Inspection · 2022-11-10

Based on a review of staff records and interview on November 10, 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 #2, hired 11/8/22, did not contain documentation of fingerprints. Staff #2 was observed working with children. Staff #5 confirmed the fingerprint results were not complete and the center allowed staff #2 to start work regardless of not having the results.
2. The record of staff #4, hired 10/31/22, did not contain documentation of fingerprints. Staff #4 was observed working with children. Staff #5 confirmed the fingerprint results were not complete and the center allowed staff #4 to start work regardless of not having the results.

Based on a review of staff records and interview on November 10, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: The record of staff #3, hired 6/21/21, contained documentation of a central registry finding dated 8/5/21. Staff #5 stated there was no documentation of follow-up with OBI.

Based on a review of staff records and interview on November 10, 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: 1. The record of staff #2, hired 11/8/22, did not contain documentation of a tuberculosis screening. Staff #2 was observed working with children on November 10, 2022. Staff #5 stated staff #2 had an appointment today and acknowledged it was not complete.
2. The record of staff #4, hired 10/31/22, contained documentation of a tuberculosis screening dated 11/7/22. Staff #5 confirmed that staff #2 began working with children on 10/31/22.

Based on a review of staff records and interview on November 10, 2022, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff.
Evidence: The record of staff #3, hired 6/21/21, contained documentation of 8 hours of training from 6/21/21-6/20/22.

Based on observation and interview on November 10, 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. In the toddler classroom there was an unlocked cabinet under the sink containing PineSol. The label on the PineSol stated "keep out of reach of children" and "caution." Children were observed to open the unlocked cabinet.
2. In a bathroom used by children there was Febreeze in an unlocked cabinet. The label on the Febreeze stated "keep out of reach of children" and "caution."
3. In the pre-school room there was paint in an unlocked cabinet under the sink. The label on the paint stated "keep out of reach of children" and "warning."
4. Staff #5 acknowledged the substances were unlocked.

Based on observation, review of policy and interview on November 10, 2022 , the licensee failed to ensure that the center complied with the center's own discipline policies and procedures regarding acceptable and unacceptable measures.
Evidence: 1. A review of the center's policy on unacceptable discipline states unacceptable discipline includes separation from the group.
2. On November 10, 2022, child #1 (age 2) was observed sitting alone behind a half wall, which separated this child from the other children, who were sitting on the other side of the wall listening to story time.
3. In an interview with staff #6 in the classroom it was stated that child #1 was in time-out.
4. Staff #5 acknowledged that the child was separated from the group and shouldn't have been.

Based on observation and interview on November 10, 2022, the center failed to ensure when time out is used as a behavior guidance technique it shall be used sparingly and shall not exceed one minute for each year of the child's age.
Evidence: 1. On November 10, 2022, child #1 (age 2), was observed sitting in time-out for six minutes from 12:18pm-12:24pm. Child #1 was already in time-out when the inspector came into the classroom.
2. Staff #6 in the two-year old classroom confirmed child #1 was in time-out.
3. When asked what the center's time-out policy was, staff #5 stated one minute for each year of the child's age.
4. Staff #5 confirmed that six minutes was unacceptable for child #1 to be in time-out and that she would speak with the staff in the classroom.

Based on observation and interview on November 10, 2022, the center did not ensure that staff's hands shall be washed with soap and running water after a diaper change.
Evidence: Staff #3, in the toddler room, was observed changing two children's diapers. Staff #3 did not wash her hands after each diaper change. Staff #3 confirmed she did not wash her hands.

Based on observation on November 10, 2022, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use.
Evidence: 1. In the toddler room, staff #3 was observed changing diapers. Staff #3 changed a child and immediately changed another child on the diapering surface without cleaning and sanitizing in between children.

Based on a review of staff records and interview on November 10, 2022, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position.
Evidence: 1. The record of staff #3, hired 6/21/21, does not contain documentation of program leader qualifications. 2. Staff #3 was working in the capacity of program leader during the inspection. 3. Staff #5 confirmed the documentation of program leader qualifications was not present in the record.