Miles of Smiles Childcare

During inspection 6 child records were reviewed and one child needs an updated shot record.

Bottles are washed and reused in the handwashing sink and juice bottle was observed on the changing table.

During the investigation it was determined that children have been injured when caregivers did not intervene in the activity that caused the injury. Groups of children were also observed, during inspection, to be running through the building, from one class area to another without structure of the caregiver being able to see where the children are or what they are doing. The management of children's behaviors are not under control.

During the investigation it was determined a child was sent home with a wet diaper and had to be brought back in to be changed.

A classroom did not have enough light so my eyes did not have to adjust to see inside the room.

During inspection 4 files were reviewed and all four were missing required information.

During inspection 2 of four personnel was missing annual training documentation.

During the investigation, it was found that a caregiver pushed two fighting students apart and did not use any guidance to the behavior.

During inspection a room was being used for care that is not on the permit.

During inspection, hand sanitizer, Lysol, and disinfecting wipes were observed in reach of children.

During inspection a caregiver left a group of children unsupervised for a few moments.

During an inspection broken toys and riding toys were observed on the playground. These toys were removed during the inspection. A broken window was observed on the building that is accessible from the toddler playground.

Four records were reviewed and #3 and #4 are missing an affidavit of employment.

During inspection four records were reviewed: #2, #3, and #4 do not have current CPR/1st aid training.

During inspection it was found that all cubbies or hooks need to be labeled.

Four records were reviewed and all four need a copy of a photo ID. The director needs a copy of current driver's license.

Four records were reviewed during inspection: #2 Address and phone for doctor; healthcare provider statement #4 needs an updated shot record.

Four records were reviewed: Staff #2, #3, and #4 do not have completed personnel form such as Employment begin date Date of Birth Employee statement about center and personnel policies Checked that orientation was received and signed by employee and director

Four staff files were reviewed. #2, #3, #4 need 8 hours of preservice training and CPR/1st aid training. All need Abuse/Neglect Training #1 and any other employees who work in the infant room need SIDS/Abusive Head Trauma/Brain Development Training.

The Parent Handbook does not have information about required immunizations.

Procedures for how parents can participate in activities at the center is not provided in the handbook.

The Emergency Preparedness Plan is incomplete and lacking information.

The Parent Handbook does not have information about required vision and hearing testing.

Diagrams showing all the required components of the evacuation plan was not available.

The air conditioning unit on the playground must be inaccessible to children. The grass needs to be maintained to prevent unwanted animals from hiding in tall grass and weeds. Mow, weed eat, and pull up plants that are poisonous. Trim Tree if desired to help with shade. Remove Wiring in large room.

The Handbook is missing information about Promotion of indoor and outdoor active Play The benefits of active play The duration of active play that will be provided Examples of active play provided Where active play will occur And how active play will be provided during extreme weather.

Individual storage for children is not available.

The infant room has a wall that needs border put up to cover up torn walls at the base of the floor where paint can be pulled off and put into an infants mouth. There is also a place under the window area that needs repaired or covered. The entrance to the infant room has carpet that is frayed and needs to be covered. The large room has a wall that h as holes and peeling paint on the bottom that needs repairing or covering. The girls restroom has plaster on the wall by the left sink that needs repaired or covered.