Kids 'R' Kids #4

Two children with peanut allergies are missing an emergency plan.

CCR observed a four-month-old infant sleeping in a restrictive device. Note: This was corrected when a caregiver removed the infant and placed the child in the crib.

The designated director did not have training topics related to SIDS/Shaken baby syndrome, and/or related to the care of children under 24 months of age.

Three staff records obtained were not updated with the required training topics.One staff file lacked hours related to the Health and Safety Audit, including emergency preparedness, communicable diseases, and handling, storing, and disposing of hazardous materials.

Three caregivers were observed caring for 45 children, 5-11 years of age within the school-age group.

Based on the information obtained, there was not a field trip notification for the graduation practice on May 18, 2023. Children were transported away from the facility without prior approval from parent/guardian.

7 of 27 staff members did not have current first aid and cpr.

The operation did not provide proof of liability insurance coverage to Licensing in their provider portal by the anniversary date of the issuance of their permit. Note: This was corrected during the inspection.

3 of 4 staff members required to have, or have current, transportation safety training did not not have it.

Based off the information from the investigation, the mother did not receive an incident report from the operation once the parent notified them that medical treatment was required. At the time of pick up the parent only received "boo boo" report.

Base off the documentation observed in the investigation both caregivers pre service training certificate were not signed by the caregivers indicating they had received the training.

The incident occurred on 7.7.22 and the mother took the child to the hospital on 7.8.22. The parent notified the operation on 7.8.22 that medical attention was required. The operation did not report the incident to licensing.

The emergency evacuation and relocation diagram posted inside the classrooms did not have outlined a designated location inside and outside the building where all caregivers and children meet.

A child in care with a known food allergy did not have a signed food allergy emergency plan on file.

The Emergency Preparedness Plan was missing several elements under minimum standard 746.5202.

7 of 10 caregivers did not have any of the required HASA trainings.

The operation failed to notify a parent of less serious injury obtained while in care.

During review of the video the caregiver was observed conducting janitorial duties instead of supervising the children in care.

During reviewing the video of the incident the caregiver was observed placing a bottle of cleaning solution on the floor leaving it accessible to the children in care.

It was determined that the caregiver did not demonstrate good judgement when she did not ensure all children were out of the way of the door when she closed and locked the door.

I observed a child not washing their hands after toileting. This was cited and TA was given.

During review of transportation the first aid kits on both vans were found to be incomplete or unsanitary. van 1 : Missing Items: 1. Thermometer 2. Tweezers 3. Gloves 4. Antiseptic wipes or solution Van 2: 1. Gloves 2. Bandaids 3. Adhesive Tape 4. Antiseptic Wipes or solution 4. Gauze

During the inspection I observed a bottle in the hand washing sink with water running to cool off. This was cited and corrected when the caregiver removed the bottle.