Inspection · 2024-11-22

The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 6/10/2024, were not posted in a conspicuous place on the premises.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for over 2 years, did not have documentation of an immunization record on file.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The physical examination in the record of child #1, was dated more than 11 months after enrollment in the program and was overdue by more than 10 months.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2 had no documentation of the result s of a TB Screening in her record and had been employed for more than 25 years.

Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #2 and staff #3 who have both been employed for over 25 years did not have documentation to demonstrate that they had completed a center specific orientation training appropriate to the age of the children in care on record.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the outdoor play area, a pink metal tricycle and a red and blue metal tricycle are each missing the handlebar end-caps exposing blunt, metal, open ends. A pink plastic tricycle is missing one foot pedal, leaving the metal arm of the pedal exposed. A hand-pedaled platform had a 3 inch crack in the plastic riding surface. A small red plastic slide had a piece of plastic that had broken off at the base leaving a sharp edge.

(Repeat Violation) Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall.
All of the pieces of play equipment within the bordered area on the older children's playground had a ring of fresh mulch piled around the base of the equipment. The mulch had not been spread to cover the required 6 foot fall zones.
There was approximately 5 feet between the arched climber and the red steering wheel platform where a minimum of 6 feet is required.
There was approximately 4 1/2 feet between the arched climber and the blue airplane rocker where each of the two pieces must have a separate 6 foot fall zone (12 feet between the 2 pieces).
The Orange tricycle merry-go-round and the Blue bench merry-go-round were both located over compacted dirt and did not have any resilient surfacing under and around them.

Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. Child #1's record (enrolled more than 2 years), Child #3's record (enrolled over 4 years), child #4's record (over 2 years) and child #4's record (enrolled over 3 years) did not have documentation of the required information having been updated during their enrollment in the program.

Centers must keep a separate record for each child enrolled that contains all of the required information. Child #4's record (enrolled over 2 years) was missing information regarding allergies and intolerance to medication or any other substances, and actions to take in an emergency situation and information regarding previous or concurrent child day care and schools attended by the child.
Child #5's record (enrolled more than 3 years) was missing information regarding allergies and intolerance to medication or any other substances, and actions to take in an emergency situation).

A written care plan is required for each child with a diagnosed food allergy, 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. Child #1, who has been enrolled for over 2 years, Child #2, who has been enrolled for almost 2 years, and Child #3, who has been enrolled for over 4 years, each have a diagnosed food allergy documented in their records but did not have a written care plan in their file.

(Repeat Violation) For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 12:00 pm, on 11/22/2024, there were 9 children, ages 17 months to 2 years old present in the twos room. There were no children marked present on the attendance record for this group of children.