Ninas Little Footprints & Creative Activities Llc

Noncompliance Area: The facility lacked operable smoke detectors on the first floor of the residence. The facility did not have children enrolled or in care at the time of the inspection.

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

Noncompliance Area: The certificate of compliance posted at the facility expired on 4/28/2019.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: The facility lacked an updated floor plan posted and included in the emergency plan that included the first floor that is designated to be used as child care space.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).Fire evacuation plans shall be developed and posted.

Noncompliance Area: Staff file #1 lacked documentation of completion of first aid training in the file.

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: There was aerosol air freshener in the child care room on a low shelf near the window that was accessible to the children that contained the phrase, "keep out of 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 first aid kit 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: Staff file #1 contained a health assessment dated 10/5/16 and Staff file #2 contained a health assessment dated 10/21/16, both files lacked valid, updated health assessments in the file.

Correction Required: 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 contained card of completion of first aid on 10/25/16, expired on 10/25/18, and lacked documentation of current valid completion of first aid training in the file.

Correction Required: 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: Outlets in the upstairs infant room lacked protective outlet covers and were accessible to the children under the age of 5 years old.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Toxics were accessible in the upstairs bathroom and on the second floor landing to the children in care.

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 first-aid kit lacked sterile gauze pads, scissors, tape and 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: One torn pillow was observed in the upstairs right child care room.

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 emergency contact form and the financial agreements being used at the facility did not contain all necessary information as required by the regulation.

Correction Required: An agreement shall be signed by the operator and the parent.Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The files for Children #1, #2, #3, #4 and #5 lacked initial health assessments for the children and they have exceeded 60 days since their first day in care 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: Hands-free covered cans were missing from the changing tables at the facility.

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.