Little Blessings

Upon arrival, children and the provider were outdoors, licensing specialist did not observed children washing their hands or be assisted when returning from being outdoors. Corrected at the time of survey.

✓ Corrected at visit

Two out of twelve child files reviewed with an incomplete medical history form on file. Corrected at the time of survey.

✓ Corrected at visit

Parents or legal guardian of each child in care not informed in writing that cameras are used in the facility.

Per provider statement, she spanked a child for biting another child.

A twelve-month-old was left outside for two minutes during outdoor play, while providers were taking other children indoors from outdoor play.

Breast milk label is missing child's name. Corrected at the time of survey.

✓ Corrected at visit

Emergency numbers are not posted or accessible to the provider.

Six out of nine child files reviewed without an emergency medical release form on file.

One bottle in the fridge not labeled with the child's name, the contents, and the time and date prepared. Corrected at the time of survey.

✓ Corrected at visit

There is no written plan for safe sleep practices available for review.

Four providers without a health status form on file. One resident without a negative tb test on file.

First-aid-kit is missing the following items: adhesive tape, roll of sterile gauze, sharp scissors, elastic bandage and tweezers.

Emergency plan does not include shelter-in place area and designated off-premises relocation site.

No tornado drills recorded for the last 7 months of 2025 year.

No fire drill recorded for the month of July 2025.

There is no diapering procedures posted in each diaper-changing area.

Discipline policy is not available for review.

Two out of nine child files reviewed without current immunizations records on file.

Two substitutes have not received orientation before given sole responsibility for the care and supervision of children.

One provider has not completed health and safety training 30 days after the date of employment.

There is no documentation on file for the provider of completed health and safety training.

In the designated outdoor area is an unlocked shed storing a riding lawn mower and tanks of propane. In a separated shed with an open entrance is a lawn mower and tanks of propane accessible to children in care.

On the kitchen counter, not in a locked storage and accessible to children are two knives. In the bathroom, not in a locked storage and accessible to children is a razor. Both items were corrected at the time of survey.

✓ Corrected at visit

There is a bottle of hand sanitizer on the kitchen counter, not in a locked storage and accessible to children in care. Corrected at the time of survey.

✓ Corrected at visit

Outdoor trash can is uncovered.

Wood fence has two panels that are broken with sharp ends accessible to children in care.

Nine out of nine child filed reviewed have medical history not on current form.

Two emergency medical release forms are incomplete.

Disaster plans are not developed for emergencies such as fire, tornadoes, storms and floods.

The written discipline policy does not indicate methods of guidance appropriate to the age of children in care.

Health and safety training is not completed within 30 calendar days after the application was submitted.

There is an uncovered electrical outlet on the lower wall in the living room, accessible to children. (Corrected on site) There is an uncovered electrical outlet in the bathroom accessible to children.

There are 2 sharp knives in the kitchen sink accessible to children. (Corrected on site)

Swing set equipment is not anchored in the ground with metal straps or pins or set in cement to prevent movement of the equipment and swings.

There is grass around the swing set.

There are 4 boxes of insulin in the refrigerator not in a locked box.

There is no written supervision plan available for review.

One out of two medical records are incomplete. One out of two children files do not have a health assessment on file.