Inspection · 2022-07-19

Based on record review and interview, the center did not ensure that one out of four staff obtained fingerprint results prior to hire.

1. The record of staff #4 (hire date unknown) did not have documentation of fingerprint-based background check results.
2. A member of management stated that she was unable to locate a record for staff #4.

Based on record review and interview, the center did not ensure one staff member?s record contained documentation of out-of-state child abuse and neglect search.

Evidence:
1. The record for staff #3 did not have documentation of the out-of-state child abuse and neglect background check from Maryland.
2. The administrator stated that she did not have the out-of-state check for staff #3.

Based on record review and interview, the center did not ensure two board member records had documentation of a completed sworn statement or affirmation every five years from the date of the most recent sworn statement or affirmation.

Evidence:
1. The records for board member #2 and board member #3 did not have documentation of an updated sworn statement or affirmation in the record.
2 A member of management stated that the sworn statement or affirmation could not be located for board member #2 and board member #3 had a sworn statement or affirmation dated 5/20/16 that had not been updated.

Based on record review and interview, the center did not ensure one staff record had documentation of a completed sworn statement or affirmation prior to the first day of employment.

Evidence:
1. The record of staff #4 (hire date unknown) did not have documentation of a completed Sworn Statement.
2. A member of management stated that she was unable to locate a record for staff #4.

Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

Evidence:
The record for staff #3 (date of initial TB screening 6/07/20) did not contain updated TB screening results as of 07/19/22.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
1. On the playground, a wooden climbing structure was observed leaning. The second platform is approximately two feet high and slopes toward the ground on one side. The third platform supporting the slide was approximately three feet high and sloping down toward one of the sides that supports the sliding board and the fourth platform which is four feet high was sloping toward the third platform.
2. One student was observed on the first platform of the climbing structure.

Based on documentation review and interview, the center did not develop written procedures that contain all the required information.

Evidence:
1. The center?s written procedures have not been updated to reflect the requirements for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
2. The administrator stated that the procedures had not been updated as of 7/19/22.

Based on observation, children's food items were not clearly dated and labeled in a way that identifies the owner.

Evidence:
In classroom #1, seven children's lunch boxes were not labeled and/or dated.

Based on a review of staff records and interview, the center did not ensure that each staff record contains all required information.

Evidence:
1. Staff #4 did not have a record.
2. The administrator was unable to locate the staff file and reported that she was unaware if the staff member had a staff file.