The Learning Experience

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days

8 out of 16 children's infant feeding sheets had not been updated within the last 30 days.

746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for

Information obtained throughout the investigation shows that the caregiver did not ensure she knew which children she was responsible for. As a result, a child was left behind in the classroom.

746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers

Information obtained throughout the investigation shows that the caregiver did not share relevant information with the incoming caregiver, including parent instructions and details about the child. As a result, continuity of care was not maintained.

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

Information obtained throughout the investigation shows that a caregiver left a child alone in a classroom. The assigned caregiver left the area without verifying the child?s whereabouts, resulting in a lapse in supervision.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

A caregiver was out of ratio, when she was observed caring for 7 children instead of 5.

746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep

Information obtained throughout the investigation shows the caregivers reported they used physical force to make a child nap or rest during naptime.

746.305(a)(6) - Report Situation Placing Children at Risk

Information obtained throughout the investigation shows the operation did not report an occurrence that placed a child at risk for injury or harm as required.

746.2417(8) - Activities for Infants - Provide Large Muscle Development

Observed the Sit-Up Support Ring being used by an 5 month old infant as a tummy time support pillow. This was corrected when the caregiver removed the Sit-Up support ring from the infant's chest.

746.1609 - Maximum Group Size 13 or More Children

Upon arrival, observed two caregivers in one classroom with 16 children; SAG - 17 months. This was corrected when the second caregiver in one of the groups arrived to work.

746.3417(1) - Children Handwashing Before Eating

The toddlers' hands were not washed before eating their breakfast/snack. Prior to mealtime, they were observed playing with toys in the classroom.

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

During the follow up inspection, it was found that the teachers were signing and dating the infant feeding instructions.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

One caregiver did not know how many children she was supervising. This was corrected when the caregiver counted the children and corrected her initial answer.

746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups

Observed three toddlers walking around the classroom with their training cups. This was corrected when the director sat each child down in a chair.

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

An active background check was unavailable to review for one caregiver who was present and supervising children. This was corrected when the caregiver left the operation.

746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink

In the toddler room, observed feeding bibs in the handwashing sink. This was correceted when the bibs were removed from the sink.

746.2205(a)(4) - Written Activity Plan - No Long Waiting Periods

Observed children in one classroom sitting at the table without an activity. This was corrected when the caregiver let the children play in centers.

746.3407(6) - Empty Water Play Tables, Sanitize Water Play Toys, Wash Hands Before Using

There was standing water and debirs inside of the sensory table located on the playground. This was corrected when the director dump the water out of the sensory table.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

The operation failed to provide care consistent with the child?s needs when a child was served food that he was not supposed to consume on two separate dates while in care at the operation.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

One caregiver did not know how many children she was responsible for during inspection.

746.2901 - Supervised Naptime Daily

A child was not provided nap or rest time even though the child was in care more than 5 hours.

746.501(a)(8) - Written Operational Policies - Suspension and Expulsion

The operation does not have a written operational policy that addresses suspension and expulsion.

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

One child was unsupervised while present at the operation when the child was able to leave their classroom without the assigned caregiver being aware of their whereabouts in the operation.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

The operation was found during an investigation to be out of ratio in one classroom when they had one caregiver with 18-20 children in a classroom that is only supposed to have 15 children with one caregiver.

746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk

There was no incident report written for an incident where a child was unsupervised at the operation or for behavioral issues with a child that occurred at the operation.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling

One staff raised their voice while disciplining the child humiliating the child in the classroom in front of the other children and staff, blaming the child for being hit by another child while present at the operation. Specifically, using a harsh tone while telling the child it was their fault they were hit for following the other child.