Little Cubs Daycare & Learning Center

Noncompliance Area: Stuff animals with beaded eyes were accessible to the infant 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.

Noncompliance Area: Child file #3, DOA 11/26/19, lacked arrival and departure times on the agreement form.

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

Noncompliance Area: Child file #3, DOA 11/26/19, lacked an initial health report within 60 days of the first day 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, DOA 7/11/19 and child file #2, DOA 4/2/19, both lacked written verification of influenza vaccination in accordance with 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 facility contained children's expired Tylenol that was expired.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The facility contained Ibuprofen for use with child #4 that lacked written consent for administration. The facility contained Zarbee's Cough Syrup for use with child #5 that lacked written consent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The infant bottles lacked labels with the child's name on the bottles.

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

Noncompliance Area: The operator did not notify the local traffic safety authorities in writing of the location of the facility and routes utilized by 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: The facility lacked a copy of the Chapter 3270 regulations in the parent area.

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: All staff files reviewed contained documentation of annual fire safety training, trainings were conducted on 1/21/19 and 2/28/20.

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 files #1 and #4, lacked written staff evaluations 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 bin containing sunscreens that contained the statement, "keep out of reach of children" that were accessible to the children in care.

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: Staff file #2, DOH 1/7/20, contained only one written, nonfamily reference in the file. Staff file #3, DOH 9/30/19, lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: Staff file #1, DOH 12/19/19 lacked documentation of completion of emergency plan training at initial hire.

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 #3, DOH 9/30/19, contained documentation of completion of Mandated Reporter Training on 1/23/20 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: The facility had for use with the children in care hand and face wash that contained the statement, "keep out of reach of children". The bleach solution bottle was accessible to the older toddler children near the diaper changing table. The bin containing diaper creams was accessible to the children in care in the toddler room.

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: The rest mats and an orange soft block in the toddler room had tears and exposed foam and were accessible to the toddler children.

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. 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: The infant room lacked copies of emergency contact forms of randomly selected infants receiving care at the time of the inspection.

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 files #1, #2, and #3 lacked documented parent review and updates on the emergency contact forms every six months as required.

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: In the toddler room, the bleach solution bottle lacked a label specifying the contents and was accessible to the children in care.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The outdoor play space lacked a first aid kit in the space while children were in the space. The first aid kit in the infant room lacked scissors in the kit.

Correction Required: A first-aid kit shall be in a child care space. 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 outdoor play space has a pipe vent in the middle of the area that poses a tripping hazard for the children. The fence in the outdoor play space was rough and poses splinter hazards. There were wires hanging from the side of the building that posed a strangulation hazard to the children.

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: The emergency plan lacked designated indoor shelter and route to evacuation location with details.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises. 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 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: The facility lacked a safe outdoor play space to be used for large muscle activity. The defined play space was not prepared for children to move freely. The ground surfacing was covered with loose twigs, scrubs and rocks creating tripping hazards and preventing the children a safe space for large muscle activity.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Outdoor or indoor play space shall be safe for large muscle activity.