Little Kings And Queens Childcare Center Llc

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON #4 NOT CLEAN THE CHANGING SURFACE AFTER COMPLETING A DIAPER CHANING.

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: AT THE TIME OF INSPECTION THE FILES FOR STAFF PERSONS #2 AND 4 DID NOT CONTAIN CURRENT HEALTH ASSESSMENTS.

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 OPERATOR DID NOT NOTIFY THE LOCAL TRAFFICE SAFETY AUTHORITES OF THE LOCATION OF THE FACILITY OR THE SAFE ROUTES AROUND THE FACILITY.

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 day care facility.

Noncompliance Area: AT THE TIME OF INSPECTION THE OPERATOR HAD NOT SENT A COPY OF THE EMERGENCY PLAN OR PLAN UPDATES TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

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

Noncompliance Area: THE FILE OF STAFF PERSON #1, HIRED 10/1/2015 DOES NOT CONTAIN CURRENT CRIMINAL OR FBI HISTORY INFORMATION REQUIRED UNDER THE CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: STAFF PERSON #3 HAS AN INVESTIGATION PENDING.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED A PORTABLE HEATER IN THE OFFICE.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION THE HEALTH ASSESSMENT FOR CHILD #1 WAS OVER 24 MONTHS OLD.

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON #1 NOT WASH A CHILD'S HANDS AFTER BEING DIAPERED.

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: AT THE TIME OF INSPECTION THE HEALTH ASSESSMENT FOR STAFF PERSON #2 WAS NOT VALID AND UPDATED EVERY 24 MONTHS.

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 CERITIFICATION REPRESENTATIVE OBSERVED A DEAD BIRD AND DEBRIS IN THE OUTSIDE PLAYSPACE.

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.

Noncompliance Area: AT THE TIME OF INSPECTION THE FIRE DRILL LOG DID NOT INCLUDE HYPOTHETICAL LOCATIONS.

Correction Required: Hypothetical locations of the fire shall be changed for each drill.

Noncompliance Area: At the time of the inspection, there was a brown shelf in the older toddlers room that the back piece was coming apart from the rest of the shelf exposing screws.

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 the inspection, in the infant child care space, there were plastic bags that contained diapers in the bottom of the children's cubbies. These bags were accessible to any child in the infant room.

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 the inspection, there was no signed agreement by operator and/or parent for child #2, 7 or 8.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: At the time of the inspection, there was no amount of the fee to be charged per day or per week on the agreement of child #2.

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

Noncompliance Area: At the time of the inspection, there was no date on which the fee was to be paid on the agreement of child #2.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: At the time of the inspection, there was no departure time on the agreement of child #5.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreement of child #1,2,5, and 8.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: At the time of the inspection, there was no date of admission on the agreement of child #2.

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

Noncompliance Area: At the time of the inspection, there was no emergency contact form for child #2-5 and 7-9.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: At the time of the inspection, there was no telephone number of the child's physician on the emergency contact form for child #6.

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 the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in Little Bears and Infant room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact form once in a 6 month period for child #6 and 9. The last update for child #6 was 2-14-15. The last update to the emergency contact form for #9 was 1-3-17.

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 information

Noncompliance Area: At the time of the inspection, there was no initial health report for child #2 (DOB 4-4-16), #7 (NO DATE OF BIRTH ON FORMS).

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: At the time of the inspection, there was no updated health report on file for child #1 (DOB 6/3/15) and last physical was 9-9-16 . There should have been another physical at 2 year birthday.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: At the time of the inspection, there was no updated health report for child #5(DOB 11-15-12) and last physical was 6-14-16. No updated health report for child #6 (DOB 2-29-12) and last physical was 11-12-14. No updated health report for child #8 (DOB 3-23-14) and last physical was 9-7-16. No updated health report for child #9 (DOB 9-17-13) and last physical was 9-30-16.

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.

Noncompliance Area: At the time of the inspection, there was no health assessment for staff #3, 4 and #6.Staff #1 health assessment expired 3/20/17. Staff #2 health assessment was not dated.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, there was no tuberculosis screening by the Mantoux method on file for Staff #4.

Correction Required: 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: At the time of the inspection, the menu posted was dated November 2017 and the inspection occurred on 12/14/17.

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

Noncompliance Area: At the time of the inspection, there were bottles in the infant child care space that were not labeled.

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

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #2, 6, and 7.

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 the inspection, there was no verification of child care experience prior to service at the facility for staff #2-6. There was no education verification for staff #3 and 6.

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 the inspection, there was no signed disclosure statement for staff #3 (date of hire 12-4-17) and no mandated reporter training for staff # 4 (date of hire 4-13-16)

Correction Required: 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 #04 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person in the file of #3 and 4.

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 the inspection, the emergency plan on file was not dated with an annual review date.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: At the time of the inspection, staff #1, 4 5, 6, and 7 did not have verification of an annual 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 the inspection, staff #4 (DATE OF HIRE 4-3-16) did not have verification of mandated reporter training.

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

Noncompliance Area: At the time of the inspection, there were a total of 7 staff members employed in the facility. Staff #2-6 only had high school diplomas on file and no previous experience verification, therefore, classifying them as aides.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Noncompliance Area: At the time of the inspection, there was no verification of a written evaluation, a minimum of one evaluation every 12 months for staff persons #2 (DATE OF HIRE 7-11-16), #4 (DATE OF HIRE 4-13-16), #5 (DATE OF HIRE 11-10-16), #6 (DATE OF HIRE 11-22-16) and #7 (DATE OF HIRE 2-3-16).

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: At the time of the inspection, there was no verification of 2 years of child care experience prior to service at the facility for staff #2-6.

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 the inspection, in the young toddler child care space, there were 6 children ages 1-2 years old with staff #3.

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: At the time of the inspection, there was petroleum jelly that specified KEEP OUT OF REACH OF CHILDREN on the label. The petroleum jelly was found in the cubbies of children #10-16 in the Little Bears child care space, making it accessible to children.

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

Noncompliance Area: At the time of the inspection, there was no evacuation route posted in the Infant or Older Toddlers child care space.

Correction Required: Evacuation routes shall be posted.