Immediate action notice. • An Immediate Action Notice (IAN) was issued to the service on the 24 March 2026 in relation to Regulation 9- Management and Recruitment. On the 24 March 2026 the registered provider responded adequately to the IAN with the measures implemented within the service. Please see details in the body of the inspection report.
Regulation 9 — Management and recruitment
(c) A Garda vetting disclosure had not been obtained for one staff member employed in the service and working directly with the children. An Immediate Action Notice (IAN) was issued to the service on the 24 March 2026 in relation to Regulation 9- Management and Recruitment. (3) Documentary evidence was available to demonstrate that the procedures outlined in paragraph (2) had not been completed for one staff member prior to starting in the service and allowed access to the children
Provider's corrective action:
(2)(c) In response to the non-compliance the registered provider has stated that a Garda vetting disclosure has now been obtained and verified for the staff member concerned, review of the recruitment and onboarding procedures have been carried out to ensure that no staff member may commence work with children without confirmed Garda vetting clearance in place. Management has also implemented an updated compliance checklist and monitoring system to ensure ongoing adherence to Regulation 9 requirements. (3) Garda vetting disclosure has now been obtained and verified for the staff member concerned. The staff member did not work directly with children until the Garda vetting process was completed
Regulation 19 — Health, welfare and development of child
Basic Needs: 1. On the first day of the inspection, the basic needs of children in the Wobbler 1 room were not facilitated by staff as the following practices were observed. • A hot meal of vegetable curry and rice arrived for the children at 11.00am. The children were not seated and ready to eat until 11:30am and as a result their meal was cold. • The transition from nappy changing to mealtime was not smooth with children getting upset while waiting for their hot meal. • The children who were not assisted by staff to eat their meal, ate a minimal amount of food. • A child that had wet trousers following outdoor play in the morning was not changed into dry clothes to provide comfort during lunch or for sleep time. Supporting Relationships: 2. Birthday and family wall displays along with activities and artwork completed by the children were not displayed at the children’s eye level in the Wobbler 1 room. This did not promote the relationships between family and home and give the children a sense of belonging and ownership of their care room. Physical and Material Environment: 3. The equipment and materials in the Wobbler 1 room were not organised and inviting spaces for the children to engage and explore to develop their learning opportunities and experiences. For example. Boxes of equipment had an assortment of toys and dolls; the play kitchen was empty and not supplied with suitable toys and props
Provider's corrective action:
Basic Needs 1. In response to the non-compliances the registered provider has stated the following. • Room routines were reviewed and reorganised to ensure children are seated and ready before hot meals arrive in the room. ● The transition from nappy changing to mealtime was revised to minimise waiting times and reduce distress for children. Additional staff support is now provided during busy transition periods to ensure children are comforted and engaged while waiting. Procedures relating to children’s personal care were reinforced with all staff. Children are now changed promptly into dry clothing following outdoor play or any accidents to ensure their comfort and wellbeing during meals and sleep time ● A more experienced senior staff member has been assigned to the Wobbler 1 room to provide additional support, guidance, and oversight of daily routines and care practices. This change is reflected in the staff rosters. ● A new staff member who had been working in the room has been temporarily reassigned to another room to gain further training, support, and experience before returning to the Wobbler 1 room. ● Staff have been reminded of their responsibility to actively support and supervise children during mealtimes, particularly younger children who require encouragement and assistance to eat adequately. Mealtime practices are now monitored by room leaders and management. ● Ongoing supervision, mentoring, and regular spot checks have been introduced to ensure consistent compliance with the service’s policies and the care needs of all children. ● Staff now coordinate transitions more effectively so that meals are served promptly and at an appropriate temperature. ● Room leaders and management now carry out regular observations, spot checks, and supervision of practice to monitor compliance with policies, identify any issues early, and ensure consistent standards of care are maintained. ● Daily room routines and staffing deployment will continue to be reviewed to ensure the needs of the children are being met effectively at all times. Supporting Relationships 2. In response to the non-compliances the registered provider has stated the following. • Birthday and family album was created to further support children’s sense of belonging and connection between home and the setting. ● Children’s artwork and completed activities are now displayed at a low height to promote visibility, engagement, and ownership. ● Staff have been instructed to ensure all displays are child-centred, accessible, and regularly updated. ● The room layout and display areas have been adjusted to better reflect and promote relationships with families ● A room checklist has been introduced to ensure all wall displays (including birthday and family displays and children’s artwork) are maintained at appropriate height. ● The birthday and family album has been implemented as a permanent resource and will be regularly updated to maintain strong links between home and the setting. ● Management carries out spot checks to ensure displays remain child-centred and accessible. ● Responsibilities for updating and maintaining displays have been clearly assigned to staff to ensure consistency Physical and Material Environment 3. In response to the non-compliances the registered provider has stated the following. • Regular tidy-up routines have been introduced to ensure the environment remains organised, stimulating, and supportive of children’s learning. • Management has reviewed the room setup to ensure it now meets expected standards for a rich and engaging learning environment. • Wobbler 1 room has been reorganised to create more inviting, structured, and accessible learning areas for children. • Equipment has been sorted and stored appropriately, with similar items grouped together to reduce clutter and improve accessibility. • The play kitchen has been restocked with suitable toys, props, and loose parts to support imaginative and role play experiences. • Mixed boxes of toys have been reviewed, sorted, and labelled to ensure resources are easy for children to access and use independently
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. A child in the Wobbler 1 was observed accessing nappy creams while waiting to have their nappy changed on two occasions. This increased the potential risk of harm to a child. Infection Control: 2. Infection control practices observed in the Wobbler 1 room were at variance with the service policy and best practice guidelines. For example. • Liquid soap was not available for use in the nappy changing room for handwashing after nappy changing and the liquid soap that was available in the care room was not used by the staff to adequately complete handwashing for the children before and after lunch time. • Children were observed accessing other children’s drinking cups during the lunchtime and during the transition from lunch time to sleep time. This increased the potential risk of cross infection. • Nappy changing was not completed as per service policy and practice for example gloves and apron were not removed in a timely manner and the hands of the child were not washed after their nappy was changed. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: 1. In response to the non-compliance the registered provider has stated that creams and all other toiletry products have been relocated to a secure, out-of-reach storage area to prevent child access. Staff were immediately reminded of the importance of maintaining constant supervision of children during nappy-changing routines, particularly while waiting. Nappy-changing procedure was reviewed with all relevant staff to reinforce safe practice, including ensuring children are either fully supervised or safely engaged away from hazardous materials at all times. Infection Control: 2. In response to the non-compliances the registered provider has stated the following. • Liquid soap has been restocked and made readily available in the nappy changing area. ● Staff have been reminded and re-trained on the correct handwashing procedure, including mandatory use of liquid soap after every nappy change and before/after meals. ● All children’s drinking cups have been clearly labelled and individually assigned. ● Staff have been reminded that gloves and aprons must be removed immediately after each nappy change and disposed of appropriately before any further contact with children or surfaces. ● All staff in the Wobbler 1 room have been re-briefed on the full step-by-step nappy changing procedure. Visual prompts (handwashing posters) have been displayed at handwashing points to reinforce correct practice. ● All necessary PPE (gloves and aprons), soap, and handwashing materials are now routinely checked as part of daily room safety checks. ● Clear labelling and organisation of children’s personal items (e.g., cups) has been reinforced to prevent cross-use. ● A team meeting was held to review expectations and clarify correct procedures on infection control in line with best practice guidance staff in the Wobbler 1 room have been re-briefed on the full step-by-step nappy changing procedure
The registered provider did not ensure that the following was in place:
A second reference was not available for one student who was present in the service during the inspection
The registered provider did not ensure that the procedures as specified in paragraph (2) were in place before a staff member, contractor or student began working in the service. This non-compliance was identified on the last inspection on the 23 January 2024 and the preventive actions submitted by the service have not been sustained
Provider's corrective action:
In response the service has stated that a second reference was not available for one student during the inspection. This has now been sourced and available. Management will carry out regular audits to ensure ongoing compliance
In response the service responded that to strengthen this process and introduced a checklist system that must be completed and signed off by the placement coordinator before any student begins with us. Management will also carry out regular audits to ensure ongoing compliance
Regulation 16 — Record in relation to pre-school service
(h) Staff did not maintain a written record of the time of arrival and departure of a child that was settling into the service on the first day of inspection. This reduced the effective evacuation of the child in the event of an emergency. (i) The staff roster available and provided to the inspectors was not reflective of the staff members, contractor and 3 students present in the service during the two days of inspection
Provider's corrective action:
(h) In response the service has stated that the child’s name was added to the register for the next day of induction. To address the non-compliance registers printed for Monday morning will include new children inducting. The manager will ensure that all registers are updated as they are printed each week. (i) In response all staff have been added to the roster. All rosters going forward will include staff members, contractors and students
Regulation 19 — Health, welfare and development of child
Basic Needs: The basic needs of children in some rooms of the service were not facilitated by staff as the following practices were observed during the inspection. 1. On the second day of the inspection, dinner time in the Wobbler 2 room was not observed to be an organised or social environment as demonstrated by the following: • The consistency of the food presented, and the cutlery provided to the children were not suitable for the age and developmental stage of the children. As a result, the children had difficulty using the spoons to eat the large pieces of pasta. • Staff did not sit with children at their level, they stood around them and failed to offer physical support or assistance with eating. • Water to drink was not provided to 9 children with or after their meal at 11.15am. 2. The transition to sleep after lunch time in the Wobbler 2 room was not observed to be timely, smooth and organised. As a result, one child fell asleep at the table as their bed was not prepared or ready for sleep. When staff attended to the child and prepared them for sleep, the child woke up and then had difficulty in settling back to sleep. Supporting Relationships: 3.Birthday and family wall displays along with activities and artwork completed by the children were not displayed at the children’s eye level in the Wobbler rooms, Toddler 1 and Preschool 1 room. This did not promote the relationships between family and home and give the children a sense of belonging and ownership of their care room
Provider's corrective action:
1. In response the service has stated the following. • A discussion was held with the chef to ensure the meals are prepared in smaller, softer pieces so they’re easier for the children to manage, with spoons that are the right size and shape for this age group to help them eat more easily. • Staff now sit with the children and help guide at mealtimes making it a more enjoyable and social experience. • All children now receive water at mealtimes, and it is available throughout the day. • We have provided a refresher training on our healthy eating policy for staff on age-appropriate dining supports, including the selection of suitable utensils and food preparation. Management will regularly observe mealtimes to ensure the environment remains age-appropriate, social, and supportive. Management will gather feedback from staff and adjust practices as needed. 2. To address the non-compliance the service has stated that staff were spoken to about transitions between lunch and sleep time and together the following has been implemented. ● Get beds ready in advance: ● A simple, predictable routine has been introduced to help children understand what’s coming next, with soft music, a quiet story signalling that it is time to wind down for sleep. ● We have made it as part of our routine to set up all beds before lunch starts, so children can move to rest time without delays and if a child shows signs of tiredness they can go straight to bed. ● We have introduced quiet activities like reading and soft music straight after lunch to help children wind down and get ready for sleep. ● We are going to hold quick team check-ins to review how transitions are going and make any improvements right away. 3. In response all displays in our Wobbler rooms, Toddler 1 and Preschool 1 are now at the children’s eye level, making it easier for them to see, enjoy and have a sense of belonging. ● Management will remind staff (especially new team members) about the importance of display height and how it supports children’s sense of belonging through staff meetings. ● Management will ensure room checklists are done regularly to make sure displays are well-positioned with new artwork and family contributions to keep the room feeling current and meaningful
Regulation 21 — Equipment and materials
1. In the Wobbler 1 room, battery toys were not working, removing the cause and effect of each toy
Provider's corrective action:
1. In response the service has stated that all toys now have batteries in them. Management will complete regular checks to ensure that all toys requiring batteries are maintained
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1.Staff in the Wobbler 1 and Preschool 1 rooms were not familiar with the room heating systems in place within the service to ensure that the care rooms were maintained between the recommended temperatures of 18-22 oC while children played and children over the age of 1 years slept. As a result, the following was observed. • The temperature of the Wobbler 1 cot room recorded by staff during sleep time was 19 oC, however, this was the heat setting of the air conditioner unit. The actual temperature of the cot room was recorded as 22.9 oC at 12.30pm by the inspector which is above the maximum recommended sleep temperature of 18 to 22 oC while children sleep. • The temperature of the Preschool 1 room while children played was displayed in the room as 21 oC, however, this was the heat setting and the correct temperature was recorded by the inspector as 22.7 oC at 2.48pm which exceeds the recommeded temperture of 18-22 oC while children play. 2. Staff in the Preschool 1 care room did not complete the daily outdoor risk assessment prior to using the area on the first day of inspection. 3. Safety hazards were observed in the Toddler 1 room to include a potential pinch risk due to a broken door guard and the absence of visibility strips on the doors and windows. Infection Control: 4. Paper towels for hand drying in the Wobbler 1 and Toddler 2 rooms were not stored in a dispenser to reduce the potential risk of cross infection. Safe Sleep: 5. Four children in the Wobbler 2 room under two years of age were observed sleeping on floor beds. Documentation available did not demonstrate that a full sleep plan review had been completed by staff and that parents had been fully included in this decision. This is at variance to the best practice sleep guidelines issued by Tusla to the sector in September 2023. Outing: 6. Staff in the Toddler 2 room did not follow the procedures outlined in the service outings policy when undertaking an outing on the first day of the inspection. For example. • No documentation was maintained to confirm that a risk assessment of the area was carried out by staff before the outing and that staff received a safety briefing. • No evidence was available to demonstrate that staff completed regular headcounts of the children before, during and after the outing and the required equipment such as mobile phone and first aid box were available to staff. • A designated first aid person did not accompany the children to the playground. • No parental information or contact details were available for one child that participated in the outing from the Toddler 1 room. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: 1. To address this non-compliance the service has stated that immediate training to all staff in the Wobbler 1 and Preschool 1 rooms on the correct operation of room heating systems and air conditioning units, including how to accurately monitor and adjust room temperatures was completed. Routine daily checks at set intervals have been established to ensure room temperatures remain within the recommended range of 18–22°C. 2. In response staff were given further training on the importance and procedure of completing the daily outdoor risk assessment before children access the outdoor area. Management have implemented a system where the outdoor risk assessment form must be completed, signed, and dated by the room leader each day before the outdoor area is used. 3. To address the non-compliance, we immediately replaced the damaged door guard to eliminate the pinch risk. Management will use a maintenance log to track identification, reporting, and resolution of hazards, ensuring timely corrective actions. Infection Control: 4. In response the service has stated that they have Installed appropriate wall-mounted paper towel and moveable dispensers in the Wobbler 1 and Toddler 2 rooms to promote hygienic storage and reduce the risk of cross-infection. Management will ensure the wall-mounted paper towels and dispensers are in working order and reported on the maintenance log. Safe Sleep: 5. To address the non-compliance management stated they have engaged with parents of the children to discuss and document sleep preferences and practices, ensuring informed consent is obtained and recorded. Going forward all sleep plans will be in place from when the children begin in the service as part of their induction to the centre. Outing: 6. Following the inspection a meeting was held with staff to review what happened, and we reviewed the outings policy together, and made sure that staff understood the steps for safe outings. Every outing going forward must follow a checklist that covers risk assessment, safety briefing, headcounts, and equipment. Management to do unannounced checks on outings to make sure everything’s being done right
Regulation 27 — Supervision
Six children in the Toddler 2 room were not supervised at all times by a staff member during their planned activity with the Physical Exercise (PE) teacher as the staff member left the children with the PE teacher and a student on work placement from 12.46-12.49pm to attend to a child in the toilet
Provider's corrective action:
In response the service has stated that the staff involved were spoken to about what was observed and it was emphasised about the importance of always maintaining direct supervision. A plan is now in place for staff cover during activities, especially when toileting or other child needs might take staff away whereby a designated float staff member is available to step in if a staff member needs to leave the group briefly
The registered provider did not ensure that the following was in place:
A reference from a source other than a past employe r was available for one staff member, however, it was not accepted as it was from a family member. (4) Documentary evidence was not available to confirm that one staff member working directly with the early years children held a major award in Early Childhood Care and Education at Level 5 or above on the National Framework of Qualifications
Provider's corrective action:
In response to the non-compliance the service has stated that a written reference from a reputable source has been obtained and is now validated by the service manager. (4) In response the service has stated that this staff member no longer works directly with early years children. To ensure future compliance an employment checklist will be completed before each staff member begins their employment with the service ensuring all required qualifications and documents are validated and available. This will be monitored by management and the registered provider
Regulation 16 — Record in relation to pre-school service
(h) Staff did not maintain written records of the time of arrival and departure of each child in the service as the following was observed. This reduced the effective evacuation of children in the event of an emergency. • On the first day of inspection in the Toddler 1 care room at 10:43am 10 children were present however, only 9 children were recorded as being in attendance. • At 12:13pm in the Toddler 1 room a child that arrived at the service at 11:15am was not recorded as being present. • At 11:23am on the second day of inspection 14 children were present in the Pre-School 1 room, however, only 13 children were signed into the roll book. (j) Documented signed parental consent for the administration of emergency medication was not available for two children. This reduced the effective and timely treatment of children in the event of and allergic reaction emergency. (k) On review of 21 accident and incident records in the service it was observed that the following information was not recorded. • No surname or date of birth of the child was recorded on two of the forms, three additional forms did not include the date of birth of the child. • Three forms did not include the signature of the parent to confirm that they were made aware of the incident on collection from the service, an additional six forms did not include the date the parent signed the form. • One form did not include the signature of the staff member who completed the form or the signature of the manager to confirm they were made aware of the incident
Provider's corrective action:
(h) In response the service has responded that at a staff meeting on the 27 February 2024 subsequent to the inspection, staff were told the importance of keeping the register up to date at all times. The staff went through the policy on checking in and out and signed off on the policy to show that it was understood. (j) To address the non-compliance the medication consent form was completed by the two parents. (k) In response all staff have had refresher training on the policy on accidents and incidents and implementation of the same will be monitored by the registered provider. All registers will be monitored daily by management and the registered provider. The service through monitoring and training will ensure practices are constantly reviewed in line with good practice and the services policies and procedures. A record is now being maintained of all refresher training conducted and attendees at same
Regulation 19 — Health, welfare and development of child
Basic Needs: 1. Staff did not ensure that each child’s dignity and privacy was maintained while attending to their nappy changing and toilet training procedures. For example. • At 11:29am and 2:51pm on the first day of inspection in Toddler 1, staff members brought three children to the sanitary facilities to change their nappies and at 11:29am to promote toilet training for two children. Two children were observed using the potty in view of their peers. This is at variance with the service policy on toilet training which states that children’s rights and needs for privacy should be always respected. 2. Documented care plans were not available for two children in the Toddler 1 care room that required emergency medication in the event of an allergic reaction. This reduced the effective identification and treatment of the children in an emergency. 3. At mealtimes additional food was not offered to children in the Wobbler 1 and Toddler 1 rooms. Children at this age cannot always indicate to their carer that they would like more food. For example: A child in Wobbler room 1 reached for another child’s bowl once their portion of dinner was finished. The child was told no by a staff member and the bowl was returned. When staff were asked by the inspector if more food was available, they confirmed that they could ask in the kitchen for more food, however, no more food was observed being made available or being offered to the children. 4. Water to drink was not provided to six children in the Wobbler 1 care room on the first day of inspection with or after their meal at lunch time. 5. An adult chair to enable staff to sit and feed children in the Wobbler 1 room was not available. Supporting Relationships: 6. Planned activities in the Pre School 1 care room were observed to be adult led on the second day of inspection. This did not promote the individual children’s independence and preference to undertake an alternative activity. For example. At 11:33am staff set up puzzles and jigsaws on the tables, each child was requested to join the group. One child who had begun playing with cars and trucks was reluctant to participate. On two occasions the staff member tried to remove the items and asked the child to participate. The child became upset by crying and attempted to hold on to the toys and move away from the staff member. After the second attempt the staff member removed the toys, and the child joined the group. An alternative method of encouraging the child to join their friends could have been employed to reduce the upset of the child
Provider's corrective action:
Basic Needs: 1. To address the non-compliance all staff have had refresher training on the policy on toilet training and the implementation of the same will be monitored by management and the registered provider. 2. In response the service has stated that all care plans are now updated and completed by the parents with additional first aid training received for staff on the 4 March 2024, showing the importance of the care plans. 3. and 4. Following the inspection, a staff meeting was held on the 27 February 2024, mealtimes were discussed as part of the services healthy eating policy, it was agreed that additional food would be available for children and drinking water would always be available to children throughout the day. 5. An adult chair is now available in Wobbler 1. Evidence attached. Supporting Relationships 6. To address the non-compliance a staff meeting was held on the 27 February 2024, and it was discussed how activities are implemented and how following the child’s lead must come into effect at all times. To ensure continued compliance the service through monitoring and training will ensure practices are constantly reviewed in line with good practice and the services policies and procedures. A record is now being maintained of all refresher training conducted and attendees at the training. Continuous training, evaluation and reflections of our curriculum will be done in how best we support the children in our service through child led play and exploration
Regulation 21 — Equipment and materials
1. Materials and equipment to support each child’s learning and opportunities were not available in some areas. For example. • Areas of interest in the outdoor area such as play kitchen and playhouses were observed to be empty and therefore did not create opportunities for the children to engage with. • The Wobbler and Toddler care rooms lacked developed areas of interest to enable the children to create sensory experiences such as sand, water, paint, playdough, or supporting equipment. It is acknowledged that sensory equipment such as sand and shredded paper were provided to the children on the second day of inspection. • Chairs available for tabletop activities and games were removed between meals in the Wobbler 1 care room. This reduced the available opportunities for the children. • Birthday and family wall displays in the Wobbler 1 room were out of visual eye line of the children, this reduced the children’s enjoyment and sense of belonging and ownership of their care room
Provider's corrective action:
1. To address the non-compliances the registered provider has stated that. • A purchase of outdoor equipment was made following the inspection with a specific storage area for outdoor equipment. A timetable of setting up the garden has also been put in place. • Toddler and Wobbler room teams were spoken to about the importance of sensory activities being made available at all times for the children. A purchase of additional resources and equipment was made. • Chairs are no longer being removed between mealtimes and are available for the children throughout the day. • Birthday and family display walls are at the children’s height. • Staff have been advised when setting up the garden to report any missing or broken pieces so they can be replaced or repaired immediately. • Management and Room Leaders will ensure that all indoor and outdoor equipment is maintained and resourced to meet the needs of the children. A monthly budget is available to purchase equipment as required. • Displays will be regularly updated with the children’s photos at the child’s height. • Continuous training, evaluation and reflections of our curriculum will be done in how best we support the children in our service through child led play and exploration
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. Five care rooms did not complete the daily outdoor risk assessment prior to using the area on the first day of inspection. 2. Unstable shelving was observed in the Wobbler 2 care room and a hallway off the main reception leading to a potential risk of falling on a child. 3. A toilet seat in the Pre School sanitary facility was observed to be damaged and increased the potential risk of causing injury to a child. 4. A changing mat used by the children in the Wobbler sanitary facility was observed to be bigger than the shelf it rested on. This increased the potential risk of injury to a child. 5. Between snacks and mealtimes stacked chairs were accessible to the children in the Wobbler 1, this increased the potential risk of falling on a child and injuring them. 6. A pinch risk to the children was observed due to a broken door guard on the Wobbler 2 care room door and the door leading into the main reception. 7. Medication available within the service was not managed as per the service policy, for example. • Expired medication that was no longer in use was not returned to the parent. • Medication for a child was not labelled with the child’s name, the date, expiry date, storage instructions and dosage, method of administration, plus the name of the health care provider that recommended the medication. 8. Staff did not maintain a record of children that moved between rooms at sleep time and during the day to maintain ratios. This reduced their effective evacuation in the event of an emergency. Infection Control: 9. Infection control practices observed in the Wobbler and Toddler rooms did not prevent the potential risk of cross infection. For example: • Children in Toddler 1 did not have their hands washed on return to the care room after outdoor play. • Staff in Wobbler 1 cleaned seven children’s hands and faces with the same cloth. • Sheets used in cots at sleep time were observed to be soiled and dirty. 10. The nappy changing practice was not carried out according to the service nappy changing procedures which were displayed in the room and as a result posed a risk of cross-infection. The following practices were observed: • The same apron was retained for the duration of three nappy changes. • The gloves were not removed prior to the child being dressed. • Repeated hand touch of the lid of the bin was observed during the disposal of the soiled nappies. • The changing mat was not consistently cleaned after each nappy change. • The staff member did not wash their hands after each child and neither the staff member or the children washed their hands before returning to the care room. 11. A staff member did not follow the service toilet training policy and procedures while assisting two children. For example. • The potties were not emptied into the toilet but into the sink used for hand hygiene. • The potties were not cleaned with hot water and detergent but cleaning spray and tissue. • The staff member and the two children did not wash their hands after toilet training and before returning to the care room. 12. A counter top in the Wobbler sanitary facility was observed to be neither washable nor wipeable. This increased the potential risk of cross infection. 13. Warm water to ensure effective hand hygiene was not available to the children in the ECCE sanitary facility on the second day of inspection at 10:56am. The water was cold. Administration of Medication: 14. Following a review of nine records of the administration of medication, it was observed that the service policy and procedures were not followed. This did not support the safe and accurate administration of medication to the children. For example: • Five records reviewed did not have the child’s date of birth recorded. • Three records did not have the signature of the manager recorded. • One form did not include the second staff members signature who witnessed the administration. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: In response to the non-compliances the registered provider has stated that; 1. The service has in place risk assessments for outdoors, during our staff meeting on the 27 February 2024 it was agreed by all staff that risk assessments are fully carried out with continuous visual checks throughout their time in the garden. A review with staff on the risk assessment of our outdoor area and the importance of being vigilant in the outdoor gardens ensuring the area is safe at all times. 2. The shelving in our Wobbler room and hallway has now been screwed to the wall. Please find attached photo evidence. Management will ensure any new shelving purchased will be placed correctly not posing a risk to the child. 3. The toilet seat has been replaced. Staff and Management have been asked to report any risks, breakage or repair to our maintenance when completing daily risk assessments. 4. The changing mat’s position has been changed. 5. The staff in the Wobbler room were spoken to about the risks of chairs being stacked, they are no longer stacked. 6. The finger guard has been removed and replaced. 7. All staff have had refresher training on the policy on Medication and the implementation of the same will be monitored by management and the registered provider. The policy on Administration of Medication was discussed during our staff meeting on the 27 February 2024, staff were asked to sign off that the policy was understood, management will observe and monitor the implementation of the policy. 8. At the staff meeting it was discussed how our registers are in real time, so children who move between classrooms are documented. Infection Control: 9. All staff have had refresher training on the policy on Infection Control and the importance of washing hands, the use of face cloths and how sheets once soiled or marked need to be washed or changed immediately. Following the inspection, a purchase of additional sheets was made. Evidence attached. 10. Following the inspection all staff received training on the nappy changing procedure, it was again discussed at the staff meeting, the importance of following the steps outlined in written and visual posters in the changing areas. 11. Following the inspection staff were given practical training on potty training and in our policy of potty training, staff were given the policy on Potty Training and asked to sign off that it is read and understood. 12. The countertop is now wipeable to ensure it does not pose a risk of cross contamination. 13. Following the inspection, the temperature of the water was fixed and now reads the correct temperature. The policy and practical training on Infection Control, Nappy Changing Procedure and Potty Training was done by management, staff were asked to sign off that the policy was understood, management will continue to observe and monitor the implementation of the policies. Administration of Medication: 14. In response the service has stated that all staff have had training on the recording of administration of Medication as set out in our policy. The policy and practical training on the recording of administration of Medication was done by management, staff were asked to sign off that the policy was understood, management will continue to observe and monitor the implementation of the policy