The Childrens Courtyard

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR

One caregiver who cares for children and has been employed for over 90 days needed the hands on CRP and First Aid training. One caregiver was missing CPR and First Aid training and has been employed for over 90 days.

746.3807(1) - Storage of Medication - Inaccessible to Children

Two classrooms had epi pens in lock med bags which were not locked. These bags were located inside a first aid bag in a rolling cart on the floor of the classroom.

746.3407(13) - Using, Storing and Disposing of Hazardous Materials

Based on the gatherings during the investigation, it was determined concrete evidence exists to support that the school have not followed the instructions on the sanitizing solution.

746.2401(4) - Basic Requirements for Infants - Prompt Attention to Needs

Based on the information gathered during the investigation, it has been determined that child was not attended to, and caregiver attending to other children and other chores instead of a child that required immediate attention.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on the information gathered during the investigation, it has been determined that child was grabbed by the arms (extremities) to be moved to a different location. This may result in the child's arm being pulled from socket.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

Based on the gatherings during the investigation, it was determined there is concrete evidence to support the school was over ratio.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

There were 3 infants cared for at the front office by the director. Director was caring for children at the front to avoid being out of ratio in infant room. This is the third time occurrence during visits.

745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone

One staff that were present onsite during the visit were not shown to have background check in the system.

746.1003(1) - Director Responsibilities - Operate in Compliance

There were 3 infants cared for at the front office by the director. Director was caring for children at the front as there was no extra staff.

746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records

Staff files did not have trainings available for review during the visit.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

A caregiver had a total of 10 children in care. Five were ages 18M-23M and 5 were 2 years. Making the specified age group 18-23M.

746.4503(b) - Cots, Beds, Mats Labeled With Child's Name

Three out of five classrooms did not have the cots labeled.

746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records

Staff files did not have trainings available for review during the visit.