Melly's Day Care

2 out of 3 staff files reviewed were missing medication training.

CPSC was last reviewed in Februrary of 2023.

Outdoor area was observed with part of the fence missing leading to another area of the yard with an unlit fire pit. Play equipment was also observed with bird droppings. A rake was observed along the fence. *Rake was removed from outdoor area. *Director stated fence would be repaired next week.

Outlets in the front room, infant room were observed un-covered.

Infant bottles were not labeled. Note: This was corrected at inspection when provider labeled the bottles with the children's names.

Feeding instructions for a child not yet eating table food were not available for review at the time of inspection.

Feeding instructions for a child not yet eating table food were last reviewed / signed by parent on 06/05/2023.

Two out of four children's records reviewed are missing immunization records.

List of children, Emergency medical transport and treatment authorization forms for each child being transported were not taken during transportation route.

Two out two children's records reviewed are missing school information.

Operation conducted a field trip during the month of April 2023. Emergency medical consent forms and first aid kit were not taken during the field trip.

Based on the information obtained during the course of the investigation, children under the age of 5yo were placed in time-out for 5-10 minutes.

Emergency Prepardness plan was reviewed and the folloing items are missing: (1)(B) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments 1(D) The caregivers' responsibility in a sheltering/lock-down emergency for the orderly movement of children to a designated location in your home where children should gathe 1(E) Name and address of the alternate shelter away from the home you will use as needed (4) How you will continue to care for the children until each child has been released (5)How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted

Operation has not practice severe weather nor lock down drills.

First Aid Kit is missing the guide.

Emergency Prepardness plan was reviewed and the folloing items are missing: (1)(B) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments 1(D) The caregivers' responsibility in a sheltering/lock-down emergency for the orderly movement of children to a designated location in your home where children should gathe 1(E) Name and address of the alternate shelter away from the home you will use as needed (4) How you will continue to care for the children until each child has been released (5)How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted

Operation did not have a lesson plan nor planned activities for the children.

Operation has not practice severe weather nor lock down drills.

Operation follow a daily schedule but does not planned activities nor a written lesson plan.

One file is missing foreign high school diploma translation and notarized affidavit.

Operation follow a daily schedule but does not planned activities nor a written lesson plan.

Feeding instructions for two children not yet eating table food and under the age of 12mo are missing.

Menu for the week was not available for review at the time of inspection.

Operation does not have well defined interest centers.

Identical bottles are used for two infants at the operation, bottles are not labeled with the children's names.

Operation follow a daily schedule but does not planned activities nor a written lesson plan.

Caregiver supervising children did not know children's names nor ages.

Operation does not have well defined interest centers.

Feeding instructions for two children not yet eating table food and under the age of 12mo are missing.

Caregiver did not wash hands after chaning the diaper of two children. Hands of the children were not washed after diaper change.

A staff member was present at operation and caring for children without background check eligibility notice. Note: Background check request was submitted during inspection.

Operation has one crib and there are two infants under 12mo attending the operation.. Crib is no labeled with the child's name.

Four staff files reviewed and following items are missing: File 1 - foreign high school diploma or equivalent translation File 2 - Pediatric First Aid/CPR Training, Transportation Training and Annual Training Certificates File 3 - Orientation Statement and Copy of ID File 4 - Orientation Statement, Copy of ID, Copy of High School Diploma, Notarized Affidavit, Pediatric First Aid and CPR training

Five children were present at arrival, none of the children were signed in.

Menu for the week was not available for review at the time of inspection.

Diaper changing mat was not sanitized in between nor after two diaper changes.

Cots used by children's present did not have a label indicating their names nor assigned number.

A 9mo old child was observed asleep in a car seat.

One out four children's records reviewed is missing a health statement.

Children were watching a movie during inspection tiled Door Man. Movie was not related to a planned activity.

One out four children's records reviewed is missing a health statement.

One out four children's records reviewed is missing a health statement.

An employee was present and caring for children without background check eligibility notice.

Children were watching TV for approximately one hour, show playing was not related to a planned activity or lesson plan.

Cots and mats were labeled, however, a mat labeled with a child's name did not match the child napping on the nap.

One out of three files reviewed is missing copy of high school diploma and notarized affidavit.

Two out of three staff training records reviewed are missing 9-18hours including training in the following topics: -shaken baby/early brain dev./safe sleep -hazardous materials -emergency preparedness -physical premises and building safety Two out of three staff training records reviewed are missing 2 hours of transportation training.