Inspection · 2022-06-21

Based on a review of records and interview, the center did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding.

Evidence:
The record for staff #3 had an updated central registry dated 4/06/2021. The central registry should have been updated prior to expiration of the last central registry finding dated, 02/05/16.

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 preschool and school - age playground, four poles had protruding rusted bolts. Two boards of the fence surrounding the playground had holes, one hole was protruding out with sharp edges.
2. On the toddler playground, the tunnel legs had peeling paint and rust. There were two wasp nest in the top of the playhouse.

Based on a review of staff records and interview, the provider did not ensure staff had a Sworn Statement completed prior to the first day of employment.

Evidence:
The records for staff #1 (start date 10/25/21) did not contain the Sworn Statement documentation.

Based on a review of staff records, the center did not ensure that each staff member shall submit communicable tuberculosis (TB) screenings at the time of employment and prior to coming into contact with children.

Evidence:
1. The record for staff #5, did not contain documentation of a TB screening/test.

Based on observation and interview, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan.

Evidence:
1. The center did not have a current list of all children's allergies, sensitivities and dietary restrictions in six of the eight classrooms.
2. Two out of eight classrooms had an allergy plan dated June 2021.
3. A member of management stated that the allergy list had not been updated.

Based on a review of records and interview, the center failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then failed to dispose of medications that were not picked up.

Evidence:
1. A medication authorization, for a prescription Epinephrine pen, was observed on 06/21/2022 for child # 2 with an expiration date of April 15, 2022. A medication authorization, for a prescription Epinephrine pen, was observed on 06/21/2022 for child # 6 with an expiration date of August 24, 2021. The medications were still on site at the time of the inspection.
2. The administrator acknowledged that the authorizations were expired and that the medication had not been properly disposed of.

Based on review of children's records, the facility did not ensure each child's record contained all required information.

Evidence:
The records for child #1 (date of enrollment 5/09/2022), did not have documentation of proof of the child's identity and age.