Of 10 Children's Records reviewed 1 was missing documentation of immunizations.

Of 10 Children's Records reviewed 4 were missing documentation of a current exam.

Of 10 Children's Records reviewed 2 were missing documentation of an exam.

Of 8 Staff Records reviewed 1 was missing information such as that found on a staff record form.

Of 8 Staff Records reviewed 2 were missing documentation of an exam.

Of 8 Staff Records reviewed 4 were missing documentation of a certificate and 1 needed to be update..

Of 8 Staff Records reviewed 1 was missing documentation of SBS/ABH training.

Of 8 Staff Records reviewed 2 were missing documentation of current CPR certification.

Of 8 Staff Records reviewed 1 was missing documentation of continuing education.

Of 8 Staff Records reviewed 1 was missing documentation of continuing education.

The full outdoor play space failed to be put back in order and made available to the center after window repairs to the YMCA pool area in fall 2021. The entire space is needed for the centers current capacity.

Playground equipment failed to be in good repair- 3 trikes were missing the safety caps on the handle bars.

Outdoor premises failed to be free of hazards. All 3 gates were openable by lifting the latch granting access to the river waterway. Previously the playground gates were kept closed with a zip tie closure making them inaccessible to children.

No child shall sleep on a bare uncovered surface. A towel or other fabric that covers the surface of the cot may be used in place of a sheet. A large, adult sized blanket may be used as both sheet and blanket on a cot if it is placed under and over the child. Children were sleeping directly on cot surfaces.

Of 10 Children's Records reviewed 1 was missing documentation of an updated intake under 2 every 3 months.

The licensee failed to notify the department of construction and remodeling effecting licensed space prior to construction- removal of a 1/2 wall in the 3 yr old room and window replacement in the YMCA pool area resulting in closing of the center playground for several weeks.

The premises failed to be clean and in good repair-water dripping from ceiling pipes in the 3 yr old room, ceiling tiles marked with water in the toddler and 3 yr old rooms, and large amount of dust on the ceilings near the vents in room specifically toddlers.

Hands free diaper containers failed to be working properly- toddlers, 2's, and todd's /2's bathroom containers.

Of 7 Staff Records reviewed/updated 2 were still missing documentation of current CPR certification.