Children's Choice - Infant

Buildings and Grounds -(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met by: Based on observation LPAs observed rat droppings in the crib area which poses/posed an immediate risk of healthand safety of children in care.

Personal Rights — During staff interviews, it was discovered that previous staff member (F1) would yell and make inappropriate comments towards children in care. These actions constitute a failure to treat children with dignity and respect. This is a potential health, safety, and personal rights risk to children in care.

Personal Rights — Based on staff interviews, it was disclosed that previous staff memeber (F1) was observed calling children in care "ugly" and yelling statements like "shut up" and "be quiet". LPA determined that this is a potential health, safety, and personal rights risk to children in care.

Responsibility for Providing Care and Supervision for Infants — Based on staff interviews, it was disclosed that former staff member F1 would wear electronic ear buds and/or ear plugs on duty to muffle the sound of crying children which poses a potential health and safety risk to children in care.

Buildings and Grounds (a)(1) The facility shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met by: Based on observation, the LPA observed rodent droppings throughout the infant classrooms, which poses/posed a potential health, safety, or personal rights risk to children in care.

Smoking Prohibition — Based on file review and staff interviews conducted by LPA, there was a staff member caring for children under the influence of marijuana. This poses/posed a potential health, safety or personal rights risk to the children in care.

Personnel Requirements — - Based on observation and interview, the licensee did not comply with the section above, as one infant staff did not have a tuberculosis on file and was unable to provide proof of one conducted.

Buildings and Grounds -(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met by: Based on observation there is broken/rotting baseboards behind a rocking chair in the infant room which poses/posed a potential risk to children in care.

Infant Care Food Service — Based on investigation interviews, staff are washing infant bottles in classroom sink with dishwashing detergent but not sterilizing as required which poses/posed a potential health, safety or personal rights risk to children in care.

Infant Care Center Fixtures, Furniture, Equipment, and Supplies — Based on observation, LPA observed both diaper changing table vinyl cushions were torn with foam filling exposed which poses/posed a potential health, safety or personal rights risk to children in care.

Food Service — Based on investigation interviews, partially used prepared infant formula bottles have periodically been saved and refed/offered later in the day. Per CDC, "Throw out any infant formula that is left in the bottle after feeding your baby. The combination of infant formula and your baby’s saliva can cause bacteria to grow." By feeding left over prepared formula this poses/posed a potential health, safety or personal rights risk to children in care.

Infant Care Food Service — Based on investigation interviews, infant who can hold their own bottles should be placed in appropriate seating equipment to feed but are often placed on their backs and provided a bottle if they can support it on their own which, poses/posed a potential health, safety or personal rights risk to children in care.

Fixtures, Furniture, Equipment and Supplies — Based on observation and interviews, infant room sinks does not deliver hot which poses/posed a potential health, safety or personal rights risk to children in care.