Angel Hurd

Regulation 5.6.10: Insect repellent, sunscreen and non-prescription diaper ointment are not considered medications. The FCCP shall ensure that written parental permission is obtained prior to the application of insect repellent, sunscreen and non-prescription diaper ointment. This parental permission shall specify the product but may permit application as needed over a span of time. Such permission shall be updated at least once every 365 days and shall be maintained in each child's file. Children younger than school age shall not apply any of these items independently. School age children may apply these items independently with supervision.

“Provider confirmed they apply sunscreen and/or other ointments to children in care. Provider believed that permission was obtained on the enrollment forms, but upon looking at them discovered permissions had not been received. Corrective Action: Ensure parental permission is obtained prior to the application of insect repellent, sunscreen and non prescription diaper ointment. Ensure parental permission specifies the product, and the permission is updated at least once every 365 days and permission is maintained in each child's file.”

Correction date in the state record: Dec 3, 2023

Regulation 4.7: The FCCP shall establish written policies and procedures. Written information provided to parents of all children enrolled in the FCCH shall include, at minimum: * Assurance that parents have access to the FCCH and their child(ren) without prior notice and have access to their children's records as required in the rule 3.3.4.6 of these regulations; * A description of information needed from parents for child's enrollment file as required in rules in section 3.3.4.1 of these regulations; * A typical daily schedule of activities; * Information about fees and payment policies; * Information about hours of operation and closings; * Procedures for signing children in and out; * Procedures for emergencies as required in the rules in section 3.6 of these regulations; * Information about the nutrition, meals and meal preparation at the FCCH; * Safe sleep policies, as applicable; * No smoking policy; * Information about results from the test for lead in the drinking water and any plan for remediation; * FCCH policies on field trips, other off-site activity and transportation; * FCCH health policies including illness exclusions, administration of medication, and immunizations; * FCCH policies and practice regarding positive guidance and behavior management; * Assurance that confidentiality of child and family information is maintained; * Information about the requirement to report suspected child abuse and/or neglect as required in the rules in section 3.2 of these regulations; * Assurance that non-discrimination and respect for each child's family and culture is maintained; * FCCH approach to ensure wholesome growth and positive developmental experiences for children enrolled; * FCCH policies related to the inclusion of children with special needs and disabilities; * A description of religious activities, if any; * Information on how to access these FCCH regulations and other information about child development online; * Information concerning complaint procedures; * Information about the Child Care Consumer Line, including the telephone number (1-800-649-2642); and * FCCH policies and procedures related to the expulsion of children.

“Upon review of the parent handbook, it was determined that seventeen (17) required components were not provided. Corrective Action: Update the parent handbook and submit to Licensor [name] for review. Upon approval, please provide enrolled parents with the updated handbook.”

Correction date in the state record: Nov 24, 2023

Regulation 5.4.2.3: The FCCP and staff shall ensure that infants sleep in cribs or port-a-cribs. Infants shall not be placed to sleep on soft surfaces, such as a couch or sofa, pillow, quilts, sheepskins or blankets. Infants shall not be placed in car seats, swings, high chairs, jumping chairs or similar equipment for sleep. A child that falls asleep in this type of equipment shall be gently transferred to a crib or port-a-crib as soon as feasible.

“Upon arrival Child A was observed asleep in a swing. Child A remained in the swing until they awoke. Corrective Action: As stated during the licensing visit, discontinue the practice of allowing infants to sleep in swings or other devices not intended for sleep. When infants fall asleep in a swing or other non approved sleep device, transfer them to an approved sleep device and ensure they are placed on their backs.”

Correction date in the state record: Dec 3, 2023

Regulation 6.2.4.4: When children are outside playing, the FCCP and/or staff shall be outside supervising the children. If due to the mixed ages of the children and the need to step away to meet basic care needs of children, the FCCP and/or staff may supervise the school age children from inside the home provided that the children can be seen from inside and the outside play area is fenced to prevent the children from leaving the play area. Children younger than school age shall not play outside without the FCCP and/or staff person present at any time.

“Children ranging from preschool to school age were observed outside playing in the fenced play area. The Provider remained inside with an infant child and observed children from the back door. Children intermitently came inside as they wished while the other children remained outside. The Provider was observed assisting those children with changing out of wet clothes and doing checks on the infant sleeping. The Providers husband was observed with the children but is not staff, so therefore does not count in ratio for supervision. Corrective Action: Ensure staff are outside with children younger than school age during outdoor play as outlined in this rule.”

Correction date in the state record: Dec 3, 2023

Regulation 5.10.1.14.2: The FCCP shall ensure that any animals or pets present at or brought into the FCCH are vaccinated as prescribed by law, with documentation maintained at the FCCH.

“Upon request to see vaccination records for cats in the house, the Provider informed she did not have them and was unable to get them timely from the veterinarian. Corrective Action: Ensure up-to-date vaccination records are maintained on site for all animals requiring vaccines that are in the home. Provide Licensor [name] a copy of the vaccination records for all animals.”

Correction date in the state record: Nov 15, 2023

Regulation 5.2.3.6: The FCCP shall ensure that used disposable diapers are placed in a leak proof bag or container that is washable and has a firmly fitting cover.

“Next to the toilet pull-ups were disposed of in an open container. Corrective Action: Ensure all diapers/pull-ups are disposed of as required by this rule.”

Correction date in the state record: Dec 3, 2022

Regulation 5.10.1.10.3: All poisonous or toxic materials shall be inaccessible to children.

“In the dining room where children were seated while the Provider grabbed food for lunch were two (2) cleaning products within reach of children. Corrective Action: Ensure all poisonous or toxic materials are inaccessible to children at all times.”

Correction date in the state record: Dec 3, 2022

Regulation 5.10.1.1.6: The FCCP shall ensure that sharp objects are kept out of children's reach unless used for a planned activity and closely supervised by an adult.

“The Provider cut up carrots, apples and hot dogs for children while they were seated at the table. The Provider walked away and went to the kitchen three (3) times, which is out of sight of the children, while the sharp knife remained on the table accessible to three (3) of the four (4) children in care. Corrective Action: Ensure sharp objects are kept out of reach of children as stated by this rule.”

Correction date in the state record: Dec 3, 2022

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, dispose of diaper, and staff member washes their own hands. * Record diaper change.

“The Provider was observed changing two (2) diapers. Prior to the first diaper change, the Provider did not wash their hands. Upon completion of diaper changes, the Provider did not disinfect the diaper change as it was wiped with a baby wipe, and neither diaper change was recorded. Corrective Action: Review the diaper changing procedure and ensure it is followed as stated by this rule.”

Correction date in the state record: Dec 3, 2022

Regulation 5.10.2.3.2: All food shall be stored in containers that are dated. Food items used by or intended for specific children shall be plainly labeled.

“The refrigerator had a bag of pancakes, tin foil wrapped food, and a pot of food without labels as required by this rule. Corrective Action: Ensure all food is labeled as required by this rule.”

Correction date in the state record: Dec 20, 2021

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“Of the five (5) children's files reviewed, health exams were not found in any of them. Corrective Action: Ensure each child enrolled in the program has an annual health exam as required by this rule. Develop a system to ensure that all new enrolled children have a health exam within forty-five (45) days of becoming enrolled.”

Correction date in the state record: Jan 21, 2022

Regulation 5.10.1.4.1: The FCCP shall ensure that garbage and compost are kept in containers that are securely covered.

“In the kitchen there was a bin on the floor filled to the top of food, identified by Provider A as compost. The bin was not covered as required by this rule. Corrective Action: Ensure all garbage and compost are kept in containers that are securely covered as required by this rule.”

Correction date in the state record: Dec 20, 2021

Regulation 3.3.7.3: Within six (6) months of initial date of employment, the FCCP and all staff shall maintain an up-to-date BFIS Quality and Credential Account. Documentation, verification of qualifications, and all annual professional development activities as specified in the rules sections 7.3 and 7.4 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“Northern Lights at CCV confirmed that all documentation for Provider A and Staff B had been uploaded into their accounts. Provider A and Staff B did not have documentation of having a minimum of a high school diploma, and Staff B did not have documentation of being CPR/First Aid certified. Corrective Action: Ensure all education, and professional development documents are submitted to Northern Lights at CCV as required by this rule.”

Correction date in the state record: Jan 21, 2022