Toddler House INC No 4

A caregiver displayed improper good judgement.

The operation did not report an incident that placed a child at risk within the two-day time frame.

One child is missing a health statement and the child has been enrolled for longer then a year.

One caregiver is missing 13 hours of annual training for training year 6/29/23-6/29/24, one caregiver is missing 15 hours for training year 9-4-23-9-4-24.

Two children had a parent as a emergency contact.

In the pre-school and school age classroom the walls and floors are still not clean.

Base on the investigation conducted an infant had a bib on their neck while asleep in the crib.

In the classrooms walls and floors are not cleaned. In the toddler classroom the wall is missing the boarder.

A caregiver was seen using her personal device to watch a show during nap time. This was corrected at the inspection when the caregiver put her phone away.

During the inspection 3 caregivers provided an incorrect number to licensing for the number of children they were responsible for supervising.

Two teachers did not know or have documentation of the children's names and ages.

Cleaning supplies were within reach of children in the school age room. This was corrected at the inspection when the caregiver moved the cleaning supplies to the cleaning supplies closet.

An infant was observed sleeping in a restrictive device at 12:51pm the infant dailly report showed the infant went to sleep at 11:40 am. The infant was asleep in the swing for over an hour. The infant was removed from the swing.

The fence around both play area was only 3 ft and 9 inches, it is not the required 4ft tall.

On the infant/toddler playground they is only one exit, the fence area needs another exit.

Two infants did not have updated feeding instruction forms the forms was last updated in September.

The sanitation inspection expired 10-4-2023.

On the playground the grass area was high and one of the play structures had broken pieces.

Under the swings and moving equipment they did not have the required loose-fill surfacing under the equipment.

In the school age classroom they was one caregiver with 48 children in care they were 22 children over ratio. In the infant classroom the caregiver had 5 infants specified age group 0-11 months old the caregiver had one over ratio. One caregiver had 19 children specified age group 4 years old, the caregiver had one over ratio.

Four caregivers did not have 24 annual training hours (6/29/2021 to 6/29/2022, 11/2/2020 to 11/2/2021, 9/17/2021 to 9/17/2022, 10/21/2021 to 10/21/2022 and 9/4/2021 to 9/4/2022) and one caregiver is missing 14 hours of annual training for training year 11/5/2020 to 11/5/2021.

The director and three caregiver do not have annual transportation training. One caregiver last training was done 3/6/2020.

Two caregivers are missing first aid training one caregivers expired 1/27/2019 and the other caregiver did not have a card.

One child is missing admission date on their enrollment form.

Two caregivers are missing CPR training one caregivers expired 1/27/2019 and the other caregiver did not have a card.

One caregiver is missing an affidavit form in their file.

The director did not have any training hours for training year 2/15/2021 to 2/15/2022. Corrected: When the director had training hours for current training year 2/15/2022 to 2/15/2023.

Three children are missing an address for their emergency contact.

The play area on both playgrounds didn't have enough loose-fill surfacing under both swings sets.

I asked a caregiver how many children they had it was stated 25, when I counted the children it was 26.

The pre-school and school age children were combined together in the school age classroom. When asked the school age caregiver how many it was stated 15, when I asked the first pre-school caregiver how many she stated 6. When I counted all the children in the room their where 26 children, which left 5 children unattended without a caregiver.

Children were sitting around at the tables and carpet with no activity sitting and waiting to go home.

When asking a caregiver how many children they had it was stated 15 and when I counted they were only 13 children. When asking another caregiver how many children she had it was stated 17 when I counted it was only 16 children.

The school age caregiver had 27 children, the max group for one caregiver is 1 to 26.

During the determination of the investigation it was stated that parents are not allowed in the building to drop children off or talk with caregivers. Parents are only allowed at the front entrance of the operation.

During the inspection I observed a changing table that was found to be contaminated with food and other substances. Photos were taken. This was corrected when the caregiver sanitized the changing table.

During the inspection I observed a caregiver wiping two children's noses without washing her hands in between.