Inspection · 2024-04-23

Based upon review of staff records, the facility has not ensured that an employee must not be employed until the facility has the person's completed sworn statement or affirmation.
Evidence:
Staff 1 was hired on 2/9/2024. A sworn statement or affirmation was not completed and signed until 2/20/2024.

Based upon review of staff records, the facility has not ensured that results of a tuberculosis (TB) screening are obtained within 30 days prior to hire.
Evidence:
1. Staff 2 was hired on 3/29/2024. The TB screening was obtained on 1/16/2024.
2. Staff 4 was hired on 4/8/2024. The TB screening was obtained on 12/28/2023.
3. Staff 5 was hired on 4/10/2024. The TB screening was obtained on 1/15/2024.

Based upon review of staff records, the facility has not ensured that staff complete orientation training prior to working alone with the children and no later than seven days of the date of assuming job responsibilities.
Evidence:
Staff 4 was employed on 4/8/2024. There was no documentation that staff 4, on duty with the children during the inspection, has obtained orientation training.

Based upon review of records, the facility has not ensured that documentation of orientation training includes all required information.
Evidence:
The documentation of orientation training in the records of staff 2, 3, 5, 6, 7, 8, 9, 10 and 11 did not include documentation of all required topics and the training delivery method.

Based upon observation, the facility has not ensured that areas and equipment inside and outside of the center are maintained in a clean, safe and operable condition.
Evidence:
1. There were two high chairs made to be low to the ground in the Seahorse classroom that do not have working safety straps/belts.
2. There lattice panel around the AC and utility units n the Seahorse playground has pulled away allowing access by the children into the utility area.
3. A tree branch has broken away from the tree trunk of a tree on the Seahorse playground. The children can reach the sharp broken pieces of wood on the stump.
4. The lattice panel and support beams used to screen the AC/utility units on the Starfish playground has broken, allowing access into the utility area. There is a large plastic tub with four inches of standing and other litter in this area.

Based upon observation, the facility has not ensured that materials and equipment are age and stage appropriate for the children.
Evidence:
There was a diecast metal car being played with by a child in the two year old Minnows classroom. These cars are not made for children this yard and parts of the car pose a potential choking hazard.

Based upon observation, the facility has not ensure that personal articles are individually assigned.
Evidence:
1. There were 2 pink pacifiers in the Minnows classrooms that were not labeled for individual use.
2. There was a pacifier in use by a child in the Seahorse classroom that was not labeled for individual use.
3. There were 4 pacifiers on a shelf in the Starfish classroom that were not labeled for individual use.

Based upon review of written injury records, the facility has not ensured that the written record of children's injuries includes all required information.
Evidence:
1. Injury records dated 3/20/24 for child 6 and child 7 do not include the time the parent was notified of the injuries.
2. Injury records dated 3/20/2024 for child 8 and child 9 do not include the dates and times the parents were notified of the injuries. The parents of both children signed the injury records the day after the children's injuries.
3. An injury record for child 10 dated 4/5/2024 does not include the time the parent was notified of the child's injury.

Based upon review of children's records, the facility has not ensured that the record for each enrolled child includes all required information.
Evidence:
1. The record provided for child 3 did not include the physician's telephone number and the complete street address for one of the emergency contact persons.
2. The record provided for child 4 did not include the first date of attendance or the complete street addresses for the two emergency contact persons.

Based upon review of staff records, the facility has not ensured that the record for each staff person includes all required information.
Evidence:
1. The record provided for staff 2 did not include documentation that any references were obtained prior to hire. The record also did not include documentation that staff 2 is program leader qualified.
2. The record provided for staff 4 did not include the hire date and position title. In addition there was no documentation that any references were obtained. The record also did not include documentation that orientation training was conducted.
3. The record provided for staff 5 did noy include the hire date. There was no documentation that any references were obtained. There was an incomplete address for the emergency contact person.
4. The record provided for staff 6 did not include documentation that any references were obtained.
5. The record provided for staff 7 did not include documentation of program leader qualifications nor documentation that any references were obtained.
6. The record provided for staff 8 did not include the hire date nor documentation that any references were obtained,
7. The record provided for staff 10 had documentation that only one reference was checked.
8. The record provided for staff 11 did not include the name of the person who obtained the reference checks.