Childcare Network #90

Outdoor play area did not provide an area that is shaded. The OLE for infants and toddlers did not have a shaded area.

Violation confirmed corrected by letter received from provider on 3/3/2026

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two out of ten childrens records monitored today did not have documentation of immunization records.

Violation confirmed corrected by letter received from provider on 3/3/2026

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member had a TB test on file that was older than 12 months. (SM)

Violation confirmed corrected by letter received from provider on 3/3/2026

Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. I observed children without photographs with their emergency information.

Violation confirmed corrected by letter received from provider on 3/3/2026

Emergency information did not name childs health care professional. All children's records that were monitored today did not have documentation of the childs health care provider.

Violation confirmed corrected by letter received from provider on 3/3/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. Six out of ten childrens records monitored did not have documentation of a medical assessment 30 days after their start date.

Violation confirmed corrected by letter received from provider on 3/3/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In the classroom for two and three year olds, I observed a wall/ window frame that was not in good repair near the block area.

Violation confirmed corrected by letter received from provider on 3/3/2026

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file that was older than 12 months. (SM)

Violation confirmed corrected by letter received from provider on 3/3/2026

A safe indoor and outdoor environment was not provided for the children. The center did not maintain the temperature between 68-75°F in the room where infants sleep on 7/31/25 and 8/1/25.

Violation confirmed corrected by letter received from provider on 8/20/2025

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Ms. B. stated that the child related to the complaint allegations had an incident at the center that resulted in a knot on his head on his head due to him climbing on the table. There was no documentation of an incident report available during today's visit.

Violation confirmed corrected by letter received from provider on 7/3/2025

Physical activity such as running laps and doing push-ups was either withheld as punishment or required as punishment. One caregiver interviewed, stated that she had her class of four year old children walk the playground because they were “acting up”. This caregiver stated that the children walked the playground for about 15-20 minutes. The caregiver stated that the Director informed her that this was inappropriate discipline and she went over the Discipline Policy with her.

Violation confirmed corrected by letter received from provider on 4/23/2025

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. I observed six infants and four toddlers in space #7 where there were small toys that could be swallowed were accessible to infants and toddlers.

Violation corrected during visit

Center staff did not comply with the safe sleep policy. Infants were shifted into space #7, where there were no approved cribs or other approved sleep spaces for infants. Each infant did not have his or her own crib or sleep space.

Violation corrected during visit

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed peeling paint on the wall of the outdoor learning environment for toddlers.

Violation confirmed corrected by letter received from provider on 3/11/2025

Chairs and tables were not the appropriate height for the children using the items. Children in space #6 were seated at a table in chairs that were not the appropriate height.

Violation corrected during visit

All equipment and furnishings were not in good repair. The gate on the outdoor learning environment for school aged children is rusted and broken.

Violation confirmed corrected by letter received from provider on 3/11/2025

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. I observed standing water on the outdoor learning environment for three & four year old children and toddlers.

Violation corrected during visit

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. I observed debris on the playground for school aged children, threes & four year old children and infants.

Violation corrected during visit

Emergency information did not name childs health care professional. Three children's records emergency information did not include the child's hospital preference.

Violation confirmed corrected by letter received from provider on 3/11/2025

Emergency information record did not include chronic illness and any medication taken for the illness. All children's records monitored did not check off yes or no - if the child has any chronic illness.

Violation confirmed corrected by letter received from provider on 3/11/2025

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. During today's visit, Mrs. Y. informed me that half of the building (spaces #1-#5) did not have heat and that they had to combine children in classrooms together on the other side of the building where there was heat. In space number #7, I observed twenty-five (25) children present with four (4) teachers. There were twelve (12) one-year old children present and thirteen (13) two-year old children present.

Violation confirmed corrected by follow-up visit made by consultant on 2/25/2025

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 4, daily sign in was not captured during the arrival time. Two children were not signed in by parents nor staff during the initial walk-through of the facility.

Violation corrected during visit

A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Three children's file did not contain the play outside the fence documentation required for each child enrolled.

Violation confirmed corrected by letter received from provider on 4/5/2024

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Sign in and out was not documented for every child present today.

Violation confirmed corrected by letter received from provider on 4/5/2024

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In a classroom that cared for toddlers, one staff member's purse had eczema medication that wasn't stored in a locked cabinet or closet during today's visit.

Violation corrected during visit

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child's record did not contain a completed medical care information regarding their child that has been enrolled in the program over 30 days.

Violation confirmed corrected by letter received from provider on 4/5/2024

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medical action plan was not completed for a child who has an asthma medication.

Violation confirmed corrected by letter received from provider on 4/5/2024