Children's Center Of Excellence And Daycare

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
  Inspector's note: A 7 month old infant was observed sleeping in a crib with two additional mattresses under the original mattress. Risk level: Medium High. Corrected by 2024-05-31.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Requirements during probation
  Inspector's note: Probation condition #6 was not fully satisfied due to the following information not being available for review for all staff including the director. A training information sheet which lists each of the following: -name and role (director, caregiver, cook, driver) -original hire date -current training timeframe -date CPR/FA training completed -date orientation training completed -date pre-service training completed (or exemption) -number of training hours remaining to satisfy the current year?s requirements -specific topics remaining to satisfy the current year?s requirements (per 746.1309, 746.1311) Risk level: High. Corrected by 2024-02-22.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Prohibited Punishments - Humiliating, Rejecting, Yelling
  Inspector's note: Based on the information obtained during the investigation, there is sufficient information to support the allegation regarding staff yelling at children. Based on the information obtained, staff yell at children to sit down, be quiet or stop talking. Risk level: High. Corrected by 2024-01-08.
• Critical Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
  Inspector's note: Based on the information obtained during the investigation, children are made to put their heads down on the table for a period of 5-10 minutes. If anyone is heard talking, the time will restart, or additional minutes will be added for all children. Children who are not misbehaving or those who arrive to the operation after timeout has begun are also required to put their heads down until the time has ended. Risk level: High. Corrected by 2024-01-08.

• Critical Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
  Inspector's note: Records were reviewed for 10 staff. 2 caregiver with less than 2 years of child care experience hired June and July 2023, did not have the required 24 hours of training within 90 days of employment. 1 caregiver with no previous experience had documentation of training. NOTE: Caregivers hired June and July of 2023 had 8 hours of pre-service training documented. Risk level: Medium High. Corrected by 2023-11-17.
• Non-critical Required Records Maintained and Made Available - Personnel and Training Records
  Inspector's note: Records for 10 staff including the director was reviewed. All records were observed to be missing the following: Date of hire Documentation whether pre-service training be required. Documentation all required orientation topics have been received. Risk level: Medium. Corrected by 2023-11-10.
• Critical Caregiver Qualification Age Exemption Attends High School - Supervised By Qualified Caregiver
  Inspector's note: A 17 yr old caregiver who currently attends high school was observed to be left unsupervised with a group of children multiple times. The supervising caregiver was observed to be going back and forth between the kitchen and classroom. Risk level: Medium High. Corrected by 2023-10-31.

No infractions recorded at this inspection.

• Non-critical Chairs - Safety Straps Used if Required by Manufacturer
  Inspector's note: Children were observed sitting in high chairs and the safety straps were not secured. Note: The provider secured the straps for each child during the inspection. Risk level: Medium. Corrected during the inspection.
• Critical Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
  Inspector's note: A caregiver placed a child in a high chair for misbehaving during the inspection. Risk level: High. Corrected by 2023-08-25.

No infractions recorded at this inspection.

• Non-critical Chairs - Safety Straps Used if Required by Manufacturer
  Inspector's note: Children were observed sitting in chairs equipped with safety straps and the safety straps were not secured. Note: The provider secured the straps for each child during the inspection. Risk level: Medium. Corrected during the inspection.
• Critical Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
  Inspector's note: Documentation showing the carbon monoxide detectors are being tested monthly was not available for review upon request. Risk level: Medium High. Corrected by 2023-08-04.
• Non-critical Children's Records - Immunizations
  Inspector's note: 1 out of 4 chidlren's files evaluated did not contain documentation of current immunizations. The record provided was missing 1 dose of MMR and 1 dose of VAR. Risk level: Medium. Corrected by 2023-08-04.
• Non-critical Medication No Longer Used
  Inspector's note: During the inspection expired boxes of Benadryl and Neosporin ointment was observed and has not been disposed of. Note: The provider disposed the medication during the inspection. Risk level: Medium. Corrected during the inspection.
• Critical Smoke Detectors Testing
  Inspector's note: Documentation showing the smoke detectors have been tested monthly was not available for review upon request. Risk level: High. Corrected by 2023-08-04.

• Non-critical Children's Records Maintained
  Inspector's note: Children's files evaluated did not contain a complete record. The following information was missing or incomplete: - Two were missing the address, and phone # of the emergency medical facility - Three were missing the special needs statements - Two were missing the parents signature for receiving a copy of the operational policies Risk level: Medium. Corrected by 2023-05-30.
• Non-critical Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
  Inspector's note: Documentation showing training in the following topics were not available for review during the inspection: - Recognizing and Reporting Suspected Abuse and Neglect of Children - Transportation Safety Training Risk level: Medium Low. Corrected by 2023-05-30.
• Critical Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
  Inspector's note: 1 out of 8 employee files evaluated did not contain current CPR/First Aid training. The certifiate provided had expired on May 4th, 2023. Risk level: Medium High. Corrected by 2023-05-23.
• Non-critical Required Personnel Records
  Inspector's note: 7 out of 8 staff files evaluated did not contain a complete personnel record. The following information was missing: 4 were missing the Licensing affidavits were not notarized 2 were missing the Proof of education was missing 3 were missing Signatures that the staff have completed orientation to the center Risk level: Medium. Corrected by 2023-05-30.
• Critical Policies Comply with Rules
  Inspector's note: The operational policies were evaluated and did not contain the following information: - A Safe Sleeping Policy for Infants Under 12 months - The benefits of physical activity and outdoor play - The duration of physical activity at your operation, both indoor and outdoor - The type of physical activity (structured and unstructured) that children may engage in at your operation - Each setting in which your physical activity program will take place - The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play and - A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. Risk level: High. Corrected by 2023-05-30.

No infractions recorded at this inspection.

• Critical Report Outbreak of Communicable Illness
  Inspector's note: The operation did not report an outbreak of hand, foot, and mouth to childcare regulation. Risk level: Medium High. Corrected by 2023-06-22.

No infractions recorded at this inspection.

• Critical Child/ Caregiver Ratio - 13 or More Children
  Inspector's note: A caregiver was observed leaving a classroom multiple times during the inspection. The caregiver left another caregiver alone to supervise a total of 14 children 20m-2yrs old. Based on the specified age group (SAG) of the classroom was 2yrs. The caregiver was over ratio by 3 Upon arrival 3 caregiver were observed in the infant room, two caregiver then left the room. One infant caregiver was observed with 6 infants 4-15 mo. The SAG for the group was 0-11mo. The caregiver was over ratio by 2 for approx. 5-10 munites before the caregiver returned. Risk level: Medium High. Corrected by 2023-03-30.
• Critical AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
  Inspector's note: A caregiver with a conditonal background check stating they must never be left alone with child was left alone with 6 infant 4-15mo Risk level: High. Corrected by 2023-03-30.

• Non-critical Written Feeding Instructions - Review and Update Every 30 Days
  Inspector's note: One child not yet on table food did not have updated feeding instructions. Instructions were last reviewed and signed by the parent 2/1/23 Risk level: Medium. Corrected by 2023-03-20.
• Critical Required Equipment in Vehicles - Fire Extinguisher
  Inspector's note: The fire extinguisher was observed to be located in the trunk of the vehicle used for transportation and was not readily accessible by the driver. Risk level: High. Corrected by 2023-03-16.
• Critical Sign-in and Sign-out Tracking System
  Inspector's note: The operation does not keep a sign-in/out log for children being transported. Risk level: Medium High. Corrected by 2023-03-16.
• Critical Required Equipment in Vehicles - Emergency Medical Information
  Inspector's note: The vehicle used for transportation did not have emergency medical authorization for any of the children being transported. Risk level: High. Corrected by 2023-03-16.
• Critical First Aid Kit - Easily Accessible to Employees
  Inspector's note: The first aid kit was observed to be located in the truck of the vehicle used for transportation and was not readily accessible by the driver. Risk level: Medium High. Corrected by 2023-03-16.
• Critical Responsibilities of Caregivers - Know children responsible for
  Inspector's note: 2 caregivers in the infant room were not aware of the number of children in their care. When asked, both caregivers stated there were 5 children in care. When asked again, they again stated there were 5. The caregivers were informed CCR counted 6 children. One careigver then stated they forgot a child was just brought into the classroom Risk level: High. Corrected by 2023-03-16.

No infractions recorded at this inspection.