TTs Childcare Services

Licensing Specialist observed the providers two children; ages 15m and 2yr buckled in their car seats in the van for 30 minutes unattended until they were transported off the premise.

One provider file did not have a health status form on file.

One dog needs current rabies vaccination.

One provider did not have completed health and safety training on file.

One child was observed by the Licensing Specialist with a wet soiled diaper.

When Licensing Specialist arrived Three providers were present with 21 children. At approximately 4:55pm one provider took 7 school-age children over to the other licensed facility. Then two providers were present with 14 children. Three children under 12 months of age, and 11 children 12 months to 5 years of age. Provider exceeded maximum group size for two providers by 4 children, until 5:45pm when additional children left the facility.

When the Licensing Specialist arrived Three providers present with 21 children. Three children under 12 months of age, 11 children 12 months to 5 years of age, and 7 children School-Age. Provider exceeded maximum number of children in the 12 months to 5 years of age category by 4 children and the School Age Category by 3 children.

Licensing Specialist observed the providers child sleeping in a playpen in a separate room from the provider with the door closed. Corrected at visit after prompted by Licensing Specialist.

✓ Corrected at visit

During the visit infants were observed in playpens and highchairs crying for periods of time and the providers did not immediately respond to the child.

Five out of 16 children files reviewed did not have current emergency medical treatment on file.

Facility need annual mechanical safety check on file.

Two out of 16 children files reviewed did not have written permission to transport children.

Three out of 5 staff files reviewed did not have health status form on file.

One of 5 staff files reviewed did not have current negative TB test on file.

Facility needs emergency plan on file.

One dog needs current rabies vaccination.

One out of 16 children files reviewed did not have current immunizations on file.

Two out of five staff files reviewed did not complete profession development training hours.

One out of five staff files reviewed did not complete the health and safety training.

Eleven out of 16 children files reviewed did not have current medical history form on file.

One out of 16 children files reviewed did not have current Health Assessment on file.

Basement smoke detector was not working.

Playroom had electrical outlets not covered and accessible to children. Corrected at visit.

✓ Corrected at visit

Facility did not submit identifying information for 1 individual as required to complete background checks.

Two out of 9 children files reviewed did not have current emergency medical care waiver form.

Tornado drills were not available for review during inspections.

Fire drills were not available for review during inspection.

One out of 9 children files reviewed need current immunizations on file.

Provider needs current CPR and first aid certification.

Electrical outlets not covered in playroom. Corrected at visit.

✓ Corrected at visit

Two out of 9 children files reviewed need current medical history on file.

Two out of 9 children files reviewed need current health assessment on file.

Three out of 20 children records reviewed need an updated emergency release form on file.

One individual listed as a substitute needs a negative TB test on file.

One out of 20 children records need updated immunization's on file.

One substitute was hired on April 6, 2023 and during the annual survey on December 5, 2023 all health and safety training were found not to be completed.

Two individuals listed as substitutes do not have documentation of pediatric first aid and CPR on file.

Two out of 20 children records reviewed need a current health assessment on file. Two out of 20 children records reviewed need a medical record form on file.