I witnessed caregivers changing diapers without following proper sanitary protocol, hand washing neither before nor after. I witnessed a toddler being knocked down by a backdoor leading to the outdoor playground resulting in his head hitting the pavement and his shoe being caught under the door while he laid flat on the ground. Furthermore while his foot was jammed under the door the caregiver yanked the door shut and proceeded to tend to his foot. After I informed the director of the incident and expressing the dangers of the children playing near the door, she was very dismissive saying that the caregivers watch the children. After only 2 week of having my son enrolled at Mt. Juliet Christian Childcare, he was home sick for a week with Strep Throat and Hand, Foot and Mouth Disease. I had to pay for the week he was sick plus an additional 2 weeks that my son did not attend due to the hostility I received when I gave my 2 week notice of withdrawing him from the center.