Little Nest CDC LLC

Employee Handwashing After Diapering a Child

One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.

Corrected Sep 14, 2023, verified Sep 22, 2023. Technical assistance given. Standard 746.3415(4).

Employee Handwashing After Diapering a Child

One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.

Corrected Sep 14, 2023, verified Sep 22, 2023. Technical assistance given. Standard 746.3415(4).

Employee Handwashing After Diapering a Child

One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.

Corrected Sep 14, 2023, verified Sep 22, 2023. Technical assistance given. Standard 746.3415(4).

Employee Handwashing After Diapering a Child

One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.

Corrected Sep 14, 2023, verified Sep 22, 2023. Technical assistance given. Standard 746.3415(4).

Safety Requirements for Play Yards - Minimum Height of 22 Inches from Top of Railing to Mattress Support at Lowest Level

A bassinet was observed at inspection as sleep equipment for a 6 month old infant. The manufacturer instructions specifies this sleep equipment is for 0-5 month olds. Additionally, a bassinet of 11.5 inches in height from the sleep surface to the top of the rail does not meet the play yard guidelines of at least 22 inches required.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2411(2)(E).

Infant May Not Sleep in a Restrictive Device

An infant was observed at inspection asleep in a restrictive device.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2426(a)(1).

Children Handwashing After Toileting or Diapering

Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3417(3).

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.

Corrected Aug 9, 2023, verified Aug 15, 2023. Technical assistance given. Standard 746.4907(d).

Responsibilities of Caregivers - Know children's names and ages

Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.1205(a)(3).

Safety - Areas Free From Hazards

Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3701.

Diapering Procedures - Sanitizing Diaper Changing Area

Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3505(e).

Safety Requirements for Play Yards - Minimum Height of 22 Inches from Top of Railing to Mattress Support at Lowest Level

A bassinet was observed at inspection as sleep equipment for a 6 month old infant. The manufacturer instructions specifies this sleep equipment is for 0-5 month olds. Additionally, a bassinet of 11.5 inches in height from the sleep surface to the top of the rail does not meet the play yard guidelines of at least 22 inches required.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2411(2)(E).

Infant May Not Sleep in a Restrictive Device

An infant was observed at inspection asleep in a restrictive device.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2426(a)(1).

Safety - Areas Free From Hazards

Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3701.

Diapering Procedures - Sanitizing Diaper Changing Area

Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3505(e).

Children Handwashing After Toileting or Diapering

Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3417(3).

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.

Corrected Aug 9, 2023, verified Aug 15, 2023. Technical assistance given. Standard 746.4907(d).

Responsibilities of Caregivers - Know children's names and ages

Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.1205(a)(3).

Infant May Not Sleep in a Restrictive Device

An infant was observed at inspection asleep in a restrictive device.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2426(a)(1).

Safety Requirements for Play Yards - Minimum Height of 22 Inches from Top of Railing to Mattress Support at Lowest Level

A bassinet was observed at inspection as sleep equipment for a 6 month old infant. The manufacturer instructions specifies this sleep equipment is for 0-5 month olds. Additionally, a bassinet of 11.5 inches in height from the sleep surface to the top of the rail does not meet the play yard guidelines of at least 22 inches required.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2411(2)(E).

Children Handwashing After Toileting or Diapering

Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3417(3).

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.

Corrected Aug 9, 2023, verified Aug 15, 2023. Technical assistance given. Standard 746.4907(d).

Diapering Procedures - Sanitizing Diaper Changing Area

Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3505(e).

Responsibilities of Caregivers - Know children's names and ages

Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.1205(a)(3).

Safety - Areas Free From Hazards

Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3701.

Safety Requirements for Play Yards - Minimum Height of 22 Inches from Top of Railing to Mattress Support at Lowest Level

A bassinet was observed at inspection as sleep equipment for a 6 month old infant. The manufacturer instructions specifies this sleep equipment is for 0-5 month olds. Additionally, a bassinet of 11.5 inches in height from the sleep surface to the top of the rail does not meet the play yard guidelines of at least 22 inches required.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2411(2)(E).

Infant May Not Sleep in a Restrictive Device

An infant was observed at inspection asleep in a restrictive device.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.2426(a)(1).

Responsibilities of Caregivers - Know children's names and ages

Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.1205(a)(3).

Safety - Areas Free From Hazards

Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3701.

Children Handwashing After Toileting or Diapering

Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3417(3).

Diapering Procedures - Sanitizing Diaper Changing Area

Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.

Corrected Jul 25, 2023, verified Jul 31, 2023. Technical assistance given. Standard 746.3505(e).

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.

Corrected Aug 9, 2023, verified Aug 15, 2023. Technical assistance given. Standard 746.4907(d).

Required Immunizations

One children's records when reviewed did not have current immunizations in the file.

Corrected Jun 13, 2023, verified Jun 22, 2023. Technical assistance given. Standard 746.613(a).

Required Immunizations

One children's records when reviewed did not have current immunizations in the file.

Corrected Jun 13, 2023, verified Jun 22, 2023. Technical assistance given. Standard 746.613(a).

Required Immunizations

One children's records when reviewed did not have current immunizations in the file.

Corrected Jun 13, 2023, verified Jun 22, 2023. Technical assistance given. Standard 746.613(a).

Required Immunizations

One children's records when reviewed did not have current immunizations in the file.

Corrected Jun 13, 2023, verified Jun 22, 2023. Technical assistance given. Standard 746.613(a).

Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

Evidence obtained during the investigation confirms staff at the operation had suspicions of children in care being Abused and Neglected outside the daycare and did not make a report to the Texas Department of Family and Protective Services.

Corrected Oct 20, 2022, verified Nov 2, 2022. Technical assistance given. Standard 746.1201(5).

Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

Evidence obtained during the investigation confirms staff at the operation had suspicions of children in care being Abused and Neglected outside the daycare and did not make a report to the Texas Department of Family and Protective Services.

Corrected Oct 20, 2022, verified Nov 2, 2022. Technical assistance given. Standard 746.1201(5).

Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

Evidence obtained during the investigation confirms staff at the operation had suspicions of children in care being Abused and Neglected outside the daycare and did not make a report to the Texas Department of Family and Protective Services.

Corrected Oct 20, 2022, verified Nov 2, 2022. Technical assistance given. Standard 746.1201(5).

Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

Evidence obtained during the investigation confirms staff at the operation had suspicions of children in care being Abused and Neglected outside the daycare and did not make a report to the Texas Department of Family and Protective Services.

Corrected Oct 20, 2022, verified Nov 2, 2022. Technical assistance given. Standard 746.1201(5).

Required Records Maintained and Made Available - Children's Records

Two children in care did not have admission information available for review at inspection.

Corrected Jul 7, 2022, verified Jul 7, 2022. Standard 746.801(1).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, a tire was observed in the use zone of the swings, which were also being used by children, therefore the use zone was not free of hazards.

Corrected Jul 7, 2022, verified Jul 21, 2022. Standard 746.4801.

Required Records Maintained and Made Available - Children's Records

Two children in care did not have admission information available for review at inspection.

Corrected Jul 7, 2022, verified Jul 7, 2022. Standard 746.801(1).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, a tire was observed in the use zone of the swings, which were also being used by children, therefore the use zone was not free of hazards.

Corrected Jul 7, 2022, verified Jul 21, 2022. Standard 746.4801.

Required Records Maintained and Made Available - Children's Records

Two children in care did not have admission information available for review at inspection.

Corrected Jul 7, 2022, verified Jul 7, 2022. Standard 746.801(1).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, a tire was observed in the use zone of the swings, which were also being used by children, therefore the use zone was not free of hazards.

Corrected Jul 7, 2022, verified Jul 21, 2022. Standard 746.4801.

Required Records Maintained and Made Available - Children's Records

Two children in care did not have admission information available for review at inspection.

Corrected Jul 7, 2022, verified Jul 7, 2022. Standard 746.801(1).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, a tire was observed in the use zone of the swings, which were also being used by children, therefore the use zone was not free of hazards.

Corrected Jul 7, 2022, verified Jul 21, 2022. Standard 746.4801.

Report Situation Placing Children at Risk

Based on the evidence obtained during the investigation, the operation failed to report a situation that placed a child at risk within the required of 48 hours of the incident occurred. A child was left unsupervised in the playground area without any staff supervision and main caregiver was not aware of the child's ongoing activities.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.305(a)(6).

Responsibilities of Caregivers - Supervision of Children

Based on the evidence obtained during the investigation, a child was left unsupervised outside on the playground area. The caregiver responsible for the child was not aware that the child was left in the playground area until after arriving to the classroom and therefore, did not have physical proximity. The caregiver was not aware of the child's ongoing activities and did not have auditory or visual awareness of the child, and there was no staff present on the playground responsible for the child.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.1203(4).

Report Situation Placing Children at Risk

Based on the evidence obtained during the investigation, the operation failed to report a situation that placed a child at risk within the required of 48 hours of the incident occurred. A child was left unsupervised in the playground area without any staff supervision and main caregiver was not aware of the child's ongoing activities.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.305(a)(6).

Responsibilities of Caregivers - Supervision of Children

Based on the evidence obtained during the investigation, a child was left unsupervised outside on the playground area. The caregiver responsible for the child was not aware that the child was left in the playground area until after arriving to the classroom and therefore, did not have physical proximity. The caregiver was not aware of the child's ongoing activities and did not have auditory or visual awareness of the child, and there was no staff present on the playground responsible for the child.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.1203(4).

Report Situation Placing Children at Risk

Based on the evidence obtained during the investigation, the operation failed to report a situation that placed a child at risk within the required of 48 hours of the incident occurred. A child was left unsupervised in the playground area without any staff supervision and main caregiver was not aware of the child's ongoing activities.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.305(a)(6).

Responsibilities of Caregivers - Supervision of Children

Based on the evidence obtained during the investigation, a child was left unsupervised outside on the playground area. The caregiver responsible for the child was not aware that the child was left in the playground area until after arriving to the classroom and therefore, did not have physical proximity. The caregiver was not aware of the child's ongoing activities and did not have auditory or visual awareness of the child, and there was no staff present on the playground responsible for the child.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.1203(4).

Responsibilities of Caregivers - Supervision of Children

Based on the evidence obtained during the investigation, a child was left unsupervised outside on the playground area. The caregiver responsible for the child was not aware that the child was left in the playground area until after arriving to the classroom and therefore, did not have physical proximity. The caregiver was not aware of the child's ongoing activities and did not have auditory or visual awareness of the child, and there was no staff present on the playground responsible for the child.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.1203(4).

Report Situation Placing Children at Risk

Based on the evidence obtained during the investigation, the operation failed to report a situation that placed a child at risk within the required of 48 hours of the incident occurred. A child was left unsupervised in the playground area without any staff supervision and main caregiver was not aware of the child's ongoing activities.

Corrected Jul 21, 2022, verified Aug 3, 2022. Technical assistance given. Standard 746.305(a)(6).

Food Service and Preparation Requirement - Use Sanitary Holders

A classroom was observed with all the children having their snack directly on the table and there was no sanitary holder between the snack and the table - such as a napkin or plate.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.3317(6).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, three tires were observed stacked one on top of another and they were underneath a swing, therefore, the use zone of the swing was not free of hazards.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.4801.

Food Service and Preparation Requirement - Use Sanitary Holders

A classroom was observed with all the children having their snack directly on the table and there was no sanitary holder between the snack and the table - such as a napkin or plate.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.3317(6).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, three tires were observed stacked one on top of another and they were underneath a swing, therefore, the use zone of the swing was not free of hazards.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.4801.

Food Service and Preparation Requirement - Use Sanitary Holders

A classroom was observed with all the children having their snack directly on the table and there was no sanitary holder between the snack and the table - such as a napkin or plate.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.3317(6).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, three tires were observed stacked one on top of another and they were underneath a swing, therefore, the use zone of the swing was not free of hazards.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.4801.

Food Service and Preparation Requirement - Use Sanitary Holders

A classroom was observed with all the children having their snack directly on the table and there was no sanitary holder between the snack and the table - such as a napkin or plate.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.3317(6).

Definition- What does Licensing mean by the term ?use zone??

During the walkthrough, three tires were observed stacked one on top of another and they were underneath a swing, therefore, the use zone of the swing was not free of hazards.

Corrected Jun 24, 2022, verified Jul 7, 2022. Standard 746.4801.

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

Based on the evidence obtained during the investigation, the operation notified a parent of a child injury that required medical treatment by a health care professional about five hours after the incident occurred.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.307(b)(1).

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

Based on the evidence obtained, the ouch report did not have all of the same required information as the Child Care Regulation Incident/Illness Report Form as it was lacking a date of when the incident occurred as well as parent signature on the form for when a child was injured and required medical treatment for the injury.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.701(1).

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

Based on the evidence obtained, the ouch report did not have all of the same required information as the Child Care Regulation Incident/Illness Report Form as it was lacking a date of when the incident occurred as well as parent signature on the form for when a child was injured and required medical treatment for the injury.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.701(1).

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

Based on the evidence obtained during the investigation, the operation notified a parent of a child injury that required medical treatment by a health care professional about five hours after the incident occurred.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.307(b)(1).

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

Based on the evidence obtained during the investigation, the operation notified a parent of a child injury that required medical treatment by a health care professional about five hours after the incident occurred.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.307(b)(1).

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

Based on the evidence obtained, the ouch report did not have all of the same required information as the Child Care Regulation Incident/Illness Report Form as it was lacking a date of when the incident occurred as well as parent signature on the form for when a child was injured and required medical treatment for the injury.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.701(1).

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

Based on the evidence obtained during the investigation, the operation notified a parent of a child injury that required medical treatment by a health care professional about five hours after the incident occurred.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.307(b)(1).

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

Based on the evidence obtained, the ouch report did not have all of the same required information as the Child Care Regulation Incident/Illness Report Form as it was lacking a date of when the incident occurred as well as parent signature on the form for when a child was injured and required medical treatment for the injury.

Corrected Jul 8, 2022, verified Jul 21, 2022. Technical assistance given. Standard 746.701(1).

Screen Time Activities - Not Used for Under Two

Based on the evidence obtained during the investigation, a child under two years of age was participating in screen time.

Corrected Dec 8, 2021, verified Dec 22, 2021. Standard 746.2207(a).

Screen Time Activities - Not Used for Under Two

Based on the evidence obtained during the investigation, a child under two years of age was participating in screen time.

Corrected Dec 8, 2021, verified Dec 22, 2021. Standard 746.2207(a).

Screen Time Activities - Not Used for Under Two

Based on the evidence obtained during the investigation, a child under two years of age was participating in screen time.

Corrected Dec 8, 2021, verified Dec 22, 2021. Standard 746.2207(a).

Screen Time Activities - Not Used for Under Two

Based on the evidence obtained during the investigation, a child under two years of age was participating in screen time.

Corrected Dec 8, 2021, verified Dec 22, 2021. Standard 746.2207(a).