Inspection · 2022-09-13

Based on a review of staff records and interview on September 13, 2022, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: 1. The record of staff #1 (hired 8/1/22) contained documentation of fingerprints dated 9/4/19.
2. The record of staff #3 contained documentation of fingerprints dated 7/13/22. Staff #3 completed staff orientation on 6/29/22.
3. The record of staff #6 contained documentation of fingerprints dated 7/20/22. Staff #6 completed staff orientation on 7/8/22.
4. The record of staff #7 (hired 8/1/22) contained documentation of fingerprints dated 8/22/22.
5. Staff #8 confirmed that staff orientation training has been given prior to background checks being completed.

Based on a review of staff records and interview on September 13, 2022, the center failed to obtain results of a check of the out-of-state criminal history record check and out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years.
Evidence: 1. The record of staff #1 (hired 8/1/22) contained documentation of an out-of-state sex offender search dated 8/9/22. There was no documentation of an out-of-state criminal history record check. Staff #1 indicated living out-of-state in the previous five years on the staff's sworn disclosure statement.
2. The record of staff #6, who began work on 7/8/22, contained documentation of an out-of-state sex offender search dated 7/20/22. There was no documentation of an out-of-state central registry search. Staff #6 indicated living out-of-state in the previous five years on the staff's sworn disclosure statement.
3. Staff #8 confirmed the out-of-state checks were late or missing.

Based on a review of staff records on September 13, 2022, the center failed to obtain a sworn statement from each staff prior to employment.
Evidence: 1. The record of staff #1 (hired 8/1/22) contained a sworn statement dated 8/4/22.
2. The record of staff #4 (hired 3/6/22) contained a sworn statement dated 3/15/22.

Based on a review of staff records and interview on September 13, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence: The record of staff #6 (hired 8/1/22) contained documentation of a tuberculosis screening dated 9/5/22. Staff #8 confirmed that school started on 8/22/22 and the staff came in contact with children. Staff #8 confirmed the tuberculosis screening was late.

Based on observation on September 13, 2022, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.
Evidence: 1. The toddler classroom bathroom contained a cabinet with broken locks. The cabinet contained Steramine spray, Clorox spray, Lysol spray, Neutron NI-712 spray, and 5 containers of Lysol wipes. The labels on these materials contained the warnings "keep out of reach of children, "warning" and "caution."
2. The children's house 1 classroom bathroom contained a bottle of Steramine spray on a shelf and Dawn dish soap in an unlocked cabinet under the sink in the classroom. The labels on these materials contained the warnings "keep out of reach of children" and "warning."
3. The children's house 2 classroom contained disinfectant wipes on a shelf. The label on this material contained the warnings "keep out of reach of children" and "caution."
4. The children's house 3 classroom contained Metal Polish on a shelf. The label on this material contained the warnings "keep out of reach of children" and "caution."
5. The Big Room contained a bottle of Steramine spray on a shelf. An unlocked cabinet contained Murphy's Oil Soap, Steramine spray, and hand sanitizing wipes. The labels on these materials contained the warnings "keep out of reach of children" and "warning."

Based on staff interview and a review of children's records on September 13, 2022, the center failed to operate within the terms of the current license issued by the department.
Evidence: 1. The center is currently licensed to serve ages 2 years - 6 years, 11 months old.
2. Staff in the toddler classroom identified the youngest child in the room, child #5, as being 1 years old.
3. The record of child #5 indicated the child was 1 years old at the time of enrollment on 8/22/22.

Based on observation and interview on September 13, 2022, the center failed to ensure that a diaper was disposed of in such a way that the soiled diaper did not touch an exterior surface of the storage system during disposal.
Evidence: Staff #3 was observed assisting child #6 with toileting. After toileting, staff #3 told child #6 to put the child's diaper in the trash. Child #6 was observed picking up the diaper from the floor, and allowing it to touch the outside of the trashcan, prior to placing it in the trash can.

Based on observation, review of records, and staff interviews on September 13, 2022, the center failed to ensure if diaper ointment or cream is used there shall be written parent authorization noting any known adverse reactions; the products shall be labeled with the child's name; and a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions.
Evidence: 1. Desitin was observed in the bathroom cabinet in the toddler classroom. The Desitin was not labeled with a child's name.
2. Staff #3 said that the Desitin was used on child #5 last week but staff #3 couldn't recall the exact day.
3. Staff #3 stated they don't keep record of the use of the Desitin and that the Desitin is used on any child if they appear red or dry.
4. Staff #5 confirmed there was no parent authorization for use of the Desitin for child #5.

Based on a review of staff records and interview on September 13, 2022, the center failed to have one staff member in each classroom with current certification in cardiopulmonary resuscitation (CPR).
Evidence: In the children's house I classroom staff #9 and staff #10 were teaching together. Based on a review of CPR certifications it was determined that staff #9 contained documentation of a CPR certification that expired 10/8/19. Staff #10 does not have documentation of a CPR certification. Staff #8 confirmed there was no staff in the classroom with CPR certification.

Based on a review of staff records and interview on September 13, 2022, the center failed to have one staff member in each classroom with current certification in first aid. same comment and question as above
Evidence: In the children's house I classroom, staff #9 and staff #10 were teaching together. Based on a review of first aid certifications it was determined that staff #9 contained documentation of a first aid certification that expired 10/8/19. Staff #10 does not have documentation of a first aid certification. Staff #8 confirmed there was no staff in the classroom with first aid certification

Based on a review of children's records and interview on September 13, 2022, the center failed to ensure a written agreement between the parent and the center was in each child's record by the first day of the child's attendance.
Evidence: The records of child #1 and child #3 (enrolled 8/22/22) contained written agreements dated 8/26/22. The record of child #2 (enrolled 8/22/22) contained a written agreement dated 8/23/22. Staff #8 confirmed the written agreements were not obtained and placed in the record by the first day of each child's attendance.