Tiny Hearts Child Care Center

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.

Corrected during the visit

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

The state verified the correction on May 18, 2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

The state verified the correction on May 18, 2026

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

The state verified the correction on May 18, 2026

Medical exam or health assessment record was not on file before or within 30 days after admission.

The state verified the correction on May 18, 2026

Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

The state verified the correction on May 18, 2026

Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

Corrected during the visit

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

The state verified the correction on May 18, 2026

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

The state verified the correction on May 18, 2026

A drug or medicine was administered after its expiration date.

Corrected during the visit

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.

The state verified the correction on May 18, 2026

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

Corrected during the visit

Diaper changing surfaces were not kept free of storage.

The state verified the correction on May 18, 2026

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

The state verified the correction on May 18, 2026

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

The state verified the correction on May 18, 2026

The depth of the loose surfacing was not based on critical height of the equipment.

The state verified the correction on Oct 13, 2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

The state verified the correction on Oct 13, 2025

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

Corrected during the visit

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

Corrected during the visit

Menus for all meals and snacks were not planned at least 1 week ahead and dated.

Corrected during the visit

Staff did not complete the health and safety training within one year of employment.

The state verified the correction on Jun 3, 2025

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file.

The state verified the correction on May 30, 2025

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

The state verified the correction on May 30, 2025

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.

The state verified the correction on May 30, 2025

Children were not adequately supervised at all times.

The state verified the correction on May 30, 2025

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

The state verified the correction on Feb 17, 2025

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.

The state verified the correction on Feb 17, 2025

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

The state verified the correction on Feb 18, 2025

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

Corrected during the visit

Children were not adequately supervised at all times.

The state verified the correction on Feb 17, 2025

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

The state verified the correction on Feb 17, 2025

A violation was found for which there is no item number.

Corrected during the visit

A violation was found for which there is no item number.

Corrected during the visit

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

Corrected during the visit

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.

Corrected during the visit

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

Corrected during the visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

Corrected during the visit

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

Corrected during the visit

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

The state verified the correction on Jun 20, 2024

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

Corrected during the visit

A safe indoor and outdoor environment was not provided for the children.

Corrected during the visit

All equipment and furnishings were not in good repair.

Corrected during the visit

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

Corrected during the visit

The written feeding plan was not modified as the child's needs changed.

The state verified the correction on Jun 20, 2024

A current activity plan was not posted for each group of children for reference.

Corrected during the visit

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

Corrected during the visit