Inspection of 1 December 2025 — Inspection Report
Immediate action notice. Corrective Actions and Preventative Actions (CAPA) The Early years inspectorate received the Corrective Action and Preventive Action plan (CAPA) on 12 January 2026. The CAPA plan contained insufficient information to meet regulatory compliance. A second opportunity was afforded to the registered provider and this was submitted on 19 January 2026. The corrective actions and preventative actions submitted did not address the non-compliances. This triggered a regulatory compliance meeting. Regulatory Compliance Meeting (RCM) held on 26 February 2026 A RCM was held as the corrective actions and preventative actions submitted did not address the non- compliances.
Regulation 9 — Management and recruitment
- (2) The registered provider did not ensure that each employee was suitable and competent as outlined below: (a) & (b) There were no written validated references available for one adult employed on the community employment scheme. (d) One adult had lived outside the state for a period of longer than 6 months as an adult and did not have international police vetting
Provider's corrective action:
- (2) (a&b) The manager of early years (EY) and school aged care (SAC) strand and community employment coordinator (CE) had a meeting and agreed for two references will become part of documentation needed for CE staff to start in EY and SAC strand in FamiliBase. CE staff files contain cv and proof of id, proof of address and garda vetting. It was agreed that 2 recommendations and their validation will become part of documentation needed prior to start in FamiliBase EY and SAC strand
- One adult who had lived outside the state for a period of longer than 6 months as an adult was asked to bring in international police vetting. An email was shared with administration team that the service need to be mindful that all adults who had lived outside the state for a period of longer than 6 months as an adult need to send their international police vetting prior to starting in FamiliBase
Regulation 15 — Record of pre-school child
- (h) Five registration forms did not have the required information as outlined in (h). Three of these registration forms had no immunisation section for parents to record their child’s immunisation details. During a discussion with the person in charge, it was confirmed the service has started to introduce new records for all children, however, two of these new registration forms had no record of immunisation details recorded
Provider's corrective action:
- (h) The service has started to introduce new enrolment records and in the meantime all the children’s parents have filled the new enrolment records and brought immunisation details to the setting. New enrolment records now include immunisation records. No new children will be starting prior to all paperwork being filled by a parent of guardian
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection control 1. There were no waterproof mattress protectors on any of the six cots in the sleep room. These are required to keep the mattress hygienic and dry by preventing liquids from soaking into it. 2. The fabric couch and cushions in the rest area in under the sea were heavily stained. Safe Sleep: 3. Children who are developmentally ready from 15 months and up to 24 months can sleep on a floor bed once parental permission and a risk assessment is in place. On the day of inspection, one child aged 18 months was found to be sleeping on a sleep mat in the service. On review of the child's care plan there was insufficient information to ensure the service can meet the child’s individual needs. Documentation available did not align with safe sleep guidelines for children under 24 months. Sleep mats are used for children over 24 months. Action submitted by the Registered Provider
Provider's corrective action:
- Infection Control: 1. Waterproof mattress protectors have been bought and put on the mattresses in the six cots in the sleep room with the purpose to keep the mattress hygienic and dry by preventing liquids from soaking into it. Email sent to staff advising them of same. 2. The fabric couch and cushions were corrected by reminding staff that cushion covers need to be changed as there is spare and washed if they are not clean and by removing fabric couch till covers for the fabric couch are delivered so the same procedure can be followed. Email to all staff informing them of this. Safe Sleep: 3. The service confirmed during the RCM that all children under 24 months will either sleep in a cot or a floor bed. If a child cannot sleep in a cot, a sleep plan and a risk assessment will be developed in conjunction with the parents. A new sleep care plan and a risk assessment was made for the child aged 18 months who was found to be sleeping on a sleep mat in the service. A floor bed has been bought for children under 24 months. All staff were reminded to go through safe sleep policy
Regulation 29 — Premises
- (d) The fenced areas in the outdoor area were chipped and in need of repair
Provider's corrective action:
- Fences were painted and sanded. The management team will be checking the garden and risk assessing it weekly
Found compliant: Regulation 11, 19, 28.