Thuy Thanh Tran

The primary caregiver was observed hitting a child on the arm as a discipline method.

Children were observed napping on the sofa and blankets on the floor. Children must nap on a cot or non-absorbent mat.

There were 13 children in care; 5 children age 0-17 months and 8 children 18 months old and older.

The playyard was not sanitized prior to placing a different child in it.

Infants were observed sleeping in restrictive devices.

The child care was over the capacity. There were 13 children in care.

Several barrels that are collecting rain water are accessible to children. Pictures were taken.

Children 18 months old to 4 years old were observed sleeping on the sofa and not a non-absorbent cot or mat.

The child care home was not in compliance with child/staff ratios. There were 9 children in care: 4 infants and 5 children 18 months old and older.

The primary caregiver is not current with CPR and First Aid training. The training expired in November 2024.

Additional padding was in the play yard while being used by a child in care.

Two infants were observed sleeping in restrictive devices.

A child was observed being fed their bottle with it propped up by a blanket.

The assistant caregiver does not have CPR and First Aid training.

The home was not equipped with enough cribs/pack n' plays for each non-walking infants. There were four infants in care and only one pack n' play being used.

The following information was not on file for the assistant caregiver: 1. Date of employment 2. How the education requirement was met 3. Notarized affidavit 4. Pre-employment affidavit 5. Signed documentation that orientation to the home was completed 6. Photo identification

Medications were accesisble to children in care.

The outside area contains many hazards such as lawn equipment, containers of gasoline, paint, bug sprays, car batteries and old tires. Pictures were taken.

The primary caregiver received 25 of the 30 clock hours of required training for the August 2022-August 2023 training year. The caregiver will need to receive 5 clock hours of make-up training.

The infant is being placed on a pallet on the floor to nap and not the play yard.

The diaper changing surface is not being sanitized after each use. The primary caregiver is only using water to clean the diaper changing surface.

The primary caregiver is not documenting that fire drills, severe weather drills, checks of the smoke and carbon monoxide detector are being done.

A child under the age of 2 was watching television.

Children 4 years old and younger are not napping on a non-absorbent surface like a mat or cot. The children are napping on pallets on the floor.

School-age children were playing random games on their electronic devices.

Children's records were reviewed and the following infromaiton was missing: 1.. Three lacked required infromation for an emergency contact. 2. One lacked the admission date. 3. One lacked authorization for emergency medical care. 4. One lacked the name of the school the school age child attends.

Diapers are being changed in an area where children play.

The home is not equipped with age-appropriate equipment for the children such as musical toys, blocks, trucks, dolls, shaking toys, rattlers, puzzles, etc.

Of the four children's records evaluated, two lacked a health statement from a health care professional.

It was observed that children did not have planned activities. Throoughout the inspection children were observed watching television. There were no educational toys observed for children to play with, and there were only four teddy bears.

Children were repeatedly left unattended throughout the inspection.

Infant was observed in an restrictive device for a duration of an hour.

During the inspection the operation was out of ratio by 2 children. There was 8 children in care ages ranging from 4 months to 4 years old.

During the inspection it was observed that the two children who had diaper changes, did not have their hands washed.

It was observed that the caregiver did not wash hands after changing two diapers.

During the walkthrough two children( 4 months and 3 years) were found hidden in the restroom. Note: The children were removed from the restroom and placed in the daycare area. It was observed that older children were sleeping in restrictive devices.

One out of 8 child records reviewed was missing admission information including immunization records.

Fire extinguisher was observed not full.

During the inspection children were observed running around the room, some were sleeping, and one was crying and wondering around the house.

Gas stove outside was observed with a small flame and there was a strong gas odor in the area.

Primary caregiver was observed changing diapers in the area used for eating, napping, and playing.

Bottles were observed not properly labeled with the child's first name and initial of last name.

The outside area does not have 80 square feet of space per child. The outside area has numerous tools for gardening, several large cooking equipments, plants, and refrigerators.