Small World of Learning

746.3415(4) - Employee Handwashing After Diapering a Child

A caregiver was observed not washing hands after diaper changes.

746.2419(1) - Requirements for Feeding Infants-Hold through 6-months

A 5 month old child was placed in the bouncer and given a bottle instead of holding the infant for feeding.

746.3417(3) - Children Handwashing After Toileting or Diapering

A caregiver was observed doing a diaper change but failed to wash the child's hands afterwards. This was corrected at inspection when the caregiver washed the child's hands.

746.3407(5) - Sanitize Potty-Chairs

Two training potty chairs in the 2 year old classroom had standing urine in them. The children were observed using the potty chairs without the potty chairs being sanitized between each use. This was corrected at inspection when the caregiver emptied and sanitized the potty chairs.

746.3407 - Maintenance of Building, Grounds and Equipment

In the 3 year old classroom, urine was observed on the floor in the restroom. Furthermore in the 2 year old classroom a trash can with diapers was observed without a lid, making dirty diapers accessible to children. This was corrected at inspection when the urine was cleaned off the floor and the floor was sanitized as well as replacing the uncovered trash can with a trash can that has a lid.

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

1 of the 12 personnel files had online CPR First Aid.

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

2 personnel files out of 12 could not be located.

746.613(b) - Immunization Records, Exceptions, and Exemptions Current

3 children files out of 10 were missing current immunization records.

746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation

Multiple personnel files were missing various items inclusive of proof of orientation.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

Multiple personnel files were missing an acknowledgment of experience or the pre-service training certificate.

746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program

1 children's file out of 10 was missing a health statement.

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

A caregiver was observed yelling at a child in care saying "No, no, go lay down" during nap time.

746.2411(2)(B) - Safety Requirements for Play Yards - Snug Fitting Sheets

During the inspection two playyards were observed with loose fitting sheets while the infants were sleeping. This was corrected during the inspection by placing tight fitted sheets on the base of the playyard.

746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

During the inspection an infant was observed sleeping in the playyard with a bib secured to their neck. This was immediately corrected during the inspection by removing the bib.