La Mision Child Care and Kid Kamp

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

A caregiver was obserrved to be sitting a doorway supervising two separate classrooms during naptime.

746.3805(a)(1) - Administering Medication - According to Label Directions

Based on information gathered during the course of the investigation, caregiver did not give child his medication at 10:30 am as indicated on the medication log.

746.613(b) - Immunization Records, Exceptions, and Exemptions Current

1 out of 10 child immunization records were not current at the time of inspection.

746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers

The AM and PM caregivers were not effectively communicating information which resulted in the child being sent home in LUVS diapers on multiple occasions.

746.2417(2)(A) - Activities for Infants - Multiple Opportunities to Explore Outside Crib

Infants were restricted to their cribs due to being combined in the classroom with older children for longer than fifteen minutes.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

There was only one caregiver observed to be caring for 16 children ranging from 3 months to 4 years old in the infant room.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

There were six infants ages two months to thirteen months with one caregiver. The maximum amount of infants for this age group is four infants per one caregiver, therefore this group was not compliant for proper ratio. This was corrected at inspection when another caregiver arrived to bring the ratio into compliance.

746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups

Four out of five bottles in the infant room were not labeled by name as required. This was corrected at inspection when the names were added to the bottles.

746.3701(1) - Safety - Electrical Outlets Covered

There was one outlet in the toddler room that was not covered or protected. This was corrected at inspection when an electrical outlet cover was provided.

746.605(6) - Required Admission Information - Emergency Contact

Three out of eight children's records evaluated were missing the required emergency contact information.

746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age

During naptime, it was observed that a four month old infant was combined in the same room with older children up to four years in age. Minimum standards state that children under eighteen months of age are only allowed to be combined with older children as long as the oldest child is less than eighteen months older than the youngest child, therefore the operation was not in compliance. This was corrected when another caregiver arrived, and the infants were separated from the older children.