Childtime Childrens's Center

This requirement is not met as evidence by based on observations. Facility failed to maintain facility ratio for napping. LPAS inspected the classroom (infant) during nap time and observed a classroom to have 1 staff with 6 children napping and 1 child awake.

101227 (7) (B) Food Services(7) Modified diets prescribed by a child's physician as a medical necessity shall be provided. (B ) A child shall not be served any food to which the child's record indicates he/she has an allergy.This regulation was not met as evidenced by: Based on LPAs observations, record reviews, and interview Licensee did not meet above regulation. Staff interviews and record reviews provided corroborating information that Infant was served food on allergy list. This poses an immediate health, safety, and personal rights risk to children in care.

STAFF-INFANT RATIO

Staff-Infant Ratio:(b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by: based on record review and staff disclosure, the facility operated out of ratio on at least two dates in the month of June 2023. Director confirmed that the facility has operated out of ratio.This is an immediate risk to children in care.

ARTICLE 2. Administration of Child Day Care Licensing

Based on reord review, the licensee did not comply with the section cited above in 1 out of 7 staff files which did not contain the mandated reporter training certificate which poses/posed a potential health, safety or personal rights risk to persons in care.

STAFF-INFANT RATIO

Staff-Infant Ratio:(b) There shall be a ratio of one teacher for every four infants in attendance.This requirement was not met as evidenced by:LPA observed 4/13/2023 video indicating that the infant room was out of ratio on at least two occasions: One staff to eight infants and Two staff to 10 infants. LPA also received staff disclosure that the infant room was out of ratio in the month of April.This is an immediate risk to children in care.

INFANT CARE ACTIVITIES

101430(a)(3)(EIf the infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible as required by 101430(a)(3)(E This requirement is not met as evidenced by: Based on LPA Interviews and Photos: During October and November 2022Child #1 and Child #2 were allowed to , sleep on the floor in an unsafe position on a donut shaped pillow on the floor in the infant room. Photo #1 depicts Child #1 an infant sleeping on the donut pillow with the head tilted forward. Photo #2 depicts child #2 asleep on donut pillow on the floor, sleeping on their face. The children were not transferred to the crib in a timely manner after falling asleep thus not following infant safe sleep regulations. Which poses an immediate Health, Safety, or Personal Rights Risk to children in care.

Staff Infant Ratio: 101416.5 (e) There shall be provision for overlap of staff for different shifts, so that “continuity” of care is assured.This requirement is not met as evidenced by:Based on 26 interviews with staff and parents and record reviews. On 11/03/22 between 7:15am to 9:30am, one staff with 7 infants.On 11/03/22 between 12:00pm – 2:30pm, one staff taking care of two classrooms with children not napping. Due to the divider between the infant and toddler classroom, 8 children on infant side and 8 children on toddler side with children not napping.On 11/08/22 at 11:32 am, the infant classroom had two staff and 11 infants; 4 months to 12 months years of age documented on the attendance log.On 12/05/22 at 6:52am to 8:15am, between 8:00am to 8:06am with Staff#1. At 8:15am there were 16 children ages 2,3, and 4 years old with Staff#1 until 8:15am when children were moved to another location-documented on the Face-To-Name Transition Sheet. On 12/06/22 at 6:30am until 8:00am, there were 14 children mixed, ages 2, 3 and 4 years old with Staff #3 until 8:00am and then left with staff #1 documented on the Face-To-Name Transition Sheet.On 12/19/22 at 8:30am, there were 15 children ages 2 and 3 years old with Staff #4. At 10:03am, Child #1, #2, and #3 were moved to the office to maintain ratio documented on the Face-To-Name Transition Sheet.On 12/19/22 at 8:30am to 8:35am, Staff#4 was with 6 children ages 2 and 3 years old. At 8:36am, 8 more children for a total of 14 children arrived until 9:54am documented on the Face-To-Name Transition Sheet.On 12/29/22 at 8:30am to 12:30pm, Staff #4 was with 15 children ages 2,3, and 6 years old.On 01/11/2023 between 7:41am to 7:55am, Staff#1 was with 19 children. Children departed at 8:00am with Staff #5 documented on the Face-to-Name Transition Sheet.On 01/31/2023 from 8:30am to 9:21am, Staff #4 was with 16 children documented on Face-to-Name Transition Sheet.On 1/31/2023 from 6:30am to after 8:30am, Staff #3 and Staff # unknown was with 11 children.On 1/31/2023 after 8:30am, Staff # 5 was with 16 children. Which poses an immediate Health, Safety, or Personal Rights Risk to children in care.

STAFF-INFANT RATIO

Staff-infant ratio 101416.5(b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by: based on staff interviews and record review the licensee did not ensure that the infant classroom was within ratio on 3 out of 3 days which poses a potential risk to health and safety of children in care.

THIS IS AN AMENDED REPORT101416.5(b)&(e)There shall be a ratio of one teacher for every four infants in attendance. & There shall be provision for overlap of staff for different shifts so that continuity of care is assured. This requirement was not met as evidenced by: Based on interviews and records reviewed, the facility was over ratio on 4/21/21 by 1. Staff #3 was present from 6:30AM to 8:00AM with 5 infants which poses an immediate health and safety risk to persons in care.

LIMITATIONS ON CAPACITY

THIS AMENDED REPORT101161(a) Limitations on Capacity. A licensee shall not operate a child care center beyond the conditions and limitations specified on the license. This requirement was not met as evidenced by; Based on record reviews and Staff interviews, on more than one day during the months of April, May and June 2021 including the visit on 6/9/21, approximately 1-4 infants have been placed in the 2 year old classroom which is part of the preschool license which poses an immediate health&safety risk to persons in care.