Miss Naomis Little Learners

Two providers do not have a health status form on file.

Emergency plan does not include procedures for an unscheduled closure or heavy snow/blizzard.

Emergency plan does not include procedures for responding to and preventing allergic reactions of children.

One cat does not have current rabies vaccine on file.

Two child files out of six child files reviewed do not have current immunizations on file. Children have been enrolled for more than 60 days.

Primary provider does not have documentation available for initial health and safety training.

Primary provider has not completed annual professional development training for licensure year ending 2024.

CPR and First Aid certification for substitute provider expired January 2025.

Spray deodorant bearing a keep out of reach of children warning label is located in a bedroom accessible to children. Corrected at visit.

✓ Corrected at visit

Five child files out of six child files reviewed do not have a medical history form recorded on the current form.

Stairway was not guarded to prevent unsupervised access by children. Children under 2.5 years are in care. Corrected at visit.

✓ Corrected at visit

Diaper cream located in a bedroom and nail polish remover located in a closet is accessible to children and not in locked storage. Corrected at visit.

✓ Corrected at visit

Several medications located in a closet are accessible to children and not in locked storage. Corrected at visit.

✓ Corrected at visit

Facility did not submit identifying information for two individuals as required complete background checks.

One resident does not have documentation of negative TB test.

Stairway is not guarded. Licensing specialists observed a one year-11 month old child crawling up the stairs.

Lotion and facewash located in the basement are accessible to children and not in locked storage. Corrected at visit.

✓ Corrected at visit

Shaving razors located in the basement are accessible to children and not in locked storage. Corrected at visit.

✓ Corrected at visit

Upon licensing specialist's arrival, the sole provider was observed on the main level of the facility. A one year 11-month-old child was observed crawling up the stairs from the lower level of the facility. Child was permitted to play on the lower level and was not within sight and proximity to the provider.

Facility did not submit identifying information for one individual as required to complete background checks.

Licensing specialists observed snack placed on a bare table for children. Corrected per specialist's request.

A high chair tray containing pieces of chicken nuggets has not been cleaned from lunch. Lunch ended at 12:15 pm. Licensing specialists arrived at 2:05 pm.

Licensing specialists observed dog feces on the floor of the child care area. Corrected per specialist's request.

One electrical outlet located in the child care area does not have a cover. Corrected at visit.

✓ Corrected at visit

Dish soap located in the kitchen and multiple diaper creams located near the changing table are accessible to children and not in locked storage. Corrected at visit.

✓ Corrected at visit

Facility did not submit one individual as required to complete background checks.

Licensing specialists observed the provider on an off-premises trip. Provider did not have the emergency medical form or medical record readily available for seven children when the children were off-premises.

One child out of seven children present on an off-premises trip did not have written off-premises permission signed by the parent or legal guardian.

One child file out of nine files reviewed does not have an emergency medical release form on file. One child file out of nine files reviewed does not have a complete emergency medical release form on file. The expiration date is missing.

September 2023 tornado drill is not available for review.

Documentation of 2023 fire drill for September, August, November and December are not available for review.

Two dogs do not have current vaccinations.

Two child files out of nine files reviewed did not have immunizations on file. One child file out of nine files reviewed did not have current immunizations on file.

Multiple cans of household paint are located on the front porch, accessible to children at the facility. Dish soap, disinfecting wipes, and plant fertilizer containing warning labels are located on the kitchen counter within reach of children.

A seven year old child was not under the supervision of a provider during a walk to the park. Provider allowed the child to walk back to the house alone to retrieve a bicycle while the provider waited around the corner from the house.

One child file out of nine files reviewed did not have a medical record available for review.

One child does not have current immunizations on file.

Surveyor observed a soiled diaper on a changing table. Corrected at visit.

✓ Corrected at visit

One child file out of seven files reviewed does not have current immunizations on file.

One child file out of seven files reviewed did not have a complete medical record on file. Health assessment is missing.