Bright Stars Daycare

2 out of 8 staff files reviewed did not have CPR which included hands on training using a manikin.

1 out of 8 staff files reviewed did not have a notarized affidavit.

The operational policies did not include information regarding breasting feeding.

The operational policies did not include the criteria for determining extreme weather conditions in the promotion of indoor/outdoor play.

2 out of 10 children's records reviewed did not have updated/current immunization records.

The operational policies did not include the transporation policy.

The operational policies did not include information regarding vaccine preventable diseases for employees.

Caregivers are still using wipes for handwashing instead of soap and running water.

Caregivers are still using hand sanitizer instead of handwashing after diaper changes.

There is not a working sink the infant room.

This standard was evaluated in regard to an investigation and a violation was found. There was sufficient proof that infants are allowed to sleep in restrictive devices such as swings and bouncers.

This standard was evaluated in regard to an investigation and a violation was found. A caregiver did not use good judgement when she gave an infant food that the caregiver bit off of first. She placed it directly on the table without a barrier and did not follow the infant's feeding plan.

2 out of 3 caregivers did not have required sleep safe training when working with children under 24 months.

Caregivers are using hand sanitizer instead of handwashing after diaper changes.

The playground had tree limbs with protruding branches accessible to children.

Caregivers are using wipes for handwashing instead of soap and running water.

An infant was observed sleeping in a swing. This was corrected at the inspection when the caregiver moved the child to their crib.

1 caregiver was observed with 6 children alone. The ratio was 1 caregiver to 4 children. This was corrected at the inspection when the person in charge had another caregiver come in the classroom.

1 out of 6 employees did not have a tuberculosis test.

1 out of 5 infant feeding instructions were not current.

1 out of 8 employee files reviewed did not have a notarized affidavit.

5 out of 8 children's records reviewed did not have current immunizations.

1 out of 8 children's records reviewed did not have emergency care authorization.