Kids R Us Academy

2 out of 6 children's files evaluated were missing a completed health statement.

The first aid kit in the van did not contain a thermometer. Note: The provider put a thermometer in the first aid kit during the inspection.

6 children's files were evaluated and were missing the following information: - Completed Special Care Needs Information - Address to the Emergency Contact Person

A caregiver placed an infant in their crib and walked out of the classroom with the drop gate down to the crib. Note: Another caregiver lifed and closed the drop gate during the inspection.

The antiseptic wipes in the first aid kit to the van were expired. Note: The provider disposed of the expired wipes and replaced them with new antiseptic wipes during inspection.

Feeding instructions were not available for review for one infant during the inspection. Note: The provider obtained the signed feeding instructions from the parent during the inspection.

A fire extinguisher was not mounted in the 3 year old classroom during the inspection.

Observed cleaning supplies stored under the sink in the infant room. The cabinet to the sink was not locked. Note: The provider removed the cleaning supplies from the cabinet during the inspection.

A current list of employees was not posted during the inspection. Note: The provider printed and posted the employee list during the inspection.

The emergency preparedness plan does not address how the operation will continue caring for children until they are released

Observed expired medication that has not been disposed of or given back to the parents.

The diaper changing mat in the infant room was torn and cannot be properly sanitized. Note: The provider replaced the changing mat during the inspection with a new one.

The personnel files for employees was reviewed and were missing the following information: - Employment Start Dates for 2 employees (1 was provided during inspection) - Pre-Employment Affidavit for 1 employee - Notarized Employment Affidavit for 3 employees - HS Diploma or Equivalent for 3 employees - Photo ID for 1 employee

The indicator was in the empty range and has not been serviced as required by the manufacturers instructions. Note: The fire extinguisher was removed from the van and new one was installed.

1 out of 5 employee files evaluated did not contain current CPR and First Aid Training.

Observed a green and orange baby walker in the infant room equipped with wheels. Note: The provider removed the wheels from the baby walker during the inspection

2 bottles were not properly labeled in the infants classroom.

The first aid kit contained expired alcohol wipes.

2 out of 4 children's files evaluated did not contain a health statement.

The children's nap cots are not properly labeled.

1 out of 4 children's files evaluated did not have an authorization for emergency medical care.

A wooden playhouse in the outdoor play area contains missing panels and cracked pieces of plastic.

Based upon the information obtained, minor injuries to children are not being reported to parents.

The director has not completed the full 30 hours of required annual trainings. A review period was evaluated between September 7th, 2021 to September 7th 2022. An additional 25 hours is needed.

There were no monthly/daily play space/equipment checklist to review during the inspection.

There were no activity plans posted or available for review for each age group during inspection.

Bottles were observed not labeled with the infants first name and first intial of infant's last name. This was corrected during the inspection when the caregiver was observed properly labelig the bottles.

There was no fire drill documented for the month of August during the inspection. This was corrected during the inspection when a fire drill was conducted and documented for the month of September.

There were no infant feeding instruction sheets available for review during the inspection.

During a2nd follow up inspection a child was observed walking out of the classroom. The caregiver was not aware the child had walked out and I had to tell her.

A 2 year old was observed in a high chair and was not strapped in. The caregiver removed the child from the chair.

During a 2nd follow up inspection a 2 year old child was in a restrictive device. When asked why the child was in the chair the caregiver replied the child was in timeout because he had hit someone.

A chair was observed in front of the exit door to the playground. Note: The Director moved the chair from in front of the door and placed it in a classroom.

Three cribs in the infant room did not have tight fitting sheets.

During a follow up inspection a child was observed walking out of the toddler classroom. The caregiver was not aware the child had walked out. Children were also observed going to the restroom unsupervised while they were on the playground.

During a follow up visit the caregiver in the toddler class stated there were 7 children, but there were 8 children. The caregiver also did not know the ages of the children.

During the follow up inspection the Director was heard yelling at a child. The director was also observed grabbing a child by the arm that walked away from the rest of the class during an activity.

During a follow up inspection children in the toddler class were observed to be out of control. The children were seen running and walking to the door. The caregiver in charge could not get the children to stay seated.

A child was observed coming out of the restroom without washing his hands. Note: The children later washed their hands after coming in from outside and before lunch.

The caregiver in charge of the toddler class did not have a cleared background check. Note: The caregiver left the operation when the director told her she could not be there.

On 3/25/22 there was an infant sleeping in a restrictive device a bouncer and was never removed out of the bouncer to be placed in the crib.

On 3/25/22 children were not being supervised appropriately.

On 3/25/22 the diaper changing area was in the eating area.

On 3/25/22 there were small toys that are a choking hazard in the infant room accessible to mobile infants.

On 3/25/22 the caregiver was unable to keep children under control in the classroom.

On 3/25/22 inappropriate discipline as observed. A caregiver aggressively pulled a child?s arm towards her and flicked the child on the wrist.

On 3/25/22 there were cleaning supplies within the children?s reach. There were more than one bookshelf inappropriately positioned. Children were placed for nap time under tables directly behind the door, children could potentially get hurt if someone opened the door. There were boxes stacked on tables , the floor and bookshelves accessible to children.

Based on information obtained during the investigation high chairs were being used for timeout.

Based on information obtained during the investigation caregivers were yelling at children.

A caregiver was observed changing a child's diapers without washing their hands after. Note: The issue was address with the caregiver. The caregiver understood the handwashing procedures.

In the outside play area there was a toy oven door that was cracked in half. There was a play structure that had a broken piece of wood with a nail exposed. There was a playhouse that had a broken plastic window with rough edges from the break. All are accessible to children.

There were electrical outlets in the infant room and room 4 that does not have safety covers for the outlets.

The sanitation inspection was last conducted on 6/23/2020. An Annual sanitation inspection is due for year 2021.

The director does not have a current CPR and First aid training on file. The CPR and First aid training certificate expired 2/2020.

The annual fire inspection was last conducted on 9/16/2020. An annual fire inspection is due for year 2021.

On 9/10/2021 there were two children that ran out of the classroom. The caregivers did not notice the children ran out of the classroom to intervene.