Kaleidoscope ll Early Childhood Learning K.C.

There were 6 infants under the care of 1 caregiver. The specified age of the group was 12-17 months old. NOTE: A second caregiver entered the classroom and child-caregiver ratio was met.

A 2 month old infant was being fed by caregiver while child was laying on a bouncer seat. NOTE: This was corrected after caregiver was informed. Caregiver held child to be fed.

A caregiver is missing 1 hours of training and the following topics for training year 3/2021-3/2022: - Preventing and controlling the spread of communicable diseases, including immunizations; -Preventing and responding to emergencies due to food or an allergic reaction; -Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and

Hand washing was not completed after a child's diaper was changed as observed during inspection. NOTE: Caregiver washed child's hands after Inspector informed them.

A caregiver is missing 10 hours of training and the following topics for training year 3/2021-3/2022: -Recognizing and preventing shaken baby syndrome and abusive head trauma; - Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and -Understanding early childhood brain development. -Emergency preparedness; - Preventing and controlling the spread of communicable diseases, including immunizations; -Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); -Preventing and responding to emergencies due to food or an allergic reaction; -Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and -Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Hand washing was not completed after a child's diaper was changed.

Immunization records for 2 out of 6 records reviewed were not available for review. Immunization records for 2 out of the 6 records were not up to date. NOTE: Immunization records of 1 child were brought in by parent during inspection.

Operation did not allow inspector to enter operation until after 20 minutes of knocking and ringing doorbell. Caregivers confirmed they were aware someone was at the door.

Three children were napping in mats labeled with other children's names.

Sign-in and Sign-out tracking system did not accurately reflected the number of children present during inspection. 11 children were signed in and 12 children were present. 2 of the signed in children had not been at the daycare today. Time of arrival was not documented. NOTE: This was corrected by Director during inspection. Director modified the log to reflect the accurate names and number of children present.

Record of 1 child present during inspection was not available for review.

Emergency medical transport and treatment authorization forms for three children transported during inspection were not available for review in the transportation vehicle. NOTE: This was corrected during inspection. Transportation binder was updated with children's information.

4 bottles of cleaning/disinfecting liquid were observed within children's reach in the pre-k restroom. NOTE: Items were removed from the diaper changing station and put inside a closet out of reach from children.

Parents have not been notified in writing of no liability insurance at the operation.

The following posting were not posted at the operation: The child-care center's license. -Current Employee List

The activity plans at the operation were not dated. Corrected at Inspection: The activity plans were updated with a date for each age group.

The menus at the center are rotated by 4 weeks. There was no documentation showing which menu was used on a specified week. Corrected at Inspection: The menu was updated.

A cot labeled with a child's name was in a bad condition since it was rusted and the loose mesh would touch the floor. Corrected at Inspection: The cot was replaced with a new mat/sleeping bag.

The sign in & out log was not maintained. There were 8 children signed in and only 6 children were present at the operation. Corrected at Inspection: Director updated the sign in & out log.

The play yard did not have a fitting sheet.

The food pantry was observed with cleaning products stored together with the food. Note: Cleaning products were removed and placed separately.

The children in care were not signed in. NOTE: Corrected during inspection as the two children were signed in.

A crib and a play yard being used by an infant and toddler were not labeled with their names or alternate method. Corrected at Inspection: The crib and play yard were labeled with a number.

The infant room was observed with an infant feeding bottle on the floor along with an empty juice container, unused toys and electrical cord. The bucket seat table was observed with glue, cup with liquid, and a purse. Note: The infant room was cleaned up during the inspection.

The Infant daily report was missing the following sections: Infant's Mood and Summary of activities.

The operational policies were incomplete.