Darea Mahdis Tiny Tots

Noncompliance Area: On the date of the inspection, provider did not demonstrate that the smoke detectors were operable because they were out of reach and the individual didn't feel it was safe to do so.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The agreement in the file for child #2 did not specify the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The last two updates in writing by a parent on the emergency contact form and the agreement form in the file for child #3 were more than 6 months apart.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for child #4, enrolled more than 60 days, included a list of vaccinations, but not an exam.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for child #1 and #2, both older than 6 months, did not include evidence of a flu vaccination.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: The file for child #2, a 7 month-old, did not include a feeding schedule from the parents.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: Children were observed eating in the kitchen with no barrier to the stove.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: There were several packs of razors observed under the sink and in a low drawer in the facility's upstairs bathroom, making them accessible to children in care.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The following toxics were observed in drawers, in the medicine cabinet and under the sink in the facility's upstairs bathroom: Immodium, Edge shaving gel, acne medication, Glade wax air freshener and spray, Benadryl, Lysol wipes, Lysol toilet bowl cleaner, Comet, Windex, Off Skintastic and cold medicine. The following toxics were observed in the medicine cabinet and on a shelf in the facility's downstairs bathroom: Glade and Air Wick wax air fresheners, Chlorox wipes, Speed Stick deodorant, Dove baby lotion, hydrogen peroxide, itch relief cream, Aspercreme and 2 Old Spice deodorants. Two tubs of Chlorox wipes were observed in the upstairs hallway closet. All items were accessible to children and included instructions to keep out of the reach of children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The gate between the living room and kitchen was down, making the kitchen stove accessible to the children in care at the time of the inspection.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Child #2 was observed sleeping on a blanket on the floor.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: The emergency contact information in the file for child #4 did not include any work information for the child's mother and father.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact information in the file for child #4 did not include signed parental consent for emergency medical care or administration of minor first aid techniques prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: The emergency contact information in the file for child #8 did not include the policy number for the child's health insurance.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The health report in the file for child #1, enrolled since 2016, did not include evidence of immunizations. Based on conversation with the operator, the parents do not believe in immunizing their child, however, there was not a statement of strong personal objection or religious belief from the parents in the child's file.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: The hands-free diapering can was not lined with plastic.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The emergency contact information in the file for child #4 did not include signed parental consent for emergency medical care or administration of minor first aid techniques prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: At approximately 12:55 pm, individual #1 answered the door and stated that staff person #2, the operator,had to run out for something and should be back around 2 pm. Child #1 through #5 was observed napping/resting in the child care space, a combined group of 2 young toddlers, 1 older toddlers and 2 preschoolers. Individual #1stated that they are 17 years old and in high school, and help out the operator on school breaks. Staff person #1 returned at approximately 1:05 pm.

Correction Required: A staff person shall be 18 years of age or older.

Noncompliance Area: When staff person #1 left the facility for approximately 10 minutes, there was no one competent in first-aid techniques at the facility while child #1 through #5 were in care.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: At approximately 3:15 pm, child #6 and #7, both school-agers, arrived at the facility, placing the number of children in care unrelated to the operator at 7. There were 7 children in care at 3:45 pm, when the certification left the facility.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: There were two slats on the wooden fence in the backyard that had come loose, detaching from the fence and exposing several nails.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: There were several areas of peeling paint along the door frame of the garage, which is in the backyard, making it accessible to children.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The files of child #3 and 4 lacked the addresses and telephone numbers of all the release persons listed on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: Medication labeled "keep out of the reach of children" was in the cabinet in the bathroom accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The files of child #1 through 5 contained financial agreements that have not been reviewed and updated at least every 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file of staff #1 did not contain the required training hours in the required time frame.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: Five containers of hair products labeled "keep out of the reach of children" were accessible to the children on a low shelf in the child care space.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The facility lacked documentation of fire drills being conducted at least 4 times per year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.