Tamika Branch

Medium-high risk Pediatric first aid and CPR training must be skill-based and hands-on.

State rule 747.1313(b) (minimum standards for child-care homes): "Pediatric First-Aid and Pediatric CPR Training -skill based and hands on"

Inspector's note: The primary caregiver had a pediatric CPR certificate that lacked the required in-person portion of the course.

Corrected Aug 2, 2025, verified by the state Aug 18, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Child/ Caregiver Ratio - Registered Child Care Home

State rule 747.1701 (minimum standards for child-care homes): "Child/ Caregiver Ratio - Registered Child Care Home"

Inspector's note: Operation is out of ratio by having eight children present. RCCH may only provide care for not more than six children from birth through 13 years, and may provide care after-school hours for not more than six additional elementary school children.

Corrected Dec 12, 2024, verified by the state Jan 7, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Caregivers must have pediatric first aid and pediatric CPR training.

State rule 747.1303(2)(A) (minimum standards for child-care homes): "Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR"

Inspector's note: The primary caregiver did not have current first aid and CPR training.

Corrected Dec 20, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Child/ Caregiver Ratio - Registered Child Care Home

State rule 747.1701 (minimum standards for child-care homes): "Child/ Caregiver Ratio - Registered Child Care Home"

Inspector's note: Operation is out of ratio by having seven children younger than five years in care during inspection.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The home, grounds and equipment must be kept clean and sanitary.

State rule 747.3203 (minimum standards for child-care homes): "Sanitation of Building, Grounds and Equipment"

Inspector's note: Dog feces was observed in the backyard/playground space.

Corrected Nov 13, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Cleaning supplies and toxic materials must be marked, kept away from food and out of children's reach.

State rule 747.3203(13) (minimum standards for child-care homes): "Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible"

Inspector's note: Cleaning products were accessible to the children in care as they were observed within reach in the unlocked children's bathroom cabinet. Note: This was corrected at inspection as a child proof lock was placed on the cabinet were the cleaning products are kept.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Areas children use must be kept free of safety hazards, such as uncovered electrical outlets, unprotected heaters or fans, or reachable water.

State rule 747.3501(4) (minimum standards for child-care homes): "Safety - Sliding Door Glass Marked"

Inspector's note: Sliding doors did were not marked with decals.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 747.2321(b) (minimum standards for child-care homes): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: Feeding instructions for one infant in care was not been updated every 30 days.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation must certify every year that it has no recalled or unsafe children's products.

State rule 747.3935(b) (minimum standards for child-care homes): "Children's Products- Annual Certification"

Inspector's note: The required Consumer Product Safety Commission form has not been completed within the last year.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation's written policies must cover parent rights.

State rule 747.501(9) (minimum standards for child-care homes): "Written Operational Policies - Parent Rights"

Inspector's note: Parents rights were not included in the operational policies.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Each child must have the written health statement the state requires on file.

State rule 747.611(b) (minimum standards for child-care homes): "Health Statement on File"

Inspector's note: Three out of the four children's records reviewed during inspection did not have health statements.

Corrected Nov 12, 2024, verified by the state Dec 12, 2024. The inspector gave technical assistance (advice on how to comply).