Hands N Hands Childcare

A written, signed and dated medication authorization was not available for review for one child.

A written procedure on how to handle transportation emergencies was not available for review.

One of the eight children files didn't have a current immunization record.

Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.

One of the two staff transporting didn't have training available for review.

The school age teacher was unaware of the name of the youngest and oldest of the group. NOTE: This was corrected at inspection when a name to face was conducted.

The health inspection was last conducted on 5.12.22.

The fire inspection was last conducted on 5.16.22.

The toddler teacher was observed with six children SAG of 12-17 months which made the teacher over by one child. NOTE: This was corrected when the youngest child was moved to the infant classroom.

Two of the eight children did not have shot records available for review. In addition to one of the eight children missing medical authorization information. NOTE: One of the two shot records was provided.

Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.

On the changing table of the toddler classroom a Lysol spray can was observed accessible to the children. In addition to diaper cream on the changing table in the infant classroom. NOTE: This was corrected at inspection when it was removed.

Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.

Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.

Based on the information gathered, and interviews conducted during this investigation parents were not notified in writing within 48 hours about the outbreak of lice.

Based on the information gathered, and interviews conducted the operation staff did not demonstrate good judgment by not assisting in the basic care with toileting for a child who was partially toilet trained.

Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.

Three out of eight employee records reviewed were missing the required affidavit for employment.

Based on the information received parents are not allowed to enter the operation.

During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.

Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.

In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.

Annual first inspection had not been updated since 10/19/2020.

A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.

A flat screen television was observed in the after school room and was not anchored to the desk.

There was a lack of loose fill surrounding a play-scape on the playground area and the ground was easily visible.