The Childrens Courtyard

The staff files were missing trainings as well as required docomentation that was not available during the visit. Nine files were reviewed and 5 out of 9 were missing abuse neglect training. 5 out of 9 were missing orientation.

Two out of ten childrens files did not have updated immunizations available for review.

There was 6 infants cared for at the front office by 1 caregiver. There was 12 children ages 2 years old cared by 1 caregiver.

There were 6 infants cared for at the front office by a caregiver and director. Director was caring for children while caregiver not present.

The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards. 7/31/24-The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards.

A caregiver with conditions was left unsupervised in the 2 year old classroom.

The cots in 4 classrooms were not labeled with names or numbers.

The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards.

The recall form has not been updated since 1/3/2022.

The emergency preparness plan did not include the name and the address of the location where the school will evacuate away from the premises.

This standard was evaluated as part of an investigation and determined to be deficient. A child with a diagnosed food allergy, emergency food allergy plan was not posted in the kitchen and was not posted in the child's classroom.

This standard was evaluated as part of an investigation and was determined to be deficient. A child registered for a Discovery Day did not have a completed food allergy plan while in care.

This standard was evaluated as part of an investigation and was determined deficient. A caregiver served food to a child that was identified as food to which the child was allergic.

One child not have a valid exemption affidavit in their file at the time of inspection.

The director nor Designee has not tested the smoke detectors at the operation for several months.

One Child with a known food allergy did not have a Food Allergy Plan in their file at the time of inspection.

Two children did not have updated immunizations in their files at the time of inspection.

Two Children did not have Food Allergy Plans in the their files at the time of inspection.

Three caregivers did not have proof of education in their files at the time of inspection.

The operation does not test their carbon monoxide detectors.

The director or designee has not tested the smoke detectors at the operation for several months.

The operation did not have a current annual sanitation inspection report at the time of inspection.

The first aid kit for the school bus did not contain tweezers, cotton balls or a thermometer. The operation's first aid kit did not contain tweezers.

One teacher was observed supervising 21 children with a specified age group of 4 years old.

A caregiver did not wash their hands after changing an infants diaper.

The caregiver in Infant room I did not have required training to care for infants under the age of 24 months.

A caregiver did not wash an infant's hands after completing a diaper change.

Based on information gathered and observations, it was determined that a caregiver allowed children to wrestle, jump off of furniture, and run around a classroom. Putting children at risk for injuries.

Based on information gathered through interviews and observations, it was determined that a child sustained an injury that required medical attention when a caregiver did not intervene when two children were running around in the classroom during a scheduled activity.

Attendance Records for all employees were not available in the time of inspection.

The operation did not provide test data from the manufacturer showing the impact rating of the unitary surfacing materials nor the installation and maintenance requirements of the surfacing materials at the time of inspection.

The person designated by the director did not have access to all essential information required by licensing during multiple inspections.

A caregiver in room Infant I did not clean an infants hands after a diaper change.

Children were climbing on a play structure while tricycles were underneath the structure blocking surfacing needed to protect the children from falls.

A caregiver in the Toddler room I did not wash a child's hand after a diaper change.

The caregivers were not in proximity to intervene when the child broke his arm.

The operation did not provide test data from the manufacturer showing the impact rating of the unitary surfacing materials nor the installation and maintenance requirements of the surfacing materials at the time of inspection.

Children under the age of five were allowed to use a prohibited piece of playground equipment.

A three year old child was allowed to play on playground equipment that is designed for children ages five through twelve, resulting in an injury that required medical attention.

Seven infants were missing current feeding schedules.

This standard was evaluated as part of an investigation and was found to be deficient. In video reviewed from 4/7/21, a caregiver puts their left hand around the right forearm of a ten month old infant and pulls the infant away from a bouncer seat. When the infant falls forward, the caregiver uses their right arm to hold the left armpit of the infant and moves the infant about two feet away from the bouncer seat. When the same ten month old infant crawls back to the bouncer seat and touches the bottom of the bouncer seat with their hands, the caregiver puts their left hand over the right upper arm of the infant and pulls the infant away from the bouncer seat for a distance of about 12 inches.