The Apple Tree Daycare, Inc. III

Director completed 30 annual training hours of which 7 hours were self-study training. The self-study trainings are the required annual training topics.

An employee was responsible for supervising a group of children; however, this individual does not fulfill the educational requirements necessary to qualify as a caregiver. Corrected at Inspection: A qualified caregiver was placed in the classroom.

The group of toddlers were viewing a children's video while waiting for their meal.

Employees did not know the person in charge in the absence of the director.

There were three vents and ceiling fans with dust and debris.

The fire extinguisher was not secured in one of the transportation vehicles.

Three caregivers completed Pediatric CPR training online without hands-on skill-based instruction, and practice.

The director did not have a time sheets.

There was a torn mat used by a child during naptime.

The documentation for the fire drills and sheltering/lockdown drills was not fully completed for 2024. There were several dates missing on the forms.

A child with a diagnosed food allergy did not have a Food Allergy Emergency Plan.

Carbon Monoxide Detector had not been tested for the year 2024. *This was corrected at inspection when the Carbon Monoxide Detector was tested and in compliance.

Observed documentation of last fire drill conducted on 1-31-24.

2 out of 10 employee files reviewed are missing First Aid and CPR Training.

9 out of 10 childrens records reviewed is missing the following: 1) Admission Date 2) Emergency Contact Address, Special Care Statement, Healthcare Provider Statement, Immunization Information 3) Emergency Contact other than a parent 4) Emergency Contact Address, Emergency Care Authorization, Special Care Statement 5) Date of Admission, Special Care Statement 6) Date of Admission, 7) Date of Admission, Name of School/Address/Phone Number 8) Date of Admission, Address of Emergecny Contact, Special Care Statement, School information, Healthcare Statement, Immunization records, Permission to ride bus/walk 9) Iimmunization Records

1 out of 10 employee files reviewed is missing translation of education.

In the toddler classroom there was an ointment in one of the children's cubbies that was not labeled. NOTE: This was corrected at inspection when caregiver labeled the diaper ointment.

In the infant classroom there was a garbage can that was accessible to the children. NOTE: This was corrected at inspection when caregiver removed the trash can from the classroom.

A Pre-K child was observed using caregiver's phone to watch videos not related to planned activities. NOTE: Phone was removed and activities were resumed.

A caregiver was observed yelling at a child during the inspection.

Two groups of children were observed watching cartoons on television not related to planned activities. NOTE: This was corrected by caregivers switching TV shows to material related to planned activities.

Three out of nine infants were observed sleeping in restrictive devices (swings). Children were not removed as soon as possible. NOTE: This was corrected by caregivers removing children from restrictive devices.

A caregiver washed a child's hands in the sink designated to wash dishes and other food items.

Documentation of education outside of U.S. for one caregiver does not provide proof of high school or GED completion. Documentation of education outside of U.S. for another caregiver was not translated to English.

Three children under the age for 2 were observed watching television during a transition in the toddler classroom. NOTE: This was corrected during inspection as television was turned off and another activity was initiated.

An infant's bottle was being supported by a blanket while infant was feeding on a restrictive device. NOTE: This was corrected during inspection as infant began to be fed by a caregiver.