Inspection · 2023-05-16

Based upon review of caregiver records and provider interview, the provider has not ensured that an original criminal record check (fingerprinting) is obtained for each caregiver prior to employ and every five years thereafter.
Evidence:
1. The record provided for caregiver 3, employed since December 2022, did not include the results of a criminal record (fingerprinting) report.
2. The most recent criminal record report on file for caregiver 2 is dated 3/12/2018.
3. The provider acknowledged that the results of a criminal record check were not in the record for caregiver 3.
4. The provider acknowledged that results of a criminal record check for caregiver 2 had not been obtained within the past five years.

Based upon review of caregiver records and provideri nterview, the provider has not ensured that the results of a child protective services (CPS) central registry search are obtained at least every five years for caregivers.
Evidence:
1. The most recent CPS central registry search for caregiver 2 is dated 2/20/2018.
2. The provider acknowledged that results of a central registry search had not been obtained within the past five years for caregiver 2.

Based upon review of children's records and provider interview, the provider has not ensured that documentation of a physical examination y or under the direction of a physician is obtained prior to the child's attendance or within 30 days after the first day of attendance.
Evidence:
1. The provider stated that child 1 began attending in October 2022. results of a physical examination were not in the child's record.
2. The provider verified that results of a physical examination were not obtained for child 1.

Based upon review of records and provider interview, the provider has not ensured that each caregiver has obtained a current tuberculosis screening prior to coming into contact with children.
Evidence:
1. The record provided for caregiver 3, employed since December 2022, did not include results of a tuberculosis screening.
2. The provider acknowledged that results of a tuberculosis screening were not available for review.

Based upon review of children's records and provider interview, the facility has not ensured that each child's record includes all required information.
Evidence:
1. The records provided for child 1, child 2, and child 3 did not include documentation (parent signature) that the parent received information regarding the provider's liability insurance.
2. The record provided for child 1 did not include the street addresses of the persons to be contacted in an emergency when a parent cannot be reached.
3 The record provided for child 3 did not include the street address of one of the two persons to be contacted in an emergency when a parent cannot be reached.
4. The record provided for child 1 did not include the first date of attendance.
5. The record provided for child 3 did not include the name, address and telephone number for the father.
6. The provider acknowledged that the above listed information was not in the children's records.

Based upon review of children's records and provider interview, the provider has not ensured that parents are provided the policies for medication.
Evidence:
Documentation in the record provided for child 1 indicated that the provider will administer over-the-counter medication. The provider stated that she is not medication administration certified and that no medication is administered to the children in care.