Rhonda Holland

“(Repeat Violation) The provider is required to store potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates in areas inaccessible to children. In the restroom that the children use, there was a gallon size bleach container on the floor by the toilet and multiple cleaning products under the sink in an unsecured cabinet. In the kitchen, there was a gallon size bleach container on the floor. All of these items were located in areas accessible to children.”

“(Repeat Violation) The provider is required to store potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates in areas inaccessible to children. There were 3 potentially poisonous substances located on the sink ledge in the restroom that children utilize while in care. There were 3 potentially poisonous substances located under the sink in an unsecured cabinet in the restroom that children use. There were 2 potentially poisonous substances located on top of a 2 foot tall storage unit next to the toilet. There was a gallon sized bottle of bleach on the floor next to the toilet. All of these items were located in areas accessible to children and each item was labeled “keep out of reach of children” and also had additional warnings on the product label.”

“(Repeat Violation) The provider is required to store all medications in a locked place safe locking method that prevents access by children. There was 1 prescription medication and 6 over the counter medications located on a shelf at a height of approximately 5 feet in an unsecured cabinet in the kitchen next to the table where children eat meals and snacks. There were 2 over the counter medications located in an unsecured drawer of a 2 foot tall storage cart next to the toilet in the restroom that children use while in care.”

“Based on a review of records and interview, the vendor was unable to demonstrate that Caregivers who work directly with children annually attend at least 16 hours of training, to include the department’s health and safety update course. Evidence: The vendor’s file contained three hours of documented training for 2023. The record for the vendor’s assistant contained no annual training documentation for the year of 2023. Caregivers are required to obtain a total of 16 hours annually. When asked if additional training documentation was available the provider stated that she did not have additional documentation of training for 2023 but has begun taking training for the current year (2024).”

“Based on observation and interview, the Vendor did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates are stored in areas inaccessible to children. Evidence: The licensing inspector observed a bottle of cleaner with bleach, a bottle of peroxide and 2 bottle of Mouthwash on a cart next to the bathroom sink in the restroom that children use while in care. A gallon sized bottle of Fabulosa cleaner was sitting on the floor in the unlocked back bedroom where children’s toys and supplies are located. Each pf these items contained warnings to “keep out of reach of children” as well as additional warnings regarding potential poisoning or health risks. The Vendor confirmed that these items were stored in areas that were accessible to children, but stated that she does not let children go to the restroom unattended or unsupervised and was not using the unsecured back bedroom at the time of inspection.”

“***REPEAT VIOLATION*** Based on observation and interview, the vendor did not ensure that medications are kept in a locked place, using a safe locking method that prevents access by children. Evidence: There were several medications, to include an antacid and an anti-gas liquid, located on a cart next to the kitchen table at a height of about 3 feet. The kitchen was open to the living space where a toddler was in care. The vendor acknowledged that even though the height of the shelf was a deterrent to the toddler in care, the medications were not locked.”

“Based on observation and interview, the vendor did not ensure that medications are kept in a locked place, using a safe locking method that prevents access by children. Evidence: There were several medications, a nighttime liquid cold medication, an antacid and a bottle of antiseptic liquid, located on a cabinet shelf at a height of about 5 feet in the kitchen where 2 children, ages 4 and 5 years old, were eating an afternoon snack. The vendor acknowledged that even though the height of the shelf was a deterrent, the medications were not locked.”

“Based on observation and interview, the Vendor did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates are stored in areas inaccessible to children. Evidence: During the inspection on 4/1/2022, the licensing inspector observed a bottle of all purpose cleaner, 3 aerosol cans of air freshener, and a 2.5 quart container of liquid drain cleaner under the bathroom sink in the restroom that children use while in care. Each pf these items containing warnings to “keep out of reach of children” as well as additional warnings regarding potential poisoning or health risks. The Vendor confirmed that these items were stored in areas that were accessible to children, but stated that she does not let children go to the restroom unattended or unsupervised therefore they do not touch these items.”