Rise Above Early Learning Center

Bleach water and three bottles of cleaner not in locked storage or at least five feet high in room C. Corrected at visit.

✓ Corrected at visit

The emergency plan does not include tasks to be followed by each staff member in an emergency.

The first aid kit does not include a manual and elastic bandage.

The emergency plan does not include procedures for continuity of operations, including backing up or retrieving health and other required records.

The emergency plan does not include a chemical release, a utility failure, an intruder, an act of terrorism, and an unscheduled closing.

The emergency plan does not include procedures to meet the needs of individual children, including each child with special needs and chronic medical condition.

The emergency plan does not include procedures for responding to and preventing allergic reactions of individual children.

The diaper changing policy is not posted in Room A.

In Rooms B1, B2, and C, the changing tables have holes in them that could trap soil and is not easily cleaned.

In Room A the floor in the bathroom has visible debris on it.

In Room A the wall in the classroom and bathroom have holes in them and the bathroom wall has visible debris on it. Partially corrected at visit. In Room E the wall in the bathroom has peeling paint.

✓ Corrected at visit

The sinks in B1 and E are not draining and water is pooling.

In Room A and E, there are not paper towels available for use. Corrected at visit.

✓ Corrected at visit

The following items were out of locked storage: Room A: Deodorizing spray, moisture absorber and eliminator container. Corrected at visit. The kitchen door was unlocked with nobody present, scissors, Clorox spray, oven cleaner, multi- purpose cleaner, and dish soap. Corrected at visit.

✓ Corrected at visit

In Room B1 there is an outlet that is not covered. Corrected at visit.

✓ Corrected at visit

In Room B1, the children are provided drinking water from the sink used for handwashing, per the teachers in the classroom. Corrected at visit.

✓ Corrected at visit

In Room E, the toilet has urine in it. Corrected at visit.

✓ Corrected at visit

In Room E, the daily schedule was not posted. Corrected at visit.

✓ Corrected at visit

Of the seven records reviewed for children in care, one was not reviewed by the parent/legal guardian within the past 12 months. Corrected at visit.

✓ Corrected at visit

Of the seven records reviewed for children in care, two do not have a completed medical record on the form provided by the department.

The well-child health information form is not made available to the families. Corrected at visit.

✓ Corrected at visit

In Rooms B1 and E, the cots are not labeled and designed for use by a single child. Corrected at visit. In Room C, the cribs are not labeled and designed for use by a single child. Corrected at visit.

✓ Corrected at visit

The tarp at the sand box is ripped causing a tripping hazard.

In Room D, the children were lined up against a wall from 9:03 to 9:13 without an activity.

In the Kitchen freezer, there are bags of breast milk that are missing the time expressed on the label. Corrected at visit.

✓ Corrected at visit

In Room C, there are bottles that are missing the time prepared on the label. Corrected at visit.

✓ Corrected at visit

The chest freezer in the storage room is missing a thermometer. Corrected at visit.

✓ Corrected at visit

Of the seven records reviewed for children in care, one does not have current immunizations.

There is not a written line of authority available of review. Corrected at visit.

✓ Corrected at visit

There is not a written non-discrimination policy available for review. Corrected at visit.

✓ Corrected at visit

Annual mechanical safety check incomplete for two vans used to transport children.

Eight staff do not have documentation of completed training in building and premise safety, including identification of and protection from hazards that could cause bodily injury, including electrical hazards, bodies of water and vehicular traffic.

Two staff do not have documentation of training in recognizing the signs of child abuse and neglect, knowledge on the prevention of child maltreatment, shaken baby syndrome and abusive head trauma, and the reporting of suspected child abuse and neglect.

Five staff do not have documentation of training in basic child development.

One staff does not have documentation of training for safe sleep practices and sudden infant death syndrome.

Eight staff do not have documentation of completed training in handling and storage of hazardous materials and the appropriate disposal of bio- contaminants, including blood and other bodily fluids or waste.

All medical record forms not in the vehicle for each child transported.

Paper towels unavailable for use in room A. Corrected at visit.

✓ Corrected at visit

Current written lesson plans unavailable for rooms A and D.

Bedding not stored in a sanitary manner in rooms B1 and D. Corrected at visit.

✓ Corrected at visit

Screws sticking out of the playhouse in the outdoor play area.

Temperature is over 40 degrees in the refrigerator in room C.

According to collateral contacts, staff members did not obtain certifications in pediatric first aid and CPR before their dates of employment or within 30 calendar days after their dates of employment. According to collateral contacts, one (1) staff member did not maintain current first aid and CPR certifications. According to collateral contacts, each unit did not have a staff member counted in the staff-child ratio with current certifications in pediatric first aid and CPR at all times.

According to collateral contacts, a staff member wrapped her arms around a child, who was five years of age, holding him still. When he arched his back and turned, struggling to get away, she held him in place by his hands.

Diaper changing procedures are not posted in Room C. Corrected at visit.

✓ Corrected at visit

All disasters not included in the disaster plans.

Trash cans soiled in rooms C and E. Under the sink in room C is heavily soiled. Caulking around sinks and backsplash missing or cracked in rooms D and E. Finger guards broken on the bathroom doors in rooms A, D, and C. The playhouse on the south playground soiled with dirt. One playpen in room B1 not in clean condition by having cobwebs and brown stain on the side.

Two outlets not covered in rooms B2 and C.

In rooms A, C, E, and D the baseboards are coming off the walls and in the bathrooms. Divider between rooms B1 and B2 not sturdy.

The carpet has holes exposing concrete floor in room D.

Room D: Concrete floor exposed near baseboard. Tape residue on the floor. Room C: Floor soiled with dirt.

In Room B1, the foam play mat is torn and there is a hole in the mesh of one playpen. Partially corrected at visit. In Room C, there is a hole in a bookshelf. Corrected at visit.

✓ Corrected at visit

There is a chair on the west side of the playground that is broken and foam is exposed. The lid to trashcan on the north playground is broken.

There is a snake on the north playground.

There is an area of the fence on the north playground that measures 3 feet 11 inches. There are areas of the fence on the south playground that measure 3 feet 6 inches and 3 feet 9 inches.

The freezer in Room B1 does not have a thermometer.

Three mattresses used in room B1 are not meeting manufacturers recommendations for the playpens.