Inspection · 2022-04-26

Based on a review of records and interview on April 26, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: The record of staff #2 (hired 10/3/19) contained documentation of fingerprints dated 10/16/19. Administration acknowledged the fingerprints were late.

Based on a review of staff records and interview on April 26, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: 1. The record of staff #1 (hired 6/7/21) contained documentation of central registry results dated 9/7/21. 2. The record of staff #2 (hired 10/3/19) contained documentation of central registry results dated 11/12/19. 3. Administration acknowledged the central registry checks were late.

Based on a review of records and interview on April 26, 2022, the center did not ensure to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance.
Evidence: The record of child #2 (enrolled 3/1/22) did not contain documentation of a physical. Administration acknowledged the physical was missing.

Based on a review of records and interview on April 26, 2022, the center did not ensure that immunizations received shall be signed by a physician, his designee, or an official of the local health department.
Evidence: The record of child #2 (enrolled 3/1/22) contained immunizations that were not signed by a physician, designee, or an official of a local health department. Administration acknowledged the immunizations weren't signed.

Based on a review of staff records and interview on April 26, 2022, the center did not ensure each staff member completed tuberculosis screening within the last 30 calendar days prior to beginning employment.
Evidence: The record of staff #4 (hired 12/14/21) contained documentation of a tuberculosis screening dated 10/18/21. Administration acknowledged the screening was more than 30 days old.

Based on observation and interview on April 26, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.
Evidence: 1. In the infant room there was an unlocked cabinet containing Lysol, Purell, and Hillyard Peroxide cleaner. The labels stated "keep out of reach of children" and "caution." 2. In the 3 year old classroom there was an unlocked cabinet containing multiple cleaners with labels that stated "keep out of the reach of children" and "caution." 3. In the toddler classroom there was an unlocked cabinet containing disinfectant spray and All Purpose cleaner with labels that stated "keep out of reach of children, "warning," and "caution." 4. In the 4 year old classroom bathroom there was an unlocked cabinet containing bleach and Purell with labels that stated "keep out of reach of children" and "caution." There were 2 unlocked cabinets in the classroom containing Purell and peroxide. The labels stated "keep out of reach of children" and "caution." 5. The janitor closet in the hallway outside the 2 year old room was unlocked and door was propped open. The closet contained multiple cleaners and chemicals. 6. The 2 year old classroom bathroom cabinet contained sanitizer and cleaners and a cabinet in the classroom contained room mist and glass cleaner. The labels stated "keep out of reach of children" and "caution." 7. Administration acknowledged each classroom had unlocked cabinets with hazardous substances.

Based on observation and interview on April 26, 2022, the center did not ensure that staff's hands are washed with soap and running water before and after a diaper change.
Evidence: 1. In the infant room, Staff #4 was observed to change a child's diaper without washing her hands before the diaper change. Staff #4 then immediately changed another child's diaper and did not wash her hands before the diaper change. Staff #4 acknowledged she did not wash her hands before the diaper change.

Based on observation and interview on April 26, 2022, the center did not ensure the diapering surface shall be cleaned and sanitized after each use.
Evidence: 1. In the infant room, staff #4 was observed to change a child on the diaper table. The staff didn't clean and sanitize the diaper table after the diaper change and immediately changed another child. Staff #4 acknowledged she didn't clean and sanitize the diaper table after each diaper change.