Inspection · 2023-04-25

Based on observation and interview the center failed to ensure that the center has a qualified program director or a qualified back-up program director who meets one of the director qualifications who is regularly on site at least 50% of the center's hours of operation. Evidence:
1 ? There none of the four staff working on site met program director, or backup program director, qualifications during the inspection.
a. Staff #1 and #2 stated that they did not meet program director requirements as they had not completed the required training.
b. Neither Staff #1 or #2 are 21 years old and therefore cannot meet program director qualifications.
b. Staff #3 and #4 stated that their job title at the center was teacher assistant.
3 ? Staff #1 stated that the program director qualified person assigned to their facility is on site two days per week for two to three hours at a time. This program operates five days a week for five hours per day when school is in session.

Based on observation and interview the center failed to ensure that any child for whom emergency medications have been prescribed will always be in the care of a staff member who meets the requirements to safely perform medication administration.
Evidence:
1 ? None of the four staff present, providing direct care to children, during the inspection, have medication administration training.
2 ? Staff #1 and Staff #2 stated that no one at the center on this day had completed medication administration training.
a. Documentation in the record of Child #1 stated that the child required prescribed emergency medication for a food allergy.
b. Child # 1 was in care during the inspection.
c. Staff #1 and #2 stated that Child #2, who was not in care today, carried an Epi-Pen in her backpack for a food allergy.

Based on observation and interview the center failed to ensure that a current written list of all children's allergies, sensitivities, and dietary restrictions is maintained as required.
Evidence:
The list of children with allergies, sensitivities, and dietary restrictions does not contain a date.

Based on observation and interview the center failed to ensure that nonmedical emergency supplies are available.
Evidence:
1 ? There was not a battery-operated radio available for review.
2 ? Staff #1 confirmed that there was no battery-operated radio available.
3 ? Staff #1 and #2 stated that they have never had a battery-operated radio.

Based on observation and interview the center failed to ensure that a written care plan for each child with a diagnosed food allergy, including instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was kept at the center.
Evidence:
1 - There is no written care plan, at the center, indicating steps to be taken in the event of suspected or confirmed allergic reaction for Child #1 or Child #2.
a. Child #1?s and Child #2?s names appear on the list that documents children in care who have food allergies and sensitivities.
b. The parent of Child #1 confirmed that he has food allergies.
c. Staff #1 and #2 stated that Child #2 carries an Epi Pen in her backpack for food allergies.

Based on observation and interview the center failed to ensure that all required staff information is available at the center.
Evidence: There was no emergency contact onsite for staff #3 who was present and providing care to children during the inspection.