AVANCE Mangum Center

CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.

CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.

There was less than two inches of loose fill observed on both playground areas.

There was less than two inches of loose fill observed on both playground areas.

Part of the baseboard in one of the bathrooms was peeling from the wall. A large hole was observed in the outside playground area that posed a tripping hazard.

A caregiver grabbed a child's arm in an attempt to redirect the child.

The incident report was not shared with the parent within 48 hours of the incident.

The operation did not report the incident to CCR within the 48-hour time frame.

It was determined that the caregivers failed to provide the level of supervision necessary to ensure visual awareness when they allowed a 3-year-old to be in the restroom for approximately 5 minutes without checking on them.

Children were observed on video footage not washing their hands after getting their diapers changed.

The caregiver was observed on video footage provided not sanitizing the diaper changing table after each diaper change.

Based on video footage the caregiver was found to have grabbed a child by one arm and pulled them across the floor to sit them on another spot on the carpet.

The caregiver was observed of video footage not washing their hands after cleaning children's noses.

The caregiver was observed in video footage changing several children's diapers without washing their hands as required.

During the walkthrough I observed two caregivers not washing their hands after assisting a child with wiping their notse.

It was determined that the director did not demonstrate good judgement when she did not contact parents to pick up children and allowed them to stay in a building without cool air from 7:30 am until 12pm when the building finally cooled down.

One out of ten staff records reviewed is missing the CPR training completed face to face.

One caregiver has not had their initial background check submitted. Another citation related to background checks within the next 6 months may result in an additional penalty and other enforcement actions.