| Deducted | Remarks |
| 5 | 2.B.6 Comply with the recommended staff-to-child ratios as defined in Appendix B (Note: 5 points will be debited for non-compliance but no legal notice will be issued)./Nursery has 1 teacher to 7 children ages 0-18 months. |
| 2 | 3.C.2 Prohibit screen time, including television, videos, video games, & computer usage, for infants and toddlers younger than 2 years./Nursery classroom has mickey mouse clubhouse playing on tv. |
| 2 | 3.D.10.a Provide accommodations for breastfeeding mothers, if applicable, including seating and an electrical outlet in an area other than a bathroom that may be shielded from view by staff & the public while mothers are breastfeeding or expressing milk.
3.D.10.b Provide a written plan of action on file regarding the nutritional requirements and feeding of the breastfed infant in the event that breast milk is spilled or unsuitable to serve to breastfed infants.
3.D.3 Serve children ages 2 and older, when milk is provided, only with 1% or less milk-fat unless milk with a higher fat content is medically required for an individual child as documented by the child’s medical provider. |
| 4 | 8.A Ensure that no child is left unattended during diaper changing./2 year old teacher left child unattended during diaper changing. |
| 1 | 9.A.2.c Clean mats and cots on a weekly basis, between users, or more often as needed (See Appendix G)./Mat in nursery with accumulated stain and debris. |
| 1 | 9.A.6 Prohibit playpens in child care centers. |
| 4 | 12.A.1 Comply with all requirements of the Food Rules, and obtain a food permit from JCDH for all child care centers that prepare, handle, or serve unpackaged food./Childcare center was observed preparing chicken nuggets, green beans and are, handle and serve unpackaged food. LaCrystal advised they are going to eventually cater from their Wylam location. I advised until they start catering, the facility will need to either obtain a food permit or switch to parent-provided food. PIC advised they will go to parent provided food until they begin catering. NOV issued for observed preparation, handling and serving of unpackaged food. |
| 2 | 12.C.1 Clearly label parent-provided meals with the child’s name, and store in an area designated for that child./Several bottles in nursery refrigerator stored but not labeled with the child's name. |
| 1 | 6.A.2.a Provide self-closing doors equipped with sounding devices that alert the staff that a door has been opened for all doors leading to the outside. |
| 4 | 11.A.1 Ensure all corrosive agents, insecticides, rodenticides, herbicides, bleaches, detergents, polishes, deodorizers, items containing petroleum products, and any product which may be hazardous to a child if ingested, inhaled, or handled (skin contact) are properly labeled; stored separately from paper products, linen, or any other items used by children; and stored in a locked storage area./Lysol spray stored next to diapers under diapering table. |