Petit Carrousel Childcare

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child 1 and child 2 were missing an observation from their file.

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).

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 2 did not have an emergency contact inside their file.

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.

Regulation: 3270.192(2)(ii)/3270.192(2)(iii)

Description: Exp, educ., training prior to facility/Exp, educ., training at facility

Noncompliance Area: Staff 1 was missing 2 reference letters.

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 verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection certification rep reviewed kids files. Child 1 and 2 were missing child service reports.

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).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Emergency contact for child 2 was missing address 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection certification rep reviewed emergency plan. The emergency plan did not address continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Annual emergency drill was not documented and on file at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection certification rep observed diaper cream and A&D ointment accessible. Corrected onsite

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: File record for Child #1 did not include the address 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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: File record for Staff #1 did not include acceptable verification of education or training

Correction Required: 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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On June 28, 2023, certification representative conducted an unannounced monitoring visit. At the time of the visit staff person #1 continued to leave out of the classroom leaving children unattended. (Continued noncompliance).

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. At the time of inspection staff person #1 continued to leave out of the classroom leaving children unattended.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. Staff located in the infant/toddler room #2 had not been assigned primary care groups to have responsibility for supervision of specific children.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The record for child #1, #2, #3, #4 and #5 did not have CSR assessments.

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).

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The emergency contact for child #2 did not include health insurance coverage policy number.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The emergency contact for child #1, #3 and #5 did not include the addresses 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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The record for child #3 did not have an updated health assessment.

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The annual written letter for local traffic safety authorities was outdated.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The record for staff person #1 did not have identification with address or date of birth on file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The facility emergency plan did not include a Lockdown plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The facility emergency plan did not include accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The facility did not have a completed emergency drill log available.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The facilities emergency plan had not been sent to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The record for staff person #1, #2 and #3 did not have Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Health & Safety training.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. At the time of inspection staff person #2 left staff person #3 alone with seven children (the youngest child was seven 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The hot water temperature in the children's bathroom sink was 116° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(c)/3270.75(d)

Description: Has all items/On excursions

Noncompliance Area: On May 30, 2023, certification representative conducted a renewal inspection. The first aid kit in classroom #1 did not contain a water bottle. The first aid kit in classroom #2 did not contain tweezers, a water bottle or emergency contact forms.

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. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Noncompliance Area: Upon finalization of the most recent renewal inspection dated 12/12/19, there were frequent periods of lack of supervision. This violation was addressed on the unannounced monitoring inspection.

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. TIERED LIS: Children must be supervised at all times.

Noncompliance Area: With regard to ratio and supervision; there has been continued non-compliance. At the time of the renewal inspection on 12/12/19 there were 9 children which consisted 3 preschoolers; 5 older toddlers and 1 younger toddler. Upon review of the facility on 1/16/2020 there was an inadequate number of staff to children. There were: On 1/16/2020, Ocdel rep observed ratio non-compliance as there were eleven children present at the facility two staff and there was a mixture of one infant; along with preschoolers and older and younger toddlers present at facility. When the non-compliance was brought to the attention of the provider, it was stated that staffing issues would prevent compliance. Provider informed OCDEL rep that there was not enough staff to compliment the number of children enrolled. Upon review of facility on 2/19/2020 there were 16 children which consisted of 1 infant; 2 young toddlers; 7 older toddlers and 6 preschoolers and only 2 staff present.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in 3270.51--3270.55.

Noncompliance Area: Upon finalization of the most recent renewal inspection, Provider has yet to bring the facility ratio into compliance. Upon review of the facility on 2/19/2020, there were 16 children present in the facility and only 2 staff present. Of the 16, there was 1 infant; 2 younger toddler; 7 older toddlers; and 6 preschoolers

Correction Required: The legal entity will confirm continuing compliance by sending copies of the documentation to the SE Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: There were multiple children resting on mats and or in a crib in which the children did not have at least 2 feet of space as required on three sides of the rest equipment.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Styrofoam plates and bowls were being used on the day of the renewal inspection.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: There were periods of frequent lack of supervision. During those moments, an infant was given a toy by a younger toddler. The infant later mouthed the toy and a staff retrieved it from an infant. A preschooler took food off of multiple children's plates as the children ate food that was provided from their own parents and not the facility.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of two months after DHS approves the documentation format.

Noncompliance Area: Review of files reveal that Child # 1, #2 and #4 did not have their parent's work address or work phone number listed on their Emergency Contact form at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child#1 and #3 did not have their require immunizations as recommended by the ACIP at the time of the renewal inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: While visiting the facility there were several children that were diapered and did not receive a handwashing after the changing during the renewal inspection.

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: A staff diapered multiple children on the day of renewal and did not was there hands between the changings.

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

Noncompliance Area: Review of files revealed that Child # 1 did not have the consent for minor first aid or emergency medical treatment on their Emergency Contact form during the renewal inspection.

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: Upon OCDEL rep's arrival there were eight children which consisted of 3 preschoolers; 5 Older toddlers with 1 staff in the front childcare room. One younger toddler would walk freely walk back and forth from the first room to the rear room as the rooms are separated by waist level gate partitions.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in 3270.51--3270.55.

Noncompliance Area: Upon review of the facility and forms within the facility, it was revealed that the last fire drill at the facility was 9/23/19 at the time of the renewal inspection on 12/12/19.

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.

Noncompliance Area: Review of files reveal that Staff #2 did not have their educational verification at the time of the initial inspection.

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 #2 did not have their two written, non family references attesting to the person's suitability to serve as a facility person at the time of the initial inspection.

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: There were group regulations posted and not center regulations at the time of the initial inspection. In addition, the contact information for SE region Ocdel was also not present at the time of the initial inspection.

Correction Required: The facility's current certificate of compliance 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: Upon review of files it was revealed that Staff #2 did not have their Mandated Reporter Training or signed disclosure statement at the onset of the initial inspection which was later signed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.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: First Aid kit did not contain soap at the time of the initial inspection.

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.