Tiffany Alexander

13A.15.04.03A

“The provider was approved for a total capacity of 6 children due to having two resident children under age 6. The resident children turned 6 years old in November of 2025, however, the provider did not request a capacity change and has 7 children enrolled at this time. One of the enrolled children was a drop-in before the resident children turned 6 years old. Now that the resident children are 6 years old the child who was a drop-in is full time. The provider was not aware that she needed to request a capacity change before accepting more daycare children once her resident children turned 6 years old. Regulation discussed with the provider.”

13A.15.03.04C

“At the time of the inspection, several children enrolled were missing evidence of having a lead test at 12 or 24 months of age and one child enrolled was missing evidence of an updated immunization record. Please obtain the documentation from the parent as soon as possible and submit evidence to the Licensing Specialist once all required documents have been obtained. Please see the additional comments sheet.”

13A.15.03.04A(3)

“One child enrolled has no evidence of the annual update on their emergency form.The provider is reminded to maintain emergency information for all children in care. Please ensure that the parent reviews, completes, signs, and dates the emergency form and submit evidence to the Licensing Specialist once corrections have been made to the emergency forms. Please see the additional comments sheet.”

13A.15.03.04A(1)

“Several children enrolled were missing the required information on their emergency form. The provider is reminded to maintain emergency information for all children in care. Please ensure that the parent reviews, completes, signs, and dates the emergency form and submit evidence to the Licensing Specialist once corrections have been made to the emergency forms. Please see the additional comments sheet.”

13A.15.03.04C

“Upon reviewing the children's records, the specialist noted that one child enrolled is missing evidence of an updated immunization. Please obtain the documentation from the parent as soon as possible and submit evidence to the Licensing Specialist. Please see the additional comments sheet.”

13A.15.03.03E

“Several children's files were missing evidence that the parent/guardian was provided the consumer pamphlet. Please provide the consumer pamphlet to the parent/guardian and submit evidence to the Licensing Specialist as soon as possible, that the parent was notified about the consumer pamphlet. See additional comments sheet.”

13A.15.06.02D(1)

“The provider's CPR/First Aid certification expired on 3/2025. Please ensure that the CPR/First Aid certification is maintained and current. Once the CPR/First Aid certification has been obtained please submit a copy to the Licensing Specialist.”

13A.15.10.02

“Provider had vitamins sitting on the kitchen counter in potential reach of children, and the first floor bathroom has cleaning supplies in the cabinet. For correction please move these potentially harmful items and submit a picture for correction.”

13A.15.03.04A(3)

“During the inspection four of the children's emergency forms are missing a parent signature and date. For correction please have the parents sign the form and send a copy to the licensing specialist.”