Small Hands Change the World Llc

An infant is observed sleeping in a car seat that has been placed on the floor in a classroom.

Enforcement actions issued by the department have not been posted next to the child care license. The Order dated 10/24/

Authorization from the parent outlining the plan for Child #1 and Child #2 to depart the center to go to school is not o

Child #4 (age 1), a child under the age of 2, does not have a follow-up health examination on file at least once every 6

The daily attendance record is not current and accurate. A departure time was not recorded for one child on 2/9/26. Depa

Driver E, who has been employed since 8/4/25, does not have a completed physical examination report on file that was com

Documentation of the days and hours worked, and in which classroom, when the person was included in the staff-to-child r

Driver E, who has been employed since 8/4/25, has not obtained a current certificate of completion for infant and child

Driver E, who has been employed since 8/4/25, has not completed the required training on child abuse and neglect within

Each child is not supervised by a child care worker who is within the sight and sound of the children to guide the child

Plastic garbage bags are accessible to children in multiple storage bins on the floor and in the infant room. Two nails

A tub of disinfecting whips and a can of Rust-oleum are accessible to children in the school-age classroom. The items ar

Fly tape containing flies is hanging from the ceiling in multiple areas. A gap is observed in the ceiling tiles. Items i

A smoke detector can be heard "chirping" throughout the visit indicating it is in need of maintenance.

Children, including an infant, are observed strapped into high chairs while placed in front of and/or facing a televisio

The center failed to implement its written policy that provides for positive guidance and redirection when Staff D can b

Four children are observed strapped into high chairs with no activities provided to them.

Indoor play equipment is not scaled to the the developmental level of children in the infant classroom. A child is obser

Cribs in the infant room are not used in accordance with all manufacturer instructions and any manufacturer recommendati

Soiled bedding was not immediately replaced. A visibly soiled crib sheet is observed on a crib in the infant classroom.

Minimum USDA meal and snack requirements are not always met.

Changes to the menu were not recorded on the menu kept on file and posted for parents. The menu states milk, water, saus

Per a review of the center medical log book there is no documentation demonstrating that the director or director's desi

Infant & Toddler Intake information on file for Child #4 has not been updated every three months as required. The most r

Per observation of a diaper change the diaper changing surface was not cleaned with a soap and water and a disinfectant

A soiled diaper is observed to have been disposed inside a diaper genie without a plastic liner. A soiled diaper is also

Children under the age of 2 are being cared for in a classroom without a sink.

There was no written program of activities available for review.

The activities that were available to the children in the toddler/preschool room were not the developmental level, size

There was not the required 3 choices of activities per child in the classroom.