Inspection · 2025-10-09

Repeat Violation
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who has been attending for two weeks, did not have documentation of an immunization record on file.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements of medication administration training (MAT). Child #4 (age 5 years), who requires two emergency medications, and present at the time of inspection, was not in care of someone MAT certified for 32 minutes.

When staff are supervising children, they shall always ensure their care, protection, and guidance.
1. Child #4, who has been attending the center for two months and was present at the inspection, requires the use of an emergency medication. Staff were not aware the child required the emergency medication and could not locate the emergency medication. There was an empty box for the emergency medication.
2. Child #6 was consistently administered prescription medication for three months, without the authorization of a parent.
3. Child #7 was consistently administered prescription medication for seven months, without the authorization of a parent.

Repeat Violation
The operational responsibilities of the licensee shall include ensuring that the center?s activities, services, and facilitates are maintained in compliance with these standards, the center?s own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Page 17 of the handbook contains the center?s medication administration policy, which states all medications should be in the original container with the appropriate, current prescription label attached and emergency medications should remain in the possession of the MAT trained staff person most likely to be with the child throughout their stay at childcare. Child #4 requires two emergency medications. One prescription medication did not have a prescription label, and the other prescription medication could not be located.

Staff shall wash their hands with soap and running water before preparing or serving food and beverages. Staff #1 and staff #2 did not wash their hands before serving snack.

Prescription medication shall be given to a child according to the center?s written medication policies and only with written authorization from the parent.
1. Child #6 was given a prescription medication for three months without written authorization from the parent.
2. Child #7 was given a prescription medication for over seven months without written authorization from the parent.

The medication authorization shall be available to staff during the entire time it is effective. Child #4, who was present at the inspection and has been enrolled for two months, has three medications at the center, with no parent and/or physician authorizations.

The center shall implement a monthly practice evacuation drill. The center did not conduct a fire drill in September 2025.

Staff records shall be kept at the center for each staff person that includes information, about any health problems that interfere with fulfilling the job responsibilities and the name, address, and phone number of a person to be notified in case of an emergency. Staff #3, who was working at the center at the time of inspection and has been working for over two weeks, did not have documentation of an emergency contact person or information about any health problems.