Lisa Gratton

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.

“An audit of the children's files showed that 75% percent of files were missing documentation of the well child visit. Corrective Action: By 5/3/2024, obtain each child documentation of their well child visit in their files and confirm with this licensor that you have received them all.”

Correction date in the state record: May 14, 2024

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“The provider reported that she had been practicing monthly evacuation drill but had omitted to do so in March of 2024. Corrective Action: Conduct and record two monthly emergency evacuation drills for April of 2024. As of May 2024, conduct and record at least one drill per month. By 5/3/24 notify this licensor of the dates you completed the evacuation drills.”

Correction date in the state record: May 10, 2024

Regulation 2.3.8.3: The FCCP shall ensure that the FCCP; all individuals residing in the home; staff; and any individuals who are left alone with children have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

“A review of BFIS credential accounts reflected that a volunteer and two (2) household members were due to meet the five (5) year background check and the household members were due for fingerprint requirements and had not yet sent forth new records check authorization form to the Division or resubmitted for fingerprinting as required. An annual assurance letter was issued on 11/27/22 reminding the provider that the three individuals needed a new record check by 4/18/2023, 1/8/2024 and 1/18/2024. As of 4/10/2024 the individuals had not submitted a record check authorization form. Corrective Action: Immediately plan to send in records check authorization forms to the Division and submit to fingerprinting as required. By 5/3/2024, provide copies of the fingerprinting receipts.”

Correction date in the state record: May 10, 2024

Regulation 5.10.1.2.5: There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

“The fire extinguisher accessible to the program bears an outdated tag with an inspection date of April of 2021.The registrant called the fire extinguisher company who stated that the last inspection had been in April of 2021 . Corrective Action: By 7/8/22 have your fire extinguisher inspected and properly tagged. Submit a photo of the inspection tag, both front and back along with a copy or photo of the receipt for the inspection. Create a system to ensure that you are following through with compliance each year.”

Correction date in the state record: Jun 30, 2022

Regulation 2.3.10.5: The FCCP shall be responsible for compliance with all applicable state and federal laws even when they are more stringent than the rules in this set of FCCH regulations.

“Two (2) substitutes listed on the Associated party list did not complete the mandatory CPR and First Aid certifications, both substitutes have been employed more than three (3) months and have been left alone with children. Corrective Action: Ensure both staff obtain their CPR/First Aid certification. Develop a system to track when staff initially need the training, and when the training needs to be renewed to ensure ongoing compliance.”

Correction date in the state record: Jun 17, 2022

Regulation 5.10.3.2.3: The FCCP shall ensure that large outdoor play equipment is anchored firmly in accordance with manufacturers' specifications, is not located on concrete or asphalt surfaces and is placed so as to accommodate manufacturers' specifications for use zones.

“The rear leg of the swing set came off the ground while a child was swinging. When the provider tested the second swing set, one of the leg also came off the ground. Corrective Action: Immediately prevent children from using both swing sets until the equipment as been properly anchored or remove from the play area.Notify this licensor when completed.”

Correction date in the state record: Jul 5, 2021

Regulation 5.10.3.1.6: The outdoor play area shall be free of dumpsters, uncovered trash cans, highly flammable materials, standing pools of water and other hazards. The FCCP shall inspect the outdoor play area before children begin to play to make sure there are no hazards present such as, but not limited to, animal feces, litter, adult tools, or other items that might injure a child.

“There were 3 piles of dog feces in the outside play area where children were playing. Corrective Action: The provider removed the dog feces during the visit. By July 15, develop a program improvement plan on how you will ensure the outside play area is free of dog feces.”

Correction date in the state record: Jul 5, 2021

Regulation 5.10.3.3: Safe Use Zones For all play equipment that is thirty (30) inches or higher from the ground, including climbing equipment, slides, swings and other similar equipment, the FCCP shall ensure that the surface under and around the equipment, included recommended use zones, is of approved resilient material that protects children if they fall. * Materials in the use zone shall consist of wood chips, pea stone, mulch, engineered wood fibers, sand, safety-tested shredded or rubber like material or rubber mats designed for protective cushioning; * Materials used in the use zone shall follow the recommendations listed in the most recent publication of U.S. Consumer Product Safety Commission's Public Playground Safety Handbook regarding critical depth of tested materials determined by the height of the highest climbing surface of the equipment; * Materials used in the use zone shall be installed and maintained according to the manufacturer's instructions; * If the loose material such as sand, mulch, or shredded rubber is used in use zones, the FCCP shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, the FCCP shall ensure that the children will not play on the equipment until the resilient material has thawed and is once again resilient.

“The outside play area has two (2) swing sets with no cushioning materials beneath them. Corrective Action: It is required that by 7/15/2021, the cushioning materials follow the recommendation listed in the U.S. Consumer Product Safety Commission's Public Playground Safety Handbook. This information is available at https://www.cpsc.gov/s3fs-public/325.pdf. Children cannot play on the equipment until sufficient cushioning material has been added. Notify this licensor when sufficient cushioning material is in place.”

Correction date in the state record: Jul 5, 2021

Regulation 5.10.1.1: General Safety: The FCCP shall ensure the physical facilities of the FCCH, grounds, equipment, and toys present no hazard to the health, safety and well-being of the children.

“The electrical cord from the shop vac/vacuum and the electrical cord from the water fountain were dangling where crawling infants could get trapped or pulled the cords resulting in the fountain falling on them. Corrective Action: Immediately remove the shop vac/vacuum and secure fountain electrical cord to the wall to prevent children accessibility. Let this licensor know when those items have been completed.”

Correction date in the state record: Jul 5, 2021

Regulation 5.10.1.1: General Safety: The FCCP shall ensure the physical facilities of the FCCH, grounds, equipment, and toys present no hazard to the health, safety and well-being of the children.

“The electrical cord from the living room lamp was dangling at the children level. A lower table with an attached charging station had 5 iPads plugged into it, with their cords dangling where crawling infants could get trapped or pulled the cords resulting in the iPads falling on them. The charging station also had empty slots where they could insert their fingers. The playground teeter totter had a screw protruding on the seat. The tatter ball rusting post was in the playground creating a tripping hazard. The wooden seat from the swing was laying on the ground next to the frame. Corrective Action: Secure lamp electrical cord to the wall to prevent children accessibility. Secure iPads in a location where children cannot access the charging station and where cords are not within reach of children. Remove tatter ball post from the playground, secure bolt on teeter totter seat, secure swing wood seat to the frame. Let this licensor know when those items have been completed.”

Correction date in the state record: Apr 29, 2019