Small Hands Big Hopes Academy

Proper supervision was not established as there was only one caregiver in the building caring for 11 children of varying ages. The children were divided into two groups and in different rooms. Four infants and a toddler were observed in the infant room. Four toddlers and two pre-k children were observed in the pre-k area asleep on floor mats. The caregiver was observed in the infant room leaving the children in the pre-k area unsupervised.

Ratios were not met when a caregiver was caring for a total of 11 children of varying ages. The ages of the children were Four infants 0-17 months old, and Seven children between 18 months-4 years of age. According to the ratio chart two caregivers were required with the group of children based on the number of children in each age category.

A designated fire exit door was blocked with children's equipment. Note: This was addressed with director and the equipment was removed.

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

A caregiver's record was not available for review during the inspection. 1 of 3 records reviewed was missing the caregiver's education documentation.

The operational policies reviewed were missing the following information: Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities) your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physicalactivities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

A small television in the infant room was not anchored or strapped to prevent from tipping over. A sand box in the outdoor area was not properly maintained as the sand box was filled with standing water. Note: The television was removed and stored away. The sand box containing water was emptied during the inspection.

A caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).

Two play yards did not have sheets covering the mattress pad. The play yards missing the sheets were being used by two infants during the inspection.

A turtle was observed in the chidrens outdoor playground inside a plastiic carrier. The carrier was on the floor accessible to childrnen.