Derra Smith

The permit holder was missing 29 of the 30 required annual training hours.

3 of 4 student files reviewed did not include immunization records.

There was no file available for 1 of 4 children enrolled at the operation.

There was no health statement available for 3 of 4 student files reviewed.

3 of 4 student files reviewed did not include immunization records.

There was no current documentation on file for fire drills, fire extinguisher, carbon monoxide, and smoke detector checks.

There was no file available for 1 of 4 children enrolled at the operation.

There was no TB test on file for a household member.

The permit holder was missing 29 of the 30 required annual training hours.

There was no health statement available for 3 of 4 student files reviewed.

There were no background checks on file for the permit holder and two adult household members. The deficiency was corrected as background checks were submitted for each individual.

There was no orientation training on file for a household member.

The permit holder's annual trainings did not include training in the following areas: 1. Preventing and responding to emergencies due to food or an allergic reaction. 2. Handling, storing, and disposing of hazardous materials.

Sign in/out logs are not used for children in care.

1 of 4 children's files reviewed did not include a health statement.

The operation did not have a written activity plan available to review during the inspection.

There are no feeding instructions available for one infant in care not yet ready for table food.

1 of 4 children's files reviewed did not include proof of parental receipt of operational policies.

A child was admitted to care before notifying parents that the operation does not carry liability insurance.

1 household member did not have a TB test on file.

1 of the 4 children files reviewed did not include a health statement.

There was no orientation documentation on file for 1 household member.

The primary caregiver did not have a TB test on file.

Hand sanitizer was applied to the hands of a 21-month-old child. This deficiency was corrected during the inspection. The permit holder ensured that soap and water was used to clean the child's hands instead.

2 of the 4 children files reviewed did not include current immunization records.