Bright Beginnings

The diaper changing surface was not sanitized after each use. When the sanitizing product was used between some of the diaper changing sessions, the manufacturer instructions were not being followed.

In one classroom, the caregiver did not know an accurate count of the number of children she is responsible for and did not know the accurate age of the youngest child. Multiple classrooms did not have a list of the names and ages of the children.

Diaper changing was observed at inspection and children did not have their hands washed after diaper changes and staff did not wash their hands either.

Classroom interactions were observed with the classroom that is mixed with older infants and toddlers. The caregiver rarely communicated with the children in a positive manner and was very overly firm with her demands to the children that is not appropriate for their developmental level. Additionally the children were disciplined negatively for wanting to play with toys when they had already transitioned from lunch time and story time and had not had an opportunity to play in over an hour.

Based on the evidence obtained during the investigation, one child with a known food allergy did not have a complete food allergy plan on file.

Based on the evidence obtained during the investigation, diaper changes have not been conducted promptly.

Based on the evidence obtained, bottles were not labeled for two infants resulting in infants being fed the wrong bottles. It was immediately corrected with all the bottles being labeled and was observed labeled at inspection.

A staff member of the operation tested positive for COVID-19 two weeks ago and a timely report to child care regulation was not made. It was corrected at inspection with a report being made.

The toddler classroom with two children less than the age of 2 were observed participating in screen time with watching a movie.

Based on the evidence obtained during the investigation, infants are often being fed with their bottles propped.

Based on the evidence obtained during the investigation, staff are routinely leaving the infant room unsupervised.

Based on the evidence obtained during the investigation, the director is not reinforcing the compliance with minimum standards with the staff employed at the operation and patterns of minimum standard violations.

During this inspection I observed a 4 month old asleep on a boppy pillow with a blanket and the boppy pillow was sitting inside a crib. This was corrected at inspection when the boppy pillow and blanket was removed from the crib.

Once classroom was observed with 12 children between the ages of 15 months and 2 years of age during nap time. The specified age group of the classroom was 18-23 months of age and is limited to 9 children with one caregiver. Since classroom with children less than 18 months of age cannot be reduced for nap time ratios, the classroom was over ratio with one caregiver.

The pre-k caregiver was supervising 3 children at the meal time tables while the remaining 7 children she was responsible for were two classrooms away. The caregiver was not within physical proximity, did not have visual awareness or able to intervene with the other 7 children she was responsible for. Children were running around the classroom as well.

The sink specified for hand washing after diaper changes was also being used for cleaning bottles.

The sand box was observed at inspection with cat poop in the sand box. Children were observed at inspection playing in the sand box.

A caregiver left the infant classroom over ratio with six infants, less than 12 months of age, with one staff member in the classroom while completing laundry duty tasks in the kitchen.

Infants were observed buckled securely in high chairs at inspection however an infant in a restrictive device (bouncer chair) that requires the infant to be fastened was not secured after being placed in the device.

A classroom with a combination of older infants and younger toddlers did not wash hands after entering from the playground. They additionally did not wash hands before eating.

Two infants were observed in a high chair and they were not securely fastened with the buckles when in use.

Based on the evidence obtained at inspection, there is sufficient evidence that staff are routinely leaving infants asleep in restrictive devices.