Ella Bond

A caregiver changed a 19 month old childs diaper & did not was her hands after.

A child woke up from naptime, used the restroom & did not wash their hands.

The fire extinguisher's last service date was August 2023.

Three out of the three staff files reviewed lacked required trainings for the last full employment year.

One out of eight children's files reviewed lacked required health statement signed by a doctor or health care professional.

One out of eight children's files did not have signed medical authorizations.

Two of nine children's files did not contain a current immunization record.

Six of nine children's files did not have a current immunization record. Five of nine files did not have a signed physician's statement.

Four of nine files did not have address information for emergency contact.

Th permit holder and both assistants did not have a personnel file for review.

The fire extinguisher's last service date was Nov/2017.

The permit holder had verification of 25 of the required 30 hours of annual training.

Two of nine children's files did not have signed medical authorizations.

The operation notified all parents of a safe sleep deficiency, but failed to notify all parents with children enrolled of the safe sleep deficiency within the required time frame of 5 days. Note: This was corrected during the inspection when the the permit holder signed a written statement that she understands all safe sleep deficiencies require that all parents be notified within 5 days of receiving the deficiency.

There was a blanket inside a crib with an infant under the age of 12 months.

The operations fire extenguisher was located inside of a closed cabinet and was not mounted to the wall.

2 out of the 10 children's records reviewed did not have immunization records on file.

There were mutiple outlets located throughout the operation that did not have outlet covers. Note: This was corrected during the inspection when a caregiver covered all of the outlets with outlet covers.

The primary caregiver did not have training for the previous training year in the following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials

The operations emergency preparedness plan was missing specific procedures on the following topics: How staff will evacuate and relocate with the essential documentation including (A) Parent and emergency contact telephone numbers for each child in care, (B) Authorization for emergency care for each child in care & (C) The child tracking system information for children in care

1 out of the 10 children's files did not have updated immunizations records.

The operations emergency preparedness plan was missing specific procedures on the following topics: (1) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments.

There was an infant in a play yard that had a very loose fitted sheet over the mat.

The substitute caregiver did not have training for the previous training year in the following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials

Two children's files were missing health statement and parent signature stating has been seen by medical professional within twelve months.