A & B Nursery School

Ten children's files were reviewed one file did not have an address for the emergency contact and one did not have emergency contact information at all.

During the walk through a caregiver was not able to provide ages of children to licensing staff when asked. This was corrected when the caregiver updated the roll sheet with the children's current ages for reference.

Ten children's files were reviewed and four files did not have immunization reocrds and they were not school aged children.

This standard was evaluated and found to be deficient due to the operations van window being broken, covered with a trash bag.

During the walk through I observed the unlabeled bottles. This was corrected when the caregiver labeled the bottles.

During the walk through I observed a child inside an unlabeled crib. This was corrected when the caregiver labeled the crib.

While reviewing childrens records it was observed that five children's reords were missing the admission date, parent signatures and dates through the admission forms.

While reviewing personnel files it was found that the director and 3 caregivers were missing training hours and including abuse/neglect training.

During the walk through I observed a caregiver change a diaper and the caregiver did not wash her hands. The inspector mentioned handwashing to the caregiver. Then the caregiver washed her hands.

It was found that one caregiver had a pending background check while caring for 17 toddlers during naptime. This was corrected when the caregiver was asked to leave the operation.

Three infants of the ages 4 months, 5 months, and 11 months old were found asleep in restrictive devices during a walkthrough of the infant room. This was corrected when all three infants were removed from the restrictive device and placed in their cribs to sleep.

There is no loose-fill or unitary surfacing under the rocking school bus in the outside play area.

In the toddler room, the two-slide indoor play structure is not installed over unitary shock absorbing surfacing. The two-slide play structure has a large rug underneath the equipment.

The playground with swings did not have a depth of 6 inches of loose-fill surfacing.

A 6 month infant was asleep in a crib while propped up with a boppy pillow. There was no Sleep Execption Form for the infant. This was corrected when the pillow was removed.

In the infant room 2, there were 4 bottles with no name label on them. This was corrected when all the bottles were relabeled during the inspection.

It was observed that the television in the school age room is not anchored.

Caregiver in school age room did not know how many children caregiver was responsible for.

During the walkthrough it was found that one child was confined to a high chair to allow the child to sleep. Note: Picture was taken and child was removed from the high chair and placed in nap mat.

On the pre school playground the wood barriers for the surfacing material were separating and as a result created a tripping hazard.

On the pre school age playground there was a trapeze bar with exercise rings on the play structure.

It was found that the child safety alarm was not installed in the vehicle used for transporting. The vehicle was purchased 2020 when the building opened.

During the inspection it was found that the fire inspection expired 08/23/22.

The training certificates were not available for the caregivers and director.

New outdoor climbing equipment with slide was placed over grass and not proper surfacing.

Two staff members who transport had expired transportation training.

Two classrooms with children present was missing the fire exit diagram. Note: This was posted at inspection.

It was found that the parent was not informed of the child's injury.

It was found that the food allergy plan for a child with diagnosed food allergies was not signed by the parent and physician.

One out of ten children is missing the special care needs statement and signature.

All the cribs in the infant room except one did not have labels with the child's name and information. Corrected: Director put labels on each crib with the correct child's name and information.

There was only one caregiver in the infant classroom with 7 infants. Corrected: This is was corrected at inspection when another caregiver went into the room to assist in the classroom.

One out of ten children is missing the physician or health care professional information.

One out of ten children is missing vision and hearing screenin.

Two out of ten children are missing immunization records.

The caregiver in the preschool classroom did not know the number of children that were in their care.

Four out of ten children are missing updated health statements signed by health care provider.

Two infants did not have a signed and completed written feeding instruction.

One out of ten children is missing the signature for the medical authorization.

During the inspection it was observed that one infant was asleep in a restrictive device alone in the classroom with the pacifier cord attached.

During the inspection it was observed that an infant was sleeping in a restrictive device alone in the infant classroom.

During the follow up inspection completed the caregiver and director did not know the number of children they were responsible for. The caregiver stated 15 children and there were 17 children in care. An infant was also left alone in a another classroom.

During the follow up inspection completed an infant was observed sleeping in a restrictive device alone in the infant classroom. The staff members including the director was not aware that a child was left alone in the classroom.

During the follow up inspection it was found that two infants (12 month old) were combined with older children (2 and 3 year olds).

One caregiver was present at inspection without a valid background check. Note: The caregiver left the operation.

It was found that the fire inspection expired and was not renewed.

During the follow up inspection it was found that two classrooms are out of ratio. The infant classroom had 6 infants to one caregiver. Specified age group is 0-11 months. The classroom is out of ratio by 2 children. The toddler room had 21 children with one caregiver. The specified age group is 4 years old. The classroom is out of ratio by 3 children.

During the follow up inspection it was found that one infant (10 month old) was sleeping inside the crib with the bib on.

During the inspection it was found that two infants (5month old and 9 month old) was put to sleep inside the crib with a blanket and bib. Note: The two infants had just woken up when the lights were turned on for the walk through. The blankets and bib was removed.

During the inspection it was found that two classrooms were out of ratio. One classroom had 8 infants (12-17 month class) with one caregiver. This classroom is out of ratio by 3 children. The next classroom had 22 children (3 year old classroom) with one caregiver. This classroom is out of ratio by 7 children.

During the inspection it was found the restrooms used by toddlers and school age children did not have available soap, instead there was bottle filled with water and small amount of soap

During the inspection it was found that the food allergy plan for one child with diagnosed food allergies was not signed by the parent.

During the inspection it was found that one infant, 5 month old was placed in a restrictive device to sleep and the restrictive device was placed inside the crib. Note: the infant had just woken up when the lights were turned on for the inspection.

It was found that two children were left at the operation without completing enrollment/application paperwork.

It was found that two children were left at the operation without the health statement on file.

It was found that two children were left at the operation without immunization records on file.

It was found that the parent did not sign a copy of the operational policies before leaving two children at the daycare.