Lil' Sunshine Child Care Center

Regulation 6.2.6: Supervision of Children Staff shall ensure visual supervision of children, except as allowed in rules 6.2.6.1-6.2.6.4 of these regulations.

“On 08/26/2025 the program contacted the Child Development Division and reported that Child A who is twenty- six(26) months old, left the classroom and was found outside on the porch. The program reported that footage from a video camera captured the child on the porch without an adult for five(5) minutes. The video was not saved and not availble during this licensing visit. Conversations with staff indicate that after Child A was finished washing their hands, the staff member in the bathroom area thought Child A headed into the rest time area. In fact Child A walked around the cubbies and to the exit door because a gate in the classroom was not secured and the cubbies created a blind spot because of where staff were positioned.. Child A was able to flip the lock mechanism on the door and exit onto the porch. The director was looking out of a window near the infant room and saw Child A sitting on the porch attempting to put their shoes on.Staff within the classroom were not aware that Child A was not in the room. The gate on the porch was also not secure. Had Child A left the porch they would have direct access to the church parking lot and North Main Street. In response to the incident the director met with staff and reviewed supervision and safety protocols. Installed an alarm on the exterior door. Staff have increased the frequency of counting children and looking at each child's face while counting and are ensuring gates are shut by the last staff member entering a gated space. A serious violation is being cited based on the hazards that Child A had access to when they were outside without an adult. Corrective Action: During my visit I observed staff practicing the changes that were put in place after the incident. These pratices would have been included in the corrective action requirments had the program not implemented them on their own. The program is required to purchase a ceiling mounted mirror to place above the exit door. The cubbies and a partial wall block views of the exit when in certain spots in the classroom. The staff member who is diapering and supporting children in the bathroom will either walk the child to the rest time area or will call over to the rest time area staff member to notify them that a child is leaving the bathroom and heading to their nap mat. Please send a photo of the mirror and confirm that staff working in this classroom are aware of the new communication practice during the toileting transition.”

Correction date in the state record: Oct 13, 2025

Regulation 5.4.2.7: No positioning devices shall be used unless required by the child's health care provider. Instructions for the use of any such device shall be kept in the child's file in writing from the child's health care provider.

“On 07/08/2025 the program submitted a self report to the Child Development Division explaining that program administrator's learned that staff in the infant room were propping the mattresses in the cribs. Staff were doing this for infants who were exhibiting respiratory illness. Staff were not provided with medical notes from the families that would allow them to prop the mattress. In the self report and confirmed by this licensor, this practice had occured over several months. Infant safe sleep regulations prohibit this practice unless the families provide a doctor's note allowing for the infant to be propped during sleep. Corrective Action: The program has done the following since reporting this incident.1. Mandatory Safe Sleep In-Service Training: - All staff working with infants will complete mandatory in-service training on safe sleep practices, the critical importance of flat sleep surfaces, and proper procedures for infant health concerns, by reviewing the relevant licensing requirements and the center's Orientation and Operations Handbook, which is aligned with licensing requirements. - Staff will sign an acknowledgment form confirming completion and understanding of safe sleep practices and and center policies by July 9, 2025. 2. Ongoing Monitoring and Supervision: - The Interim Director will implement heightened monitoring of infant room(s) to ensure continuous compliance, with regular, unannounced checks of cribs will verify mattresses remain flat and free of unauthorized props. Additionally, during the licensing visit on 07/28/2025, I spoke with infant room staff and sked them multiple questions about safe sleep requirements and other regulations related to infant care. Infant staff were able to clearly explain regulations and confirm the ongoing training they have received and steps that were taken to ensure compliance with infant specific regulations. No further corrective action is required.”

Correction date in the state record: Jul 20, 2025

Regulation 5.4.2.8: Infants shall not be placed in cribs or port-a-cribs with bottles. Pacifiers are permitted in cribs and port-a-cribs with parental permission. Pacifiers may not have cords or clips that may pose a strangulation risk.

“Staff statements reflected that three (3) infants regularly use a pacifier for sleep while in cribs. Upon review of children's files it was identified that parental permission had not been obtained to permit pacifier use in cribs. Staff statements reflected unawareness of this requirement. Corrective Action: Immediately discontinue use of pacifiers in cribs until such a time when permission has been obtained from each child's parent(s). Develop a system to ensure that parental permission is obtained prior to allowing use of pacifiers in cribs moving forward. In the corrective action email include details of the system developed to maintain compliance.”

Correction date in the state record: Apr 16, 2025

Regulation 3.7.2.2: The licensee shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in under three (3) minutes. Licensees of a CBCCPP located within a public or independent school building may count a lock-down drill performed while the CBCCPP is in operation in place of a monthly evacuation drill with the CBCCPP children and staff and at least three (3) of the monthly drills conducted within 365 days shall be evacuation drills.

“Upon review of the program's evacuation drill log it was identified that the program had not completed evacuation drills during the months of December, January, or February. Staff statements confirmed this. Corrective Action: Plan to conduct three (3) drills, in addition to the required monthly drills, to make up for those that were not conducted previously. In the corrective action email include details about how/when the program intends to complete the additional drills and how compliance will be maintained moving forward.”

Correction date in the state record: Apr 16, 2025

Regulation 6.2.6.6: The program director shall ensure that no person be left alone with children without approval from the Division based on the results of a background check that includes fingerprinting; with the exception of a parent may be left alone with his/her own child(ren).

“Staff A was observed alone with two (2) infants in the infant nap room for mroe than five (5) minutes. Staff A has not received approval from the Division to be left alone with children. Corrective Action: Immediately ensure that staff who have not received approval from the Division are not left alone with children. Develop a system to ensure that only staff who have received approval from the Division be left alone with children moving forward. In the corrective action email include details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Apr 16, 2025