HAND-N-HAND EARLY LEARNING CENTER, INC.

9U — Changes Affecting a License

Ensure a plan review is submitted when making a change to regulated services. The outdoor play area has not been in use for weeks due to the removal of fencing and mulch. Currently, the outdoor play area is neither compliant nor usable for the children.

8U — License Renewal

Ensure a renewal application is submitted 60 days before the license expires.

72U — Feeding of Infants

Ensure each infant has a monthly feeding statement completed each month. Three infants need a monthly feeding statement.

53U — Outdoor Area

Ensure Structures, fences, equipment, and the grounds are maintained in a clean and safe condition, ensure fencing is a minimum of four feet in height with openings no larger than 3 inches, A licensee shall ensure gates have self-closing and positive self-latching closure mechanisms.

45U — Hazardous Materials

Ensure a radon test is conducted for each classroom every five years.

30U — Personnel Files

Ensure staff files are complete. One staff member needs their DEEDS credential on file, OCCL Health and Safety Training, release of employment history, and service letter attempts.

15U — Governing Body

Ensure the annual fire marshal inspection is completed. The last inspection was August 29, 2024.

35U — First Aid and CPR Training

Ensure staff have the hand on skill demonstration in addition to the CPR training. Staff #1 needs the CPR hands on skill demonstration.

27U — Ratios, Group Size, and Supervision

Ensure toddlers and preschool children are cared for in separate areas after the first 90 minutes. A three-year-old child is enrolled in the one-through-two-year-old classroom.

38U — Parents Right to Know

Ensure when individuals who arrive to tour or enroll at the facility are completing out Parent's Right to Know Log before touring or enrolling.

40U — Child Files

Ensure child files are up to date. One child needs an updated health appraisal and immunization record.

45U — Hazardous Materials

Materials required for routine cleaning and maintenance must be stored out of children s reach and used in a safe manner. Containers of poisonous, toxic, or hazardous materials are: Stored in a locked storage space accessible only to staff. Labeled with the contents. Cleaning spray containers were accessible in all classroom in cabins not locked. The boys bathroom had a chemical accessible in a cabinet not locked. no bottle with sanitizer or disinfection that was accessible to a child was labeled.

49U — Indoor Space

Keep all areas, furnishings, and equipment of the center in a clean, hazard-free, and safe condition. Floors, walls, counter surfaces, toilets, and surfaces or finishes must be cleanable and in good repair. The boys bathroom baseboards need repair or replace due to water damage. The boys bathroom sink base needs to be repaired or replaced due to water damage. The baseboards near the boys bathroom by the door to outside need repair or replace due to water damage. The Preschool classroom carpets need to be vacuumed. The School age classroom lat surfaces need to wipped off. The toddler classroom cabinet was not locked providing access to plastic bags and chemicals. The preschool closet was not leached providing access to chemicals. The School age classroom had chemicals accessible under the sink. The boys bathroom had access to chemicals and trash under the sink.

51U — Toilet Facilities

A licensee shall ensure toilet rooms are kept in a sanitary condition and cleaned daily or more frequently if needed. The boys restroom toilet seat and toddler potty seat need to be cleaned after each use. Both have fecal matter on them the potty seat has urine around the cushion.

53U — Outdoor Area

Openings in the fences should be no larger than 3-1 2 inches. The right gate needs a new chain link fence the openings are over 3-1/2 inches. gates have self-closing and positive self-latching closure mechanisms. Gates should have operational self-closing and positive self-latching closure mechanisms. The left gate no longer set closed self latches when opened at a minimum of 18 inches.

58U — Sanitation

Toilet seats, potty chairs, and diaper changing areas are to be washed with soap and water and then disinfected as required. LS observed the staff member spray an unknown substance on a diaper chaining area after a use but other item was utilized leaving speculation of sanitizing and disinfection of the surface. Fecal matter and urine on the boys toilet ing seats provides conclusion that no sanitizing or disinfecting has occurred. Bottles of sanitizing and disinfecting solution bottles are to be labeled with contents and out of reach of children and available at all times. No classroom bottles were labeled. The boys and girls bathroom have no access to the disinfecting or sanitizing bottles to use when required.

61U — Diapering and Soiled Clothing

A diaper-changing area with a non-porous surface and disposable covers must be used for each diaper change. The toddler classroom changing pad has holes and during an observed diaper change a disposable cover was not used.

73U — Program Goals and Planning

Lesson plans must have areas of physical, social-emotional, language and literacy, and cognitive development and be developmentally appropriate for the children enrolled. No classroom had social emotional everyday and was missing one or more or the healthy habits, science, music, or sensory components.

15U — Governing Body

Ensure enough staff are on the premises to assist with daily running of the facility. There were no staff to allow the LS into the facility. There were not enough staff to assist if there was an emergency, bathroom breaks, or if staff had to call out.