Inspection · 2024-05-13

Based on record review, the facility failed to obtain an updated Sworn Statement for all staff every 5 years, as required. Evidence: the record for staff #6 had a sworn statement dated: 9/11/2017.

Based on record review, the facility failed to obtain a sworn statement for all staff prior to hire, as required. Evidence: the record for staff #5 (date of hire: 9/18/2023) did not contain documentation of a sworn statement.

Based on record review, the center did not obtain documentation that each child has received immunizations required by the State Board of Health prior to the first day of attendance. Evidence: the record for child #3 (start date: 3/20/2023) did not contain documentation of immunizations.

Based on record review, the center did not obtain documentation of a physical examination prior to, or within 30 days of the child's first day of attendance. Evidence: the record for child #3 (start date: 3/20/2023) did not contain documentation of a physical examination.

Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the most recent documented health department inspection on file was dated: 12/2/2021.

Based on observation and interview, the facility failed to ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence:
1. In the Fascination B classroom, three infants were observed sleeping in cribs. One infant was observed asleep with a pacifier attached to a ribbon; another infant was observed asleep with a pacifier attached to a ribbon with beads and a stuffed animal next to their chin; and a third infant was observed asleep with a pacifier on a ribbon and a stuffed animal resting against their face.
2. According to The American Academy of Pediatrics website "infants need to sleep on their backs without soft bedding. Keep soft objects, such as pillow-like toys and loose bedding, such as blankets away from the infant's sleep area to reduce the risk of SIDS and suffocation."
3. Staff confirmed the babies should not have had stuffed animals or choking hazards in the crib while sleeping.

Based on observation, not all handwashing procedures were followed, as required. Evidence: In the Discovery B classroom, children's hands were not washed with soap and water after diaper changes, or before sitting at the table for lunch, and staff did not wash their hands before and after changing children's diapers, or before serving food.

Based on observation, not all diapers were disposed of in a leakproof storage system that is used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: In the Discovery B classroom, when disposing of a diaper, staff used their hand to lift the trash can lid, causing their hand, and the diaper, to touch the exterior surface during disposal.

Based on review of documentation, it was determined that emergency evacuation procedures were not practiced monthly, as required. Evidence: there was no evacuation drill documented for April, 2024.

Based on review of documentation, it was determined that shelter-in-place procedures were not practiced a minimum of twice per year, as required. Evidence: the most recent documented shelter-in-place drills were conducted on: 3/10/2020 and 10/3/2023.

Based on record review, not all records contained all required information. Evidence: The record for staff #1 (date of hire: 11/7/2022) did not have documentation that two or more references were checked before employment.