Hands N Hands Childcare

746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

There was a slide without any loose-fill in the outdoor play area. The slide was on top of a carpet and a cement slab. The slide was approximately 3 feet tall. This was corrected at inspection when the slide structure was removed from the play area.

746.611(b) - Health Statement on File within 1 Week of Admission

Five out of ten children's records evaluated were lacking a complete health statement.

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

Three out of ten children's records evaluated were lacking up to date or current immunizations.

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

Two out of ten employee records evaluated had CPR training that did not meet the in-person requirement.

746.901(6) - Required Personnel Records -Training Hours

Six out of ten employee records were not fully available to be reviewed during the inspection because part of the records had been removed from the operation. Those records missing include: two out of ten were lacking training certificates for CPR/First Aid. Four out of ten employee records evaluated were lacking training certificates for the topics of handling hazardous materials, food allergies, etc.

746.307(c) - Parental Notification of Less Serious Injuries

Based on information gathered during the investigation, it was determined that the operation did not notify parents of less serious injuries on more than one occasion.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

A spray bottle with bleach water was left on the floor near a toilet in the toddler restroom. This was corrected at inspection when it was addressed and the cleaning product was removed and stored out of reach of children.

746.2405(4) - Infant Care Area Furnishings and Equipment - Hand-washing Sink

An infant room did not have working water in the handwashing sink. This was corrected at inspection when the portable sink in the infant room was refilled with water and it was verified that it was working.

746.5205(4) - Documentation of Drills

There is no documented fire drill for the month of August 2024. This was corrected at inspection when the August fire drill was documented.

746.3417(3) - Children Handwashing After Toileting or Diapering

A caregiver changed the diaper to two children. The children did not wash their hands prior to returning to the classroom activities. This was corrected at inspection when it was addressed with the caregiver and the children's hands were washed.

746.3407 - Maintenance of Building, Grounds and Equipment

The restroom in the toddler room had various items present including a chair directly behind the sink, an easel/chalkboard, there were items blocking access to the toilets, and there were various cleaning supplies in a bin on the floor near the restroom (this area was being blocked off with a chair). This was corrected at inspection when the portable sink in the toddler room was refilled with water. Extra staff was also in the process of cleaning the restroom and removing the items that do not belong in the restroom.

746.3505(c) - Diapering Procedures - Use Disposable Gloves

A caregiver did not wash their hands after changing their gloves in between diapering. This was corrected when it was addressed with the caregiver.

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

The nap mats in the toddler room are labled with a number however there is no child assignment map to specify which mat is assigned to each child. This was corrected at inspection when a nap mat chart was completed and available in the classroom.