The Apple Tree Daycare, Inc. III

746.1309(g) - Documented Annual Training-Self-Instructional 80%

Director completed 30 annual training hours of which 7 hours were self-study training. The self-study trainings are the required annual training topics.

746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

An employee was responsible for supervising a group of children; however, this individual does not fulfill the educational requirements necessary to qualify as a caregiver. Corrected at Inspection: A qualified caregiver was placed in the classroom.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based

Three caregivers completed Pediatric CPR training online without hands-on skill-based instruction, and practice.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A child with a diagnosed food allergy did not have a Food Allergy Emergency Plan.

746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher

The fire extinguisher was not secured in one of the transportation vehicles.

746.1013(c) - Director's Absence - Employees Know Who Is in Charge

Employees did not know the person in charge in the absence of the director.

746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times

The group of toddlers were viewing a children's video while waiting for their meal.

746.3407 - Maintenance of Building, Grounds and Equipment

There were three vents and ceiling fans with dust and debris.

746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

The documentation for the fire drills and sheltering/lockdown drills was not fully completed for 2024. There were several dates missing on the forms.

746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

There was a torn mat used by a child during naptime.

746.801(5) - Required Records Maintained and Made Available - Employees' Attendance

The director did not have a time sheets.

746.1111 - Education Outside of U.S.

1 out of 10 employee files reviewed is missing translation of education.

746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes

Observed documentation of last fire drill conducted on 1-31-24.

746.603(a) - Children's Records Maintained

9 out of 10 childrens records reviewed is missing the following: 1) Admission Date 2) Emergency Contact Address, Special Care Statement, Healthcare Provider Statement, Immunization Information 3) Emergency Contact other than a parent 4) Emergency Contact Address, Emergency Care Authorization, Special Care Statement 5) Date of Admission, Special Care Statement 6) Date of Admission, 7) Date of Admission, Name of School/Address/Phone Number 8) Date of Admission, Address of Emergecny Contact, Special Care Statement, School information, Healthcare Statement, Immunization records, Permission to ride bus/walk 9) Iimmunization Records

746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

Carbon Monoxide Detector had not been tested for the year 2024. *This was corrected at inspection when the Carbon Monoxide Detector was tested and in compliance.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

2 out of 10 employee files reviewed are missing First Aid and CPR Training.