Tiny Steps Learning Center

Two children files are missing immunization records.

The following written operational policies are incomplete: (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F policy must include: (A)-(G); (20)Parent rights that are consistent with the rules in Division 5 of this subchapter(relating to Parent Rights);(26) Preventing and responding to abuse and neglect of children (A)-(E); (30) Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in 746.2202 of this chapter(relating to What are my responsibilities when planning activities for a child in care with special care needs?).

A caregivers file was not available for review during inspection.

Observed a 10 month old infant asleep in a crib while covered with a blanket.

Facility does not have a current annual sanitation inspection.

Facility does not have a current Fire Inspection.

Facility does not have a current annual certification regarding unsafe children's products.

A caregiver has not obtained one hour of training in the following topic: prevention, recognition and reporting of child maltreatment.

A caregiver has not obtained one hour of training in the following topics: recognizing and preventing shaken baby syndrome and abusive head trauma; understanding and using safe sleep practices and preventing sudden infant death syndrome and understanding early childhood brain development.

Staff files were reviewed and the following was not available for review: pre service for a caregiver and TB results; a second file was missing proof of education.

Facility is not current with children's products certification.

In reviewing staff sign in/out logs it was found that there was a person working with no cleared background check. This person has been working since 11/1. (NOTE: The person has not been present this week)

2 of the children's files reviewed were lacking immunizations. (NOTE: Corrected during inspection as immunizations were emailed to the director and she was able to print them)

The diaper changing mat in the infant room has several small tears that do not allow for proper sanitation.

Not all children washed their hands prior to eating lunch. (NOTE: Corrected during inspection as the children were asked to wash their hands.)

The electronic smoke detection system was not working properly when the button for a drill was activated. There was no alarm sound and the company did not call to verify a drill.

Although the operation is not licensed for afterschool children, the room assigned for the age group is currently not set up and is not organized and children's items are on the tables. (Pictures on file)

There have been no fire drills done since February. (One was attempted however the fire system was not operating properly)

Written operational policies are incomplete.

Children's products was not available for review during inspection.

Facility does not have a carbon monoxide in the building.