Inspection · 2022-05-09

Based on observation and interviews, the center that serves preschool-age children was not equipped with at least one carbon monoxide detector.

Evidence: 1) The center was not equipped with at least one carbon monoxide detector. 2) During interviews, a member of management confirmed the center did not have a carbon monoxide detector on site at the time of the inspection.

Based on a review of documents and interview, the center did not maintain a record of the dates of the practice drills for one year.

Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021 and 2022. An evacuation drill was not documented for the month of March 2022. 2) During interview, a member of management reported the drill was conducted, but it was not documented as required.

Based on a review of five staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The record for Staff #3, hired on 03/15/22, did not contain the results of a central registry finding. 2) During interviews, a member of management confirmed the results of the central finding for Staff #3 have not been requested to date.

Based on a review of five children?s records and interviews, the center did not obtain documentation that two children had received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: 1) The record for Child #4, enrolled on 09/07/21, did not contain documentation of immunizations. 2) The immunizations in the record for Child #5, enrolled on 09/07/21, were dated 12/20/21. 3) During interviews, a member of management confirmed the immunizations for Child #4 could not be located.

Based on a review of five children?s records and interviews, the center did not ensure two children had a physical examination by or under the direction of a physician within the required time frame.

Evidence: 1) The record for Child #4, enrolled on 09/07/21, did not contain documentation of a physical examination. 2) The physical examination in the record for Child #5, enrolled on 09/07/21, was dated 12/20/21. 3) During the inspection, a member of management reported the physical examination for Child #4 could not be located. Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance.

Based on observations and a review of five staff records, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

Evidence: 1) Staff #3, hired on 03/15/22, was on-site and working in the classroom on 05/09/22, but the record did not contain documentation of a negative TB screening/test.

Based on a review of five staff records and interview, the center did not ensure one staff member resubmitted the results of a follow-up tuberculosis (TB) screening every two years from the date of the first initial screening or testing.

Evidence: 1) The most recent TB screening in the record for Staff #2, hired on 08/25/20, was completed on 10/21/21. The previous TB screening was completed on 10/14/19 and expired on 10/14/21. Staff should resubmit TB test results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.

Based on record review and interview, the center did not obtain an annual health inspection report.

Evidence: 1) During the inspection, a member of management reported the annual health inspection report could not be located. 2) Previous documentation reviewed indicates the most recent health inspection was conducted on 02/17/2021.

Based on observation on 05/09/22, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: 1) During the inspection, the licensing inspector observed 4 areas of the playground fence with broken and/or missing wood and 5 protruding nails. 2) During interviews, staff reported the children play in this playground.

Based on a review of five staff records and interviews, the center did not ensure that one record contained the required information.

Evidence: 1) The record for Staff #2, hired on 08/25/20, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) During interviews, a member of management identified Staff #2 as a program leader, but the record for Staff #2 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.