not completed the training.

Violation confirmed corrected by letter received from provider on 8/7/2026

A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The children’s record files for three children (dates of enrollment 04/02/2024, 02/27/2026, and 03/17/2026) did not contain a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent.

Violation confirmed corrected by letter received from provider on 8/7/2026

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Child enrolled on 12/16/24 did not have a copy of the safe sleep policy on file and available for review.

Violation confirmed corrected by letter received from provider on 9/26/2025

Application for employment and date of birth was not on file for all staff. Staff members hired on 9/2/25, 8/13/25, 5/5/25 (two), and 7/21/25 did not have an application for employment on file.

Violation confirmed corrected by letter received from provider on 9/26/2025

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff members hired on 9/2/25 and 5/5/25 (two) did not have the required medical report on file.

Violation confirmed corrected by letter received from provider on 9/26/2025

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired on 9/2/25, 8/13/25, and two staff members hired on 5/5/25 did not have proof of tuberculosis test or screening.

Violation confirmed corrected by letter received from provider on 9/26/2025

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired on 5/11/18, 5/23/22, 9/24/18, and 2/15/16 did not have emergency information updated.

Violation confirmed corrected by letter received from provider on 9/26/2025

Prior to employment a Criminal Background Check was not completed. Staff members hired on 8/13/25 and 8/28/25 have not completed a criminal background check.

Violation confirmed corrected by letter received from provider on 9/26/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members hired on 5/5/25 and 7/21/25 did not have documentation of completing their 6 week orientation.

Violation confirmed corrected by letter received from provider on 9/26/2025

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. A staff member hired on 5/21/25 did not have a current First Aid certificate on file and available for review.

Violation confirmed corrected by letter received from provider on 9/26/2025

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. A staff member hired on 5/21/25 did not have a current CPR certificate on file and available for review.

Violation confirmed corrected by letter received from provider on 9/26/2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 8/13/25 did not have documentation of completing the two week orientation.

Violation confirmed corrected by letter received from provider on 9/26/2025

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 5/23/22, 9/24/18, and 2/15/16 did not have a current annual staff evaluation on file.

Violation confirmed corrected by letter received from provider on 9/26/2025

Emergency information did not name childs health care professional. A child enrolled on 12/16/24 did not have a hospital preference listed on their application.

Violation confirmed corrected by letter received from provider on 9/26/2025

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four children' files (DOB: 3/26/20, 6/25/21, 12/4/17, and 8/20/18) that were reviewed did not list their enrollment dates on the Discipline Policy.

Violation confirmed corrected by letter received from provider on 9/26/2025

Application for enrollment did not include all required information. Three children enrolled on 5/16/22, 5/19/21, and DOB 12/4/17 (w/ no enrollment date) did not have enrollment dates on their applications.

Violation confirmed corrected by letter received from provider on 9/26/2025

A valid qualification letter was not on file and available to review at the facility. Staff members hired on 5/5/25 (two), 9/2/25, 7/2/25, 8/13/25, and 8/28/25 did not have criminal background checks on file and available for review.

Violation confirmed corrected by letter received from provider on 9/26/2025

All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff members hired on 5/11/18, 5/23/22, and 9/24/18 did not review the center's EPR Plan on an annual basis.

Violation confirmed corrected by letter received from provider on 9/26/2025

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff members hired on 2/15/16, 8/28/25, 9/2/25, 8/13/25 and 7/21/25 did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file.

Violation confirmed corrected by letter received from provider on 9/26/2025

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members hired 5/5/25 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file.

Violation confirmed corrected by letter received from provider on 9/26/2025

A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child enrolled on 12/16/24 did not have a Shaken Baby Syndrome and Abusive Head Trauma policy on file.

Violation confirmed corrected by letter received from provider on 9/26/2025

Discipline was not appropriate for the child's age and development. A staff member in the School Age classroom sprayed three school age children with a water bottle to direct the children to clean up the classroom, which was not an age and developmentally appropriate form of discipline.

Violation confirmed corrected by letter received from provider on 8/5/2025

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/10/25 did not have a medical report on file and available for reveiw.

Violation confirmed corrected by letter received from provider on 4/21/2025

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. Staff members hired on 4/11/22, 3/4/23, 8/9/24 and 12/9/24, did not have a First Aid certificate on file and available for review.

Violation confirmed corrected by letter received from provider on 4/21/2025

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. Staff members hired on 4/11/22 and 12/9/24 did not have a CPR certificate on file and available for review.

Violation confirmed corrected by letter received from provider on 4/21/2025

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 12/30/24 did not have a Recognizing and Responding to Suspicions of Child Maltreatment certificate on file an available for review.

Violation confirmed corrected by letter received from provider on 4/21/2025

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 4 a can of Equate aerosol sunscreen was stored in an unlocked cabinet. In Space 2, there were two batteries laying on the counter near the sink.

Violation corrected during visit

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4 a bottle of Excedrin Migraine was stored in an unlocked cabinet.

Violation corrected during visit

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Four diaper creams or ointments did not have permission to administer forms.

Violation corrected during visit

A drug or medicine was administered after its expiration date. One tube of Aquaphor had an expiration date of 8/2021.

Violation corrected during visit

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Spaces 5 and 16 each had a prescription medication which was not in its original pharmaceutical container.

Violation confirmed corrected by follow-up visit made by consultant on 11/9/2023

Parent's medication authorization did not include required information. A total of seven permission to administer forms were not complete as required. Parent signatures were missing on two forms. Name of medication was missing on one form. Two forms did not have the dosage amount. Two forms only had the child's name and the parent signature, but no other information.

Violation corrected during visit

Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In space 15 there was a tube of Cortisone-10, the label indicated "not recommended for children under 12." In Space 11, there was a tube of Hydrocortisone, the label indicated "not recommended for children under 2."

Violation corrected during visit

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Eight permission to administer forms for diaper creams/ointments had expired.

Violation corrected during visit

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff with hire dates of 10/16/23 and 2/22/23 did not have medical reports on or before their first day of work.

Violation confirmed corrected by follow-up visit made by consultant on 11/2/2023

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. Four staff did not have documentation of First Aid certification.

Violation confirmed corrected by letter received from provider on 11/14/2023

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. Four staff did not have documentation of having CPR certification.

Violation confirmed corrected by letter received from provider on 11/14/2023

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff with a hire date of 8/7/07 did not have the required number of on-going training hours documented.

Violation confirmed corrected by follow-up visit made by consultant on 11/2/2023

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Bus 1 and 2 had registration/tags which had an expiration date of November 2022.

Violation confirmed corrected by letter received from provider on 11/14/2023

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff with a hire date of 8/7/07 did not have an annual staff development plan in their file.

Violation corrected during visit

Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two children's files did not include a medical record.

Violation confirmed corrected by follow-up visit made by consultant on 11/2/2023

Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not contain a medical exam before or within 30 days after enrollment.

Violation confirmed corrected by follow-up visit made by consultant on 11/2/2023