TTLC DBA The Children's Courtyard

The operation had a failed fire inspection and is required to make corrections.

Based on the evidence gathered during the investigation, a caregiver fed a child another child's bottle.

The operation had not conducted monthly carbon monxide or fire extingusiher tests. This was corrected during the inspection when the carbon monxide detectors and fire extinghushers were tested and documented.

The following operational policies are missing: hours of operation, the emergency preparedness plan, procedures for inclusive services, gang-free zone, employee vaccinations, nursing mothers, contacting licensing, reviewing the inspection report, the promotion of outdoor play, criteria for extreme weather, and hearing/vising screenings.

The operation does not have a current fire inspection.

The operation has not conducted the monthly testing of smoke detector.

Five children do not have current immunizations records on file.

The operation does not have documnetatin of the monthly fire drills. This was corrected during the inspection when a fire drill was conducted with an exit time of less than 3 minutes.

Trash cans containing garbage did not have lids.

It is alleged that toys and equipment are not sanitized.

Walls and doors were not kept clean. The door and walls had visible handprints.

It is alleged that caregivers exceed the ratio required in Minimum Standards for infant and school-age classrooms.

It is alleged that caregivers leave children unattended, and the age range and number of students prevent proper auditory or visual supervision.

It is alleged that caregivers exceed the ratio required in Minimum Standards for infant and school-age classrooms.

It is alleged that caregivers leave children unattended, and the age range and number of students prevent proper auditory or visual supervision.

During the follow-up inspection the pre k/ school age classroom was observed with 1 caregiver and 25 children. The children ranged in age from 3 - 10 years old. The specified age of this classroom was 5 years old, meaning that the caregiver should have had no more 22 children by themselves. Classroom was over ratio by 3 children.

During the inspection it was observed that the toddler class moved from the playground to the gym and did not wash their hands once they were in the gym.

During the follow-up inspection it was found that the operational policies still did include a suspension policy. This was re-cited.

During the follow-up it was found that the operational policies still did not include a section on procedures for supporting inclusive services to children with special care needs. This was re-cited.

During the inspection it was observed that a caregiver wiped a child's nose wearing gloves, but did not wash their hands after removing their gloves.

During the inspection it was observed that the children were given dry cereal and milk for breakfast which does not meet the USDA food requirements for breakfast.

During the inspection it was found that the operational policies did include an expulsion policy, but did not include a suspension policy.

During the inspection it was found that the operational policies did not include a section on procedures for supporting inclusive services to children with special care needs.

During the inspection it was observed that there were 16 children, ages 17 months - 10 years old that were with 1 caregiver. The specified age group was 2 years old meaning that they were over ratio by 5 children.

During the inspection it was found that a 17 month old was in a combined class with children that were greater than 18 months older.

During the investigation it was found that there has been at least one occasion in the past week that a child has been able to leave their classroom and go outside without a caregiver being present.

During the inspection it was observed that there was an individual present at the operation with direct access to the children before the operation had received notification from the CBCU that the subject of a background check was eligible to be present. Caregiver left operation while Child Care Regulation was present.

During the monitoring inspection it was observed that a caregiver changed a child's diaper and did not ensure that the child washed their hands after. This was corrected at inspection when the caregiver was asked to wash the child's hand, and did.

During the inspection a copy of the operation's most recent fire inspection could not be located.

A review of the Employees Who Left Employment in 2023 data from January 18, 2024, revealed the center had not reported the number of employees who left employment in 2023 by January 15, 2023, as required.

During the monitoring inspection it was found that the operation was not current on their annual sanitation inspection.

During the monitoring inspection it was found that the operation was not current on their fire sanitation inspection.

During the monitoring inspectiion it was found that the operation had not documented that a fire drill had been conducted since August 2023.

During the monitoring inspection a first aid kit was reviewed and found to be missing tweezers. This was corrected at inspection was a pair of tweezers was added to the kit.

3 caregivers did not have affidavits in their file.

Operation was missing documentation for drills from March and April. Conducted one while I was at the operation for a follow up.

One 5 month old infant was laying on her stomach in a round sitting area.

Six caregivers did not have current first aid/ CPR training.

One bus was not operating.

3 children's records did not have emergency contact information.

One child did not have admission information on file.

3 caregivers did not have affidavits in their file.

One child did not have immunization records one file.

Operation was missing documentation for drills from March and April.

One child did not have a health statement in their file.

Four staff members did not have proof of education.

Six caregivers did not have current first aid/cpr training.

Opearation did not have current fire inspection report available.

During a walk through of the operation, the after school playground was observed having trash on the ground. The yellow roofing on the toddler play structure has cobwebs and moldy residue and had not been pressure washed.

During the inspection, a caregiver was observed not washing her hands after changing a child's diaper and also did not wash the child's hands before picking up the next child. This was corrected at the inspection when the caregiver washed the child's hands.

During the inspection, a caregiver stated that a child in care reached up to a diaper changing counter, pulling down a bubble blowing machine onto another child, causing injury to the eye. A deficiency was cited for "good judgment", as the operation has had a pattern of having electrical items in the diapering areas of each classroom observed. This was corrected during the inspection, when the caregiver in the room moved the machine to a shelf out of the reach of the children.

The operation allowed staff to be present at the operation before receiving notice from the CBCU, and had access to children. This was corrected at inspection when the caregiver left the operation.

Observed children playing with sprinklers on a concrete pad. This was corrected when licensing notified the person in charge that they could not play with sprinklers on concrete.

Out of ten staff records reviewed, ten records were missing information related to orientation and training records.

Out of ten children's records reviewed, five children's records were missing current and required immunizations.

A child was left unsupervised in the classroom. This was corrected at inspection as operation staff have been retrained on supervision.

During an investigation, there was sufficient evidence to support that a caregiver was on their cell phone while responsible for supervising a group of children. The operation has implemented new policy to limit phone use to emergency only and prohibit texting.