The Growing Tree Iii

Noncompliance Area: At approximately 4 p.m., observed four staff persons on an excursion with 17 children. Staff person #1 and staff person #2 were not wearing face masks or face shields and were observed to be within 6 feet of the children in their care, as the children and staff were walking in a group and several of the children were in strollers. Staff person #1 and staff person #2 commented that they did not believe that masks were required to be worn outdoors.

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

Noncompliance Area: On 07/06/20, at approximately 5:40 p.m., staff person #1 and staff person #2 were supervising child #1, child #2 and an infant child in the outdoor gross motor space. Child #1 and child #2 went behind a storage shed where they were unable to be directly supervised by staff. Upon exiting the area behind the shed, child #1 reported to the staff persons that child #2 exposed themselves to child #1 while they were behind the shed.

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.

Noncompliance Area: At approximately 11:30 a.m., observed staff person #1 and staff person #2 supervising a group of 6 infant and 2 one-year old children. Staff person #1 identified four children in their supervisory group and staff person #2 identified three children in their supervisory group, leaving one child not identified in a supervisory group.

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 entering the infant room, observed an infant sleeping in a swing.

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: Observed a cracked plastic bin the in the toddler room, which creates a pinch point.

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: Observed one bookcase in the infant room and one bookcase and one cubby in the toddler room which were unanchored, creating a possible tipping hazard.

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

Noncompliance Area: Observed loosely fitting crib sheets in the infant room, which pose a potential suffocation hazard.

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