Buttons and Bows Early Learning Center

Documentation of Fire Inspection

The operation does not have documentation of the fire drill that appears to have been conducted in April.

Corrected Sep 22, 2023, verified Sep 13, 2023. Technical assistance given. Standard 746.5103.

Documentation of Fire Inspection

The operation does not have documentation of the fire drill that appears to have been conducted in April.

Corrected Sep 22, 2023, verified Sep 13, 2023. Technical assistance given. Standard 746.5103.

Documentation of Fire Inspection

The operation does not have documentation of the fire drill that appears to have been conducted in April.

Corrected Sep 22, 2023, verified Sep 13, 2023. Technical assistance given. Standard 746.5103.

Documentation of Fire Inspection

The operation does not have documentation of the fire drill that appears to have been conducted in April.

Corrected Sep 22, 2023, verified Sep 13, 2023. Technical assistance given. Standard 746.5103.

Required Immunizations

One child file reviewed did not have any immunizations in file.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.613(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.603(a)(3).

Required Immunizations

One child file reviewed did not have any immunizations in file.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.613(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.603(a)(3).

Required Immunizations

One child file reviewed did not have any immunizations in file.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.613(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.603(a)(3).

Required Immunizations

One child file reviewed did not have any immunizations in file.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.613(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected Jun 19, 2023, verified Jul 5, 2023. Technical assistance given. Standard 746.603(a)(3).

Required Immunizations

Four child files reviewed did not have any immunizations in file.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.613(a).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

Four staff did not have proof of current transportation training in file for review as it expired last month.

Corrected May 17, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1316(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.603(a)(3).

Employee Handwashing After Diapering a Child

A caregiver was observed conducting diaper changes at inspection but did not wash their hands afterwards, despite wearing gloves. Additionally, children did not wash their hands after diaper changes were conducted.

Corrected May 12, 2023, verified May 25, 2023. Technical assistance given. Standard 746.3415(4).

Director Annual Training 30 Hours Required

A staff employed did not have the required 30 hours for the annual training and only had 14 hours that were valid during the annual training year for review.

Corrected May 26, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1311(a).

Required Admission Information - Emergency Contact

One child file was missing any information from the parent on the special problems/food allergies section. Three children's files were missing the address for the individual listed as the emergency contact for the child. Four children files reviewed did not have any information on the section related to the health statement/doctor statement.

Corrected May 15, 2023, verified May 25, 2023. Technical assistance given. Standard 746.605(6).

Documented Annual Training Area - 24 Hours Required

Two staff were missing the required topics and also did not have training related to shaken baby syndrome and abusive head trauma including understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and understanding early childhood brain development in their annual training year. One staff did not have all 24 hours required for annual training and were missing 8 hours of training.

Corrected Jul 5, 2023, verified Jul 14, 2023. Technical assistance given. Standard 746.1309(a).

Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

The operation did not have a current employee list printed and posted. **This was corrected at inspection when the operation printed and updated the current staff list to reflect current staff employed.

Corrected during the inspection. Technical assistance given. Standard 746.401(9).

Required Immunizations

Four child files reviewed did not have any immunizations in file.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.613(a).

Required Admission Information - Emergency Contact

One child file was missing any information from the parent on the special problems/food allergies section. Three children's files were missing the address for the individual listed as the emergency contact for the child. Four children files reviewed did not have any information on the section related to the health statement/doctor statement.

Corrected May 15, 2023, verified May 25, 2023. Technical assistance given. Standard 746.605(6).

Documented Annual Training Area - 24 Hours Required

Two staff were missing the required topics and also did not have training related to shaken baby syndrome and abusive head trauma including understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and understanding early childhood brain development in their annual training year. One staff did not have all 24 hours required for annual training and were missing 8 hours of training.

Corrected Jul 5, 2023, verified Jul 14, 2023. Technical assistance given. Standard 746.1309(a).

Employee Handwashing After Diapering a Child

A caregiver was observed conducting diaper changes at inspection but did not wash their hands afterwards, despite wearing gloves. Additionally, children did not wash their hands after diaper changes were conducted.

Corrected May 12, 2023, verified May 25, 2023. Technical assistance given. Standard 746.3415(4).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

Four staff did not have proof of current transportation training in file for review as it expired last month.

Corrected May 17, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1316(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.603(a)(3).

Director Annual Training 30 Hours Required

A staff employed did not have the required 30 hours for the annual training and only had 14 hours that were valid during the annual training year for review.

Corrected May 26, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1311(a).

Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

The operation did not have a current employee list printed and posted. **This was corrected at inspection when the operation printed and updated the current staff list to reflect current staff employed.

Corrected during the inspection. Technical assistance given. Standard 746.401(9).

Required Immunizations

Four child files reviewed did not have any immunizations in file.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.613(a).

Director Annual Training 30 Hours Required

A staff employed did not have the required 30 hours for the annual training and only had 14 hours that were valid during the annual training year for review.

Corrected May 26, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1311(a).

Employee Handwashing After Diapering a Child

A caregiver was observed conducting diaper changes at inspection but did not wash their hands afterwards, despite wearing gloves. Additionally, children did not wash their hands after diaper changes were conducted.

Corrected May 12, 2023, verified May 25, 2023. Technical assistance given. Standard 746.3415(4).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

Four staff did not have proof of current transportation training in file for review as it expired last month.

Corrected May 17, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1316(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.603(a)(3).

Documented Annual Training Area - 24 Hours Required

Two staff were missing the required topics and also did not have training related to shaken baby syndrome and abusive head trauma including understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and understanding early childhood brain development in their annual training year. One staff did not have all 24 hours required for annual training and were missing 8 hours of training.

Corrected Jul 5, 2023, verified Jul 14, 2023. Technical assistance given. Standard 746.1309(a).

Required Admission Information - Emergency Contact

One child file was missing any information from the parent on the special problems/food allergies section. Three children's files were missing the address for the individual listed as the emergency contact for the child. Four children files reviewed did not have any information on the section related to the health statement/doctor statement.

Corrected May 15, 2023, verified May 25, 2023. Technical assistance given. Standard 746.605(6).

Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

The operation did not have a current employee list printed and posted. **This was corrected at inspection when the operation printed and updated the current staff list to reflect current staff employed.

Corrected during the inspection. Technical assistance given. Standard 746.401(9).

Required Immunizations

Four child files reviewed did not have any immunizations in file.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.613(a).

Director Annual Training 30 Hours Required

A staff employed did not have the required 30 hours for the annual training and only had 14 hours that were valid during the annual training year for review.

Corrected May 26, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1311(a).

Documented Annual Training Area - 24 Hours Required

Two staff were missing the required topics and also did not have training related to shaken baby syndrome and abusive head trauma including understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and understanding early childhood brain development in their annual training year. One staff did not have all 24 hours required for annual training and were missing 8 hours of training.

Corrected Jul 5, 2023, verified Jul 14, 2023. Technical assistance given. Standard 746.1309(a).

Required Admission Information - Emergency Contact

One child file was missing any information from the parent on the special problems/food allergies section. Three children's files were missing the address for the individual listed as the emergency contact for the child. Four children files reviewed did not have any information on the section related to the health statement/doctor statement.

Corrected May 15, 2023, verified May 25, 2023. Technical assistance given. Standard 746.605(6).

Employee Handwashing After Diapering a Child

A caregiver was observed conducting diaper changes at inspection but did not wash their hands afterwards, despite wearing gloves. Additionally, children did not wash their hands after diaper changes were conducted.

Corrected May 12, 2023, verified May 25, 2023. Technical assistance given. Standard 746.3415(4).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

Four staff did not have proof of current transportation training in file for review as it expired last month.

Corrected May 17, 2023, verified May 24, 2023. Technical assistance given. Standard 746.1316(a).

Children's Records - Health Statement

Two children files were missing a health statement for children that have been attending care longer than 12 months.

Corrected May 19, 2023, verified May 25, 2023. Technical assistance given. Standard 746.603(a)(3).

Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

The operation did not have a current employee list printed and posted. **This was corrected at inspection when the operation printed and updated the current staff list to reflect current staff employed.

Corrected during the inspection. Technical assistance given. Standard 746.401(9).

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files continue to not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained. **This was corrected at inspection when the director and staff completed this form and updated at inspection.

Corrected during the inspection. Standard 746.1301(1)(A).

Required Personnel Records

The personnel file that was missing the photo identification had this in file. The two personnel files that were missing copies of their high school diplomas had this in file. The three files that did not have the signed affidavit for employments were reviewed. Two of the three affidavits for employment were completed and one continued to not be completed/signed. **This was corrected at inspection when the director notarized the affidavit for employment at this inspection.

Corrected during the inspection. Standard 746.901.

Children's Records - Health Statement

One child file is still missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Feb 8, 2023, verified Feb 8, 2023. Standard 746.603(a)(3).

Required Personnel Records

The personnel file that was missing the photo identification had this in file. The two personnel files that were missing copies of their high school diplomas had this in file. The three files that did not have the signed affidavit for employments were reviewed. Two of the three affidavits for employment were completed and one continued to not be completed/signed. **This was corrected at inspection when the director notarized the affidavit for employment at this inspection.

Corrected during the inspection. Standard 746.901.

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files continue to not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained. **This was corrected at inspection when the director and staff completed this form and updated at inspection.

Corrected during the inspection. Standard 746.1301(1)(A).

Children's Records - Health Statement

One child file is still missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Feb 8, 2023, verified Feb 8, 2023. Standard 746.603(a)(3).

Children's Records - Health Statement

One child file is still missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Feb 8, 2023, verified Feb 8, 2023. Standard 746.603(a)(3).

Required Personnel Records

The personnel file that was missing the photo identification had this in file. The two personnel files that were missing copies of their high school diplomas had this in file. The three files that did not have the signed affidavit for employments were reviewed. Two of the three affidavits for employment were completed and one continued to not be completed/signed. **This was corrected at inspection when the director notarized the affidavit for employment at this inspection.

Corrected during the inspection. Standard 746.901.

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files continue to not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained. **This was corrected at inspection when the director and staff completed this form and updated at inspection.

Corrected during the inspection. Standard 746.1301(1)(A).

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files continue to not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained. **This was corrected at inspection when the director and staff completed this form and updated at inspection.

Corrected during the inspection. Standard 746.1301(1)(A).

Required Personnel Records

The personnel file that was missing the photo identification had this in file. The two personnel files that were missing copies of their high school diplomas had this in file. The three files that did not have the signed affidavit for employments were reviewed. Two of the three affidavits for employment were completed and one continued to not be completed/signed. **This was corrected at inspection when the director notarized the affidavit for employment at this inspection.

Corrected during the inspection. Standard 746.901.

Children's Records - Health Statement

One child file is still missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Feb 8, 2023, verified Feb 8, 2023. Standard 746.603(a)(3).

Required Immunizations

One child file was missing up to date immunizations.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.613(a).

Required Admission Information - Emergency Medical Authorization

One children's files were missing the address for the individual listed as the emergency contact for the child. Two children's files were missing the phone number for the individual listed as the person of release for the child. Two children s files were missing any information from the parent on the special problems/food allergies section. Three children's files were missing information or did not have the authorization for emergency medical attention section complete and one childs files was missing parent signature on this section.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.605(12).

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

The last documented monthly maintenance checklist for the building/grounds and playgrounds was completed in 10/2022 and this is required to be documented at least once a month.

Corrected Jan 17, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.4751(b).

Children's Records - Health Statement

One child file was missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.603(a)(3).

Fire Drill Monthly - Exit in 3 Minutes

The fire drills, smoke detector,and carbon monoxide tests were last practiced and documented on 10/2022 and these are required to be completed once monthly. There were only three severe weather/shelter in place drills and three lockdown drills that were practiced and documented for the calendar year 2022 and there is a requirement of at least 4 drills that are to be practiced and documented.

Corrected Jan 24, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.5205(1).

Required Personnel Records

Three personnel files reviewed were missing information in the file that was required. One staff file did not have a photo identification in file for review. Two staff files did not have copies of a high school diploma in file for the staff. All three files did not have the required signed affidavit for employment for the staff in file.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.901.

Children's Products- Annual Certification

The last children's product certification available for review was dated for 8/27/2021 and this is required to be completed annually. ***The director corrected this at inspection when she signed a new children's product certification at inspection and dated it for 1/10/2023.

Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files did not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.1301(1)(A).

Required Admission Information - Emergency Medical Authorization

One children's files were missing the address for the individual listed as the emergency contact for the child. Two children's files were missing the phone number for the individual listed as the person of release for the child. Two children s files were missing any information from the parent on the special problems/food allergies section. Three children's files were missing information or did not have the authorization for emergency medical attention section complete and one childs files was missing parent signature on this section.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.605(12).

Required Immunizations

One child file was missing up to date immunizations.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.613(a).

Fire Drill Monthly - Exit in 3 Minutes

The fire drills, smoke detector,and carbon monoxide tests were last practiced and documented on 10/2022 and these are required to be completed once monthly. There were only three severe weather/shelter in place drills and three lockdown drills that were practiced and documented for the calendar year 2022 and there is a requirement of at least 4 drills that are to be practiced and documented.

Corrected Jan 24, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.5205(1).

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

The last documented monthly maintenance checklist for the building/grounds and playgrounds was completed in 10/2022 and this is required to be documented at least once a month.

Corrected Jan 17, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.4751(b).

Required Personnel Records

Three personnel files reviewed were missing information in the file that was required. One staff file did not have a photo identification in file for review. Two staff files did not have copies of a high school diploma in file for the staff. All three files did not have the required signed affidavit for employment for the staff in file.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.901.

Children's Products- Annual Certification

The last children's product certification available for review was dated for 8/27/2021 and this is required to be completed annually. ***The director corrected this at inspection when she signed a new children's product certification at inspection and dated it for 1/10/2023.

Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

Children's Records - Health Statement

One child file was missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.603(a)(3).

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files did not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.1301(1)(A).

Required Immunizations

One child file was missing up to date immunizations.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.613(a).

Required Admission Information - Emergency Medical Authorization

One children's files were missing the address for the individual listed as the emergency contact for the child. Two children's files were missing the phone number for the individual listed as the person of release for the child. Two children s files were missing any information from the parent on the special problems/food allergies section. Three children's files were missing information or did not have the authorization for emergency medical attention section complete and one childs files was missing parent signature on this section.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.605(12).

Required Personnel Records

Three personnel files reviewed were missing information in the file that was required. One staff file did not have a photo identification in file for review. Two staff files did not have copies of a high school diploma in file for the staff. All three files did not have the required signed affidavit for employment for the staff in file.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.901.

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files did not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.1301(1)(A).

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

The last documented monthly maintenance checklist for the building/grounds and playgrounds was completed in 10/2022 and this is required to be documented at least once a month.

Corrected Jan 17, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.4751(b).

Children's Records - Health Statement

One child file was missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.603(a)(3).

Fire Drill Monthly - Exit in 3 Minutes

The fire drills, smoke detector,and carbon monoxide tests were last practiced and documented on 10/2022 and these are required to be completed once monthly. There were only three severe weather/shelter in place drills and three lockdown drills that were practiced and documented for the calendar year 2022 and there is a requirement of at least 4 drills that are to be practiced and documented.

Corrected Jan 24, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.5205(1).

Children's Products- Annual Certification

The last children's product certification available for review was dated for 8/27/2021 and this is required to be completed annually. ***The director corrected this at inspection when she signed a new children's product certification at inspection and dated it for 1/10/2023.

Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

Required Admission Information - Emergency Medical Authorization

One children's files were missing the address for the individual listed as the emergency contact for the child. Two children's files were missing the phone number for the individual listed as the person of release for the child. Two children s files were missing any information from the parent on the special problems/food allergies section. Three children's files were missing information or did not have the authorization for emergency medical attention section complete and one childs files was missing parent signature on this section.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.605(12).

Required Immunizations

One child file was missing up to date immunizations.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.613(a).

Children's Records - Health Statement

One child file was missing the health statement in the file and this child has been enrolled as of 11/7/2021. The health statement is required to be in file within 12 months of admission.

Corrected Jan 18, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.603(a)(3).

Training Requirements for Employees, Caregivers, and Directors - Orientation

All three files did not have proof of orientation being obtained by the staff within 7 days of being hired as there were no boxes checked or signatures obtained.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.1301(1)(A).

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

The last documented monthly maintenance checklist for the building/grounds and playgrounds was completed in 10/2022 and this is required to be documented at least once a month.

Corrected Jan 17, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.4751(b).

Required Personnel Records

Three personnel files reviewed were missing information in the file that was required. One staff file did not have a photo identification in file for review. Two staff files did not have copies of a high school diploma in file for the staff. All three files did not have the required signed affidavit for employment for the staff in file.

Corrected Jan 11, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.901.

Fire Drill Monthly - Exit in 3 Minutes

The fire drills, smoke detector,and carbon monoxide tests were last practiced and documented on 10/2022 and these are required to be completed once monthly. There were only three severe weather/shelter in place drills and three lockdown drills that were practiced and documented for the calendar year 2022 and there is a requirement of at least 4 drills that are to be practiced and documented.

Corrected Jan 24, 2023, verified Feb 1, 2023. Technical assistance given. Standard 746.5205(1).

Children's Products- Annual Certification

The last children's product certification available for review was dated for 8/27/2021 and this is required to be completed annually. ***The director corrected this at inspection when she signed a new children's product certification at inspection and dated it for 1/10/2023.

Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

No Smoking or Use of Tobacco Including E-Cigarettes or Vaporizers

Based on the evidence obtained during the investigation, staff have used a tobacco based-vaporizer in the restrooms in the facility which are on the premises of the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3703(d).

Report Unsafe Facility Occurrence

Based on the evidence obtained during the investigation, the operation did not report an infestation of bed bugs in the facility within the required timeframe of 48 hours to Child Care Regulation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.305(a)(1).

Pest Extermination

Based on the evidence obtained during the investigation, the operation was using over the counter products to exterminate bed bugs which included: using essential oils, an alcohol and water mixture to spray, and setting off a bed bug bomb in the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3427.

Parental Notification of Infestation

Based on the evidence obtained during the investigation, the operation did not notify parents of a bed bug infestation that was in the classrooms.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.307(e).

No Smoking or Use of Tobacco Including E-Cigarettes or Vaporizers

Based on the evidence obtained during the investigation, staff have used a tobacco based-vaporizer in the restrooms in the facility which are on the premises of the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3703(d).

Pest Extermination

Based on the evidence obtained during the investigation, the operation was using over the counter products to exterminate bed bugs which included: using essential oils, an alcohol and water mixture to spray, and setting off a bed bug bomb in the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3427.

Report Unsafe Facility Occurrence

Based on the evidence obtained during the investigation, the operation did not report an infestation of bed bugs in the facility within the required timeframe of 48 hours to Child Care Regulation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.305(a)(1).

Parental Notification of Infestation

Based on the evidence obtained during the investigation, the operation did not notify parents of a bed bug infestation that was in the classrooms.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.307(e).

No Smoking or Use of Tobacco Including E-Cigarettes or Vaporizers

Based on the evidence obtained during the investigation, staff have used a tobacco based-vaporizer in the restrooms in the facility which are on the premises of the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3703(d).

Report Unsafe Facility Occurrence

Based on the evidence obtained during the investigation, the operation did not report an infestation of bed bugs in the facility within the required timeframe of 48 hours to Child Care Regulation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.305(a)(1).

Pest Extermination

Based on the evidence obtained during the investigation, the operation was using over the counter products to exterminate bed bugs which included: using essential oils, an alcohol and water mixture to spray, and setting off a bed bug bomb in the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3427.

Parental Notification of Infestation

Based on the evidence obtained during the investigation, the operation did not notify parents of a bed bug infestation that was in the classrooms.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.307(e).

No Smoking or Use of Tobacco Including E-Cigarettes or Vaporizers

Based on the evidence obtained during the investigation, staff have used a tobacco based-vaporizer in the restrooms in the facility which are on the premises of the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3703(d).

Report Unsafe Facility Occurrence

Based on the evidence obtained during the investigation, the operation did not report an infestation of bed bugs in the facility within the required timeframe of 48 hours to Child Care Regulation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.305(a)(1).

Pest Extermination

Based on the evidence obtained during the investigation, the operation was using over the counter products to exterminate bed bugs which included: using essential oils, an alcohol and water mixture to spray, and setting off a bed bug bomb in the operation.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.3427.

Parental Notification of Infestation

Based on the evidence obtained during the investigation, the operation did not notify parents of a bed bug infestation that was in the classrooms.

Corrected Dec 7, 2022, verified Dec 21, 2022. Technical assistance given. Standard 746.307(e).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A child file was reviewed that has a diagnosed food allergy and the food allergy plan in file was not complete.

Corrected Aug 30, 2022, verified Sep 12, 2022. Technical assistance given. Standard 746.3819.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A child file was reviewed that has a diagnosed food allergy and the food allergy plan in file was not complete.

Corrected Aug 30, 2022, verified Sep 12, 2022. Technical assistance given. Standard 746.3819.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A child file was reviewed that has a diagnosed food allergy and the food allergy plan in file was not complete.

Corrected Aug 30, 2022, verified Sep 12, 2022. Technical assistance given. Standard 746.3819.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A child file was reviewed that has a diagnosed food allergy and the food allergy plan in file was not complete.

Corrected Aug 30, 2022, verified Sep 12, 2022. Technical assistance given. Standard 746.3819.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

The most current fire inspection was last conducted on 1/11/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 1, 2022. Technical assistance given. Standard 746.5101(a).

Requirement of Gas Leak Inspection

The most current gas inspection was last conducted on 10/17/2019 and it is required to be done once every two years and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 7, 2022. Standard 746.5401.

Training Requirements for Employees, Caregivers, and Directors - Orientation

Two staff files reviewed but there was no proof if file showing that orientation provided to related to administering medication, preventing and responding to emergencies due to food or an allergic reaction; understanding, building, and physical premises safety; handling, storing, and disposing of hazardous materials; precautions in transportation. *The operation corrected these at inspection when the director and staff completed them at inspection.

Corrected during the inspection. Technical assistance given. Standard 746.1301(1)(A).

Annual Sanitation Inspection

The most current sanitation inspection was last conducted on 1/5/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Aug 1, 2022, verified Jul 19, 2022. Standard 746.3401(a).

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

The most current fire inspection was last conducted on 1/11/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 1, 2022. Technical assistance given. Standard 746.5101(a).

Training Requirements for Employees, Caregivers, and Directors - Orientation

Two staff files reviewed but there was no proof if file showing that orientation provided to related to administering medication, preventing and responding to emergencies due to food or an allergic reaction; understanding, building, and physical premises safety; handling, storing, and disposing of hazardous materials; precautions in transportation. *The operation corrected these at inspection when the director and staff completed them at inspection.

Corrected during the inspection. Technical assistance given. Standard 746.1301(1)(A).

Requirement of Gas Leak Inspection

The most current gas inspection was last conducted on 10/17/2019 and it is required to be done once every two years and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 7, 2022. Standard 746.5401.

Annual Sanitation Inspection

The most current sanitation inspection was last conducted on 1/5/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Aug 1, 2022, verified Jul 19, 2022. Standard 746.3401(a).

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

The most current fire inspection was last conducted on 1/11/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 1, 2022. Technical assistance given. Standard 746.5101(a).

Annual Sanitation Inspection

The most current sanitation inspection was last conducted on 1/5/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Aug 1, 2022, verified Jul 19, 2022. Standard 746.3401(a).

Training Requirements for Employees, Caregivers, and Directors - Orientation

Two staff files reviewed but there was no proof if file showing that orientation provided to related to administering medication, preventing and responding to emergencies due to food or an allergic reaction; understanding, building, and physical premises safety; handling, storing, and disposing of hazardous materials; precautions in transportation. *The operation corrected these at inspection when the director and staff completed them at inspection.

Corrected during the inspection. Technical assistance given. Standard 746.1301(1)(A).

Requirement of Gas Leak Inspection

The most current gas inspection was last conducted on 10/17/2019 and it is required to be done once every two years and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 7, 2022. Standard 746.5401.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

The most current fire inspection was last conducted on 1/11/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 1, 2022. Technical assistance given. Standard 746.5101(a).

Training Requirements for Employees, Caregivers, and Directors - Orientation

Two staff files reviewed but there was no proof if file showing that orientation provided to related to administering medication, preventing and responding to emergencies due to food or an allergic reaction; understanding, building, and physical premises safety; handling, storing, and disposing of hazardous materials; precautions in transportation. *The operation corrected these at inspection when the director and staff completed them at inspection.

Corrected during the inspection. Technical assistance given. Standard 746.1301(1)(A).

Annual Sanitation Inspection

The most current sanitation inspection was last conducted on 1/5/2021 and it is required to be done at least once every 12 months and, therefore it is past due.

Corrected Aug 1, 2022, verified Jul 19, 2022. Standard 746.3401(a).

Requirement of Gas Leak Inspection

The most current gas inspection was last conducted on 10/17/2019 and it is required to be done once every two years and, therefore it is past due.

Corrected Jun 6, 2022, verified Jun 7, 2022. Standard 746.5401.

Safety - Areas Free From Hazards

During the walk-through, multiple classrooms were observed with outlets not covered, chemicals/cleaning supplies not stored out of reach of children. Additionally, multiple classrooms were observed with space heaters within reach of children and not mounted out of the reach of children.

Corrected Mar 14, 2022, verified Mar 17, 2022. Technical assistance given. Standard 746.3701.

Safety - Areas Free From Hazards

During the walk-through, multiple classrooms were observed with outlets not covered, chemicals/cleaning supplies not stored out of reach of children. Additionally, multiple classrooms were observed with space heaters within reach of children and not mounted out of the reach of children.

Corrected Mar 14, 2022, verified Mar 17, 2022. Technical assistance given. Standard 746.3701.

Safety - Areas Free From Hazards

During the walk-through, multiple classrooms were observed with outlets not covered, chemicals/cleaning supplies not stored out of reach of children. Additionally, multiple classrooms were observed with space heaters within reach of children and not mounted out of the reach of children.

Corrected Mar 14, 2022, verified Mar 17, 2022. Technical assistance given. Standard 746.3701.

Safety - Areas Free From Hazards

During the walk-through, multiple classrooms were observed with outlets not covered, chemicals/cleaning supplies not stored out of reach of children. Additionally, multiple classrooms were observed with space heaters within reach of children and not mounted out of the reach of children.

Corrected Mar 14, 2022, verified Mar 17, 2022. Technical assistance given. Standard 746.3701.

Prohibited Punishments - Corporal Punishment

Based on the evidence obtained during the investigation, children were being inappropriately disciplined by staff when children were hit with an instrument as well as yelled by staff and spoken to in a harsh manner and made to run laps while outside in the play area as form of punishment.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.2805(1).

Responsibilities of Caregivers - Free of other activities

Based on the evidence obtained in the investigation, staff have been using their cell phone for personal use while in direct care of children.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.1203(6).

Prohibited Punishments - Corporal Punishment

Based on the evidence obtained during the investigation, children were being inappropriately disciplined by staff when children were hit with an instrument as well as yelled by staff and spoken to in a harsh manner and made to run laps while outside in the play area as form of punishment.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.2805(1).

Responsibilities of Caregivers - Free of other activities

Based on the evidence obtained in the investigation, staff have been using their cell phone for personal use while in direct care of children.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.1203(6).

Prohibited Punishments - Corporal Punishment

Based on the evidence obtained during the investigation, children were being inappropriately disciplined by staff when children were hit with an instrument as well as yelled by staff and spoken to in a harsh manner and made to run laps while outside in the play area as form of punishment.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.2805(1).

Responsibilities of Caregivers - Free of other activities

Based on the evidence obtained in the investigation, staff have been using their cell phone for personal use while in direct care of children.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.1203(6).

Prohibited Punishments - Corporal Punishment

Based on the evidence obtained during the investigation, children were being inappropriately disciplined by staff when children were hit with an instrument as well as yelled by staff and spoken to in a harsh manner and made to run laps while outside in the play area as form of punishment.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.2805(1).

Responsibilities of Caregivers - Free of other activities

Based on the evidence obtained in the investigation, staff have been using their cell phone for personal use while in direct care of children.

Corrected Sep 23, 2021, verified Oct 5, 2021. Standard 746.1203(6).