Toy Box Child Development Center

While entering the operation a caregiver was heard yelling at children in care.

Out of 10 staff files reviewed 4 were missing training in CPR/First aid.

On the younger play ground there were two cement blocks that caused a tripping hazard and bolts that were sticking out on the covering. *This was corrected at inspection when the bolts were covered and the cement blocks were removed.

Out of 10 staff files reviewed 6 were missing proof of education, 2 were missing employment affidavits, 4 were missing a copy of their photo ID, and 2 were missing signed orientation.

Out of 10 child files reviewed 5 were missing completed emergency contact information and 2 were missing healthcare information.

Out of 10 child files reviewed 8 were missing health care provider statements.

Out of 10 staff files reviewed 8 were missing annual training hours.

There was one medication at the operation that was not in the original container and labeled. *This was corrected at inspection when the medication was sent home and not administered to the child.

There were concerns of the maintenance of the building walls and floors, as follow: *There are holes in the walls with exposed sheet rock. *There are dirty and stained carpets on the floors. *There was a carpet with frayed edges posing a tripping hazard. *There are broken or chipped tiles on the floors. * The walls in the classrooms were scraped causing peeling/chipped paint with exposed sheet rock. There were dirty stains along the walls to the base of the floors.

The infant classroom had 12 children with two caregivers. The maximum group size for this classroom is 10; therefore the class exceeded the group size by 2 children. Note: This was corrected when the oldest two children were moved to another classroom.

The bus used for transporting children was not equipped with a child safety alarm.

Two infants were observed sleeping in bouncers during nap time.

One caregiver was left alone with ten infants during nap time for approximately fifteen minutes.

Five infant feeding instructions have not been updated in the past thirty days.

Two televisions were not anchored. Note: This was corrected when one television was removed from the classroom and the other television was anchored to a cart.

Two classrooms lacked a written activity plan.

During the investigation inspection it was found that the operation did not report a communicable disease to licensing.