Wade, Deborah

Children in care shall be protected from any items and conditions which threaten their health, safety, and well-being. During the inspection, it was determined the program did not protect children from an unsafe item or condition or equipment due to the following number(s) #18 below: 1. Pull cord(s) on the window blind(s). 2. Extension cord(s); electrical cord(s) attached to an object that could result in a severe injury if pulled. 3. Stacked tables. 4. Folding tables. 5. Matches and/or a lighter. 6. Power tool(s). 7. Live wires. 8. Stove(s) that are either on or able to be turned on by a child. 9. Asbestos. 10. Traffic. 11. A body of water. 12. A well. 13. Environmental hazard(s) confirmed by local authorities having jurisdiction over the hazard. 14. A crockpot used to heat bottles. 15. Immediate access to a knife. 16. Large or heavy pieces of shelving units are not securely anchored to the wall. sa i Department of hj Children & Youth 17. Marijuana was accessible to children. 18. Other (screw drivers in drawer located in kitchen area were accessible to children) Any hazardous equipment must be removed, replaced, or repaired and any hazardous condition must be corrected and must be made inaccessible to children. Provide staff training. Submit the program’s corrective action plan, which includes a statement that the item or condition has been removed and a statement that training was provided, to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026

During the inspection, cleaning and sanitizing equipment and supplies were not used or stored properly as noted in number(s) #12 below: 1. Cosmetics were accessible to children in the [ ] area. 2. Disinfecting wipes were accessible to children in the [ ] area. 3. Fish food was accessible to children in the [ ] area. 4. Hand lotion was accessible to children in the [ ] area. 5. Hand sanitizer (for children under 24 months) was accessible to children in the [ ] area. 6. Laundry detergent was accessible to children in the [ ] area. 7. Powder dish washing soap was accessible to children in the [ ] area. 8. Paint cans were accessible to children in the [ ] area. 9. White out was accessible to children in the [ ] area. 10. Potting Soil was accessible to children in the [ ] area. 11. Other potentially hazardous substance (comet cleaner and glass cleaner) were accessible to children in the (kitchen) area. 12. Cleaning/sanitizing supplies had not been clearly labeled. 13. School-age children were using cleaning supplies, agents and/or equipment without adult supervision. 14. A spray aerosol was used in the [ ] group while children were in attendance. 15. Other: Provide staff training. Submit the program’s corrective action plan, which includes a statement that the potentially hazardous substance is no longer accessible to children and a statement that training was provided, to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026

Children in care shall be protected from any items and conditions which threaten their health, safety, and well being. During the inspection, it was determined that children were not protected from the following item(s) or condition(s) which may threaten their health, safety, or well being as noted in the following number(s) #1 and #13 below: 1. Surge protectors/outlets did not have childproof receptacle covers. 2. Open pull cords that are not closed loop. 3. Toys or other items small enough to be swallowed were present in the space where infants and/or toddlers were in care. sa i Department of ~ Children & Youth ae 4. Electrical/extension cords attached to an object that would not likely result in a severe injury if pulled. 5. Stacked chairs. 6. Telephone cords. 7. Employee(s) purse(s). 8. Diaper bags. 9. Television not securely anchored. 10. Small or lightweight pieces of shelving units are not securely anchored to the wall. 11. Staff member stepped over a barrier/gate while holding a child. 12. Chipping or peeling paint. 13. An area rug did not have a nonskid backing. 14. An area rug presented a tripping hazard. 15. A floor surface was unsafe in that [ ]. 16. No platform was provided for the sink or toilet. 17. The platform provided for the sink or toilet was not sturdy. 18. The platform provided for the sink or toilet posed a safety hazard in that [ ]. 19. Emergency exits were blocked by the following furniture in that [ ]. 20. A mercury thermometer was being used to take a child’s temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards. 22. Other [ ]. Submit the program’s corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026

In review of the children’s records, it was determined the program did not meet the requirements for caring for at least one child, indicated on the Children Records Review, with a condition that requires a JFS 01236 "Child Medical/Physical Care Plan" as noted in number(s) #33 below: 1. No plan was on file. (Page 1) 2. Child’s name was missing. 3. Name of the condition was missing. 4. Indication if medication or medical food is required was missing. 5. Signs, symptoms or situations that require staff to take action were missing. 6. Activities, foods, environmental conditions to avoid were missing. 7. Training instructions for procedures for staff to follow were missing or incomplete. (Page 2) 8. Child's name was missing or not attached. 9. Child's date of birth was missing or not attached. 10. Child's weight was missing or not attached. 11. Name of the medication/medical food was missing or not attached. 12. Dosage of medication/medical food to be administered was missing or not attached. 13. Time for medication/medical food to be administered was missing or not attached. 14. Expiration date for medication/medical food was missing or not attached. 15. Symptoms that require staff to administer medication/medical food were missing or not attached. 16. Specific instructions to administer the medication/medical food were missing or not attached. 17. Actions to be taken if the symptoms do not subside were missing or not attached. 18. Physician's signature was missing or not attached. 19. The date of the physician's signature was missing or not attached. (Page 3) 20. Child's name was missing. 21. Instructions regarding emergency evacuation, if applicable, were missing. sa i Department of hj Children & Youth 22. Signature of parent granting permission to implement the plan and verifying training was missing. 23. Date of parent signature was missing. 24. Certified Professional Trainer information was missing. 25. Signature of certified professional who trained the program staff was missing, if parent was not the trainer. 26. Date of trainer signature was missing. 27. Printed name(s)of child care staff member(s) who have received instructions for care and/or have been trained to perform the procedure were missing. 28. Signature(s) of child care staff member(s) who have received instructions for care and/or have been trained to perform the procedure were missing. 29. Date of staff signature was missing. 30. Administrator/Provider signature was missing 31. Date of administrator/Provider was missing. (Page 4) 32. Child's name was missing. 33. Name of medication or medical food was missing. 34. Date the medication/medical food was administered was missing. 35. Time medication/medical food was administered was missing. 36. Dosage of medication/medical food that was administered was missing. 37. Signature of person administering medication/medical food was missing. 38. The plan was not followed or implemented. 39. The plan was not able to be implemented due to conflicting information. 40. None of the child care staff members trained in the procedures on the JFS 01236 were onsite when a child requiring the plan was present. 41. Child care staff members trained in the procedures on the JFS 01236 were not scheduled to be present the entire the time the child requiring the plan was onsite. 42. None of the child care staff members trained in the procedures on the JFS 01236 accompanied the child requiring the plan during a trip. 43. A child care staff member who had not been trained in the procedures on the JFS 01236 performed the procedure. 44, Medication listed in the procedures to follow was not onsite available to administer as instructed and alternate instructions for this situation were not included on the plan. Provide staff training. Submit the program’s corrective action plan, which includes a copy of the completed JFS 01236, to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026 Low Risk Non-Compliances | sa i Department of hj Children & Youth

In review of the children's records, it was determined that information had not been secured from the parent/guardian on the JFS 01234 “Child Enrollment and Health Information For Child Care”, as required, for the items in number(s) #1, #4 and #13 below: TG i Department of hj Children & Youth 1. No enrollment form was completed for at least one child 2. The current JFS 01234 was not completed for at least one child 3. Complete child information 4. Complete parent information 5. Complete emergency contact information 6. Complete physician information 7. Information regarding the parent list 8. Health information 9. Additional information for all boxes checked “yes” 10. Emergency transportation information 11. Parent/guardian’s signature 12. Diapering Statement 13. Acknowledgement of Policies and Procedures 14. Enrollment form for at least one child was not updated by either the parent or the administrator 15. Enrollment form for at least one child was not signed by the administrator 16. Other [ ] Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026

During the inspection, it was determined that the required drills were not completed for item number(s) #2 below: 1. Monthly fire drills 2. | Monthly weather emergency drills (March through September) 3. Emergency/lockdown drills in each quarter of the calendar year Submit the program’s corrective action plan to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026

During the inspection, it was determined the program’s written emergency preparedness and response plan did not meet the requirement or was missing the information in number(s) #14 below: Procedures: 1. The written emergency and preparedness and response plan had not been completed 2. The plan was not provided to all child care staff and employees 3. Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes 4. Emergency outdoor and indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism including a designated safe site where staff and children can safely remain when evacuated 5. Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats including a designated safe site where staff and children can safely remain when evacuated 6. Outbreaks, epidemics or other infectious disease emergencies 7. Loss of power, water, or heat 8. Other threatening situations that may pose a health or safety hazard to the children in the program Details: 9. Shelter in place or evacuation, how the program will care for and account for the children until they can be reunited with the parent 10. Assisting infants, toddlers and children with special needs and/or health conditions 11. Emergency contact information for parents and the program 12. Procedures for notifying and communicating with parents regarding the location of the children if evacuated 13. Procedures for communicating with parents during loss of communications, no phone or internet service available 14. The location of supplies and procedures for gathering necessary supplies for staff and children if required to shelter in place 15. What to do if a disaster occurs during the transport of children or when on a field trip or routine trip 16. Making the plan available to all child care staff members and employees 17. Training of staff or reassignment of staff duties as appropriate 18. Updating the plan on a yearly basis 19. Contact with local emergency management officials 20. The plan was unable to be implemented in that, [ ]. Submit the program’s corrective action plan, which includes the missing information, if applicable, to verify compliance with the requirements of this rule. Corrective Action Plan Due: 05/29/2026