Inspection · 2023-03-01

Based on a review of records, one staff record did not contain documentation of a negative Tuberculosis (TB) screening result at the time of employment and completed within the last 30 calendar days.
Evidence:
The date of the documented TB results available for review is 9/27/2022. (Staff A: Date of Hire (DOH) is 9/26/22.)

Based on a review of documentation, orientation for one staff was not completed prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
The orientation document provided for review is dated 10/11/22. (Staff A DOH: 9/26/22)

Based on a review of orientation documentation provided, all required components were not covered/included.
Evidence:
The documentation available for review was missing the following components:
*Emergency Preparedness and Response plan
*Prevention of Abusive Head trauma
*Prevention and Response to emergencies due to food and other allergic reactions.

Based on a review of documentation of orientation provided, the form used does not include all required components.
Evidence:
The orientation document available for review does not include the training delivery method. (Staff A)

Based on interviews and documentation review, staff supervising children failed to always ensure their care, protection and guidance.
Evidence:
On 2/24/23, at approximately 4:45 pm, Staff A left the gym with 7 children. As the group walked through the halls to the SACC rooms, Child #1 (11years) did not want to walk with the group. Staff A called to the SACC room for assistance via a walkie-talkie. Child #1 left the group, ?running away? down a hallway. Staff A was aware the child had left the group but chose to continue walking to the SACC rooms. As Staff B was exiting the SACC room to assist, Staff A arrived at the SACC rooms with 5 children. Staff stated they did perform a head count at the gym, and once again while they waited for a child in the bathroom; however, Staff A was unaware that Child #2 (8 years) had also left the group. Both children were found in the front lobby of the school near the front doors by Staff B at approximately 4:53pm.

Based on interviews and documentation reviewed, a child under the age of 10 was not kept within actual sight and sound supervision.
Evidence:
1. On 2/24/23 at approximately 4:45 pm while returning to the classroom from the gym with a group of 7 children, Staff A was unaware that Child #2 (8 years) had left the group. When the group arrived at the SACC rooms, there were 5 children in the group.
2. Staff B stated that they located Child #2 in the front lobby of the school, by the main school entrance at approximately 4:53 pm.

Based on interviews and documentation review, one child 10 years of age and older was not kept in actual sight and sound supervision. Staff was not able to immediately intervene with the child and was not aware of where the child was or what they were doing.
Evidence:
1. On 2/24/23 at approximately 4:45 pm while returning to the classroom from the gym with a group of 7 children, Child #1(11 years) left the group and ?ran away? down a hallway. Staff A was aware that the child left the group but was not aware of where the child went or what they were doing. Staff were not able to intervene immediately if needed.
2. Staff A continued to the classroom with the group without Child #1.
3. Staff B stated that they located Child #1 in the front lobby of the school, by the main school entrance at approximately 4:53 pm.