First Heaven Child Care LLC

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

Four employee files were reviewed. One employee completed the CPR training 100 % online. The training did not include hands on practice.

746.613(a) - Required Immunizations

Four children's files were reviewed. One file did not have the immunization record. Two files were pending updated immunization records.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age

Sixteen month old child was in a group of 15 children. Oldest child in the group was 13 years of age. There was an age gap of more than 18 months between infant child and oldest child in the classroom. Infant teacher was observed supervisng five children. Based on specified age group of 11 months, the maximum number of children in the group with one caregiver could be four.

746.1305(a)(1) - Pre-service Training- Developmental Stages

Four employee files were reviewed. One employee was pending pre-service training in the following topics: developmental stages of children, age-appropriate activities for children, positive guidance and discipline of children, fostering children's self-esteem, supervision and safety practices in the careof children, postiive interaction with children, and preventing and controlling the spread of communicable diseases.

746.1309(e) - Documented Annual Training- Required Content

Four employee files were evaluated. One employee was pending training in topics in emergency preparedness; preventing and controlling the spread of communicable diseases; administering medication; preventing and responding to emergencies due to food or an allergic reaction; understanding building and physical premises; and handling, storing and disposing of hazardous materials.

746.1311(e) - Director Annual Training - Additional required topics

Director was missing training on the following topics: Preventing and responding to emergencies due to food or an allergic reaction and preventing and responding to emergencies due to food or an allergic reaction.

746.1305(a)(2) - Pre-service Training- Age Appropriate Activities

Two caregivers were missing pre-service training on age appropriate activities, and supervision and safety practices in the care of children. One employee was missing training in the developmental stages of children.

746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually

Directors have not completed required transportation training.

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

Sheets in play yards did not fit snugly. Sheets were loose on the mattress.

746.3301(f)(1) - Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

Driniking water was not available during outdoor play.

746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information

Transportation binder did not have the following information:Mediical authorization, list of children and emergency contacts.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

One caregiver was observed supervising 6 children in the infant classroom. Specified age group was 12 17 months. The maximum number of children one caregiver can supervise is 5 children.