Lily's Little Kids Day Care Center

Based on the information obtained during the course of the investigation, operation failed to obtain updated signed and dated enrollment agreements after operational policies were updated on 05/06/2024.

A child's incident report was not available for review during the inspection.

Based on the information obtained during the investigation, it was determined that a caregiver did not use gloves when providing first-aid to a child who was injured in care.

Based on the information obtained during the investigation, it was determined the operation did not notify Child Care Regulation of an injury to a child in care that required medical treatment by a health-care professional.

A turtle sandbox was filled with standing water in the children's outdoor playground. Note: This was CORRECTED during the inspection as the sandbox was drained.

Two infants were combined with older children during naptime in a preschool room. There was more than an 18 month difference between the youngest and oldest child in the group. The youngest child was 16 months of age and the oldest child in the group was 5 years of age.

Trash was observed in the outdoor playground. Several candy wrappers and a torn foam cup were observed on the ground accessible to children in care.

A children's toilet in a afterschool room was missing the toilet seat. A second toilet in a different afterschool room was missing the toilet handle.

An individual (new employee) without an active background check was observed inside a classroom having contact with children in care. Individual was not observed alone with the children. NOTE: This was corrected during the inspection. Individual left the operation during the inspection.

Food was observed uncovered in the refrigerator. Food uncovered included a cut watermelon, shrimp and cheese, and a small bowl of liquefied food. NOTE: This was corrected during the inspection. Food was removed and disposed of.

Training certificates for these six (6) topics were not available for review for 1 out of 5 caregiver records reviewed.

Children's products certification was not completed timely. The last completed certification dates 7/13/2022.

There were no interest centers in the afterschool room.

There was no food allergy emergency plan available for a child with a known food allergy.

The toilet seat was missing from a toilet in one of the afterschool restrooms.

1 of 4 children's files reviewed was still missing the child's immunization record. This standard is being RECITED.

A container of food was observed inside the refrigerator without a cover. Note: This was CORRECTED during the inspection as the container of food was covered.

The children's outdoor playground area was not maintained. A utility scaffold used for painting was observed within children's reach. This posed a safety hazard as children may climb the equipment and accidentally fall. Grass stickers and animal droppings were also observed in the outdoor playground accessible to children. The paint on the concrete wall was peeling and accessible to children. Note: The equipment used for painting, the animal droppings, and the grass stickers were removed from the outdoor playground during the inspection.

The Childrens Product Certification form was not current. The date on the form was 7/20/2020.

The director and a caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).

The First Aid Kit in one of two transportation vehicles was not complete as it was missing tweezers. The thermometer in the First Aid Kit for both transportation vehicles was not working. Note: This was CORRECTED during the inspection as the missing equipment was obtained.

The diaper changing mat in the infant room was torn.

The emergency medical transport and treatment authorization forms for14 children being transported were not available in the transportation vehicle folder. Note: This was CORRECTED during the inspection as the required forms were obtained and filed in the transportation's vehicle folder.

The director and a caregiver did not have current training in pediatric first aid with rescue breathing and choking.

3 of 4 children's files reviewed did not have a current immunization record.

The floor mats where two children were napping on were observed to be torn. Note: The floor mats were switched to cots for both of the children during the inspection.