Tree House Christian Learning Center

746.201(4) - Designating Director

The proposed center director has not submitted all of the required trainings.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

While a Preschool class was transitioning from the restroom back to the classroom, the teacher failed to account the number of children in her care, resulted in a child being left behind unattended.

746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area

A caregiver was observed failing to utilize the four step process between children while diaper changing. This was corrected at inspection when the director explained the full process must be followed.

746.2911 - Adequate Lighting During Naptime

Lighting during naptime was observed not adequate. Note: This was corrected at inspection when the lights of the hallway were turned on creating sufficient lighting.

746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups

Three bottles and one sippy cup in the infant room were not labeled with the child's name. This was corrected at inspection when the infant caregiver labeled the bottles and cup.

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

A child enrolled with diagnosed food allergies did not have a food allergy emergency action plan on file.

746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

Of the five infants required to have an infant feeding schedule, ( not ready for table food) only two infants feeding schedules were available/provided for review.

746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

The infant caregiver was observed on their cell phone and wearing a headset while caring for infants as they napped.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

During a follow up inspection. The infant room was observed with only one caregiver supervising seven infants aged five to twelve months. NOTE: This was corrected during the inspection when another caregiver returned from her lunch break.

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

Two caregivers did not have current First Aid certifications. A third caregiver did not have a current CPR or First Aid certification in her personnel file.

746.603(a)(4) - Children's Records - Immunizations

Four of eight children's files did not have up-to-date immunization records. Four of eight children's files did not include a signed physician's statement.

746.1003(1) - Director Responsibilities - Operate in Compliance

The Director failed to utilize tools provided by Child Care Regulation for observing staff monthly, resulting in non-compliance at the time of review.

746.605(6) - Required Admission Information - Emergency Contact

One of eight children's files did not have an address listed for the emergency contact.