Presbyterian Hospital Child Development Center

Each infant was not served only bottles labeled with their individual name. On March 30, 2026, at 2:47 pm, with two caregivers present and ten (10) infants present in space #3, (Butterflies) one infant was given the incorrect formula bottle. The center administrator self-reported the incident on the same day, March 30, 2026.

Violation corrected during visit

An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two infant feeding schedules were not posted in space #2. Five infant feeding schedules were not posted in the eating area for space #4 and #5.

Violation confirmed corrected by follow-up visit made by consultant on 1/30/2026

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan maintained in space #14 was not current.

Violation confirmed corrected by follow-up visit made by consultant on 1/30/2026

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An epi pen was maintained in space #14 without current written permission to administer.

Violation confirmed corrected by follow-up visit made by consultant on 1/30/2026

All equipment and furnishings were not in good repair. A plastic hose bin was monitored cracked on the top. A few balls were monitored in poor condition.

Violation confirmed corrected by follow-up visit made by consultant on 1/30/2026

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The dirty toy bin in space #4 was very small and no toys were monitored in the bin. Staff had placed no toys in the container that had been mouthed by children to be cleaned.

Violation confirmed corrected by follow-up visit made by consultant on 1/30/2026

Equipment and furnishings were not sturdy, stable and free of hazards. A book in poor condition was monitored in the bookshelf of space #4.

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. Round mini donuts were served for 100th days of school to toddlers. A glue gun was monitored stored on the classroom countertop, plugged in and accessible to children.

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. Push pins were used on bulletin boards in classrooms with children under the age of three.

Violation confirmed corrected by letter received from provider on 7/24/2025

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. A boppy pillow encased in a plastic bag was monitored in the Bears room, accessible to infants.

Violation corrected during visit

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The posted ITS-SIDS policy was not the most current revised policy dated 2025 in the Kangaroos.

Violation corrected during visit

All equipment and furnishings were not in good repair. The Owls/Lambs protective surfacing was monitored in poor condition with grass growing it in one section and another area covered by a cone. Underneath the cone the surfacing was cut, and a portion is now missing.

Violation confirmed corrected by letter received from provider on 2/13/2025

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. There were three classrooms with children under the age of three with materials accessible to them with small parts. Glue sticks with caps and glitter glue were identified and removed from the children's art center's during the visit.

Violation corrected during visit

An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One infant was transferred from space #2 over to space #1 and the infant's feeding schedule was not transferred with the infant. After staff lunch breaks, the infant was returned to space #2 where the original feeding schedule was posted.

Violation corrected during visit

Enhanced staff/child ratios and group sizes were not met. On March 5, 2024, a staff left space #2/Buttlerflies leaving one staff member with six infants.

Violation confirmed corrected by follow-up visit made by consultant on 4/2/2024

Each infant was not served only bottles labeled with their individual name. On March 5, 2024, the center administrator self-reported that an infant was given the incorrect formula bottle to another infant in space #1/Kanagoos.

Violation confirmed corrected by letter received from provider on 4/2/2024

Staff/child ratios applicable to a classroom, were not posted in each classroom. The posted staff/child ratio worksheet in space #1 was not completed with the required information.

Violation confirmed corrected by letter received from provider on 3/20/2024

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space #7/Ducks there were not enough materials for three children to play with the same toy. Presented materials were not offered in an organized manner to the children.

Violation confirmed corrected by letter received from provider on 2/5/2024

Each child's bed, cot, or 2" mat was not individually assigned and identified. An infant in space#2/Butterflies was monitored in a crib that was not labeled or identified as assigned to the infant.

Violation confirmed corrected by letter received from provider on 2/5/2024

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. There was an inhaler without the medication labeled container.

Violation confirmed corrected by letter received from provider on 2/5/2024

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Twenty-three staff members did not have a current health questionnaire on file.

Violation confirmed corrected by letter received from provider on 2/5/2024

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have documentation that orientation had been received.

Violation confirmed corrected by letter received from provider on 2/6/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place/lock down drill was completed October 9.2023

Violation confirmed corrected by letter received from provider on 2/8/2024

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A new employee did not have documentation that this orientation had been completed.

Violation confirmed corrected by letter received from provider on 2/6/2024

Equipment and furnishings were not sturdy, stable and free of hazards. There were exposed tree roots that caused tripping hazards. Washed away borders around the edges of the foam surfacing surrounding outdoor stationary play equipment was monitored with large gaps from the edge to the ground, causing tripping hazards. There was a piece of the SA stationary equipment with a protruding edge.

Violation confirmed corrected by letter received from provider on 2/16/2024

A safe indoor and outdoor environment was not provided for the children. In space KD, a child's medical action plan signed by the doctor stated Epi Pen and Benadryl. There was not an Epi Pen on site for the identified child. There several exposed tree roots on the children's outdoor learning environment. There was a partially collapsed wooden retaining wall with exposed hardware.

Violation confirmed corrected by letter received from provider on 2/16/2024

Each infant was not served only bottles labeled with their individual name. On November 3, 2023, one infant caregiving staff failed to follow center procedure of verifying the name listed on the bottle and checking the child's face prior to the bottle feeding. An infant was given the incorrect formula bottle.

Violation confirmed corrected by letter received from provider on 11/21/2023