C4d Kidz Nursery

“The Office of Child Care Licensing received a complaint on October 5, 2023, regarding lack of supervision. An investigation was conducted on October 6, 2023. The complaint was substantiated for lack of supervision because on October 4, 2023, a one-year-old child was left on the outside play area unattended for approximately 20 minutes. Staff were unaware the child was outside until a parent arrived to pick up the child and the child could not be found inside the center. A staff member found the child outside in the play area. The child was by the door that leads to the infant classroom. The child was crying when she was located. When the child was left alone, the staff members responsible for the child were not determined eligible and could not be alone with children. Concerns noted during the visit were two unqualified staff were alone in the infant classroom with seven infants, attendance records showed unqualified were alone in Infant and Preschool classrooms on October 4, 2023, and staff and child attendance records were incomplete.”

“Ensure staff-to-child ratio is maintained through the assignment of qualified staff directly supervising the children. On October 4, 2023, a one-year-old child was left on the outside play area unattended for approximately 20 minutes. Staff were unaware the child was outside until a parent arrived to pick up the child and the child could not be found in the center. Staff #5 found the child outside in the play area. The child was by the door that leads to the infant classroom. The child was crying when she was located. When the child was left alone, Staff #3 and Staff #6 were signed into attendance records as responsible for the child. Staff #3 is an intern, but had not been employed for at least 30 days, and was not determined eligible through a comprehensive background check. Staff #6 is under 18. Both staff could not be alone with children. According to attendance records on October 4, 2023, Staff #1, an aide without criminal history determination, and Staff #2, an aide, were alone with eight infants from 8:45 am to 1:30 pm. and 2:30 p.m. to 3:30 p.m. in the infant classroom. In the Preschool classroom, Staff #3 was alone from 1:00 p.m. to 2:00 p.m. during naptime with seven preschool age children. During the visit on October 6, 2023, Staff #2 and Staff #3 were alone in the infant classroom with seven infants. Attendance records showed Staff #2 and Staff #3 were alone in the classroom from 8:15 a.m. until 9:20 a.m. when the licensing specialist had Administrator Cannon enter the classroom. Ensure staff-to-child ratio is maintained through the assignment of qualified staff directly supervising the children. On October 4, 2023, a one-year-old child was left on the outside play area unattended for approximately 20 minutes. Staff were unaware the child was outside until a parent arrived to pick up the child and the child could not be found in the center. Staff #5 found the child outside in the play area. The child was by the door that leads to the infant classroom. The child was crying when she was located. When the child was left alone, Staff #3 and Staff #6 were signed into attendance records as responsible for the child. Staff #3 is an intern, but had not been employed for at least 30 days, and was not determined eligible through a comprehensive background check. Staff #6 is under 18. Both staff could not be alone with children. According to attendance records on October 4, 2023, Staff #1, an aide without criminal history determination, and Staff #2, an aide, were alone with eight infants from 8:45 am to 1:30 pm. and 2:30 p.m. to 3:30 p.m. in the infant classroom. In the Preschool classroom, Staff #3 was alone from 1:00 p.m. to 2:00 p.m. during naptime with seven preschool age children. During the visit on October 6, 2023, Staff #2 and Staff #3 were alone in the infant classroom with seven infants. Attendance records showed Staff #2 and Staff #3 were alone in the classroom from 8:15 a.m. until 9:20 a.m. when the licensing specialist had Administrator Cannon enter the classroom.”

“Ensure staff are not alone with children until a comprehensive background check is complete and eligibility results are received. Staff #3 was alone with children and has pending out-of-state checks. According to attendance records, Staff #1 was alone with children on October 4, 2023. Staff #1 turned 18 and was not determined eligible yet. Ensure staff are not alone with children until a comprehensive background check is complete and eligibility results are received. Staff #3 was alone with children and has pending out-of-state checks. According to attendance records, Staff #1 was alone with children on October 4, 2023. Staff #1 turned 18 and was not determined eligible yet. This was corrected because the center license is now suspended.”

“Ensure exact departure times for staff are documented. On October 6, 2023, Staff #4 and Staff #5 did not sign out of the combined a.m. classroom. This was discussed and corrected at the visit. Ensure exact departure times for staff are documented. On October 6, 2023, Staff #4 and Staff #5 did not sign out of the combined a.m. classroom. This was discussed and corrected at the visit.”

“Ensure exact departure times for children are documented. Four children were not signed out when they were no longer combined in the a.m. This was discussed and corrected at the visit. Ensure exact departure times for children are documented. Four children were not signed out when they were no longer combined in the a.m. This was discussed and corrected at the visit.”

“Ensure staff files are complete. Four staff need CPR and First Aid training; three staff need orientation; four staff need OCCL's health and safety training; two staff need application/resume or personal data sheet; three staff need job descriptions; five staff need references; four staff need fingerprinting eligibility letters; four staff need adult abuse registry check; five staff need health appraisals and tb screening; three staff need release of employment; four staff need service letters.”

“Ensure a measured room capacity is not exceeded. Attendance records for 9-13-23 show the Toddler 1 room was over the measured capacity of 10, by one child. A discussion was had to put rooms at capacity with qualified staff or go to the Toddler 2 room. Ensure lamp cords are out of reach. Infant room has baby shark lamps where the cords are accessible. Ensure bathroom has adequate lighting. Ensure the closet in Toddler 2 is inaccessible. Ensure the closet in the bathroom is inaccessible. Ensure the exit door in the 3-4 year old room to outside is able to be readily opened.”

“Ensure no standing water on the play area outdoors. Ensure the gate is self closing and the broken fence is repaired.”

“Ensure medication is stored off the changing table. Ensure medication is accompanied with a MAR correctly filled out. Child #1 not completely filled out. Child #2 wrong form; two medications on one form and wrong form for daily use. Child #4 no MAR for diaper cream or Pedialyte in a cup. No doctor's note for Pedialyte use.”

“Ensure cups are labeled when personal use. Ensure no food is in a cup/bottle when prepared from home without a doctor's note. Ensure feeding forms are updated monthly. Child #5 last semi solid update 8-4-23. Child #4 has a baby food on schedule but not on approved semi solid list. Child #3 last semi solid food update was 7-3-23.”

“Ensure Toddler 2 and 3-4y rooms have lesson plans.”

“The Office of Child Care and Licensing (OCCL) received a complaint on June 6, 2023, regarding improper staff-to-child ratio, improper discipline, not being truthful, and not following screen time requirements. An investigation was conducted on June 7, 2023. The complaint is substantiated for improper staff-to-child ratio because according to attendance records on May 30, 2023, the infant classroom had nine children present, the youngest was an infant, from 1:30 p.m. to 4:00 p.m. On June 5, 2023, an aide was alone with up to six children. On June 6, 2023, [name withheld] was alone with six infants from 8:20 a.m. to 8:25 a.m. There is no evidence to substantiate the allegations of improper discipline, not being truthful, and not following screen time requirements because all staff interviewed denied these allegations. Several additional concerns noted were the fence in the back of the outdoor play area is broken and splintering. The gate to enter and exit the outdoor play area is not self-closing. In the kitchen, the counters were not cleaned and were cluttered with dirty dishes, the floor was not cleaned of food particles, there was buildup of dirt and debris on the floor, and a trash can without a lid was observed. In the Toddler Two classroom, the classroom sink area had mold and mildew on the walls, baseboard, and carpet in the classroom sink area and dirty dishes were sitting on a classroom shelf. An infant daily log needed to be updated with an infant s sleep time. A plastic bag was accessible to toddlers. Infant bottles were not labeled with the infant s name. Child attendance was incomplete because several children were not signed out on May 30, 2023. Staff attendance was inaccurate and incomplete because on June 7, 2023, two parent volunteers were present, but were not signed in on the infant attendance record. On May 30, 2023, Staff #1 was signed into the both the combined a.m. classroom and the infant classroom from 8:00 a.m. to 9:00 a.m. O n June 5, 2023, Staff #1 was signed into both the infant classroom and the toddler classroom at the same time from 8:00 a.m. to 12:41 p.m. and 1:41 p.m. to 4:10 p.m. Staff #2 was signed into both the infant classroom and the toddler classroom at the same time from 11:50 a.m. to 12:40 p.m. and 1:30 p.m. to 3:30 p.m. Staff #3 was signed into both the infant classroom and the toddler classroom at the same time from 12:41 p.m. to 4:00 p.m. Staff files were incomplete.”

“The Office of Child Care Licensing (OCCL) received a complaint on July 6, 2023, regarding infant safe sleep violations and improper infant feeding. An investigation was conducted on July 7, 2023. This complaint is substantiated for non-compliance with infant safe sleep requirements because the specialist observed two infants asleep in bouncers and one infant asleep in a swing. There is no evidence to substantiate the allegation of improper infant feeding because during the visit an infant was observed being held while being fed a bottle and staff stated they hold the infants when they are fed. A concern noted was the facility did not have a qualified staff trained in day-to-day operations.”

“The Office of Child Care and Licensing received a complaint on May 1, 2023, regarding improper staff-to-child ratio, not understanding the child s needs, and not having water available. An investigation was conducted on May 4, 2023, and May 10, 2023. This complaint is substantiated for not understanding the child s needs because Staff #5 stated she gave Child #1, a one-year-old, a hot chip, which caused the child to cry and shake. This complaint is substantiated for improper staff-to-child ratio because Staff #5 stated she left the infant room to enter the Toddler 1 s classroom leaving five infants with one staff member. There is no evidence to substantiate the allegation of not having water available because Staff #2 and Staff #5 stated the child did receive water. Several additional serious concerns were noted. There were not enough staff physically present on May 4, 2023, to fulfill the minimum daily functions because all staff that were present were needed in the classrooms to maintain staff-to-child ratio. One infant was observed asleep in a bouncer and one infant was asleep in a swing. When the specialist informed the staff that the infants must sleep in cribs, one staff placed one infant on his stomach. The specialist informed the staff, the infant must be placed to sleep on his back. Attendance records from April 26, 2023, May 8, 2023, and May 9, 2023, documented several times unqualified staff, and staff under 18 were alone in the classroom with children; several times children were present in the classroom, but no staff were documented as present; Staff #8, who was not yet determined eligible through a comprehensive background check, was present in the classrooms on May 8, 2023, and May 9, 2023; and several times staff-to-child ratio was not maintained. Other concerns noted were the gate to the outdoor play area was not self-closing or self-latching, the last fire drill and inspection checklist was on March 10, 2023, staff were sharing food with children by giving a one-year-old a hot chip, and attendance records for both staff and children were not accurate and did not include exact arrival and departure times.”

“Two infant feeding schedules needed to be updated.”

“The Office of Child Care Licensing (OCCL) received complaints on February 17 and 21, 2023, regarding staff-to-child ratio. An investigation was conducted on February 21, 2023. This complaint is substantiated because according to attendance records from February 15, 16, and, 17, 2023, two classrooms were documented as not following proper staff-to-child ratio. Additional concerns noted were staff and children s attendance were incomplete because there were several staff and children not signed out.”

“Ensure cleaning supplies are out of reach of the children. LS Sommer observed lysol spray on a child height shelf. This was corrected when LS Sommer removed the spray and staff agreed to comply.”

“Add fall zone materials to the two small plastic slides observed on the grass. Repair the broken vinyl fence post on the back right corner of the playground.”

“Ensure children are served all meal components. LS Sommer observed the two-year-old children eating cupcakes with water for affternoon snack. This was discussed and agreed to comply.”

“Ensure attendance reflects the exact arrival, departure and location of each child. This was discussed and corrected when one child was signed onto the preschool attendance record.”

“Repair the floor around the kitchen sink. Ensure children have enough usable/ moveable space. Remove some large furnature from the preschool classroom and some items from the infant classroom.”

“Ensure medication is out of reach of children. This was discussed and corrected when it was removed from the open changing station shelf.”

“Remove the bottle warmer from the infant classroom. LS Sommer observed the temperature reach 138 degrees Fahrenheit. This was discussed and corrected when it was removed.”

“Submit updated liability insurance.”

“Ensure a staff ratio of one to four early childhood teachers to other staff is maintained. The facility does not have a qualified early childhood teacher on staff. Once hired or qualified, have an early childhood teacher trained in day-to-day operations.”

“Ensure staff-to-child ratio is maintained at all times. An aide was alone with ten children, the youngest was three-years-old. An aide was alone with one child to get him off the bus and walk him to the classroom. This was discussed and corrected through movement of children, and pairing of staff to become compliant.”

“Ensure staff files are complete. Staff #1 needs a professional development plan, review of safe sleep, and review of abuse and neglect. Staff #2 needs a professional development plan, review of safe sleep, and review of abuse and neglect. Staff #3 needs CPR/ First Aid, administration of medication, job description, two references, adult abuse registry check, and service letters. Staff #4 needs CPR/ First Aid, administration of medication, orientation, two references, resume/ personal data sheet, employee declaration, adult abuse registry check, and service letters. Staff #5 needs CPR/ First Aid, administration of medication, orientation, a health appraisal with TB, and service letter. Staff #6 needs administration of medication, orientation, a job description, adult abuse registry check, and service letters. Staff #7 needs CPR/ First Aid, administration of medication, orientation, a job description, two references, adult abuse registry check, a health appraisal, and service letters. Staff #8 needs CPR/ First Aid, administration of medication, orientation, resume/ persona data sheet, two references, employee declaration, fingerprint receipt, criminal history determination, adult abuse registry check, and service letters. Staff #9 needs date of birth, CPR/ First Aid, administration of medication, orientation, resume/ personal data sheet, a job description, four references, employee declaration, and drug/alcohol statement. Staff #10 needs CPR/ First Aid, administration of medication, orientation, job description, four references, employee declaration, OCCL's adult health appraisal with TB, and proof of early childhood pathway on file. Staff #11 needs CPR/ First Aid, review of safe sleep, orientation, a job description, four references, OCCL's health appraisal with TB, release of employment history with corresponding service letters, and proof of an early childhood pathway.”

“Ensure child files are complete. Child #1 needs a date of enrollment, hours/ days of attendance, health appraisal with immunizations, lead test results, and a developmental plan. Child #2 needs date of enrollment, hours/ days of attendance, an emergency card, health appraisal, transportation permission, developmental plan, medication permission, and an updated infant feeding schedule. Child #3 needs a health appraisal with immunizations, developmental plan, transportation permission, medication permission, and an updated infant feeding schedule. Child #4 needs developmental plan. Child #5 needs a health appraisal with immunizations, and lead test results. Child #6 needs a developmental plan. Child #7 needs a developmental plan, medication permission, and an infant feeding schedule. Child #8 needs lead test results, developmental plan, and medication permission. Child #9 needs a developmental plan, medication permission, and an infant feeding schedule.”

“Ensure hazardous materials are out of reach of the children. LS Sommer observed cleaners and diaper cream in reach of the one-year-old children. LS Sommer observed routine cleaner in reach of the preschool-age children. This was corrected when LS Sommer removed these items and placed them out of reach.”

“Ensure the facility is in good repair. Repair the wall and carpet between the one-year-old classroom and kitchen.”

“Ensure cleaners are stored separately from food. LS [name withheld] observed cleaners throughout the kitchen. This was discussed and corrected when [name withheld] removed the various cleaning products and placed them under the sink. Remove and clean the soaker paper towels/ dish towels from around the sink drain on the floor.”

“Provide soap to the preschool classroom bathroom. Clean the bathroom to diminish the smell of urine.”

“Ensure infants are placed in cribs to sleep. LS [name withheld] entered the infant classroom staff by [name withheld] and observed an infant asleep in a swing. When LS [name withheld] walked toward the infant, [name withheld] moved the infant to her crib.”

“Purchase enough emergency water to shelter in place.”

“Upon arrival, LS [name withheld] observed an infant with a bottle in a bounce chair in the infant room, staffed by [name withheld]. LS [name withheld] explained the infant must be in a feeding chair or held to eat. [name withheld] tried to place the infant with his bottle on the floor. LS [name withheld] reiterated the regulation for feeding infants properly. This was discussed and corrected when [name withheld] placed the infant in a high chair with his bottle. LS [name withheld] observed the bottle warmer with water that appeared thick, "grayish", and dirty. This was discussed and corrected when the bottle warmer was cleaned.”

“Ensure lesson plans are current and contain all requirements. Infants need a current lesson plan. Preschool needs a complete lesson plan with weekly activities.”

“Ensure classrooms provide activity areas for the children. Organize the one and two-year-old classroom to create activity areas.”

“Ensure daily logs include 30 minute sleep checks. This was discussed and corrected when [name withheld] agreed to comply on the existing form she created.”

“Complete and submit an application at least 60 days prior to license expiration.”

“Ensure staff files are complete. Staff #1 needs health appraisal with TB results. Staff #2 needs first aid and CPR, medication administration training, PD plan, orientation, 2 references, adult abuse check, health appraisal with TB results, and a completed service letter or 2 additional references. Staff #3 needs administartion of medication training, PD plan, job description, 2 references, adult abuse check, health appraisal with TB results, release of employment history, and completed service letter or two additional references.”

“Ensure child files are complete. Child #3 and #4 need hours that they attend documented. Child #1, 3, 4, 5, and 8 need lead test results. Child #9 and #10 needs parents right to know and screen time permission. Child #1, 2, 4, and 5 need developmental plans.”

“Ensure fencing meets OCCL's requirements. Repair broken latch on the fence at the playground.”

“Ensure infants are sleepin the crib without any safe sleep hazards. LS Smith observed 3 infants asleep in the crib with bibs on. One infant was observed with a pacifier clip attached to the bib. This was corrected when all safe sleep hazards were removed from the cribs.”

“Ensure staff-to-child ratio is maintained at all times. LS Sommer observed Staff #4 in the front office leaving Staff #5 alone with 11 children, three-years-old to school age. This was discussed and corrected at the visit.”

“Ensure staff files are complete. Staff #1 needs a professional devlopment plan. Staff #2 need administration of medication, eligibility determination, and a health appraisal with TB results. Staff #3 needs an orientation, two references, employee declaration, drug/alcohol statement, adult abuse registry check, release of employment, and service letter. Staff #4 needs two references, release of employment, and a service letter. Staff #5 needs an orientation, job description, on reference, employee declaration, administration of medication, eligibility determination, health appraisal with TB results, release of employment, and a service letter.”

“Ensure child files are complete. Child #1 needs hours and days attending, health appraisal with immunizations, and transportation permssion. Child #3 needs immunizations. Child #5 needs hours and days attending and a developmental plan. Child #7 needs hours and days attending. Child #8 and #11 need health appraisals with immunizations, lead test results, and a developmental plan. Child #8 needs lead test results. Child #10 needs a developmental plan. Child #6 and #7 need updated infant feeding schedules.”

“Ensure the kitchen is inacessible to the children. The door in the kitchen is broken and an open shelving unit is in its place, separating the preschool classroom.”

“Ensure potty chairs are cleaned and sanitized after each use. LS Sommer observed two potty chairs with urine in them. This was discussed and corrected when they were cleaned.”

“Ensure infants are not propped for feedings. LS Sommer observed one infant in abounce chair with a bottle propped. There was a second infant observed in a boppy pillow with a bottle propped. This was discussed and corrected. LS Sommer observed thawed breast milk in the fridge dated 6/9/22. This was discussed and corrected when the milk was discarded.”

“Ensure a daily schedule is posted.”

“Ensure walkers are not used at the facility. This was discussed and corrected when the walker was removed.”

“On April 22, 2022, OCCL received a complaint regarding not allowing a parent into the building, not following meal requirements and serving expired food, not having security procedures in place, and improper staff-to-child ratios. An investigation was conducted on April 28, 2022. This complaint is substantiated for not allowing parents in the building because [name withheld] and all staff interviewed stated parents are not permitted access to the classrooms. There is no evidence to substantiate for improper staff-to-child ratio, not following meal requirements and serving expired food, and not having security procedures because LS [name withheld] observed proper staff-to-child ratio, security procedures were in place, and all food observed was not expired.”

“Ensure all children in the facility are supervised at all times. LS Sommer observed two 14-year-old children alone in the office.”

“Ensure staff files are complete. Staff #1 needs review of abuse and neglect, a job description, an adult abuse registry check, eligibility from criminal history unit, and a service letter. Staff #2 needs CPR/ First Aid and a job description. Staff #3 needs a job description, two references, and a service letter. Staff #4 needs CPR/ First Aid, a job description, two references, a health appraisal with TB and service letters. Staff #5 needs first aid, administration of medication, a job description, two references, eligibility from criminal history unit, an adult abuse registry check, a health appraisal with TB, and service letters. Staff #6 needs an orientation, a job description, two references, eligibility from criminal history, an adult abuse registry check, and a release of employment history with corresponding service letters.”

“Ensure child files are complete. Child #1 needs a health appraisal with lead testing and immunizations. Child #2 needs a health appraisal with lead testing and immunizations. Child #3 needs a health appraisal with lead and immunizations. Child #4 needs a health appraisal with immunizations. Child #4 needs a health appraisal with immunizations. Child #5 needs a health appraisal with immunizations, and an updated infant feeding schedule. Child #6 needs hours to attend, an emergency card, a health appraisal with lead testing and immunizations, and a complete MAR for the epi-pen.”

“Ensure hazardous materials are stored in a locked cabinet or out of reach of children. This was discussed and corrected in the two-year-old and preschool classroom.”

“Repair the gates to ensure they are both self-closing and self-latching. One gate needs repair to self-close. One gate needs repair to self-latch.”

“A licensee shall ensure a center has a working phone that allows a caller to leave a voicemail.”

“On April 21, 2022, [name withheld] emailed LS [name withheld] a staffing plan. According to the staffing plan, a staff member without fingerprinting was alone with five preschool-age children. Licensing Supervisor [name withheld] spoke with [name withheld] who confirmed the staff was alone with children. This was corrected when a qualified and eligible staff entered the classroom.”

“Ensure each staff member is fingerprinted and determined eligible before working alone with children. According to [name withheld] staff plan and verbally on the phone, a staff member determined prohibited and deactivated in the system by criminal history, was alone with five pre-school age children. Licensing Supervisor [name withheld] reminded [name withheld] this staff was prohibited and informed her to terminate the employee immediately. This was corrected when [name withheld] agreed to comply.”

“Ensure there are enough staff present to operate. At the visit, two classrooms were open with two staff and nine children, infant to three-years-old. There is not enough staff to complete administrative duties or bathroom breaks.”

“Repair the broken kitchen door into the preschool classroom with exposed nails.”

“Ensure there is enough staff present to operate. At the visit, thirteen children infant to four-years-old were present with three staff in two classrooms. There was not enough staff present to provide lunch or bathroom breaks. Staff stated they call the administrator from another center to break them as needed, but sometimes it takes hours before she arrives. This was corrected when the administrator arrived at the center.”

“Ensure staff-to-child ratio is maintained. According to attendance from 3/21/2022, one staff member had up to six children, the youngest was an infant until the arrival of a second staff member at 8:40 am. According to attendance on 3/22/2022, one staff member had up to seven children alone, the youngest was an infant, until the arrival of a second staff member at 8:07 am. Toddlers must be cared for in an area separate from the older children. One classroom had seven children ages two-years to four-years-old.”

“Ensure food is free from spoilage. LS Sommer observed defrosted chicken nuggets and tator tots. The packaging states to cook from frozen. The food was sitting out since opening according to staff. This was corrected when the administrator disposed of the chicken nuggets and tator tots.”