Hopwood Child Care Llc

Noncompliance Area: On 11/9/20, at approximately 8:45 AM, four staff were observed within 6 feet of children in the outdoor play space while not wearing face coverings over their noses and/or mouths as required.

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

Noncompliance Area: Based on statements made by staff, a child was placed on a changing table where residual disinfecting bleach solution was present.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: A recalled Bumbo seat which lacked safety straps was observed in the infant area.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: The file for child #1 contained an immunization record which lacked documentation of having received the influenza vaccine within the past 12 months.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The files for staff #1 and #4 contained initial health assessments obtained after their first day in child care positions. The health assessments on file for both staff are now current.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The file for staff #2, with a start date of 12/3/19, contained clearances obtained after their first day in a child care position; the child abuse clearance was obtained on 6/1/20 and the NSOR certificate was obtained on 12/17/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff #3, designated as an assistant group supervisor, lacked a high school diploma.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: At 10:05 AM, staff #5 was observed walking out of the toddler room and into the adjoining preschool room to retrieve supplies. This left staff #1 alone, supervising 10 children; 7 older toddlers and 3 young toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: The following cleaning and toxic materials were observed to be accessible to children on the day of the inspection; sun block, Lysol wipes, and hand sanitizer in an unlocked cabinet under the counter in the preschool room, Lysol wipes in a free standing supply cabinet in the preschool room, and multiple cleaning and disinfecting supplies in an unlocked closet in the main entry way.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: A protruding screw, accessible to children, was observed on the lower part of the rain gutter near the front door of the facility.

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

Noncompliance Area: Peeling paint, accessible to children, was observed on the sign post in the outdoor play space.

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

Noncompliance Area: Beanbag chairs were observed in the Infant and Toddler areas in Classroom #3.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: An infant was observed to be sleeping on a bean bag chair in the Infant area in Classroom #3. The Infant was reported to be sleeping for approximately 20 minutes.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Original agreements were observed to be maintained on file at the facility.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for facility person #1 and #2 lacked an initial health assessment within 12 months prior to starting in a child care taking position. The file for facility person #3 lacked an initial health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.