Kiddie Academy of Harmony

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

A caregiver in the four year old classroom was unaware of the number of children under her supervision during the walk-through. Caregiver counted 14 children correction 15 children in care. Note- All children was marked as being supervised.

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

Based on the information obtained during the DFPS investigation the parents were not informed of the incident within the required timeframe.

746.305(a)(6) - Report Situation Placing Children at Risk

Based on the information obtained during the DFPS investigation CCR was not informed of the incident.

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

Based on the information obtained during the DFPS investigation a child was left unsupervised in the bathroom for 5-10 minutes.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

Based on the information obtained during the DFPS investigation there is sufficient evidence to support that Abuse/Neglect occurred at the operation when a child was left unsupervised.

746.1003(1) - Director Responsibilities - Operate in Compliance

Based on the information obtained during the DFPS investigation the Director was not maintaining Director Responsibilities as they did not ensure the children were properly supervised and did not ensure that procedures/standards were followed once they became aware of the incident.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

In Room # 5 Caregiver did not know how many children were in her care during inspection. Caregiver stated there were 11 children but there were actually 10 children in care during inspection.

746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

When asked, a caregiver stated that there were 11 children in the group. There were 9 children in the group.

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

I observed a caregiver sitting on the playground, with children playing on both sides of the playground.

746.3401(c)(2) - Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us

During the Monitoring Inspection, the operation could not provide documentation of a current Health/Sanitation Inspection conducted as required.

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

One child with a diagnosed food allergy did not have the food allergy plan completed.

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

Two caregivers completed CPR online.

746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually

One caregiver who transport did not have the transportation training available for review.

746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

It was observed that that the diaper changing mat had a two tears exposing the foam. Note: This was corrected when a new mat was placed.

746.3415(12) - Employee Handwashing After Using Cleaners or Toxic Chemicals

Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after using chemicals.

746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids

Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after wiping a child?s nose.

746.3417(3) - Children Handwashing After Toileting or Diapering

While observing the children in the four year old classroom a child used the restroom and did not wash their hands.

746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids

During the inspection, a caregiver in Room 4 was observed wiping two children's noses and disposing of the tissue but not washing their hands. Note: Corrected during Inspection. The caregiver washed their hands.

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

I did not observe documentation of an Emergency Action Plan for 2 children who have a food allergy. I observed that an Emergency Action Plan for a child with a food allergy had not been signed by the child's parent or physician.

746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment

I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without changing the paper covering the changing table.

746.3415(13) - Employee Handwashing After Removing Gloves

I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without removing disposable gloves.

746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required

I did not observe documentation of current training in SIDS, Shaken Baby Syndrome and Abusive Head Trauma for 4 caregivers who work with infants and toddlers.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

I observed one caregiver supervising 19 four and five yr. old children. The specified age of the group was 4 years. The required child/caregiver ratio for 4 yr. olds is one caregiver with 18 children. NOTE: This was corrected during the inspection when another caregiver joined the group.