Little Lads and Ladies Learning Center

746.201(1) - Policies Comply with Rules

The operational policies were evaluated and lacked the following written procedures: 1) procedures for conducting health checks; 2) The benefits of physical activity and outdoor play; 3) The type of physical activity (structured and unstructured) that children may engage in at your operation; 4) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; 5) Two children records evaluated did not have signed documentation of the parents rights.

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages

In one classroom a caregiver was relieving another staff member for a break and did not have documentation in the classroom showing each child in the classroom's age.

746.1613(a)(4) - Naptime Child/Caregiver Ratio - Additional Employee Required

In one classroom the operation reduced the ratio during nap time, There were 27 children in the room with a specified age of 3 years being supervised by one caregiver. There was not another individual present in the building who was not supervising children.

746.801(7) - Required Records Maintained and Made Available - Medication Records

The operation did not have medication logs available for review. In one classroom for two children, observed a staff member has documented the name of the medication and the time given on an infant daily report which is sent home to the parent.

746.3805(c)(1) - Medication Records - Name of Child

Two medications in one classroom did not have the complete name of the child in which the medication belonged to. This was corrected at inspection as staff wrote the name of the children on the medication. In another room not used by children where medication is kept there was one medication that was not labeled with the child's name for whom the medication is for. All three medications did not have the date the medication was brought to the operation.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

One employees record lacked documentation of completion of 8 hours pre-service training before being counted in the child/caregiver ratio.

746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required

At inspection there were two classrooms of children napping. Two caregiver were supervising 12 children, ages 14 months to 3 years (38 months) and in another room one caregiver was supervising 29 children, ages 2 years to 5 years. There were no additional staff in the building.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age

In one classroom there were 14 children, ages 12 months to 38 months old with two caregivers. You may combine infants with older children as long as the oldest child in the group is not more than 18 months older than the youngest child.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

One caregiver lacked documentation of completion of first aid training.

746.3503(b) - Diaper Changing Equipment - No Play or Eating Surfaces Used

In the infant/toddler room the caregiver diapers children in the floor of the classroom on a changing mat.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

The caregiver lacked documentation of completion of 24 hours pre-service training.

746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released

The Emergency Preparedness Plan was evaluated and lacked the following written procedures: 1) How your staff will continue to care for the children until each child has been released; and 2) How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.