Routine inspection·September 27, 2021

On 9/27/21, at 8:45 am, an annual inspection was made to the facility by Licensing Program Analyst (LPA), Wisehart and met with Executive Director, Kelli Koller . The facility file was reviewed prior to this inspection. A review of the personnel report on 9/27/21, indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility\342\200\231s operating hours are 6:45 PM to 5:30 PM Mon-Fri. The facility was toured at 9:00 am inside and outside and the floor and yard plan submitted by the licensee were verified. There are no pools or similar bodies of water. The Executive Director stated no firearms or weapons are stored on site and none were observed. The items which could pose a danger to children (such as disinfectants, cleaning solutions and medications) are inaccessible to children. Poisons are locked in a locked cabinet in both bathrooms. Furniture and equipment are in good condition, free of hazards, and age appropriate. The outdoor activity space was cushioned with a rubber mat and free of hazards. Toilets and sinks are in sanitary condition and operating properly. The facility floors were clean and safe. The kitchen/food preparation area is clean, and free of litter or rodents. Food/formula/breast milk is properly stored, labeled and refrigerated as needed. There was no contaminated food observed. Trash cans have tight fitting lids. There is uncontaminated drinking water available to children both indoors and outdoors; labeled water cups are provided for all children.. The facility was free of flies, insects and rodents. The facility has a working carbon monoxide detector. The last disaster drill was on 9/11/21. During today's inspection, staffing ratios were being met and there were 10 infants were being supervised by 5 teachers/aides. Infants are not left without visual supervision at any time. The facility was operating within the licensed capacity. At least one staff member present during the visit (S1) possessed current CPR and First Aid certifications (expires 11/15/22). The sign in/out sheet was reviewed, and representatives are using full signatures and recording the time. Staff are provided on-the-job training, including sanitation and universal precautions. Infants with symptoms of illness are not accepted, and children who become ill during the day are isolated in office space with nap mat, though younger infants will be held. A weekly menu was posted on the wall by kitchen. The facility has a crib or mat/cot for each napping infant. Cribs are free of loose objects. Infants are visually supervised at all times while sleeping, and staff physically check on sleeping infants every 15 minutes. The 15 minute checks are documented on 15 minute infant nap check list and kept in the infant\342\200\231s file. Infants under 12 months are placed on their backs for sleep, and no infants are swaddled. Five children\342\200\231s records were reviewed at 9:50 am, and contained emergency identification forms, medical assessments, and Needs and Services Plans. Infants up to 12 months have an Infant Sleeping Plan on file. Three staff records were reviewed at 9:45 am, and contained proof of qualifications. All licensing reports are public information and must be made available upon request for at least three years. Notice of Site Visit shall be posted for 30 days from today's visit. There were no Title 22 deficiencies cited during today's inspection though an advisory was given.