Winners Children Academy

During today's inspection a four year old child left the classroom unsupervised.

I observed four children in the toddler classroom. The youngest child was 9 months and the oldest child in the room was 2 years and 4 months old.

Expired medication was stored at the operation.

Children's records were evaluated for six children enrolled and the following was determined: Current immunization records are needed for three children enrolled. The admission date is needed for one child enrolled. School information such as name and phone number is needed for two children enrolled.

Based on the information obtained during the course of this investigation it was determined a caregiver used prohibited punishment when grabbing and pulling a child in care.

Based on the information obtained during the course of this investigation, it was determined a caregiver did not demonstrate good judgment when using their foot to move a child across the floor.

An updated immunization record is needed for one child in care.

Training certificates reviewed during today's inspection did not show the participants name and date of training.

Children did not wash their hands before eating.

During today's inspection a caregiver did not wash a child's hands after diapering. Note: This was corrected during inspection.

A caregiver was observed caring for a group of three children ages 18 months-2 years old. The caregiver had not completed orientation training.

A caregiver did not sanitize the diaper-changing surface after diapering children in care. Note: This was corrected during inspection.

A child was observed wandering the hallway without a caregiver present.

An infant was observed with a pacifier attatched to her clothing by a cloth like string while asleep in the crib. Note: The pacifier was removed during the inspection.

A Caregiver did not know the number of children in the school age classroom during the inspection. The caregiver stated there were 12 children and there was only 10 children in the classroom.

Based on the information obtained, it was determined the operations discipline methods does not teach acceptable behavior and self-control.

Three caregivers are in need of Pediatric CPR training.

Three caregivers are in need of Pediatric First Aid training.

The sign in and out log was reviewed and showed eight of nine children signed in. Note: This was corrected during inspection.

There was no documentation showing the fire extinguishers and carbon detectors were inspected monthly. Note: This was corrected at inspection.

The caregiver in the toddler classroom was unaware of the number of children present in the room. The caregiver stated 11 children were present, however 10 were present in the room.

Records were evaluated for six children enrolled and the following was determined: 5 of 6 needed a special needs statement. 5 of 6 needed immunization records. 3 of 6 needed a health statement. 3 of 6 needed emergency contact information. 1 of 6 needed emergency care info. 1 of 6 needed food allergy information. 1 of 6 needed the admission date.

The infant caregiver was observed caring for five infants age 6 months, 7 months, 11 months, 11 months, and 17 months. The specified age group was 0-11 months. The caregiver was out of ratio by one child.

The operational policies were reviewed and the following policies were not included: -Parent approval not needed for visitation. -Promotion of indoor and outdoor physical activity: -The benefits of physical activity and outdoor play. - The duration of indoor and outdoor physical activity at your operation. -The type of physical activity (structured and unstructured) that children may engage in at your operation. -Each setting in which your physical activity program will take place. -A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

A group of 8 children age 2-5 years old was left unsupervised upon my arrival.

I observed a volunteer who does not meet caregiver qualifications alone in the infant classroom.

I observed a volunteer pick up an 11 month old by one arm.

The volunteer in the infant classroom was unaware of the children's ages in the classroom. The volunteer was asked to provide documentation showing the ages but could not. Note: The permit holder provided information showing the ages of the children.

Updated feeding instructions are needed for one infant in care.

A volunteer was observed caring for five infants age 3 months, 6 months, 7 months, 11 months, and 17 months. The specified age group was 0-11 months. The volunteer was out of ratio by one child.

A three month old was observed sleeping in a bouncer during this inspection. I observed an eleven month old sleeping in a bouncer during this inspection.

Records were evaluated for six children enrolled and the following was determined: 5 of 6 needed a special needs statement. 5 of 6 needed immunization records. 3 of 6 needed a health statement. 3 of 6 needed emergency contact information. 1 of 6 needed emergency care info. 1 of 6 needed food allergy information. 1 of 6 needed the admission date.

During the inspection the infant daily reports were observed for five infants. No information as documented although infants were observed sleeping and during feedings. Note: The permit holder updated the reports during inspection.

Four cribs in the infant classroom needed snug-fitting sheets. Note: The permit holder taped the bottom of the sheets to the mattress.

When entering the infant classroom I observed the infant volunteer on her cell phone.

A child in the 2-5 year old classroom was placed in a high chair as a form of discipline and guidance. The child was placed in the high chair due to throwing crayons. Note: The child was removed from the high chair during the inspection.

A notarized affidavit was needed for one volunteer.

The operational policies were reviewed and the following policies were not included: -Suspension and expulsion policy -Enrollment procedures, including how and when parents will be notified of policy changes. -Transportation procedures. -Parent approval not needed for visitation. -Promotion of indoor and outdoor physical activity: -The benefits of physical activity and outdoor play. - The duration of indoor and outdoor physical activity at your operation. -The type of physical activity (structured and unstructured) that children may engage in at your operation. -Each setting in which your physical activity program will take place. -A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

The Emergency Preparedness Plan was reviewed and did not include the following: -Evacuation diagram -Procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance. -The emergency telephone number that is on file with us. - How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and Child Care Regulation. -How your staff will continue to care for the children until each child has been released.

The operational policies were reviewed and the following policies were not included: -Suspension and expulsion policy -Enrollment procedures, including how and when parents will be notified of policy changes. -Transportation procedures. -Parent approval not needed for visitation. -Promotion of indoor and outdoor physical activity: -The benefits of physical activity and outdoor play. - The duration of indoor and outdoor physical activity at your operation. -The type of physical activity (structured and unstructured) that children may engage in at your operation. -Each setting in which your physical activity program will take place. -A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

The Emergency Preparedness Plan was reviewed and did not include the following: -Evacuation diagram -Procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance. -The emergency telephone number that is on file with us. - How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and Child Care Regulation. -How your staff will continue to care for the children until each child has been released. -The operation has two relocation sites listed.

The evacuation and relocation diagram posted did not indicate the relocation address.

The initial sanitation inspection has not been completed.

The written operational policies did not include a policy regarding the promotion of indoor and outdoor physical activity.