Little Smiles Day Care

• Non-critical Written Feeding Instructions - Review and Update Every 30 Days
  Inspector's note: Four of the infants did not have updated infant feeding instructions available for review. Risk level: Medium. Corrected by 2026-02-25.

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.

• Non-critical Written Feeding Instructions - Review and Update Every 30 Days
  Inspector's note: No feeding schedule for the one infant was unavailable at inspection. Risk level: Medium. Corrected by 2024-06-18.
• Critical Immunization Records, Exceptions, and Exemptions Current
  Inspector's note: Two of the six children records didn't have updated immunization record on file. Risk level: Medium High. Corrected by 2024-07-18.
• Critical Responsibilities of Caregivers - Know children's names and ages
  Inspector's note: The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months. Risk level: Medium High. Corrected by 2024-06-18.
• Critical Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
  Inspector's note: One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection. Risk level: Medium High. Corrected by 2024-07-18.
• Critical Safety - Areas Free From Hazards
  Inspector's note: A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection. Risk level: Medium High. Corrected during the inspection.

No infractions recorded at this inspection.

• Critical Children Handwashing After Toileting or Diapering
  Inspector's note: In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands. Risk level: Medium High. Corrected by 2024-01-24.
• Critical Responsibilities of Caregivers - Know number of children responsible for
  Inspector's note: The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care. Risk level: High. Corrected by 2024-01-24.
• Critical Diapering Procedures - Use Disposable Gloves
  Inspector's note: A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change. Risk level: Medium High. Corrected by 2024-01-24.

No infractions recorded at this inspection.

• Critical Child/ Caregiver Ratio - 13 or More Children
  Inspector's note: The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom. Risk level: Medium High. Corrected by 2023-06-26.

• Critical Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
  Inspector's note: Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys. Risk level: Medium High. Corrected during the inspection.
• Critical Plan to Handle Transportation Emergencies
  Inspector's note: A written plan to handle transportation emergencies was not available at the time. Risk level: Medium High. Corrected by 2023-06-20.
• Non-critical Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
  Inspector's note: A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection. Risk level: Medium. Corrected during the inspection.
• Critical Required Immunizations
  Inspector's note: One of the six children files was missing immunization records. Risk level: High. Corrected by 2023-07-04.
• Critical Garbage Inaccessible to Children; Maintained in Sanitary Manner
  Inspector's note: A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced. Risk level: Medium High. Corrected during the inspection.
• Critical Required Equipment in Vehicles - List of Children
  Inspector's note: A list of children being transported was unavailable for review. NOTE: This was corrected at inspection. Risk level: High. Corrected during the inspection.
• Critical AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
  Inspector's note: A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held. Risk level: High. Corrected by 2023-06-20.