Inspection of 9 December 2025 — Inspection Report
Regulation 9 — Management and recruitment
- (2) (d) Police vetting disclosures were not available for three staff members who had lived outside the State as an adult for more than 6 consecutive months
Provider's corrective action:
- (2) (d) One staff member no longer works for the service, last date of employment 23 December 2025. One staff member obtained the correct Police vetting required. One staff member confirmed that they had not lived outside of the state as an adult for more than 6 consecutive months, they worked abroad on short contracts and did not live abroad. All new staff that have worked overseas for more than 6 consecutive months in any given year will have the correct vetting documents in place and is now part of the staff criteria check list in staff file
Regulation 11 — Staffing levels
- 1) There was an insufficient number of adults available to meet the needs of the children in the Baby room between 1:00pm and 1:10pm as one adult cared for 5 children aged 11 months – 2 years. This had a negative impact on the individual care needs of the children in a timely manner. For example. • At 1:00pm, three children between the ages of 1-2 years were standing in their cots in the cot room. The children were crying and upset. Although the staff member was looking through the cot room window periodically, there was no available adult to settle them to sleep as the staff member was supervising the remaining 2 children in the care room and could not go to them. As a result, three children had intermittent episodes of crying and upset. The inspector had to intervene and inform the registered provider that a second staff member was needed. (2) The minimum adult to child ratio was not maintained in the service as the times below outlines. • In the Preschool room, from 1.10pm to 1.30pm, there was 2 adults caring for 17children aged 3 -5 years of age, 3 adults were required. • In the Preschool room, from 2.55pm to 3.11pm there was 1 adult caring for 15 children aged 3-5 years of age, 2 adults were required. Insufficient adult to child ratio’s poses a potential risk to the safety of children
Provider's corrective action:
- (1)(2) The staff roster has now been changed going forward so no staff member will leave a room under ratio to cover another room for any reason. The staff roster will be set out to ensure that the ratios of all rooms will be met, however the registered provider will assess each morning that staff to roster requirements are met allowing for unforeseen circumstances, a service closure will be implemented if required
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. In the outdoor area, a wooden post on the wooden bridge was broken, leading to a risk of injury. Infection Control: 2. Nappy changing was not completed as per the service nappy changing policy and best practise guidelines, for example – the following practises were observed during nappy changing: o Same apron was worn for three nappy changes by one staff member. o The staff member wore the apron into the care room to bring each child back into the care room and to collect another child for nappy changing. o Gloves were not removed in a timely manner during each nappy change. Safe Sleep: 3. In the Preschool room, no sleep checks were recorded on three children who slept between 12.45pm and 2.25pm, leading to a risk of safety while children slept. It is acknowledged that staff were present in the care room with the children while they slept. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. In the outdoor play area, the wooden post is now fixed and secured to bridge. The service has an ongoing and regular maintenance practice in place, this item would have been picked up and fixed under this practice, Infection Control: 2. The registered provider had a debriefing of the Tulsa inspection with all staff and in particular the importance of infectious control and nappy changing. Updated nappy changing routines have been placed in all nappy changing areas to adhere to best practice in infection control measures when doing a nappy change, regular spot checks as reminders to staff to keep up best practice will be completed. Safe Sleep: 3. The preschool room now have a sleep check record implemented. All staff are now aware that there is a sleep record check in place and to be filled in on the occasion a child falls asleep, in accordance with safe sleep measures
Regulation 25 — First aid
- (1) On review of the staff files and the service roster it was observed that the one staff member within date First Aid Responder (FAR) training was not available to the children at all times during the service operation hours. No staff member with (FAR) was available to the children from 7.30am to 9.00am and from 5.00 pm to 5.30 pm on the day of inspection. It is acknowledged that five staff members present in the service held paediatric first aid certificates
Provider's corrective action:
- (1) A FAR certificate with an expiry date of 11 December 2025 for a person present on the day was submitted through the CAPA process. The service now has six staff with FAR this will cover the service operating times
Found compliant: Regulation 19, 26.