Inspection · 2022-04-14

Based on record review, the center did not obtain the results of an out of state criminal history record information check or an out of state sex offender registry check prior to the first day of employment and did not request a search of the child abuse and neglect registry within 30 days of employment from any state in with staff have resided in the previous five years.

Evidence: Staff #2 (Date of Hire: 2/14/22) documented on a Sworn Disclosure Statement signed 1/29/22 that the staff has resided in Connecticut within the last 5 years and did not have a Connecticut criminal history record information check, a Connecticut sex offender registry check, or a Connecticut child abuse and neglect registry search on file. Staff #4 (Date of Hire: 10/13/21) documented on a Sworn Disclosure Statement signed 9/7/21 that the staff has lived in Maryland within the last 5 years and did not have a Maryland sex offender registry check on file. Staff #6 (Date of Hire: 8/26/21) documented on a Sworn Disclosure Statement signed 8/20/21 that the staff has lived in Oklahoma within the last 5 years and did not have an Oklahoma child abuse and neglect registry search on file.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: Child #4 (Start Date: 1/19/22) did not have immunizations on file.

Based on record review, the center did not obtain documentation of a negative tuberculosis screening or test at the time of employment for all staff and prior to coming into contact with children.

Evidence: Staff #7 (Date of Hire: 8/26/21) did not have the results of a tuberculosis screening or test on file.

Based on observation, the center did not ensure that children's hands were washed with soap and running water before eating meals.

Evidence: In the Toddler A classroom, children did not wash hands before being seated and served lunch.

Based on observation, the center did not ensure that all diapering areas have a nonabsorbent surface.

Evidence: In the Infant B room, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.

Based on observation and staff interview, the center did not obtain parental authorizations for all medications on site.

Evidence: Child #10, Child #12, Child #13, and Child #14 had emergency medications on site and did not have parental authorizations on file.

Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Evidence: Child #11 had an emergency medication on site and the physician authorization for the medication expired on 10/7/21.

Based on record review, the center did not ensure that children's records contained all required information.

Evidence: Child #6's (Start Date: 9/20/21) record was missing 1 of 2 required emergency contacts. Child #7's (Start Date: 9/14/21) record did not contain documentation of viewing proof of the child's identity and age. Child #10, Child #12, and Child #13 have a diagnosed food allergy, had emergency medications on site and did not have a written care plan for each child, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Based on record review, the center did not maintain documentation that two or more references as to character and reputation as well as competency were checked before employment.

Evidence: Staff #1 (Date of Hire: 4/5/22), Staff #2 (Date of Hire: 2/14/22), Staff #3 (Date of Hire: 12/15/21) and Staff #4 (Date of Hire: 10/13/21) did not have reference checks on file.