First Baptist Church CDC

746.2409(c) - Safety Requirements for Cribs - Infant Not in Crib with Drop Gate Down

This standard was evaluated as part of the investigation and found to be deficient. A caregiver stepped away from a crib before putting the gate up and an infant fell out of the crib.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling

This standard was reviewed in relation to the reported allegations and found to be deficient. The caregiver admitted to pulling the child's arm when she took the child by the hand while removing the child from an argument with another child.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

This standard was reviewed in relation to the reported allegations and found to be deficient. A child was found in the hallway alone unsupervised and found by a parent.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

This standard was reviewed in relation to the reported allegations and found to be deficient. The caregivers did not demonstrate competency when the operations protocols were not followed when the children were in transition from the playground to the gym.

746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

During inspection an infant was observed to be asleep in a swing for 5 minutes. The caregivers were observed on video looking at the infant asleep after 3 minutes. The infant was removed and placed in bed after the inspector asked the child to be moved.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling

During the course of an investigation, it was viewed on video footage that a child was grabbed by the arm and taken to the bean bag for time out by a caregiver.

746.1203(4) - Responsibilities of Caregivers - Supervision of Children

This standard was reviewed in relation to the self-reported allegations and found to be deficient. A child got out of a gate on the playground that was not properly latched and was picked up in the parking lot by a caregiver. A group of children were left unsupervised in a classroom when the caregiver left work for the day and did not leave them with another caregiver.

746.3607(2) - Critical Injury - Give First Aid or CPR

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The caregiver was observed on video failing to give aid to a child who was injured after hitting the wall with his head.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

During inspection there was a sanitizing spray within reach of the children in a classroom. This was corrected at inspection.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

This standard was reviewed in relation to the investigation and found to be deficient. The caregiver was observed on camera cleaning a table that had food directly on it that a child was observed eating with a cleaning agent.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

This standard was reviewed in relation to the reported allegations and found to be deficient. The caregiver did not use good judgment when a child was taken by the wrist and forced to walk around with the caregiver while she cleaned tables. The child tried to get away and sit down and the caregiver did not let go of the child.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children

This standard was reviewed in relation to the reported allegations and found to be deficient. The caregivers did not follow name to face transition and a child was left unsupervised in a classroom.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

During inspection it was observed that a cleaning/sanitizer bottle was down within reach of the children. The caregiver returned the bottle to a high cabinet during inspection.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

A follow up was coducted on this day. This standard was re-cited. A caregiver was observed coming in the operation with the class for gym time and did not complete the transition name to face transition form as required by the operation. The caregiver did not use good judgment when this name to face transition was not completed which ensures all of the children are with the class as required and supervision is met. There were 3 opportunities for this to be completed. This was addressed by the operation during inspection.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The caregiver did not use good judgment when a child was lifted by the wrists when they were picked up.

746.1003(1) - Director Responsibilities - Operate in Compliance

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The director failed to have the operation operate in compliance when the operation has been cited for supervision 4 times in the last 6 months and 7 times in a year.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The caregiver did not use good judgment when the caregiver did not hold a child's hand that is a known "runner" which resulted in a child running away from the class and across the street in to the parking lot another business.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children

This standard was reviewed in relation to the self-reported allegations and found to be deficient. A child walked away from the class while in the gym area and was found in the foyer area unsupervised.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The child got out of the classroom and was down the hall and found by another teacher.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

A caregiver was present supervising children that did not have an eligible status. The employee left the operation during inspection.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children

A caregiver did not properly supervise a group of children, which allowed a child to be left unsupervised outside.

746.2426 - Infant May Not Sleep in a Restrictive Device

During a walk through of the operation, it was observed by licensing two infants in restrictive devices. One of the Two were asleep. The other was in the swing for 15 minutes. The caregiver removed both children.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children

This standard was reviewed in relation to the self-reported allegations and found to be deficient. A child was left unsupervised in the classroom.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

This standard was evaluated as part of the investigation and found to be deficient. A teacher left a child alone in a classroom unsupervised for a minute and half.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

This standard was evaluated as part of the investigation and found to be deficient. The operation left a child in the classroom unsupervised for ten minutes. The caregivers failed to follow the daily protocol when transitioning from the classroom to the playground and did not count the number of children when leaving the room.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

This standard was evaluated during an investigation and found to be deficient. Three buckets seats in the infant classroom were occupied by 3 infants that did not have safety straps fastened or did not have a safety strap present. Four straps were missing in the bucket seats.

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

This standard was evaluated as part of the investigation and found to be deficient. A caregiver did not have prior experience working in childcare and did not have the 8 pre-service training hours that is required before supervising a group of children.

746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders

Children were observed eating snack directly off of the table during inspection.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

This standard was reviewed in relation to the reported allegations and found to be deficient. A child wandered away from the class line and went into a vacant room unsupervised.

746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area

During inspection it was observed that a caregiver did not sanitize a changing table after a diaper change.

746.3505(b) - Diapering Procedures - Wash Infant's Hands

During inspection it was observed that a child's hands were not washed after a diaper change.

746.3415(4) - Employee Handwashing After Diapering a Child

It was observed during inspection that a caregiver did not wash their hands after diapering a child. It was also observed on video that a caregiver did not wash hands after multiple diaper changes of children.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based

Staff files were reviewed and found that one staff had the on line only version of CPR certification.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional

Allergy Alert plans were reviewed for the HASA and two plans were not complete for two children with diagnosed food allergies.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The caregiver stepped out of the room leaving one caregiver in charge of 14 two year old children. During this time a child was injured.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

During follow up inspection, 2 infants were observed not strapped in the high chair table.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk

This standard was reviewed in relation to the reported allegations and found to be deficient. The operation did not contact the parents of the children involved in the two incidents until the day after the incidents, when standards require immediate contact.

746.3701(1) - Safety - Electrical Outlets Covered

One electrical outlet was uncovered in a classroom that was accessible to the children. This was discussed with the caregiver.

746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages

A caregiver did not have access to the names and ages of the children they were responsible for at the time of inspection.

746.1609 - Maximum Group Size 13 or More Children

This standard was reviewed in relation to the reported allegations and found to be deficient. The operation has operated out of ratio in the opening times in the infant room.

746.3407(13) - Using, Storing and Disposing of Hazardous Materials

This standard was reviewed in relation to the reported allegations and found to be deficient. According to manufacturers instructions 100% bleach is required to be diluted with water before use. The caregiver did not complete this before bringing the bleach in the classroom to be used to clean up an accident.

746.3701(1) - Safety - Electrical Outlets Covered

Three classrooms were observed with outlet covers that were not covered. This was corrected at inspection

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk

This standard was reviewed in relation to the reported allegations and found to be deficient. The operation did not report to the parent immediately a child who had been placed at risk by having bleach spilled on them in an accident.

746.1301(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation

This standard was reviewed in relation to the reported allegations and found to be deficient. A caregiver involved in the incident did not have documented orientation at the operation.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

During inspection the children in the kittens classroom were not buckled in the high chair table. This was corrected at inspection.

746.305(a)(4) - Report Outbreak of Communicable Illness

This standard was reviewed in relation to the self-reported allegations and found to be deficient. The operation did not report the Covid-19 cases in the required time frame.