Date |
Rule Number |
Rule Summary |
Description |
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11/30/2023 |
251.07(2)(e)4. |
Prohibited Actions - Withholding / Forcing Food Or Sleep |
During the course of a complaint investigation, the center director confirmed that the week prior a staff person withheld milk from an eleven month old child because the child would not use a sippy cup to drink the milk. Withholding food is a prohibited action. |
7/6/2023 |
251.04(2)(L)1.a. |
Monitoring Results Posted |
The monitoring results and correction plan from the most recent licensing inspection was not posted. |
7/6/2023 |
251.05(2)(a)4.a. |
Staff Record - Registry Certificate |
Staff I is still missing a certificate from The Registry documenting that the person has met the educational qualifications for the position and the person has worked as a teacher, director and/or administrator at the center for at least 6 months. |
7/6/2023 |
251.06(4)(d) |
Exits & Passageways - Unobstructed, Minimum Width |
Exits and passageways shall have a minimum clear width of 3 feet and be unobstructed by furniture or other objects. 2 exits in the infant room were obstructed by objects as observed during the monitoring visit. |
7/6/2023 |
251.06(3)(b)4. |
Emergencies - Record Of Fire / Tornado Drills |
There was no documentation of the tornado drills practiced within the last year. The center is required to keep written records of dates and times of all the monthly tornado drills practiced during the months of April through October. |
7/6/2023 |
251.07(2)(e) |
Child Guidance - Prohibited Actions |
During the monitoring visit the Licensing Specialist observed a child care worker roughly grab the arm of two different children and lift them up by their one arm. She did this twice to one child and the other child she threw onto a sleep mat. Per rule these are actions that may be emotionally or physically painful, discomforting, dangerous or potentially injurious to a child and are prohibited. |
7/6/2023 |
251.07(6)(dm)4. |
Medical Log - Reviewing Injury Records |
An inspection of the medical log book in the Infant room revealed the log hasn't been reviewed every 6 months as required by rule. |
7/6/2023 |
251.07(6)(f)6. |
Current Authorizations For Medications On Premises |
The center did not have a current parent authorization form for one child's prescription medication in the Infant room. A current medical authorization form from the parent is required when medication is kept on the daycare premises. |
7/6/2023 |
251.09(1)(c) |
Infant & Toddler - Documenting Changes In Development |
Intake for Children Under 2 forms for Child #6, #7 and #8 were missing documentation of having been updated every three months to reflect changes in the child's development and routines based on discussion with the parent. |
3/14/2023 |
251.05(2)(a)3.a. |
Staff Record - Physical Examination |
The files for Staff A and B did not contain documentation of a physical examination report on a form provided by the department, completed within 12 months before or within 30 days after beginning work with children in care, indicating the person is free from illness detrimental to children, including tuberculosis, and physically able to work with young children. |
3/14/2023 |
251.05(2)(a)4.a. |
Staff Record - Registry Certificate |
Staff F and G are still missing a certificate from The Registry documenting that the person has met the educational qualifications for the position and the person has worked as a teacher, director and/or administrator at the center for at least 6 months. |
3/14/2023 |
251.05(2)(a)6. |
Staff Record - Days & Hours Worked |
Upon review of 3 weeks of attendance records, the center still does not have accurate documentation of days and hours worked and in which specific classrooms for staff who are being counted in staff-to-child ratio. |
3/14/2023 |
251.055(1)(c) |
Supervision - Opening & Closing Hours |
An assistant teacher was providing sole supervision to a group of children outside the first two/last two hours of center operation and two-hours of a designated nap time during the licensing visit. |
3/14/2023 |
251.07(6)(f)6. |
Current Authorizations For Medications On Premises |
The center did not have current parent authorization forms for two children's medications in the Infant room. A current medical authorization from the parent is required when medication is kept on the daycare premises. In addition, one of the the medications itself had expired in July 2022. |
3/14/2023 |
251.09(1)(am) |
Infant & Toddler - Intake Information |
The Intake for Children Under 2 form shall be at the center before the child is left for care on the first day of attendance. One child in the Infant room did not have this form on file. |
3/14/2023 |
251.09(1)(c) |
Infant & Toddler - Documenting Changes In Development |
Multiple Intake for Children Under 2 forms were missing documentation of having been updated every three months to reflect changes in the child's development and routines based on discussion with the parent. |
11/30/2022 |
251.04(3)(jm) |
Report - Prohibited Actions |
The licensee/center failed to report prohibited actions by an employee to a child in care to the Department within 24 hours of the occurrence. |
11/30/2022 |
251.04(8)(b) |
Biennial Training - Child Abuse & Neglect |
Staff A was missing documentation of having received training within the past two years on child abuse and neglect laws, identification, and reporting. |
11/30/2022 |
251.05(2)(a)1. |
Staff Record - Personal Information |
There was no documentation of Staff Record form information in the file for employee B, D and F. |
11/30/2022 |
251.05(2)(a)3.a. |
Staff Record - Physical Examination |
The files for Staff A, C, D, E and J did not contain documentation of a physical examination report on a form provided by the department, completed within 12 months before or within 30 days after beginning work with children in care, indicating the person is free from illness detrimental to children, including tuberculosis, and physically able to work with young children.
The file for Staff B did not contain documentation of a physical examination report indicating the person is physically able to work with young children. |
11/30/2022 |
251.05(2)(a)4.a. |
Staff Record - Registry Certificate |
Staff H is missing a certificate from The Registry documenting that the person has met the educational qualifications for a teacher and has worked as a teacher for at least 6 months. |
11/30/2022 |
251.05(2)(a)6. |
Staff Record - Days & Hours Worked |
The center was unable to provide accurate documentation of days and hours worked in specific classrooms for staff who was being counted in staff-to-child ratios for the last several weeks where a complaint alleged the rooms were out of staff-to-child ratio. |
11/30/2022 |
251.05(3)(b) |
Shaken Baby Syndrome Prevention Training |
Documentation of completion of Abusive Head Trauma (AHT) training was not observed in the file for staff A. AHT training is required to be completed before a child care worker begins to work with children under age 5. |
11/30/2022 |
251.05(3)(c) |
Cardiopulmonary Resuscitation Training |
Staff B, D, E and F were missing documentation of having obtained a certificate of completion for infant and child cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use from an agency approved by the Department within 3 months of employment. |
11/30/2022 |
251.05(3)(f)3. |
Child Care Teacher - Entry-Level Training |
Staff are being used as child care teachers without documentation of them having completed the educational requirements of a teacher position prior to assuming the position. |
11/30/2022 |
251.05(4)(a) |
Staff Orientation - Develop, Implement, Document |
Staff A, B and D were missing documentation of having received a complete orientation within their first week at the center. |
11/30/2022 |
251.055(1)(b) |
Supervision - Teacher Per Group Of Children |
At least one child care teacher shall supervise each group of children. Contrary to DCF 251.055(1)(b), the Infant room does not have a teacher qualified child care worker assigned to the room. |
11/30/2022 |
251.07(2)(e) |
Child Guidance - Prohibited Actions |
During the course of a complaint investigation the center director and the assistant center director admitted to writing up an employee for several instances of inappropriate child guidance such as trying to rub the cradle cap off an infant's head using a toothbrush, grabbing children by the face, pulling children down by their arms, and holding a child with force at a table. Per rule these are actions that may be emotionally or physically painful, discomforting, dangerous or potentially injurious to a child and are prohibited. |
11/2/2022 |
251.04(3)(a) |
Report - Incident Or Accident |
During the course of a complaint investigation it was discovered that the Licensee/center failed to report to the department, within 24 hours of the center becoming aware of the medical evaluation, an incident or accident that occurred while a child was in care of the center that resulted in professional medical evaluation of the child. |
11/2/2022 |
251.04(3)(i) |
Report - Unknown Whereabouts Or Left Premise |
The Licensee/center failed to report to the department within 24 hours that a staff person did not know the whereabouts of a child assigned to the worker for approximately 2 minutes on August 9, 2022 when the child was left behind on the playground while the rest of their classroom went inside to use the restroom. |
11/2/2022 |
251.05(2)(a)6. |
Staff Record - Days & Hours Worked |
The center was unable to provide accurate documentation of days and hours worked in specific classrooms for staff who was being counted in staff-to-child ratios on 2 specific days (5/18/22 & 6/7/22) where a complaint alleged the rooms were out of staff-to-child ratio. |
11/2/2022 |
251.055(1)(f) |
Child Tracking Procedure |
On August 9, 2022, the center tracking procedure was not followed when staff failed to count children when their classroom came in from the outside to use the restroom resulting in one child being left out on the playground. Staff did not know the whereabouts of this child assigned to her until other staff from out on the playground used the walkie-talkie system to notify her the child had been left behind. |
11/2/2022 |
251.07(6)(dm)3.b. |
Medical Log - Injury In Care |
During the course of a complaint investigation it was discovered that an incident that occurred while a child was in care of the center resulted in a child being evaluated by a medical professional and this incident was not recorded in the center's medical log book. |
7/13/2022 |
251.04(6)(a)8.a. |
Child Record - Physical Exam - Under 2 |
Each child under 2 years of age shall have an initial health examination not more than 6 months prior to nor later than 3 months after being admitted to the center, and a follow-up examination at least once every 6 months thereafter. Child #1 does not have documentation of a follow-up exam within the past 6 months. |
7/13/2022 |
251.04(8)(b) |
Biennial Training - Child Abuse & Neglect |
Staff C, D and E were missing documentation of having received training within the past two years on child abuse and neglect laws, identification, and reporting. |
7/13/2022 |
251.05(2)(a)3.a. |
Staff Record - Physical Examination |
The files for Staff A, C, D, E and H did not contain documentation of a physical examination report on a form provided by the department, completed within 12 months before or within 30 days after beginning work with children in care, indicating the person is free from illness detrimental to children, including tuberculosis, and physically able to work with young children. |
7/13/2022 |
251.05(3)(b) |
Shaken Baby Syndrome Prevention Training |
Documentation of completion of Abusive Head Trauma (AHT) training (or Shaken Baby Syndrome (SBS) Prevention, if taken prior to 8/31/20) was not observed in the files for Staff C and F. AHT/SBS training is required to be completed before a child care worker begins to work with children under age 5. |
7/13/2022 |
251.05(4)(a) |
Staff Orientation - Develop, Implement, Document |
Staff C, D and E were missing documentation of having received a complete orientation within their first week at the center. |
7/13/2022 |
251.06(4)(d) |
Exits & Passageways - Unobstructed, Minimum Width |
Exits and passageways shall have a minimum clear width of 3 feet and be unobstructed by furniture or other objects. The direct exit to the outside from the Toddler room was obstructed by a napping child. |
7/13/2022 |
251.07(6)(f)1.a. |
Medication Administration - Parent Authorization |
The parent authorization form for over-the-counter medication must include start and end dates for the length of the authorization. One child's parent authorization form for over-the-counter medication was missing start and end dates for the length of the authorization. |
7/13/2022 |
251.07(6)(f)1.b. |
Medication Administration - Containers & Labeling |
Per rule, medication must be in the original container and labeled with the child's name. The infant room medication box contained a bottle of liquid Motrin that was not labeled with a child's name. |
7/13/2022 |
251.09(1)(c) |
Infant & Toddler - Documenting Changes In Development |
Intake for Children Under 2 forms were missing documentation of having been updated every three months to reflect changes in the child's development and routines based on discussion with the parent. |
7/14/2021 |
251.04(8)(b) |
Biennial Training - Child Abuse & Neglect |
Staff A, B, C, D and E were missing documentation of having received training within the past two years on child abuse and neglect laws, identification, and reporting. |
7/14/2021 |
251.05(2)(a)1. |
Staff Record - Personal Information |
Contrary to DCF 251.05(2)(a)1, there was no documentation of Staff Record form information in the file for employees A & C. |
7/14/2021 |
251.05(2)(a)3.a. |
Staff Record - Physical Examination |
The files for Staff A, B & E did not contain documentation of a physical examination report on a form provided by the department, completed within 12 months before or within 30 days after beginning work with children in care, indicating the person is free from illness detrimental to children, including tuberculosis, and physically able to work with young children.
The files for Staff C & D did not contain documentation of a physical examination report indicating the person is physically able to work with young children. |
7/14/2021 |
251.05(2)(a)4.a. |
Staff Record - Registry Certificate |
Staff A and C are missing a certificate from The Registry documenting that the person has met the educational qualifications for the position and the person has worked as a teacher, director and/or administrator at the center for more than 6 months. |
7/14/2021 |
251.05(3)(c) |
Cardiopulmonary Resuscitation Training |
Staff E was missing documentation of having obtained a certificate of completion for infant and child cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use from an agency approved by the Department within 3 months of employment. |
7/14/2021 |
251.05(4)(a) |
Staff Orientation - Develop, Implement, Document |
Staff A, C & E were missing documentation of having received a complete orientation within her first week at the center. |
7/14/2021 |
251.055(2)(d) |
Mixed Age Group With Children Under Age 2 - Group Size |
During the licensing visit, there was one child under the age of two in the group of 14 children in the Preschool room. Rule states when infant and toddlers are part of a mixed-age group, the size of the group may not exceed 8. |
7/14/2021 |
251.07(4)(c) |
Naps Or Rest Periods - Sleeping Surfaces - Children Under 1 |
One crib in the infant room was not placed at least two feet apart or end-to-end with a solid partition between it and the next crib. |