Little Hands Grandes Pasos Child Care

As of today October 21st, 2022 there is still 1 out of 7 children's records evaluated that was missing a health statement.

As of today October 21st, 2022 there are still 2 out of 7 children's records that were evaluated and did not contain immunization information.

As of today October 21st, 2022 admission information is still incomplete for 3 out of 7 children's records evaluated. The following information is missing: Name, Address and Phone number for emergency contact person Names of the person to release children to Special needs statements were left blank

Provider has not submitted documentation showing the promotion of physical activities has been added to the operational policies.

As of today October 21st, 2022 the provider has not submitted documentation showing the fire drills are being conducted in under 3 minutes. The exit times consistently are between 5 to 6 minutes.

The CPR/First Aid training is expired for the substitute caregiver.

Fire drills are not being conducted in under 3 minutes. The exit times consistantly are betwen 5 to 6 minutes.

2 out of 7 children's records evaluated did not contain immunization information.

The following training topics were missing for a substitute caregiver: Emergency Preparedness Responding to Food Allergies Understanding Building and Physical Premises Safety Handling, Storing and Disposing of Hazardous Materials Preventing the Spread of Communicable Diseases

The primary caregiver has not completed the full 30 hours of annual training. The following topics were missing: Emergency Preparedness Responding to Food Allergies Understanding Building and Physical Premises Safety Handling, Storing and Disposing of Hazardous Materials Preventing the Spread of Communicable Diseases

1 out of 7 children's records evaluated was missing a health statement.

The operational policies does not include promotion of physical activity.

Admission information was incomplete for 3 out of 7 children's records evaluated. The following information was missing: Name, Address and Phone number for emergency contact person Names of the person to release children to Special needs statements were left blank

Background checks for the primary caregiver and a substitute caregiver who also resides in the home have been inactive since November of 2021. Documentation showing a current eligible status for both individuals was not available during the inspection. Note: The provider submitted the backgrounds for both individuals during the inspection.

Disinfectant wipes and peroxide was observed in the restroom in an unlocked cabinet which was accessible to children. Note: The primary caregiver removed these items during the inspection.

The provider and assistant care giver are missing the following in training: handling, storing and disposing of hazardous materials and preventing and responding to emergencies due to food or an allergic reaction.

The emergency preparedness does not include how children under 24 months or with mobility issues will be evacuated or how children will be accounted for.

The emergency preparedness plan does not include continuity of care.

The emergency preparedness plan does not include how authorities will be contacted.

Dog medication that states keep out of reach of children was in an area children can reach. This was corrected when the item was put in an area children cannot access.

The emergency preparedness plan does not address how children will be reunified with parents.

The emergency preparedness plan does not address how essential documentation will be taken such as emergency contacts or authorization for emergency care.