Destined For Greatness Learning Center V Inc.

“Ensure staff files are complete. Two staff members need administration of medication certification. One staff member needs CPR certification. One staff member needs OCCL's Health and Safety Training, one reference, an adult health appraisal with TB results, and a service letter.”

“Ensure child files are complete. Two children need health appraisals with immunization records. One child needs blood lead screening results. Four children need a development plan.”

“Ensure hazardous materials are stored inaccessible to children. The soap and water solution and bleach and water solution in the three-year-old classroom were observed on the staff's desk in children's reach.”

“Ensure cords are kept inaccessible. The telephone cord in the two-year-old classroom was observed stretched across to the outlet in the children's reach and causing a tripping hazard. Portable space heaters are prohibited. Remove the portable space heater from the office.”

“Ensure all areas are in safe condition. Secure the rugs in the three-year-old classroom, two-year-old classroom, and the school-age classroom to eliminate the tripping hazard. Ensure walls are cleanable and in good repair. Repair the wall behind the outlet cover located near the teacher's desk in the three-year-old classroom. Repair the wall under the library sign in the one-year-old classroom. Ensure individual storage spaces are maintained so children's belongings are not touching. Multiple cubbies in the main hallway were observed overcrowded causing children's personal items to touch.”

“Ensure a working thermometer is used to ensure refrigerators are at 41 degrees F or colder. The thermometer in the refrigerator located in the infant classroom read 49 degrees F. Ensure prepared food is labeled with contents and the date of preparation. Leftover containers were observed in the kitchen refrigerator. The containers were not labeled.”

“Ensure toilet paper and paper towels are accessible in toilet facilities. Toilet paper was needed in the women's bathroom and paper towels were needed in the men's bathroom. This was corrected when the items were placed in the bathrooms. Ensure bathrooms are kept clean. Clean the men's bathroom.”

“Ensure equipment in the outdoor play area is in a safe condition. Remove the broken net from the outdoor play area. Ensure the gate to the outdoor play area is self-closing and self-latching. The gate closet to the shed is not self-latching.”

“Ensure rest equipment is safe. A crib in the infant classroom was observed propped up by a book because a wheel was broken off and was no longer balanced. Ensure rest equipment is labeled or cleaned and sanitized after every use. The nap equipment in the pre-k classroom and three-year-old classroom were not labeled. When asked, staff stated the cots are only cleaned weekly. Ensure safe sleep practices are used. The fitted sheets on two cribs were observed to be not tightly fitted to the crib mattresses.”

“Ensure each classroom is supplied with sufficient quantity of developmentally-appropriate materials. The pre-k classroom needs manipulatives/math/problem solving. science, and music materials. The three-year-old classroom needs dramatic play and science materials. The two-year-old classroom needs language/literacy, manipulatives/math/problem solving, dramatic play, and science materials.”

“Ensure a foot-activated trash can is used solely for diapers. A foot-activated trash can was observed in the women's bathroom labeled "wet diapers and trash." The trash can's lid was observed on the ground behind the trash can. Diapers and regular trash were observed in the trash can. This was discussed and corrected when the labels were corrected and the bathroom was supplied with a foot-activated trash can for diapers only and a covered trash can for trash. Ensure the child's hands and the staff's hands are washed after each diaper change. A staff member was observed completing four diaper changes without washing the children's hands or her hands. Ensure the diaper changing area is cleaned with soap and water and disinfected after each diaper change. A staff member was observed completing four diaper changes without cleaning and disinfecting between or once completing the changes.”

“Ensure a complete Medication Administration Record (MAR) is obtained for all medication. Four children need complete MAR's on file. Ensure medication is labeled with children's names and stored out of children's reach. No diaper cream was labeled. A can of Aquaphor was observed on the teacher desk in the two-year-old classroom and was accessible to children. This was corrected when the Aquaphor was moved. A can of corn starch was observed on the changing table's shelf. The corn starch was accessible to children. When asked, staff stated it is used on children when they have a diaper rash. No written parent permission was observed on file for the corn starch. This was discussed and corrected when the corn starch was removed.”

“Purchase additional food and water to have available in case of an emergency.”

“Ensure infants are held for bottle feeding when too young to use a feeding chair. A staff member was observed holding an infant's bottle and feeding them while the infant was seated on the floor in a boppy seat. This was discussed and corrected when staff member picked up the infant to feed them. Ensure bottles are warmed in water no more than 120 degrees F. When asked, a staff member stated she uses a microwave to warm the infant's bottles. This was discussed and corrected when the staff member agreed to use hot water in the future. Ensure bottles are labeled. No bottles in the infant classroom were labeled.”

“Ensure lesson plans contain daily opportunities for physical, social-emotional, language/literacy, and cognitive development and provide weekly opportunities for special activities for children over 24 months. The pre-k classroom needs a physical activity daily and a food/health habit.”

“Ensure plastic bags are inaccessible to infants and toddlers. Plastic bags were observed on the floor in the two-year-old classroom. This was corrected when the bags were removed. Walkers are prohibited without doctor permission. A walker was observed in the infant classroom. This was corrected when the walker was removed.”

“Ensure staff attendance includes exact hours worked in each classroom or area. One staff member was signed in the infant classroom, but not present in the classroom. This was corrected when the staff was signed out of the classroom.”

“Ensure child files are complete. One child needs an updated health appraisal. One child needs blood lead screening results.”

“Ensure floors, walls, surfaces, and toilets are cleanable and in good repair. Repair the broken toilet seat in the Men's bathroom located near the kitchen. Clean the floors in the infant classroom to remove all debris. Repair the broken floor tiles under the sink in the women's bathroom located near the kitchen. Repair the holes in the wall in the dramatic play area located in the pre-k classroom. Clean the vent on the ceiling tile in the two-year-old classroom. Remove the uncovered trash can from the school-age classroom. Discontinue using the uncovered trash cans attached to the paper towel dispensers in the men's/women's bathrooms. Discontinue using the black bin as a stepping stool in the women's bathroom. Ensure electrical outlets are covered. Cover the outlets in the two-year-old classroom and the school-age classroom.”

“Repair or remove the large freezer and if repaired, clean the inside of the freezer. The large freezer is not currently operating and is growing mold inside. Purchase a thermometer for the freezer in the kitchen and the refrigerator in the infant classroom to ensure the temperature of the freezer is at 0 degrees F or colder and the refrigerator is at 41 degrees F or colder.”

“Repair the ventilation fans in the bathrooms. This specialist was unable to determine if the ventilation fans were operating in the two bathrooms.”

“Repair the gate (closest to the shed) to ensure it self-closes and self-latches. The self-latching mechanism is not aligning. Ensure fall zones are covered. Replenish the mulch with 9 inches of mulch under all equipment designed for the children's feet to leave the ground.”

“Ensure safe sleep practices are used. Ensure cribs are covered with a tight-fitted sheet. The sheets on two crib mattresses were not tight-fitted. Label the cots in the pre-k classroom or clean and sanitize them daily.”

“Ensure sufficient quantity of materials are available. The preschool classroom needs addtitional construction/blocks materials and science materials. The three-year-old classroom needs additional manipulatives/math/problem solving materials and science materials. The one-year-old classroom needs additional language/literacy materials, construction/blocks materials, art materials, dramatic play materials, and science materials. The two-year-old classroom needs additional language/literacy materials, construction/blocks materials, art materials, dramatic play materials, and science materials. The school-age classroom needs additional art and science materials.”

“Ensure mops are cleaned with a soap and water solution and then disinfected, wrung dry, and hung to dry. A mop was observed in a bucket of dirty water in the kitchen.”

“Ensure non-porous surfaces are used for diaper-changing areas. The diaper-changing pad in the women's bathroom located near the kitchen needs to be replaced as it has been ripped. Post a diaper-changing procedure in the women's bathroom located near the kitchen.”

“Ensure bottles are labeled. The bottles in the infant classroom were not labeled.”

“Ensure indoor spaces for children 24 months and older include the five required areas. The one and two-year-old classroom needs all five activity areas as it is currently serving two year olds.”

“Post an activity schedule in the two-year-old classroom.”