Buttons and Bows Early Learning Center

746.5607(b) - Child Passenger Safety Seat System - Not expired or damaged in accident

Booster seats that were involved in a vehicle accident continued to be used by children in care. The manufacturers instructions also say that any booster seat involved in an accident should not be used after a crash. This was corrected at inspection when the operation replaced the booster seats that had been involved in the accident with new ones.

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

The caregiver in the classroom was observed sleeping while the children were napping.

746.3701 - Safety - Areas Free From Hazards

A pot around the base of a tree on the playground has broken in multiple places resulting in a few of the edges being a shear hazard.

746.3417(3) - Children Handwashing After Toileting or Diapering

After toileting, children sat back down in the hallway until the sink in the girls bathroom was available to use for hand washing despite there being a sink in the boys bathroom that could have been used. While waiting, children were observed touching their faces and touching other people with their unclean hands.

746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders

Food was being served on the bare table for a child to eat at lunch.

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

There were cleaning supplies accesible to children under a sink in a classroom. The safety latch was broken on the cabinet door.

746.3417(3) - Children Handwashing After Toileting or Diapering

Four children had their diaper changed but their hands were not washed afterwards. The caregiver did not wash their hands either between diaper changes.

746.3505(c) - Diapering Procedures - Use Disposable Gloves

A caregiver was observed changing three diapers without changing out their gloves between each diaper change.

746.3407 - Maintenance of Building, Grounds and Equipment

There are multiple pieces of flooring tile that are chipped/broken that pose a tripping hazard to children in care. Additionally, there is a large pothole out on the playground that could cause a child to trip.

746.2805(9) - Prohibited Punishments - Withholding Active Play

Active play time outside is being withheld for discipline.

746.3701(10) - Safety - Televisions Anchored to Prevent Tip Over

The television in the school age classroom is not anchored and poses a tipping hazard to children in care.