TINY TOTS ACADEMY

NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32(Continued, Page 2...) Sleeping area for the younger infants includes cribs that do not hinder the entrance or exit to the classroom. Cribs were free of loose articles and materials and included a tight fitting sheet. During visit, LPAs observed an infant in a crib that was placed on their back. Infant staff utilize a sleeping log that documents the 15 minute time check of when a napping infant is checked on. LPAs reviewed sleeping logs utilized by infant staff. Upon review, LPAs did not observe a consistent daily sleeping log for napping infants. LPAs observed sleeping logs to include random days throughout the month. LPAs requested infant staff to provide sleeping log from 10/19/2023. Per staff, sleeping log was not maintained for 10/19/2023. There is a separate room utilized for sleeping for the older infants. Cots are utilized for the older napping infants. LPAs observed cots to be appropriately stored. Sheets are stored in infants' individual cubbies. Per director, staff do not maintain sleeping logs for older infants sleeping in cots. LPAs reminded director a daily sleeping log must be maintained for all infants under 24 months. LPAs observed poisons, cleaning solutions and poisons to be inaccessible in classrooms. Both the infant classroom and infant napping area is equipped with a carbon monoxide detector, smoke alarm system and fully charged fire extinguisher. During visit, LPAs tested both carbon monoxide detectors in classroom and sleeping room, which were observed to be working. Infant program shares indoor atrium with preschool program on rotation schedule. LPAs observed atrium to have sufficient toys and materials that were in good condition. There are portable climbing structures with resilient padding underneath. Poles located in atrium were observed to be padded. Licensing documents were observed to be pro

(b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib.

NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32(Continued, Page 2...) Sleeping area for the younger infants includes cribs that do not hinder the entrance or exit to the classroom. Cribs were free of loose articles and materials and included a tight fitting sheet. During visit, LPAs observed an infant in a crib that was placed on their back. Infant staff utilize a sleeping log that documents the 15 minute time check of when a napping infant is checked on. LPAs reviewed sleeping logs utilized by infant staff. Upon review, LPAs did not observe a consistent daily sleeping log for napping infants. LPAs observed sleeping logs to include random days throughout the month. LPAs requested infant staff to provide sleeping log from 10/19/2023. Per staff, sleeping log was not maintained for 10/19/2023. There is a separate room utilized for sleeping for the older infants. Cots are utilized for the older napping infants. LPAs observed cots to be appropriately stored. Sheets are stored in infants' individual cubbies. Per director, staff do not maintain sleeping logs for older infants sleeping in cots. LPAs reminded director a daily sleeping log must be maintained for all infants under 24 months. LPAs observed poisons, cleaning solutions and poisons to be inaccessible in classrooms. Both the infant classroom and infant napping area is equipped with a carbon monoxide detector, smoke alarm system and fully charged fire extinguisher. During visit, LPAs tested both carbon monoxide detectors in classroom and sleeping room, which were observed to be working. Infant program shares indoor atrium with preschool program on rotation schedule. LPAs observed atrium to have sufficient toys and materials that were in good condition. There are portable climbing structures with resilient padding underneath. Poles located in atrium were observed to be padded. Licensing documents were observed to be pro

(b) A crib or portable -crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib.

Type B citation - potential risk if not corrected

Type A citation - immediate risk to health, safety, or personal rights

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.

(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

Type A citation - immediate risk to health, safety, or personal rights

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type A citation - immediate risk to health, safety, or personal rights

A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. During the invesitgation LPA learned school age children and preschool children were being commingled for the last hour of the day. This poses a potential health and safety risk to children in care.

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.

Type B citation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Type A citation from complaint investigation - immediate risk