Peek-a-Boo Nursery Day Care of Children 1 Buchan Road Fraserburgh AB43 9UW Telephone:

Peek-a-Boo Nursery Day Care of Children 1 Buchan Road Fraserburgh AB43 9UW Telephone: 01346 511334 Inspected by: Liz Adam Type of inspection: Unannounced Inspection completed on: 15 November 2012

Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 11 4 Other information 23 5 Summary of grades 24 6 Inspection and grading history 24 Service provided by: Peek-a-Boo Nursery Service provider number: SP2003001921 Care service number: CS2003008914 Contact details for the inspector who inspected this service: Liz Adam Telephone 01224 793870 Email enquiries@careinspectorate.com Peek-a-Boo Nursery, page 2 of 26

Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 5 Very Good Quality of Environment 6 Excellent Quality of Staffing 6 Excellent Quality of Management and Leadership 6 Excellent What the service does well The service offers a warm, inclusive environment for the children and their families. Parental involvement is welcomed and encouraged by the provider and staff and has supported improvements to the service. The staff group were seen to work well as a team and were fully supported by the providers. The building continues to provide a clean, bright and welcoming environment for children. Children's artwork and photographs were displayed to give a good overview of the full range of activities which take place within the nursery. What the service could do better Peek-a-Boo Nursery should continue to maintain and build upon the high quality processes in place to involve families, children and staff in the participation and evaluation of the service. What the service has done since the last inspection There were no Areas for Improvement identified at the last inspection, which was not undertaken by the writer of this report. Peek-a-Boo Nursery, page 3 of 26

Conclusion Inspection report continued Peek-a-Boo Nursery continues to offer a high quality and reliable service for families in the local area. The providers, manager and staff work in partnership with parents to ensure forward planning for individual children. Who did this inspection Liz Adam Peek-a-Boo Nursery, page 4 of 26

1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at www.scswis.com. This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April 2011. Requirements and Recommendations If we are concerned about some aspect of a service, or think it needs to do more to improve, we may make a Recommendation or Requirement. - A Recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service based on best practice or the National Care Standards. - A Requirement is a statement which sets out what is required of a care service provider to comply with the Public Services Reform (Scotland) Act 2010 ("the Act") and secondary legislation made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions, a Requirement may be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. Peek-a-Boo Nursery is situated in a residential area of Fraserburgh and operates from converted premises. The service offers a care service to a maximum of 28 children aged from 2 years to not yet attending primary school. The majority of children attend on a part-time basis, either morning or afternoon sessions. The service has a written statement of aims and objectives which was reviewed in August 2012. The aims cover Ethos; Self-evaluation; Curriculum for Excellence; Transition; Staff; and Partnership with Parents. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 5 - Very Good Quality of Environment - Grade 6 - Excellent Quality of Staffing - Grade 6 - Excellent Quality of Management and Leadership - Grade 6 - Excellent This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Peek-a-Boo Nursery, page 5 of 26

Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website www.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of our offices. Peek-a-Boo Nursery, page 6 of 26

2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection We wrote this report following an unannounced inspection undertaken on 15 November between 8.30 am and 5.15 pm and carried out by Liz Adam, Care Inspector. As requested by us the service submitted an annual return and a self assessment form. We provided the service with ten questionnaires for distribution to parents and eight were completed and returned prior to the inspection. In this inspection we gathered evidence from various sources including the relevant sections of policies, procedures, records and other documents, including: - evidence from the service's most recent self assessment - Individual assessments of children who use the service - accident and incident records - health and safety records - questionnaires that had been returned to the Care Inspectorate by parents of children who use the service. We also had discussions with: - the providers - the registered manager and staff - children and parents. We also observed practice, during which there was opportunity to examine the premises and resources. Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Peek-a-Boo Nursery, page 7 of 26

Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at www.firelawscotland.org Peek-a-Boo Nursery, page 8 of 26

The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: Yes - Electronic Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. The service submitted a self assessment as requested prior to the inspection. This was a comprehensive document giving information over a period of several years. Some advice was given to the provider as to how to make this more manageable. Taking the views of people using the care service into account We observed children in the playrooms and outside in the garden. They were seen to be happy, confident, and familiar with the routines. Older children were happy to tell the writer a little bit about their time in the nursery and invited us to join in their activities. Taking carers' views into account We provided the service with ten questionnaires for random distribution to parents. Eight of these were completed and returned prior to the inspection. All respondents strongly agreed that they were happy with the overall quality of care their child received in the service. They indicated that they were confident about staff skills and experience, and considered that their child would be treated fairly and with respect. A number of the parents had added written comments, and extracts of these are as follows: "Very happy with the nursery. They have been excellent with my son" "Peek-a-Boo Nursery is an excellent provider of childcare. They have made a great effort to get to know my child individually" "My children have always been very happy to go and been well cared for" Peek-a-Boo Nursery, page 9 of 26

"As a parent I am very happy with the standards of care and development of my child". Six parents/carers were spoken with during the inspection. As with the completed questionnaires all agreed that the service was very good, their child was very settled and that all staff were approachable. Peek-a-Boo Nursery, page 10 of 26

3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service strengths The service continued to have excellent performance in relation to this Statement. Parents/carers were regularly involved in developing the service. A number of parents were spoken with during the inspection and confirmed that they had regular opportunities to give their views on various aspects of the service. All parents considered that all staff were very approachable and knew their child well. We observed that staff knew the children and their individual personalities. The providers encouraged a very open approach which fostered an environment where participation was an integral part of the children's and families' experience of the nursery. Children were encouraged to express themselves and were seen to have the confidence to do so throughout the inspection. Children were involved in routine evaluation of the activities which were on offer. Peek-a-Boo Nursery staff continued to demonstrate their commitment to involving parents in their child's learning and development. Discussions with the providers and staff reinforced the view that they work with "parents as partners", and this was confirmed in a policy document. It was also a core statement in the nursery's website, set up recently to keep parents and others aware of current developments within the nursery. The website had a password protected area accessible for parents only. The nursery had developed a parent council, which provided all parents with an opportunity to be involved in and give feedback about all aspects of the nursery provision. Peek-a-Boo Nursery, page 11 of 26

Newsletters were issued regularly and to keep up-to-date with modern technology have now been added to the website. Parents' views on articles within the newsletter were still welcomed and a paper copy reply slip would continue to be issued. This gave parents the opportunity to comment on particular notices or ask for additional information on any of the articles in the newsletter. The reply slip for the current newsletter included a section for the children to give their "questions for the fireman" who was to be making a visit to the nursery. This also allowed parents to see that their child's ideas were welcomed as part of the nursery programme. There was a full range of evidence displayed throughout the nursery, confirming that children's ideas had formed the basis of many of the activities undertaken. The nursery continued to have an "open door policy", which was agreed by parents spoken with during the inspection. Completed Care Inspectorate questionnaires also contained comments such as "the staff are always very welcoming and helpful", and "the girls are all lovely and are very approachable if you have any questions". In addition to the manager and staff, the providers were also regularly on the premises and available to parents. Parents also had the opportunity to request a more formal meeting, and request slips for this were available. Areas for improvement The provider, manager and staff should continue to build on the success of their partnership working with parents and children. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths The service had implemented a comprehensive range of procedures to ensure the children's health and wellbeing needs were met. Staff demonstrated a good understanding of these and spoke confidently about administration of medication, exclusion periods for illness and child protection. A copy of all policies and procedures was available within the Parent Zone to enable parents to read. Information about children's health, allergies and dietary requirements was recorded and regularly reviewed and updated with parents. This allowed staff to plan for the children and meet their individual needs. Peek-a-Boo Nursery, page 12 of 26

An infection control policy and procedures were in place and these were available for parents to read. We observed good infection control practice in relation to toileting, nappy changing, snack preparation and cleaning of surfaces. As with other policies the infection control policy was regularly updated by the providers who were pro-active in ensuring up-to-date guidance was given to staff and parents should infection control issues arise. An example of this was the provision of information to staff and parents during an outbreak of hand, foot and mouth disease at the end of 2011. This pro-active approach ensured that the outbreak was quickly dealt with and limited the number of children who were infected. Snack time was a social occasion, with a few of the children being involved in the preparation and creating the pictorial menu for the others to see what was on offer. The snacks offered were healthy and included fruit and cereal and a choice of milk or water to drink. Staff were aware of the need to ensure children remained hydrated throughout the session. All children were involved in tooth-brushing after snack in accordance with "Childsmile - improving the oral health of children in Scotland" NHS guidance. Administration of medication forms were completed as necessary and staff had a good understanding of where medication should be stored. All staff understood the need for parents to give comprehensive guidance for the use of asthma inhalers. There were procedures in place for children with specific medical conditions. Discussion with staff, examination of care plans and observation of practice indicated that staff were knowledgeable and provided appropriate levels of care for individual children. Staff were observed providing children with a good level of support when toilet training. They were also following an appropriate procedure for nappy changing of the younger children. Supplies of aprons and gloves were available and staff were observed to be using these appropriately. Discussion with staff and examination of evidence indicated that children had access to outside play on a daily basis. The nursery benefited from an enclosed garden area which provided a safe outdoor play space. As well as outdoor toys, staff advised that other resources could be taken outdoors to extend the children's learning experiences. A number of children attended for longer than the part-time morning sessions. These children brought their own lunches with them, which staff supervised within the playroom. It was noted that all staff had undertaken Food Hygiene training. All children starting at the nursery were encouraged to bring in photographs of important people and events in their life, which were made into a photo-board. Peek-a-Boo Nursery, page 13 of 26

These photo-boards were displayed within the quiet room and assisted the settling-in process for individual children. Staff also made use of these if an individual child was unsettled, as a reminder for them about the link between nursery and home. All staff had undertaken in-house training on child protection. All were aware of the nursery's policy and procedure, and confident about their use of this. The policy was written in accordance with the North East of Scotland Child Protection Committee guidelines. Areas for improvement Staff reminded children about the need to wash hands after craft activities and before having snack. To promote independence children used a sink at their height within the playroom. Liquid soap and paper towels were provided. One or two of the youngest children had some difficulty using the soap dispenser. It was also noted that they did not dry their hands fully. The service did have an appropriate handwashing procedure in place and recognition was made of the children who carried out this task well. The provider was asked to ensure that all staff carried out increased monitoring of the youngest children while still promoting their independence. (See Recommendation 1) Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 1 Recommendations Inspection report continued 1. The provider should ensure that all staff effectively supervise children's handwashing. This should be done making reference to the "Infection Prevention and Control in Childcare Settings (Day care and Childminding Settings)" guidance published by Health Protection Scotland in March 2011. The "Germs - wash your hands of them - children's pack" issued by Health Protection Scotland in 2009 also remains relevant. National Care Standards Early Education and Childcare up to the age of 16: Standard 2.4 - A Safe Environment, and Standard 3.3 - Health and Wellbeing. Peek-a-Boo Nursery, page 14 of 26

Quality Theme 2: Quality of Environment Grade awarded for this theme: 6 - Excellent Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service strengths Information detailed in Quality Theme 1 Statement 1 is also relevant for this Statement. Areas for improvement Information detailed in Quality Theme 1 Statement 1 is also relevant for this Statement. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Statement 2 We make sure that the environment is safe and service users are protected. Service strengths We observed that the nursery provided a safe, clean and pleasant environment for children. The building was well maintained both in terms of fabric and resources. There was information about the nursery and events in the local community displayed in the vestibule and in the parent zone in the main entrance hallway. The entrance was secure and a buzzer system was in place on the front door. Parents and visitors were given access to the building by staff and visitors were asked to sign the visitors' book when entering and leaving the nursery. There were risk assessments in place for all areas of the building and the garden. Staff spoken with understood their responsibility in ensuring that risk assessment was an ongoing process and the need to make daily checks on the playrooms and garden. Specific activities such as a recent visit to Fraserburgh beach were subject to a specific risk assessment being completed. Peek-a-Boo Nursery, page 15 of 26

There was a procedure for recording any accidents, which required a parental signature when the child was collected. Parents were also provided with a copy of the accident information. Although it was noted that there had been very few accidents, a monitoring system had been established. This would identify whether accidents were related to particular activities or resources. Recording formats for the cleaning and maintenance of toys and equipment were in place. All toys and resources were observed to be clean and in good condition. Staff understood the need to remove broken items and to report any faults to the providers. A member of staff was based in the central hallway when children were being collected. This was to ensure that they were handed over to an appropriate adult and that relevant information about their time at nursery was passed on. Door handles were above child height, ensuring that children could not leave the nursery unaccompanied. The front door was kept locked during opening times. Similarly, the garden gate had two closing mechanisms to ensure child safety. There was also a reminder to parents to ensure that they closed the gate behind them as they left. During the inspection, staff were observed being vigilant in ensuring children's safety both inside and outside the building. The playroom had attractive displays on the walls which included current topics and examples of the children's work. The information detailed in Quality Theme 1 Statement 3 in respect of infection control and child protection was also relevant to this Statement. Areas for improvement The provider and staff were encouraged to maintain the current very good practice in this area. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Inspection report continued Peek-a-Boo Nursery, page 16 of 26

Quality Theme 3: Quality of Staffing Grade awarded for this theme: 6 - Excellent Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths Information detailed in Quality Theme 1 Statement 1 is also relevant for this Statement. A questionnaire was provided to parents following their child's induction period which asked them to comment on the quality of staffing and management at the nursery. There were specific questions about policies and procedures, the child's key-worker and the approachability of the management team. The service had had an established staff group for several years. Despite this, the providers had sought parents views on what qualities they would look for in a new staff member. As a result of this the person specification had been amended to incorporate some of the parent suggestions. Areas for improvement Information detailed in Quality Theme 1 Statement 1 is also relevant for this Statement. Grade awarded for this statement: 6 - Excellent Number of recommendations: 0 Number of requirements: 0 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths From observation of practice, discussions with staff and documentary evidence, we found that staff were professional, trained and motivated. The four members of staff who were counted in the adult:child ratios held relevant childcare qualifications. These staff and one of the providers were registered with the Peek-a-Boo Nursery, page 17 of 26

Scottish Social Services Council. All four staff held first aid certificates, and had undertaken food hygiene training and child protection training. Additional training courses identified at annual appraisal or to meet the needs of individual children were accessed as and when necessary. Another member of staff was undertaking SVQ Level 3 training but was not included in the adult:child ratios. In addition, the provider offered training places to students studying for childcare qualifications at either Aberdeen or Banff and Buchan College. Records of training undertaken were maintained by the providers and certificates were displayed. The staff were observed to work well as a team and spoke about the level of support offered by the provider. All commented on the providers' "open door policy" and were confident about raising concerns, training needs or other issues with them. As already stated, an annual appraisal scheme was in place and staff were invited to complete a pre-appraisal form. The manager had also sought information from parents to inform the appraisal process. Most recently, she had introduced an element of peer appraisal giving staff the opportunity to comment on each other's performance. This had worked well and was thought to be in view of the longestablished relationships which the staff had with each other. Monitoring of staff practice was undertaken on a regular basis. Staff acknowledged that they were given feedback and any concerns noted were acted upon, either through the identification of additional training or updating of policies and procedures. Discussion with staff and examination of evidence confirmed that monthly staff meetings were held. The agenda was displayed the week before, and staff were invited to add information to this for discussion at the meeting. There was a staff photo board at the entrance to the nursery and staff photos were also displayed on the website. Observation of practice indicated that staff treated children and parents with respect. Staff were warm and caring toward the children, ensuring that their day-to-day needs were met. Staff were seen engaging with the parents, informing them of the activities the children had experienced during the session. Staff used positive and encouraging language, reassuring the children when required. The nursery offered planned appointments to allow parents to discuss their child's progress with the staff responsible for their care. Parents were asked to provide Peek-a-Boo Nursery, page 18 of 26

written comment about the information they received at the meeting. Examples viewed indicated that parents also took the opportunity to comment in more general terms about the nursery. The providers advised that all information provided by parents about staff members was used to inform the appraisal process. Areas for improvement The provider, manager and staff were encouraged to maintain the current very good practice in this area. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Inspection report continued Peek-a-Boo Nursery, page 19 of 26

Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 6 - Excellent Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the management and leadership of the service. Service strengths Information detailed in Quality Theme 1 Statement 1 is also relevant for this Statement. Areas for improvement Information detailed in Quality Theme 1 Statement 1 is also relevant for this Statement. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide Service strengths A number of quality assurance procedures were in place. Monitoring of staff practice on both a monthly and termly basis was carried out by the provider who held an appropriate childcare qualification. There was a specific focus for each monitoring visit and staff were given feedback and, if appropriate, areas for development identified. Staff appraisals were undertaken on an annual basis with each member of staff completing a pre-appraisal form. The manager had also asked staff to appraise each other and also used information from parents when carrying out the individual staff member's appraisal. Although staff could speak to the providers about training needs throughout the year the appraisal was used to identify any additional training needs. Peek-a-Boo Nursery, page 20 of 26

Training records were maintained, and identified when refresher training for core skills such as child protection, first aid or infection control were required for individual members of staff. The providers had an annual development plan, and this was regularly reviewed to ensure that targets identified were achieved. The improvement/development plan for 2012-2013 covered five areas: Self assessment, Celebrating achievements; Integrating children's ideas, thoughts and interests; Becoming Green; and Parental Involvement. Comments from parents at a recent open-day included "How is my child learning?", "How is the learning delivered?" and "How will staff match learning opportunities to my child's individual needs?" These comments had led to the improvement area about the integration of children's ideas, thoughts and interests. The providers advised that parents were welcome to view the progress of the improvement plan at any time. The nursery was a partner provider for pre-school education with Aberdeenshire Council. As such, visits were made to the nursery on a regular basis by the Council's Development Worker and Early Years Coordinating Teacher. Information provided from these visits was also used for ongoing quality assurance purposes. The feedback from parents and was also reviewed as part of the quality assurance process, and changes made to the service if appropriate. Staff were also involved in the quality assurance processes. One suggestion which had recently been implemented was the "home jotter" for children in the pre-school section of the nursery. This gave parents a weekly overview of the child's activities and achievements. The aims, policies and procedures of the nursery were subject to regular review to ensure that they complied with current legislation or best practice guidance. The provider had established a parent council and regular meetings of this group were held. All parents were welcome to attend the meetings with the providers welcoming their ideas and input to enhance the work of the nursery. A recent innovation had been the establishment of a website for the nursery. There were two parts of the site one which was public facing; the other a members gallery which could only be accessed by parents using a recognised username and password. The website was being developed as a result of parents keen to be kept up-to-date with events in the nursery. The provider who took charge of administration advised that she had introduced a bulletin board on the website which was kept up-to-date. Parents who completed the Care Inspectorate questionnaire confirmed that they were regularly asked for their ideas and feedback. Peek-a-Boo Nursery, page 21 of 26

Areas for improvement The provider, manager and staff were encouraged to maintain the current very good progress in this area. Grade awarded for this statement: 6 - Excellent Number of requirements: 0 Number of recommendations: 0 Inspection report continued Peek-a-Boo Nursery, page 22 of 26

4 Other information Complaints No complaints have been upheld, or partially upheld, since the last inspection. Enforcements We have taken no enforcement action against this care service since the last inspection. Additional Information Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in SCSWIS re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). Peek-a-Boo Nursery, page 23 of 26

5 Summary of grades Quality of Care and Support - 5 - Very Good Statement 1 Statement 3 6 - Excellent 5 - Very Good Quality of Environment - 6 - Excellent Statement 1 Statement 2 6 - Excellent 6 - Excellent Quality of Staffing - 6 - Excellent Statement 1 Statement 3 6 - Excellent 6 - Excellent Quality of Management and Leadership - 6 - Excellent Statement 1 Statement 4 6 - Excellent 6 - Excellent 6 Inspection and grading history Date Type Gradings 20 Jan 2011 Unannounced Care and support 6 - Excellent Environment Not Assessed Staffing Not Assessed Management and Leadership Not Assessed 2 Dec 2009 Unannounced Care and support 5 - Very Good Environment Not Assessed Staffing 5 - Very Good Management and Leadership Not Assessed 16 Mar 2009 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good Peek-a-Boo Nursery, page 24 of 26

All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Peek-a-Boo Nursery, page 25 of 26

To find out more about our inspections and inspection reports Read our leaflet 'How we inspect'. You can download it from our website or ask us to send you a copy by telephoning us on 0845 600 9527. This inspection report is published by the Care Inspectorate. You can get more copies of this report and others by downloading it from our website: www.careinspectorate.com or by telephoning 0845 600 9527. Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: 0845 600 9527 Email: enquiries@careinspectorate.com Web: www.careinspectorate.com Peek-a-Boo Nursery, page 26 of 26