North Richland Hills Montessori

Requirements during probation

The probation condition requiring weekly observations by the director is not being met. The observations were not completed for 1 week for one of the infant rooms and none for the second.

Correction verified Jun 2, 2023. Technical assistance given. Standard 745.8641.

Requirements during probation

The probation condition requiring weekly observations by the director is not being met. The observations were not completed for 1 week for one of the infant rooms and none for the second.

Correction verified Jun 2, 2023. Technical assistance given. Standard 745.8641.

Requirements during probation

The probation condition requiring weekly observations by the director is not being met. The observations were not completed for 1 week for one of the infant rooms and none for the second.

Correction verified Jun 2, 2023. Technical assistance given. Standard 745.8641.

Requirements during probation

The probation condition requiring weekly observations by the director is not being met. The observations were not completed for 1 week for one of the infant rooms and none for the second.

Correction verified Jun 2, 2023. Technical assistance given. Standard 745.8641.

Prohibited Punishments - Grabbing and Pulling

Based on information obtained during the investigation a child was injured when a caregiver was guiding a child inside the building by grabbing or pulling the child's arm.

Correction verified May 19, 2023. Technical assistance given. Standard 746.2805(3).

Prohibited Punishments - Grabbing and Pulling

Based on information obtained during the investigation a child was injured when a caregiver was guiding a child inside the building by grabbing or pulling the child's arm.

Correction verified May 19, 2023. Technical assistance given. Standard 746.2805(3).

Prohibited Punishments - Grabbing and Pulling

Based on information obtained during the investigation a child was injured when a caregiver was guiding a child inside the building by grabbing or pulling the child's arm.

Correction verified May 19, 2023. Technical assistance given. Standard 746.2805(3).

Prohibited Punishments - Grabbing and Pulling

Based on information obtained during the investigation a child was injured when a caregiver was guiding a child inside the building by grabbing or pulling the child's arm.

Correction verified May 19, 2023. Technical assistance given. Standard 746.2805(3).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant, under 12 months of age, was observed laying on their back in a crib with a blanket across them. The blanket was removed from the crib at the inspection.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.2415(b).

Safety - Areas Free From Hazards

At the time of the inspection one classroom was observed to have peeling drywall at a window ledge and another was observed to have baseboard vynil peeled from the wall near a door. The peeling areas could be easily torn by a child and put in their mouths.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.3701.

Children's Records - Vision and Hearing Screening

At the time of the inspection 2 of the 10 children's files reviewed did not have the required hearing and vision screening.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.603(a)(6).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant, under 12 months of age, was observed laying on their back in a crib with a blanket across them. The blanket was removed from the crib at the inspection.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.2415(b).

Safety - Areas Free From Hazards

At the time of the inspection one classroom was observed to have peeling drywall at a window ledge and another was observed to have baseboard vynil peeled from the wall near a door. The peeling areas could be easily torn by a child and put in their mouths.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.3701.

Children's Records - Vision and Hearing Screening

At the time of the inspection 2 of the 10 children's files reviewed did not have the required hearing and vision screening.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.603(a)(6).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant, under 12 months of age, was observed laying on their back in a crib with a blanket across them. The blanket was removed from the crib at the inspection.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.2415(b).

Safety - Areas Free From Hazards

At the time of the inspection one classroom was observed to have peeling drywall at a window ledge and another was observed to have baseboard vynil peeled from the wall near a door. The peeling areas could be easily torn by a child and put in their mouths.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.3701.

Children's Records - Vision and Hearing Screening

At the time of the inspection 2 of the 10 children's files reviewed did not have the required hearing and vision screening.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.603(a)(6).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant, under 12 months of age, was observed laying on their back in a crib with a blanket across them. The blanket was removed from the crib at the inspection.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.2415(b).

Safety - Areas Free From Hazards

At the time of the inspection one classroom was observed to have peeling drywall at a window ledge and another was observed to have baseboard vynil peeled from the wall near a door. The peeling areas could be easily torn by a child and put in their mouths.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.3701.

Children's Records - Vision and Hearing Screening

At the time of the inspection 2 of the 10 children's files reviewed did not have the required hearing and vision screening.

Correction verified Jan 24, 2023. Technical assistance given. Standard 746.603(a)(6).

Pre-service Training for Caregivers of Children Under 24 Months

At the time of the inspection 1 caregiver did not have the required training required for working with children under 24 months of age.

Correction verified Nov 28, 2022. Standard 746.1305(b).

Children's Records - Immunizations

At the time of the inspection 1 child did not have the required immunization record in their enrollment file.

Correction verified Oct 20, 2022. Standard 746.603(a)(4).

Administering Medication - Original Container with Child's Name, Date

At the time of the inspection one child had 2 epi pens stored at the operation without the prescription label or orginal box they were prescribed in.

Correction verified Oct 20, 2022. Standard 746.3805(b)(1).

Administering Medication - Original Container with Child's Name, Date

At the time of the inspection one child had 2 epi pens stored at the operation without the prescription label or orginal box they were prescribed in.

Correction verified Oct 20, 2022. Standard 746.3805(b)(1).

Children's Records - Immunizations

At the time of the inspection 1 child did not have the required immunization record in their enrollment file.

Correction verified Oct 20, 2022. Standard 746.603(a)(4).

Pre-service Training for Caregivers of Children Under 24 Months

At the time of the inspection 1 caregiver did not have the required training required for working with children under 24 months of age.

Correction verified Nov 28, 2022. Standard 746.1305(b).

Administering Medication - Original Container with Child's Name, Date

At the time of the inspection one child had 2 epi pens stored at the operation without the prescription label or orginal box they were prescribed in.

Correction verified Oct 20, 2022. Standard 746.3805(b)(1).

Children's Records - Immunizations

At the time of the inspection 1 child did not have the required immunization record in their enrollment file.

Correction verified Oct 20, 2022. Standard 746.603(a)(4).

Pre-service Training for Caregivers of Children Under 24 Months

At the time of the inspection 1 caregiver did not have the required training required for working with children under 24 months of age.

Correction verified Nov 28, 2022. Standard 746.1305(b).

Administering Medication - Original Container with Child's Name, Date

At the time of the inspection one child had 2 epi pens stored at the operation without the prescription label or orginal box they were prescribed in.

Correction verified Oct 20, 2022. Standard 746.3805(b)(1).

Pre-service Training for Caregivers of Children Under 24 Months

At the time of the inspection 1 caregiver did not have the required training required for working with children under 24 months of age.

Correction verified Nov 28, 2022. Standard 746.1305(b).

Children's Records - Immunizations

At the time of the inspection 1 child did not have the required immunization record in their enrollment file.

Correction verified Oct 20, 2022. Standard 746.603(a)(4).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant (8 months) was observed sleeping in the crib with a pacifier that has an attached plush animal. A photograph was taken. The pacifier was removed from the crib by the inspector

Correction verified Aug 18, 2022. Technical assistance given. Standard 746.2415(b).

Documented Annual Training - Caregivers of Children Under 24 Months Required

At the time of the inspection 2 caregivers reported to work in classrooms with children under 24 months did not have the required training.

Correction verified Aug 18, 2022. Standard 746.1309(d).

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

At the time of the inspection a caregiver still enrolled in high school was observed to be the only caregiver in the infant classroom.

Correction verified Aug 18, 2022. Standard 746.1109(b)(1).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant (8 months) was observed sleeping in the crib with a pacifier that has an attached plush animal. A photograph was taken. The pacifier was removed from the crib by the inspector

Correction verified Aug 18, 2022. Technical assistance given. Standard 746.2415(b).

Documented Annual Training - Caregivers of Children Under 24 Months Required

At the time of the inspection 2 caregivers reported to work in classrooms with children under 24 months did not have the required training.

Correction verified Aug 18, 2022. Standard 746.1309(d).

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

At the time of the inspection a caregiver still enrolled in high school was observed to be the only caregiver in the infant classroom.

Correction verified Aug 18, 2022. Standard 746.1109(b)(1).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant (8 months) was observed sleeping in the crib with a pacifier that has an attached plush animal. A photograph was taken. The pacifier was removed from the crib by the inspector

Correction verified Aug 18, 2022. Technical assistance given. Standard 746.2415(b).

Documented Annual Training - Caregivers of Children Under 24 Months Required

At the time of the inspection 2 caregivers reported to work in classrooms with children under 24 months did not have the required training.

Correction verified Aug 18, 2022. Standard 746.1309(d).

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

At the time of the inspection a caregiver still enrolled in high school was observed to be the only caregiver in the infant classroom.

Correction verified Aug 18, 2022. Standard 746.1109(b)(1).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of the inspection an infant (8 months) was observed sleeping in the crib with a pacifier that has an attached plush animal. A photograph was taken. The pacifier was removed from the crib by the inspector

Correction verified Aug 18, 2022. Technical assistance given. Standard 746.2415(b).

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

At the time of the inspection a caregiver still enrolled in high school was observed to be the only caregiver in the infant classroom.

Correction verified Aug 18, 2022. Standard 746.1109(b)(1).

Documented Annual Training - Caregivers of Children Under 24 Months Required

At the time of the inspection 2 caregivers reported to work in classrooms with children under 24 months did not have the required training.

Correction verified Aug 18, 2022. Standard 746.1309(d).

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

At the time of the inspection a caregiver was found to be without a high school diploma or equivalent. The caregiver was found to be in a class with a second caregiver.

Correction verified Aug 18, 2022. Standard 746.1107(2).

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

At the time of the inspection a caregiver was found to be without a high school diploma or equivalent. The caregiver was found to be in a class with a second caregiver.

Correction verified Aug 18, 2022. Standard 746.1107(2).

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

At the time of the inspection a caregiver was found to be without a high school diploma or equivalent. The caregiver was found to be in a class with a second caregiver.

Correction verified Aug 18, 2022. Standard 746.1107(2).

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

At the time of the inspection a caregiver was found to be without a high school diploma or equivalent. The caregiver was found to be in a class with a second caregiver.

Correction verified Aug 18, 2022. Standard 746.1107(2).

Safety - Areas Free From Hazards

At the time of the inspection a water hose was left on a sidewalk where children would walk over it in a play area. The hose was moved to the side and a plan was discussed to purchase a storage item for the water hose.

Corrected during the inspection. Standard 746.3701.

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training were not available for review.

Correction verified Aug 1, 2022. Standard 746.1301(1)(A).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 25, 2022. Standard 746.3819.

Sign-in and Sign-out Tracking System

At the time of the inspection the operation did not have record of the times children were signed in and out of classrooms.

Correction verified Jul 25, 2022. Standard 746.631(a).

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have playground maintenance checklists or documented safety drills available for review.

Correction verified Jul 22, 2022. Standard 746.801(10).

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Aug 1, 2022. Standard 746.901(1).

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have playground maintenance checklists or documented safety drills available for review.

Correction verified Jul 22, 2022. Standard 746.801(10).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 25, 2022. Standard 746.3819.

Sign-in and Sign-out Tracking System

At the time of the inspection the operation did not have record of the times children were signed in and out of classrooms.

Correction verified Jul 25, 2022. Standard 746.631(a).

Safety - Areas Free From Hazards

At the time of the inspection a water hose was left on a sidewalk where children would walk over it in a play area. The hose was moved to the side and a plan was discussed to purchase a storage item for the water hose.

Corrected during the inspection. Standard 746.3701.

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training were not available for review.

Correction verified Aug 1, 2022. Standard 746.1301(1)(A).

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Aug 1, 2022. Standard 746.901(1).

Safety - Areas Free From Hazards

At the time of the inspection a water hose was left on a sidewalk where children would walk over it in a play area. The hose was moved to the side and a plan was discussed to purchase a storage item for the water hose.

Corrected during the inspection. Standard 746.3701.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 25, 2022. Standard 746.3819.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have playground maintenance checklists or documented safety drills available for review.

Correction verified Jul 22, 2022. Standard 746.801(10).

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training were not available for review.

Correction verified Aug 1, 2022. Standard 746.1301(1)(A).

Sign-in and Sign-out Tracking System

At the time of the inspection the operation did not have record of the times children were signed in and out of classrooms.

Correction verified Jul 25, 2022. Standard 746.631(a).

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Aug 1, 2022. Standard 746.901(1).

Safety - Areas Free From Hazards

At the time of the inspection a water hose was left on a sidewalk where children would walk over it in a play area. The hose was moved to the side and a plan was discussed to purchase a storage item for the water hose.

Corrected during the inspection. Standard 746.3701.

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training were not available for review.

Correction verified Aug 1, 2022. Standard 746.1301(1)(A).

Sign-in and Sign-out Tracking System

At the time of the inspection the operation did not have record of the times children were signed in and out of classrooms.

Correction verified Jul 25, 2022. Standard 746.631(a).

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have playground maintenance checklists or documented safety drills available for review.

Correction verified Jul 22, 2022. Standard 746.801(10).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 25, 2022. Standard 746.3819.

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Aug 1, 2022. Standard 746.901(1).

Responsibilities of Caregivers - Share Information with Incoming Caregiver

Based on information obtained through the investigation it was determined that caregivers did not communicate the needs of children effectively in a transition, causing a child to be left in a diaper over a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.1203(11).

Diaper Changing Steps- Prompt

Based on information obtained through an investigation it was determined that a caregiver did not change a child's diaper for a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.3501(1).

Responsibilities of Caregivers - Share Information with Incoming Caregiver

Based on information obtained through the investigation it was determined that caregivers did not communicate the needs of children effectively in a transition, causing a child to be left in a diaper over a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.1203(11).

Diaper Changing Steps- Prompt

Based on information obtained through an investigation it was determined that a caregiver did not change a child's diaper for a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.3501(1).

Diaper Changing Steps- Prompt

Based on information obtained through an investigation it was determined that a caregiver did not change a child's diaper for a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.3501(1).

Responsibilities of Caregivers - Share Information with Incoming Caregiver

Based on information obtained through the investigation it was determined that caregivers did not communicate the needs of children effectively in a transition, causing a child to be left in a diaper over a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.1203(11).

Diaper Changing Steps- Prompt

Based on information obtained through an investigation it was determined that a caregiver did not change a child's diaper for a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.3501(1).

Responsibilities of Caregivers - Share Information with Incoming Caregiver

Based on information obtained through the investigation it was determined that caregivers did not communicate the needs of children effectively in a transition, causing a child to be left in a diaper over a prolonged period of time.

Correction verified Aug 1, 2022. Standard 746.1203(11).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on information obtained through the investigation it was determined a caregiver used poor judgement when telling the inspector that "montessori does not work for children like that" referring to a child of differing abilities.

Correction verified Jul 12, 2022. Standard 746.1201(1).

Director Responsibilities - Employee Assignments

Based on information obtained through the investigation it was determined that caregivers were not provided additional training to care for a child with differing abilities.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1003(3).

Documentation of Special Care Needs on File and Used in Planning Activities

Based on information obtained through the investigation it was determined that the operation did not have documentation of special care needs on file and did not provide accommodations to a child with a differing ability.

Correction verified Jul 12, 2022. Standard 746.2201(b).

Update Admission Information - Parent Sign and Date

Based on information obtained through the investigation it was determined the operation did not obtain updated records upon the re-enrollment of a child.

Correction verified Jul 12, 2022. Standard 746.609(b).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on information obtained through the investigation it was determined a caregiver used poor judgement when telling the inspector that "montessori does not work for children like that" referring to a child of differing abilities.

Correction verified Jul 12, 2022. Standard 746.1201(1).

Director Responsibilities - Employee Assignments

Based on information obtained through the investigation it was determined that caregivers were not provided additional training to care for a child with differing abilities.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1003(3).

Documentation of Special Care Needs on File and Used in Planning Activities

Based on information obtained through the investigation it was determined that the operation did not have documentation of special care needs on file and did not provide accommodations to a child with a differing ability.

Correction verified Jul 12, 2022. Standard 746.2201(b).

Update Admission Information - Parent Sign and Date

Based on information obtained through the investigation it was determined the operation did not obtain updated records upon the re-enrollment of a child.

Correction verified Jul 12, 2022. Standard 746.609(b).

Director Responsibilities - Employee Assignments

Based on information obtained through the investigation it was determined that caregivers were not provided additional training to care for a child with differing abilities.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1003(3).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on information obtained through the investigation it was determined a caregiver used poor judgement when telling the inspector that "montessori does not work for children like that" referring to a child of differing abilities.

Correction verified Jul 12, 2022. Standard 746.1201(1).

Documentation of Special Care Needs on File and Used in Planning Activities

Based on information obtained through the investigation it was determined that the operation did not have documentation of special care needs on file and did not provide accommodations to a child with a differing ability.

Correction verified Jul 12, 2022. Standard 746.2201(b).

Update Admission Information - Parent Sign and Date

Based on information obtained through the investigation it was determined the operation did not obtain updated records upon the re-enrollment of a child.

Correction verified Jul 12, 2022. Standard 746.609(b).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on information obtained through the investigation it was determined a caregiver used poor judgement when telling the inspector that "montessori does not work for children like that" referring to a child of differing abilities.

Correction verified Jul 12, 2022. Standard 746.1201(1).

Director Responsibilities - Employee Assignments

Based on information obtained through the investigation it was determined that caregivers were not provided additional training to care for a child with differing abilities.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1003(3).

Documentation of Special Care Needs on File and Used in Planning Activities

Based on information obtained through the investigation it was determined that the operation did not have documentation of special care needs on file and did not provide accommodations to a child with a differing ability.

Correction verified Jul 12, 2022. Standard 746.2201(b).

Update Admission Information - Parent Sign and Date

Based on information obtained through the investigation it was determined the operation did not obtain updated records upon the re-enrollment of a child.

Correction verified Jul 12, 2022. Standard 746.609(b).

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training, CPR/First Aid certificates were not available for review.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1301(1)(A).

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have a current fire inspection report, playground maintenance checklists, or documented safety drills available for review.

Correction verified Jul 12, 2022. Standard 746.801(10).

Medication No Longer Used

At the time of inspection there were several expired medications belonging to children including medication used to treat asthma and food allergies. Expired medication included two epinephrine pens, three inhalers, and a prescription topical ointment.

Correction verified Jul 12, 2022. Standard 746.3809.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.3819.

Administering Medication - Original Container with Child's Name, Date

At the time of inspection the operation had several childrens medications which were expired including: 3 Epinephrine injections 2 Albuteral/Proair inhalers 1 Prescription Topical Cream

Correction verified Jul 12, 2022. Standard 746.3805(b)(1).

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 records were missing photo identification, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Jul 12, 2022. Standard 746.901(1).

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have a current fire inspection report, playground maintenance checklists, or documented safety drills available for review.

Correction verified Jul 12, 2022. Standard 746.801(10).

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training, CPR/First Aid certificates were not available for review.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1301(1)(A).

Administering Medication - Original Container with Child's Name, Date

At the time of inspection the operation had several childrens medications which were expired including: 3 Epinephrine injections 2 Albuteral/Proair inhalers 1 Prescription Topical Cream

Correction verified Jul 12, 2022. Standard 746.3805(b)(1).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.3819.

Medication No Longer Used

At the time of inspection there were several expired medications belonging to children including medication used to treat asthma and food allergies. Expired medication included two epinephrine pens, three inhalers, and a prescription topical ointment.

Correction verified Jul 12, 2022. Standard 746.3809.

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 records were missing photo identification, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Jul 12, 2022. Standard 746.901(1).

Medication No Longer Used

At the time of inspection there were several expired medications belonging to children including medication used to treat asthma and food allergies. Expired medication included two epinephrine pens, three inhalers, and a prescription topical ointment.

Correction verified Jul 12, 2022. Standard 746.3809.

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training, CPR/First Aid certificates were not available for review.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1301(1)(A).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.3819.

Administering Medication - Original Container with Child's Name, Date

At the time of inspection the operation had several childrens medications which were expired including: 3 Epinephrine injections 2 Albuteral/Proair inhalers 1 Prescription Topical Cream

Correction verified Jul 12, 2022. Standard 746.3805(b)(1).

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have a current fire inspection report, playground maintenance checklists, or documented safety drills available for review.

Correction verified Jul 12, 2022. Standard 746.801(10).

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 records were missing photo identification, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Jul 12, 2022. Standard 746.901(1).

Training Requirements for Employees, Caregivers, and Directors - Orientation

At the time of inspection, annual training including infant training, CPR/First Aid certificates were not available for review.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.1301(1)(A).

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.

Correction verified Jul 12, 2022. Technical assistance given. Standard 746.3819.

Medication No Longer Used

At the time of inspection there were several expired medications belonging to children including medication used to treat asthma and food allergies. Expired medication included two epinephrine pens, three inhalers, and a prescription topical ointment.

Correction verified Jul 12, 2022. Standard 746.3809.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

At the time of inspection the operation did not have a current fire inspection report, playground maintenance checklists, or documented safety drills available for review.

Correction verified Jul 12, 2022. Standard 746.801(10).

Administering Medication - Original Container with Child's Name, Date

At the time of inspection the operation had several childrens medications which were expired including: 3 Epinephrine injections 2 Albuteral/Proair inhalers 1 Prescription Topical Cream

Correction verified Jul 12, 2022. Standard 746.3805(b)(1).

Required Personnel Records - Dates of Employment

At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 records were missing photo identification, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.

Correction verified Jul 12, 2022. Standard 746.901(1).

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

At the time of inspection there were 2 individual instructors conducting camp programs without background checks. An art instructor from Art by Lewis and an instructor from Snapology were observed having contact and supervising groups of children in the music room without additional operation staff present.

Correction verified Jun 29, 2022. Technical assistance given. Standard 745.641.

Child/ Caregiver Ratio - 13 or More Children

The infant room was found to be over ratio (5 children/1 caregiver) on at least 2 days (6/9/22 -6/10/22).

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1601.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

At the time of inspection, 2 contractors were observed at the operation providing instruction to school age children without caregiver qualifications. Contractors were alone with children, unsupervised by operation staff. Contractors were reported at the operation on a weekly basis.

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1401(f).

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

At the time of inspection there were 2 individual instructors conducting camp programs without background checks. An art instructor from Art by Lewis and an instructor from Snapology were observed having contact and supervising groups of children in the music room without additional operation staff present.

Correction verified Jun 29, 2022. Technical assistance given. Standard 745.641.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

At the time of inspection, 2 contractors were observed at the operation providing instruction to school age children without caregiver qualifications. Contractors were alone with children, unsupervised by operation staff. Contractors were reported at the operation on a weekly basis.

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1401(f).

Child/ Caregiver Ratio - 13 or More Children

The infant room was found to be over ratio (5 children/1 caregiver) on at least 2 days (6/9/22 -6/10/22).

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1601.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

At the time of inspection there were 2 individual instructors conducting camp programs without background checks. An art instructor from Art by Lewis and an instructor from Snapology were observed having contact and supervising groups of children in the music room without additional operation staff present.

Correction verified Jun 29, 2022. Technical assistance given. Standard 745.641.

Child/ Caregiver Ratio - 13 or More Children

The infant room was found to be over ratio (5 children/1 caregiver) on at least 2 days (6/9/22 -6/10/22).

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1601.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

At the time of inspection, 2 contractors were observed at the operation providing instruction to school age children without caregiver qualifications. Contractors were alone with children, unsupervised by operation staff. Contractors were reported at the operation on a weekly basis.

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1401(f).

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

At the time of inspection there were 2 individual instructors conducting camp programs without background checks. An art instructor from Art by Lewis and an instructor from Snapology were observed having contact and supervising groups of children in the music room without additional operation staff present.

Correction verified Jun 29, 2022. Technical assistance given. Standard 745.641.

Child/ Caregiver Ratio - 13 or More Children

The infant room was found to be over ratio (5 children/1 caregiver) on at least 2 days (6/9/22 -6/10/22).

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1601.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

At the time of inspection, 2 contractors were observed at the operation providing instruction to school age children without caregiver qualifications. Contractors were alone with children, unsupervised by operation staff. Contractors were reported at the operation on a weekly basis.

Correction verified Jun 29, 2022. Technical assistance given. Standard 746.1401(f).

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of inspection, a 7 month old infant was in a crib with a blanket draped over one side and a stuffed toy dog on top of her back. The caregiver removed the blanket and toy from the crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2415(b).

Infant May Not Sleep in a Restrictive Device

At the time of inspection a 5 month old infant was observed sleeping in a bouncy seat. The child requires the use of a cranial helmet, however did not currently have a Sleep Exception Form signed by a physician or parent. The caregiver removed the infant and placed him on his back into a crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2426.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of inspection, a 7 month old infant was in a crib with a blanket draped over one side and a stuffed toy dog on top of her back. The caregiver removed the blanket and toy from the crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2415(b).

Infant May Not Sleep in a Restrictive Device

At the time of inspection a 5 month old infant was observed sleeping in a bouncy seat. The child requires the use of a cranial helmet, however did not currently have a Sleep Exception Form signed by a physician or parent. The caregiver removed the infant and placed him on his back into a crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2426.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of inspection, a 7 month old infant was in a crib with a blanket draped over one side and a stuffed toy dog on top of her back. The caregiver removed the blanket and toy from the crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2415(b).

Infant May Not Sleep in a Restrictive Device

At the time of inspection a 5 month old infant was observed sleeping in a bouncy seat. The child requires the use of a cranial helmet, however did not currently have a Sleep Exception Form signed by a physician or parent. The caregiver removed the infant and placed him on his back into a crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2426.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

At the time of inspection, a 7 month old infant was in a crib with a blanket draped over one side and a stuffed toy dog on top of her back. The caregiver removed the blanket and toy from the crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2415(b).

Infant May Not Sleep in a Restrictive Device

At the time of inspection a 5 month old infant was observed sleeping in a bouncy seat. The child requires the use of a cranial helmet, however did not currently have a Sleep Exception Form signed by a physician or parent. The caregiver removed the infant and placed him on his back into a crib.

Correction verified Apr 14, 2022. Technical assistance given. Standard 746.2426.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Video was reviewed of the caregiver roughly pulling the child by the arm. Staff reported the caregiver being aggressive in disciplining the children, using rough language, face grabbing and pulling arms. The caregiver admitted that she pulled and grabbed children by their arms when disciplining.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1201(1).

Director Responsibilities - Employee Assignments

Due to the caregivers' age and condition, the assignment to an active 4 year old class did not match her current skills or abilities.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1003(3).

Report Situation Placing Children at Risk

Concerns regarding the caregiver were identified by staff and reported to administrators. The operation failed to report the situation to Licensing in a timely manner.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.305(a)(6).

Positive Methods of Discipline and Guidance - Use Praise and Encouragement

The caregiver admitted that positive methods of discipline and guidance were not practiced in managing the behaviors of challenging children.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.2803(4)(A).

Director Responsibilities - Employee Assignments

Due to the caregivers' age and condition, the assignment to an active 4 year old class did not match her current skills or abilities.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1003(3).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Video was reviewed of the caregiver roughly pulling the child by the arm. Staff reported the caregiver being aggressive in disciplining the children, using rough language, face grabbing and pulling arms. The caregiver admitted that she pulled and grabbed children by their arms when disciplining.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1201(1).

Report Situation Placing Children at Risk

Concerns regarding the caregiver were identified by staff and reported to administrators. The operation failed to report the situation to Licensing in a timely manner.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.305(a)(6).

Positive Methods of Discipline and Guidance - Use Praise and Encouragement

The caregiver admitted that positive methods of discipline and guidance were not practiced in managing the behaviors of challenging children.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.2803(4)(A).

Director Responsibilities - Employee Assignments

Due to the caregivers' age and condition, the assignment to an active 4 year old class did not match her current skills or abilities.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1003(3).

Report Situation Placing Children at Risk

Concerns regarding the caregiver were identified by staff and reported to administrators. The operation failed to report the situation to Licensing in a timely manner.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.305(a)(6).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Video was reviewed of the caregiver roughly pulling the child by the arm. Staff reported the caregiver being aggressive in disciplining the children, using rough language, face grabbing and pulling arms. The caregiver admitted that she pulled and grabbed children by their arms when disciplining.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1201(1).

Positive Methods of Discipline and Guidance - Use Praise and Encouragement

The caregiver admitted that positive methods of discipline and guidance were not practiced in managing the behaviors of challenging children.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.2803(4)(A).

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Video was reviewed of the caregiver roughly pulling the child by the arm. Staff reported the caregiver being aggressive in disciplining the children, using rough language, face grabbing and pulling arms. The caregiver admitted that she pulled and grabbed children by their arms when disciplining.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1201(1).

Director Responsibilities - Employee Assignments

Due to the caregivers' age and condition, the assignment to an active 4 year old class did not match her current skills or abilities.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.1003(3).

Report Situation Placing Children at Risk

Concerns regarding the caregiver were identified by staff and reported to administrators. The operation failed to report the situation to Licensing in a timely manner.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.305(a)(6).

Positive Methods of Discipline and Guidance - Use Praise and Encouragement

The caregiver admitted that positive methods of discipline and guidance were not practiced in managing the behaviors of challenging children.

Correction verified Apr 8, 2022. Technical assistance given. Standard 746.2803(4)(A).

Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours

This rule was evaluated with regard to an investigation and has been found to be in violation. The director understands that parents can visit the child-care center any time during the child-care center's hours of operation without having to secure prior approval.

Corrected during the inspection. Technical assistance given. Standard 746.501(b)(1).

Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours

This rule was evaluated with regard to an investigation and has been found to be in violation. The director understands that parents can visit the child-care center any time during the child-care center's hours of operation without having to secure prior approval.

Corrected during the inspection. Technical assistance given. Standard 746.501(b)(1).

Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours

This rule was evaluated with regard to an investigation and has been found to be in violation. The director understands that parents can visit the child-care center any time during the child-care center's hours of operation without having to secure prior approval.

Corrected during the inspection. Technical assistance given. Standard 746.501(b)(1).

Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours

This rule was evaluated with regard to an investigation and has been found to be in violation. The director understands that parents can visit the child-care center any time during the child-care center's hours of operation without having to secure prior approval.

Corrected during the inspection. Technical assistance given. Standard 746.501(b)(1).