Little Minds Learning Academy

Noncompliance Area: Child files #2 and #4 lacked health insurance policy number on the emergency contact forms.

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: Child file #3, lacked names, address and telephone number of the persons to whom the child may be released 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: Child file #3, DOA 11/6/17 contained an initial health report dated 6/18/18, which was more than 60 days after first date of attendance at the facility. Child file #4, DOA 12/20/17 contained an initial health report dated 3/13/19, which was more than 60 days after first date of attendance at the facility.

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: Child file #1, contained health report dated 6/18/19, but lacked updated health reports every 12 months as required. Child file #4, contained health report dated 3/13/19, but lacked updated health reports every 12 months as required.

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.

Noncompliance Area: Child files #1, #2, and #4, all lacked documentation of influenza vaccination yearly as recommended by the ACIP.

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: Staff #5 did not wash a child's hands after changing the toddler's diaper.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: The staff in the toddler room stated that she did not check the toddler's diapers every 2 hours as required.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: Staff #3, DOH 9/18/19, contained a health assessment that stated "Yes" to communicable disease without including the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Staff #5 did not wash her hands after changing a toddler's diaper.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: The infant bottles lacked the name of the infant in care that the bottles were intended.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: There were sharp knives in a open crock container on the counter and pizza cutter and knives in an unlocked drawer in the counter that were accessible to the preschool and children in care at the facility.

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

Noncompliance Area: Staff file #2, DOH 3/13/18, contained documentation of emergency plan training conducted on 3/11/19 and 6/1/20, which was not conducted on annual basis. Staff file #4, DOH 5/20/19, contained documentation of emergency plan training conducted on 5/20/19 and 7/1/20, which was not conducted on annual basis.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: Staff file #2, DOH 3/13/18, contained documentation of fire safety training conducted on 3/11/19 and 6/1/20, which was not conducted on annual basis. Staff file #4, DOH 5/20/19, contained documentation of fire safety training conducted on 7/1/20, which was not conducted on annual basis.

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: Staff file #1, DOH 10/1/19, contained documentation of Mandated Reporter training conducted on 1/8/20, which was not completed within 90 days of hire. Staff file #2, DOH 3/13/18, contained documentation of Mandated Reporter training conducted on 6/28/18, which was not completed within 90 days of hire. Staff file #3, DOH 9/18/19, contained documentation of Mandated Reporter training conducted on 1/21/20, which was not completed within 90 days of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: Staff file #4, DOH 5/20/19, contained NSOR certificate dated 7/8/20, which was not obtained prior 7/1/20 as required by CPSL.

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: Staff file #2, DOH 3/13/18, contained documentation of written staff evaluations conducted on 3/11/19 and 6/1/20, which was not conducted every 12 months as required. Staff file #4, DOH 5/20/19, contained documentation of written staff evaluation conducted on 7/1/20, which was not conducted every 12 months as required.

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: The facility lacked documentation of fire drills conducted every 60 days prior to 6/2/2020.

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. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Staff file #1, DOH 9/5/19, contained documentation of health assessment dated 9/25/19 and TB results dated 9/23/19, which was completed after initial hire, working with the children in care.

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: Staff file #1, DOH 9/5/19, lacked documentation of education and child care experience prior to hire in the file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Staff file #1, DOH 9/5/10, lacked documentation of completion of Mandated Reporter Training within 90 days of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The Little Tykes cars and the infant stationary bouncy accessible to the children in the outdoor play space had dirty standing water in them. The sandbox in the outdoor play space had cracks in the top posing pinch points to the children in care.

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: A rest mat in the infant room was torn and not in good repair and had foam exposed to the children in care.

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.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: The red table in the main room was loose, posing pinch points to the children.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Child file #5 emergency contact form lacked the name, address and telephone number 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: Child file #5 emergency contact form lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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: Child file #3 and #4 lacked updates on the emergency contact form and agreement form as required every six months or when there is a change in information.

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: Child files #1, #2, #4 and #5 lacked updated Influenza vaccination yearly in accordance to the schedule recommended by the ACIP.

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 infant room lacked soap for handwashing the children's hands.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: Staff file #3, DOH 5/13/19, contained a health assessment that was dated 10/9/17 which more than 12 months prior to providing initial service at the child care.

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: Staff file #1, DOH 8/31/18, lacked documentation of education prior to service at the facility.

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: Staff file #2, DOH 3/15/19, contained mandated reporter training certificate dated 6/17/19, which was more than 90 days after hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: Upon arrival at the facility at 2:30 PM on 3/29/19, there were twelve children in the child care space. Staff #1 identified 1 young toddler, 3 older toddlers and 1 preschooler in her group. Staff #2 did not identify any children leaving 7 children not accounted. Staff #1 identified the remaining 7 children in Staff #3's group, staff #3 was not present at the facility.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Upon arrival at the facility, Child #1, an older toddler, was strapped in a high chair facing the wall. Staff #1 stated that she was in the high chair to keep her from bothering the other children who were napping.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: Staff #4 was observed after diapering to wipe the diapering surface with a diaper wipe, not cleaning surface with a sanitizing solution.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: The facility lacks a director present at the facility a minimum of 30 hours per week. In the past, the director duties of all three LE locations were shared by both Staff #3 and Staff #5. Staff #5 is no longer able to fulfill the director duties on site while children are in care.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: Upon arrival at the facility at 2:30 PM on 3/29/19, there were two staff with twelve children in the child care space. Staff #1 identified 1 young toddler, 3 older toddlers and 1 preschooler in her group. Staff #2 did not identify any children leaving 7 children not accounted. Staff #1 identified the remaining 7 children in Staff #3's group, staff #3 was not present at the facility.

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). The required staff:child ratios must be maintained at all times.

Noncompliance Area: Staff #3 left the facility premises during naptime, leaving 2 staff with 12 children of mixed ages including young toddlers, older toddlers and preschool children who were not sleeping.

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: Previously cited at renewal inspection 12/28/18, not corrected on 2/25/19, staff was observed not washing child's hands after diapering the child.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: Previously cited at renewal inspection 12/28/18, not corrected on 2/25/19, staff was observed removing soiled diaper from toddler, with soiled diaper in hand, used hand to open the hands-free covered can to dispose of soiled diaper.

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: Previously cited at renewal inspection 12/28/18, not corrected on 2/25/19, the facility lacked copies of the menu posted at least 1 week in advance and/or providing menu to the families.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: Previously cited at renewal inspection 12/28/18, not corrected on 2/25/19, Staff file #6, DOH 9/17/18, lacked documentation of completion of Mandated Reporter training within 90 days of hire.

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 pack n plays in the infant room had missing slates, which were not solid flat surface, that posed a hazard to the infants in care while sleeping. The following equipment on the playground posed pinch points to the children in care; the Little Tykes slide had cracks in the slide, the See Saw had cracks in the seats and the play house had cracks on the walls. .

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: The preschool room lacked a posted written plan of daily activities including routines and a time for free play.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: Child files #1 and #2 lacked the child's admission date on the agreement form.

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

Noncompliance Area: The Toddler room lacked copies of the emergency contact forms for randomly selected children in care.

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: Child file #2, DOA 11/6/17, contained a health assessment dated 6/18/18, which was more than 60 days after the child's admission to the facility.

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: Staff #7 did not wash child's hands after diapering the child. Toddlers in care were observed being seated for lunch without having their hands washed.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: Staff #7 was observed removing soiled diaper from toddler, with soiled diaper in hand, used hand to open the hands-free covered can to dispose of soiled diaper. The infant room lacked an operable hands-free covered can for disposal of soiled diapers.

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 diaper changing surface in the infant room contained holes in the surface, showing soiling on the inside foam of the pad, which could not be effectively sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Staff file #4, DOH 8/14/18, contained a health assessment dated 8/16/16 which was more than 12 month prior to working at the facility. Staff file #6, DOH 9/17/18, contained a health assessment dated 10/16/18, which was not obtained prior to working with the children.

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: The facility lacked copies of the menu posted at least 1 week in advance and/or providing menu to the families.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: Infant in care lacked bottles labeled for use with child's name on the bottles.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: Staff file #1, #2, #3, #5, #6 and #7 lacked copies of verification of child care experience, education and training prior to service at the facility.

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: Staff file #6, DOH 9/17/18, lacked documentation of completion of Mandated Reporter training within 90 days of hire.

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 first aid kit in the preschool room lacked tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The red duplo bin located in the main room had a cracked corner with sharp edges.

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: The 2 high chairs located in the main room lacked the T safety straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: The mats for use in the main room were not labeled for specific child's use.

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: Child file #3 lacked fee amount on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: Child file #2 lacked health insurance coverage and policy number for a child on the emergency contact form.

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 main room and the infant room lacked copies of emergency contact forms for children in care in the child care space.

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: Child's Tylenol and Zarbee's cough medicine lacked a medication log for administration of medication to the child.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: During the inspection, it was observed that children's diapers were not being checked or changed every 2 hours as required. In addition to the observation, the diaper check records for the day showed that diaper checks were not made atleast every 2 hours as required.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: Child file #1 lacked parental consent for administration of emergency medical care and administration of minor first-aid procedures by facility staff for the child.

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: Staff file #1, and #2 lacked documentation of emergency plan training and fire safety completed annually.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. 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: Staff file #2, DOH 10/21/16 lacked documentation of completion of mandated reporting training within 90 days of employment. Staff #3 lacked valid FBI clearance, file contained documentation of registering for FBI clearance dated 5/9/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility. 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 #3 may not work in a child care position at the facility.

Noncompliance Area: Staff file #2 lacked copy of written annual evaluation by director in the file.

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: The first aid kit located in the main room lacked soap and sterile gauze. The infant room first aid kit lacked tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Staff file #2 lacked TB results prior to first day with children at the facility. Staff file #3 and #4 lacked copies of health assessment and TB results prior to first day with children at the facility.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: Staff #4 lacked an individual file.

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

Noncompliance Area: All staff files reviewed lacked 2 reference letters by a non family member and prior education and child care experience in the files.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.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: Staff file #3, DOH 10/31/16, lacked copy of requests or valid employment Child Abuse clearance and FBI clearance prior to hire date and lacked copy of completed mandated reporter training in file. Staff #4, a Provisional employee with no DOH or file, lacked copies of requests or valid clearances for all under CPSL. Staff #2 DOH 4/24/17, lacked copy of disclosure statement in the file. Staff #1, DOH 10/4/16, lacked copy of completed mandated reporter training in file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #4 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 #3 and #4 may not work in a child care position at the facility.

Noncompliance Area: All staff present on 5/8/17 lacked documentation of competency in first-aid techniques while children were in care.

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

Noncompliance Area: Staff #3 and staff #4 were not being supervised by an assistant group supervisor.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.