The Children's Garden, A Place To Bloom

A caregiver did not know the correct number of children in their care when asked.

One of the director files that was reviewed were found to be missing training in required topics, such as: communicable diseases and understanding building and physical premises safety.

The loose-fill under and around the use zone for a slide structure and under and around the swing set's use zone was not installed to the required depth as the ground under the surfacing was visible.

Three of the nine caregiver files reviewed did not have training certificates available for review in required topics: Communicable diseases, understanding building and physical premises safety, and hazardous materials.

In a room with a specified age group of 12-17 months, there were six children with one caregiver. Noted: this was corrected during inspection when the youngest child was moved to another room to accommodate ratios.

Five of the nine caregiver files reviewed did not have training certificates in Medication Administration, Food Allergies, and Hazardous Materials available for review.

The director's file did not have a training certificate in Food Allergies available for review.

Three of the ten children's records did not include a physician signed statement of health after 12 months of enrollment.

One of the 10 children's files reviewed did not include necessary information for their listed emergency contact; address.

Three of the ten children's files reviewed did not include a current immunization record.

The emergency preparedness plan did not include information for how children 24 months and younger/ children with limited mobility will be transported to designated location or alternate shelter location.

The emergency preparedness plan did not include information for how care will continue in the event of an evacuation of the operation.

Two children's files did not include emergency contact information (addresses) for their listed emergency contact.

The emergency preparedness plan did not include information on the reunification process for children and parents/authorized individuals.

The composite structure of the playground was observed to have a shelf and another climbing structure in the use zones. Noted: This was corrected at inspection when the equipment was removed out of the use zones and given its own use zones.

A child was observed in a restrictive device for 30 minutes. Note: This was corrected at inspection when the child was removed from the bouncer.

After diapering, a caregiver was observed to not wash their hands. Noted: Employee washed hands once it was brought the her attention.

A classroom was observed to be out of ratio when a group of children with a specified age group of 5 years old was observed to have 23 children with one caregiver. The maximum group size for one caregiver for this specified age group is one caregiver to 22 children. Note: The operation moved two children to a different classroom, and there were two children that were picked up for the day.

It was determined that proper procedures for unloading the van were not completed, after a child was left in the vehicle unattended.

It was determined that a caregiver neglectfully supervised a child when the child was left on the transportation vehicle for 15 minutes.

It was determined that the electronic child safety alarm in the van, that was used to transport children, was not properly working.

It was determined that there was a child that was left on the van for 15 minutes.

There were multiple tears in the diaper changing table located in the infant classroom.