The Little School

Two children did not have immunization records present in their admission file.

During the inspection, a caregiver was overheard interacting with children in harsh tones and using language that was not appropriate to their level of understanding. The caregiver did not demonstrate patience or respect.

One infant under the age of 12 months and not on regular table food had a monthly feeding instruction that had not been updated or signed since 5/30/24.

2 employees who were hired in 2024 did not have the pre-employment affidavit completed and in their file.

One caregiver who has now been employed over 12 months did not have proof of annual training being obtained in the topics listed in this standard.

A 4 month old was asleep in a restrictive device.

One infant did not have an immunization record on file.

A 4 month old infant did not have a monthly feeding schedule on file at the operation.

One caregiver with a hire date of 1/12/24 and who was alone with children did not have proof of orientation.

One caregiver who has been employed since 1/12/24 and was alone with children, did not have proof of CPR/first aid being obtained prior to her being alone with children.

The operation did not complete the report for the number of employees who have left in 2023 by 1/15/24 as required.

The most recent fire inspection was conducted 9/29/2022.

There is sufficient evidence to prove that caregivers utilized a restrictive device for time out.

There was sufficient evidence provided to support the finding that the director instructed caregivers to place children in restrictive devices for time out.

The operation was unable to provide proof of a gas leak inspection that had taken place in the last 2 years.

Both the director and one caregiver did not have proof of training being obtained in the required topic areas during the most recently completed training year.

Two caregivers hired within the last 12 months did not have proof of training in all required orientation topics being obtained.

Screen time was used for children under the age of two. The TV was turned off during inspection.

2 vehicles used for transportation that transport more than 8 people do not have child safety alarms installed.

A caregiver was present around children prior to receiving an eligible background check. The caregiver left during inspection.

The operation did not have an updated fire inspection.

Director is missing training requirements for the following topics: *Administering medication *Preventing and responding to emergencies due to food or an allergic reaction

Director and two additional caregivers do not have transportation training.

Medication found in refrigerator did not have a child's name on the bottle.The bottle also did not have a date it was brought to the center. Note: Photos were taken.

Current liability insurance was not made available for review.

Attendance logs for the director are not completed.

The departure times and person signing each child out of care were lacking on the sampling of attendance records reviewed at inspection.