Just My Size

Noncompliance Area: At the time of inspection, the emergency contact information for child #1 and #3 did not include the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: At the time of inspection, emergency contact information was not present for every child receiving care in the toddler area - classroom #2.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: At the time of inspection, the file for staff member #1 contained a health assessment dated 4/24/14 which was more than 24 months following the date of the medical professional's signature.

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: At the time of inspection, written notification of safe routed was not posted by the operator at conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: At the time of inspection, the emergency contact form for child #4 did not contain the parent's signature for parental consent of emergency medical care and administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: At the time of inspection, the file for staff member #1 only included verification of 3 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: At the time of inspection, the file for staff member #2, hired as an Assistant Group Supervisor did not include 2 years of verified experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of inspection, one staff member was observed with 5 children ages 10 months to 1 years old.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: FILE RECORD FOR STAFF #1 DID NOT INCLUDE A HEALTH ASSESSMENT COMPLETED WITHIN 24 MONTHS(LAST COMPLETED ON 2/14/15)

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.

Noncompliance Area: At the time of inspection, the outdoor play area was observed with a few broken and/or unclean toys. The toy buggy had a broken wheel and others items were observed unclean with dirt splashed on surface.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: At the time of inspection, an 8 month old infant and 4 young toddlers were observed playing in the outdoor play area which had numerous small rocks laying in the dirt of the playground. The small rocks were less than 1 inch in diameter.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: At the time of inspection, room 3 was observed with two unclean Pack & Plays. One of the Pack & Plays used for a 8 month old child did not have a label. Room 1 was observed with cots in disrepair with frayed or ripped mesh surfaces.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: At the time of inspection, staff member #2, in room 1; allowed an enrolled preschool child to be escorted to the bathroom by the provider's minor child without staff supervision. Staff member #3 and #4 in the infant/young toddler room acknowledged that they were responsible for supervising all the children in the room instead of having specific children assigned to them.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: At the time of inspection, child #1,#2, #3, #4 and #5 did not have child service reports completed in the last 6 months.

Correction Required: The services to be provided to the family and the child, including the Department`s approved form to provide information to the family about the child`s growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: At the time of inspection, the record for child #1 and #2 did not contain current health assessments. Child #1 health assessment was dated 5/21/14. Child #2's health assessment was dated 2/8/16.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, the facility did not have current health assessments for staff member #1,#3 and #4. The health assessment for staff member #1 did not clearly state the date of examination.

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: At the time of inspection, the comprehensive general liability insurance wasn't available during the renewal inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: At the time of inspection, the emergency contact and financial agreements forms for child #1, #2, #3, #4, and #5 had not been reviewed in the past 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: At the time of inspection, the facility did not have a staff file for staff member #4.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of inspection, the staff record for staff member #3 did not contain verification of two years of child care experienced required to qualify for the assistant group supervisor position.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of inspection, the staff record for staff member #3 did not include the two nonfamily references from individuals attesting to the person's suitablity to serve as a facility person.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: At the time of inspection, when staff #2 left the facility for lunch there was no other facility person on site with first aid training

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: At the time of inspection, staff member #1 and #2 did not have verification of obtaining the annual minimum of 6 clock hours of child care training,

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: At the time of inspection, staff member #1 and #2 did not have current fire safety certificates on file.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: At the time of inspection, the files for provisional staff members #3 and #4 did not contain documents required by the CPSL. The file for staff #3 hired on 5/5/17 did not contain the completed FBI clearance required under the CPSL nor did it contain a copy of a request for a FBI clearance. Staff member #3 was also missing verification of the Mandated reporter training required by CPSL. Staff member #4, hired May 2017, did not have a file with any of the required CPSL documents. Provisional staff member #3 and #4 worked alone with children unsupervised by a permenant staff member.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, the annual staff evaluation for staff member #2 was dated 1/19/16.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: During the inspection, staff member #2 was observed with 8 children; with the youngest child being 2 years old which requires a ratio of 1:6. At 12:07pm, staff member #4 was observed with 5 children; with the youngest child being 8 months old which requires a ratio of 1:4. Later when the staff files were reviewed, it was determined that staff member #2 was the only qualified staff member present in the facility with 13 children; with the youngest child 8 months old.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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: At the time of inspection, staff member #2 left the out of the facility for lunch. At that time 13 kids ranging in ages of 8 months to 5 years old were in the facility with only staff member #3 and #4.

Correction Required: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Noncompliance Area: At the time of inspection, room #3 (infant room) which has a capacity of 4 children was observed with 5 children.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: At the time of inspection, there were several areas of the facility that were either unclean or in disrepair. In room 1, the floor tiles were cracked and in disrepair in several areas but specifically in the middle area of the floor near the u-shaped table. The white shelving against the wall in room 1 was dirty and discolored. The wall near the windows in room 1 had cracked peeling paint on the surfaces. The windowsill nearest the shelving unit in room 1 had cracked peeling paint. In room 2, the walls were covered with construction paper which was dirty and water stained. Room 2 was observed with spider webs and layers dust on the base boards, walls, windowsills and shelving. The windowsill in room 2 also had cracked peeling paint. In room 3, the shelving unit containing children's toys was dirty and discolored. The wall in room 3 had damaged plaster and paint. The rug in room 3 was unclean with small debris. In the bathroom, the radiator cover had chipped and peeling paint. The wall behind the radiator was dirty. The white cabinet in the bathroom had peeling paint on the door.

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

Noncompliance Area: At the time of inspection, the bathroom did not have a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: At the time of inspection, the fire drill logs posted around the facility indicated that the lastest fire drill was conducted on 6/27/16.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.