The R.A.N.C.H.

The operation has not documented a fire drill since January 2024, This was corrected at inspection today when the operation practiced and documented the fire drill.

3 out of the 5 caregivers file selected for review were missing required training topics related to health and safety.

The booster seats located in the transportation van were expired.

Personnel that transport children in care did not have current transportation training.

A new employee was clocked in and on the play yard with children in care and other caregivers and the background check is still pending,The caregiver was sent home which brought the operation into compliance.

An 11 month-old child was observed sleeping in a crib and a blanket was covering the infant. The blanket was removed during the inspection, bringing the operation into compliance.

A bottle of Tylenol was in an infant's cubby. There was no authorization form, the medication was expired, and it was for 2?11-year-olds. This was corrected on-site during the inspection when the bottle was removed from the classroom during this inspection. The risk was mitigated because the child was not present, and the medication seal had not been broken, so no Tylenol had been given to this child.

4 outlets observed without proper covers. This was corrected when the covers were replaced. There were fans within reach of children in 3 classrooms. The fans were removed during the inspection.

Providers must update their insurance on their portal annually.

It was determined a caregiver has left their classroom occasionally to open the secondary door.

A 7 month old child was observed sitting in a stroller in the school age class. The oldest child in this group was 11 years old. The infant was removed from the classroom bringing the operation into compliance.

A box fan was being used in the prek class, and it was on top of the short file cabinet. The fan was in reach of the children in care. It was determined the prek classroom was outside in a breeze way, and the caregiver took the child inside the Gym to use the restroom. There were multiple paint containers and a can of lysol on the floor in the restoom. This was corrected when the children came into the main building and had no additional need to use the bathroom in the gym. Verbal TA was provided at he last inspection regarding the fans.

Children in the school age class were observed playing games on their personal cell phones and IPads. Based on observations, this was not a structured planned activity with a educational purpose. The devices were put up during the inspection, bringing the operation into compliance.

It was determined the prek class were spending outdoor time in the drive-thru covered awning of the church. There was no fence and this a non-licensed space. The children came back inside bringing the operation into compliance.

Of the 5 children records reviewed, complete names, addresses, and phone number of emergency contact and emergency treatment authorizations were missing, one child had no enrollment form.

It was found that various training records were not available. Some employee have not completed the 24 hours in annual training, annual reporting abuse is not in the training records, and one employee that only works summers, had no training hours.

The infant class had 6 children, 2 -11 month olds, 2 -16 month olds, and 2 20 month old. The group had 1 caregiver. The group was out of ratio. This was corrected when one of the children were moved to another room which brought the operation into compliance.

One caregiver with conditions on a provisional background check was observed alone in a classroom with 6 toddler aged children, not meeting the conditions of the background check. This was brought into compliance when a eligible caregiver was brought into the classroom.

Five of the five staff files reviewed were found to be lacking annual training hours.

Three of the five staff files reviewed did not have current Pediatric CPR training.