LAKESIDE TOT'S

In review of records, it was determined the CCSM or Substitute CCSM was left alone with children and did not have current valid documentation for training(s) listed in number(s) 1, 4 below:1. First Aid - expired training 4. CPR - expired trainingCorrect the violation and submit the documentation of current certification with the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Not Submitted

During the inspection, it was determined that outdoor play equipment was unsafe as noted in the number(s) 2, 5 below: 2. There was protruding bolts. 5. There was splintering wood.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Submitted

During the inspection, cleaning and sanitzing equipment and supplies were not used or stored properly as noted in number 11 below: 11. Other potentially hazardous substance, mouthwash and toilet cleaner, was accessible to children in the bathroom sink cabinet area.Provide staff training. Submit the programs 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.

Resolution: Compliance Status: Submitted

In review of records, it was determined the provider did not have current valid documentation for training(s) listed in number 1 below:1. First Aid - expired training2. First Aid - did not have verification of the completion of First Aid training3. First Aid - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule4. CPR - expired training5. CPR - had not taken CPR training6. CPR - did not have verification of the completion of CPR training7. CPR - training taken did not include all age groups and developmental levels of all children in care8. CPR - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule9. CPR- audiovisual or electronic media training taken did not include an in-person component of the training10. Communicable Disease - expired training11. Communicable Disease - had not taken CD training12. Communicable Disease - did not have verification of the completion of CD training13. Communicable Disease - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the rule 14. Child Abuse - expired training15. Child Abuse - had not taken Child Abuse training16. Child Abuse - documentation did not demonstrate the person who provided the training met the trainer qualifications as stated in the ruleCorrect the violation and submit the documentation of current certification with the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that an outdoor play area was used which was not protected from traffic and other hazards by a fence in good repair, or other barrier. Although the fence or natural barrier was not meeting the rule requirements, it was determined to not present an immediate risk for a child to be able to leave the playground. The fence or gate was not in good repair and/or being used inappropriately as noted in number 3 below: 1. The fencing had missing slat boards.2. The fencing was broken.3. The fencing was loose and had fallen down. This fence was surrounding the fire pit and trampoline and needs to be put back up before children can use the adjacent play area. 4. The fencing was rotting.5. The gate was broken and did not close.6. The gate was locked.7. The latch on the gate was broken.8. The latch was easily opened by children on the playground.9. The latch was not engaged to prevent children from opening the gate.10. The gate had no latch. 11. There were bolts with more than two threads exposed along a fence line or gate on a playground.12. Other [ ].Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

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 22 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.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 childs temperature. 21. Methods of ventilation used did not provide protection from rodents, insects, or other hazards.22. Other There was a pizza cutter in a lower drawer in the kitchen to the left of the refrigerator..Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined pets at the program were not properly housed or cared for or posed a threat to the safety or health of the children as noted in number 8 below: 1. The animals cage was dirty with feces.2. The aquarium was unclean.3. The litter box was dirty with feces.4. A pet posed a threat to the safety of a child in that [ ].5. A pet requiring a license did not have a current license.6. Proper inoculation records were not on file at the program for a pet requiring inoculations.7. Children were exposed to the pet's urine and/or feces.8. Other The dogs food was out in a dog bowl in the kitchen area accessible to the children.A pet that poses a threat to the children shall not be at the program. All pets at the program must receive proper care and housing. Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, cleaning and sanitzing equipment and supplies were not used or stored properly as noted in number 11 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, cleaning supplies, were accessible to children in the cupboard under the sink 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 programs 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.

Resolution: Compliance Status: Approved

During the inspection, it was determined the fire extinguisher was not meeting the requirements in the following number 4 listed below: 1. There was no fire extinguisher. 2. The fire extinguisher was not working.3. The fire extinguisher was not rated at the minimum rating.4. The fire extinguisher had expired.5. The fire extinguisher was not located in the kitchen where food is provided for child care or cooking area.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the program was not maintaining a smoke free environment, as noted in the number 5 below: 5. Children had access and/or were exposed to smoking paraphernalia in that [cigarettes/cigars/pipe butts/ashes/chewing or smokeless tobacco/electronic cigarettes/vaporizers] was/were observed in view of children.Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

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) 13, 15 below: 13. Acknowledgement of Policies and Procedures 15. Enrollment form for at least one child was not signed by the administrator Submit the program's corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the required drills were not completed for item numbers 1,2 and 3 below:1. Monthly fire drills2. Monthly weather emergency drills (March through September)3. Emergency/lockdown drills in each quarter of the calendar year Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in numbers 4 and 6 below:4. The record did not include the birth date of at least one child.6.The record did not include the childs weekly schedule.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that cots or mats did not meet the requirements as noted in number 2 below:2. A child was sleeping on the floor.Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

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 2 below: 2. Extension cord(s); electrical cord(s) attached to an object that could result in a severe injury if pulled.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 programs 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.

Resolution: Compliance Status: Approved

During the inspection, a potentially hazardous item or toxic substance was used or stored where children present had access to it as noted in number(s) 1,2,5, . The potentially hazardous substance or item that posed a risk to children was determined to be accessible to children in the kitchen and outside on the way to the outdoor area. 1. Bleach.2. Cleaning agent.5. Pesticide.Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance or item is no longer accessible to children and/or children will not be outside when machinery is in use and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the following information was not posted for item number(s) [1 ] below:1. Fire alert plan, including a diagram indicating evacuation routes. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the providers license was not in a location visible to parents, as required. Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the following hazardous conditions existed in the outdoor play area, as noted in number(s) [1,9 ] below: 1. There was broken glass.9. Other [Trash, tripping hazarders when walking to play area ].Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the provider had the following equipment noted in number(s) [ 1 ] below at the program for the children's use:1. Trampoline;The rule prohibits the use of this equipment. Submit the programs corrective action plan to verify compliance with this rule.

Resolution: Compliance Status: Approved

During the inspections, a potentially hazardous substance, which was determined to not present a serious risk to a child, was accessible to children as noted in number(s) [ 3,11 ] below:3. Fish food11. Other potentially hazardous substance [Diaper cream ]The potentially hazardous substance was determined to be accessible to children in the following area: [ ]Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, a potentially hazardous item or toxic substance was used or stored where children present had access to it as noted in number(s) [10 ] below. The potentially hazardous substance or item that posed a risk to children was determined to be accessible to children in [ Outdoor area ]. 10. A lawn mower. Provide staff training. Submit the programs corrective action plan, which includes a statement that the potentially hazardous substance or item is no longer accessible to children and/or children will not be outside when machinery is in use and a statement that training was provided, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that surge protectors or outlets did not have childproof receptacle covers. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

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) [7,8,9 ] below:7. Staff member stepped over a barrier/gate while holding a child;8. Chipping or peeling paint;9. Other [wires in corner of room open for children ].Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that unsanitary conditions, as noted in the following number(s) [3 ] below, were in the [ childrens] restroom:3. There were no individually assigned towels or disposable towels.The restroom(s) must be kept sanitary at all times. Submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the requirements for the JFS 01242 "Medical, Dental and General Emergency Plan" were not followed as noted in number(s) [1 ] below:1. The plan was not posted on each level of the home used for child care.Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the program did not have a first aid kit [onsite/ on the vehicle/ on a field trip] as required, that included all items listed in the appendix A of the rule. The kit(s) were missing the item(s) or the item(s) were not replaced after use and/or expired listed in number(s) [13, 14 ] below: 13. Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids;14. Pocket mask or face shield, appropriate; for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration;Correct the violation and submit the program's corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the JFS 01201 "Dental First Aid" was not [posted]. Correct the violation and submit the program's corrective action plan to verify compliance with the requirement of the rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined the program did not meet the requirements for keeping an attendance record as listed in number(s) [ ] below:1. No attendance record was being maintained.Submit the program's corrective action plan, which includes a statement that training was provided, to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the program did not have the type of milk on-site to ensure that all children were served age-appropriate fluid milk requirements. Submit the programs corrective action plan to the Department to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved

During the inspection, it was determined that the staff did not [use a/discard] separation material between each diaper change, as required by the rule, [at the [infant/toddler] diaper changing station. Submit the programs corrective action plan to verify compliance with the requirements of this rule.

Resolution: Compliance Status: Approved