The Childrens Courtyard

Two classrooms had epi pens in lock med bags which were not locked. These bags were located inside a first aid bag in a rolling cart on the floor of the classroom.

One caregiver who cares for children and has been employed for over 90 days needed the hands on CRP and First Aid training. One caregiver was missing CPR and First Aid training and has been employed for over 90 days.

Based on the gatherings during the investigation, it was determined concrete evidence exists to support that the school have not followed the instructions on the sanitizing solution.

Based on the information gathered during the investigation, it has been determined that child was not attended to, and caregiver attending to other children and other chores instead of a child that required immediate attention.

Based on the information gathered during the investigation, it has been determined that child was grabbed by the arms (extremities) to be moved to a different location. This may result in the child's arm being pulled from socket.

Based on the gatherings during the investigation, it was determined there is concrete evidence to support the school was over ratio.

There were 3 infants cared for at the front office by the director. Director was caring for children at the front to avoid being out of ratio in infant room. This is the third time occurrence during visits.

One staff that were present onsite during the visit were not shown to have background check in the system.

There were 3 infants cared for at the front office by the director. Director was caring for children at the front as there was no extra staff.

Staff files did not have trainings available for review during the visit.

A caregiver had a total of 10 children in care. Five were ages 18M-23M and 5 were 2 years. Making the specified age group 18-23M.

Staff files did not have trainings available for review during the visit.

Three out of five classrooms did not have the cots labeled.

The staff files were missing trainings as well as required docomentation that was not available during the visit. Nine files were reviewed and 5 out of 9 were missing abuse neglect training. 5 out of 9 were missing orientation.

Two out of ten childrens files did not have updated immunizations available for review.

There were 6 infants cared for at the front office by a caregiver and director. Director was caring for children while caregiver not present.

There was 6 infants cared for at the front office by 1 caregiver. There was 12 children ages 2 years old cared by 1 caregiver.

A caregiver with conditions was left unsupervised in the 2 year old classroom.

The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards. 7/31/24-The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards.

The recall form has not been updated since 1/3/2022.

The cots in 4 classrooms were not labeled with names or numbers.

The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards.

The emergency preparness plan did not include the name and the address of the location where the school will evacuate away from the premises.

This standard was evaluated as part of an investigation and determined to be deficient. A child with a diagnosed food allergy, emergency food allergy plan was not posted in the kitchen and was not posted in the child's classroom.

This standard was evaluated as part of an investigation and was determined to be deficient. A child registered for a Discovery Day did not have a completed food allergy plan while in care.

This standard was evaluated as part of an investigation and was determined deficient. A caregiver served food to a child that was identified as food to which the child was allergic.

One child not have a valid exemption affidavit in their file at the time of inspection.

One Child with a known food allergy did not have a Food Allergy Plan in their file at the time of inspection.

The director nor Designee has not tested the smoke detectors at the operation for several months.

Two Children did not have Food Allergy Plans in the their files at the time of inspection.

Two children did not have updated immunizations in their files at the time of inspection.

The operation does not test their carbon monoxide detectors.

The director or designee has not tested the smoke detectors at the operation for several months.

Three caregivers did not have proof of education in their files at the time of inspection.

The operation did not have a current annual sanitation inspection report at the time of inspection.

The first aid kit for the school bus did not contain tweezers, cotton balls or a thermometer. The operation's first aid kit did not contain tweezers.

One teacher was observed supervising 21 children with a specified age group of 4 years old.

A caregiver did not wash an infant's hands after completing a diaper change.

A caregiver did not wash their hands after changing an infants diaper.

The caregiver in Infant room I did not have required training to care for infants under the age of 24 months.

Based on information gathered and observations, it was determined that a caregiver allowed children to wrestle, jump off of furniture, and run around a classroom. Putting children at risk for injuries.

Based on information gathered through interviews and observations, it was determined that a child sustained an injury that required medical attention when a caregiver did not intervene when two children were running around in the classroom during a scheduled activity.

The operation did not provide test data from the manufacturer showing the impact rating of the unitary surfacing materials nor the installation and maintenance requirements of the surfacing materials at the time of inspection.

Attendance Records for all employees were not available in the time of inspection.

The person designated by the director did not have access to all essential information required by licensing during multiple inspections.

A caregiver in the Toddler room I did not wash a child's hand after a diaper change.

Children were climbing on a play structure while tricycles were underneath the structure blocking surfacing needed to protect the children from falls.

A caregiver in room Infant I did not clean an infants hands after a diaper change.

The caregivers were not in proximity to intervene when the child broke his arm.

The operation did not provide test data from the manufacturer showing the impact rating of the unitary surfacing materials nor the installation and maintenance requirements of the surfacing materials at the time of inspection.

Children under the age of five were allowed to use a prohibited piece of playground equipment.

A three year old child was allowed to play on playground equipment that is designed for children ages five through twelve, resulting in an injury that required medical attention.

Seven infants were missing current feeding schedules.