Inspection · 2023-07-28

Based on review of 7 staff files and interview with staff, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment.

Evidence: The record for Staff #5 and Staff #7 did not contain documentation that a central registry search was completed within 30 days of employment. There were no Central registry results in the file. No documentation of follow up was in the file. The director stated the staff in question had been in their positions for at least a year.

(REPEAT VIOLATION) Based on review of 7 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children. Documentation should be completed within the last 30 calendar days of the date of employment.

Evidence:
1)The file for Staff #2 (date of hire 6/20/23) did not contain documentation of a negative tuberculosis (TB) test or screening at the time of employment and prior to contact with children. The TB screening on record was dated 6/21/23.
2)The file for Staff #3 (date of hire 6/1/23) had documentation that the most recent TB screening was completed on 4/21/22 and not within the last 30 calendar days of the date of employment.

Based on review of 7 staff records and interview with staff, the center did not ensure that staff complete orientation prior to the staff member working alone with children and no later than 7 days from the date of assuming job responsibilities.

The files for Staff #2 (date of hire 6/20/23) and Staff #4 (date of hire 2/27/23) did not contain documentation of orientation as required.

Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence:
1)In the Toddler classroom, there was a cord connected to a boombox that was hanging and looped in a way that a child could trip, become entangled or pull the boombox down on top of them.
2)In the Toddler classroom there were 6 chairs stacked on top of each other that were unsteady and children could pull down on top of them.
3)In the Toddler classroom there were 3 bags of toys stored in plastic trash bags on the floor and on top of a shelf that could cause a risk of suffocation.

(REPEAT VIOLATION) Based on observation, the center did not 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 a gallon of bleach stored on the top of a shelf.
2)In the hall bathroom that was unlocked, there was a container of disinfectant stored on a shelf.
3)In the Toddler classroom, there was a bottle of disinfectant hanging next to the changing table in the bathroom.

(REPEAT VIOLATION) Based on review of 7 staff records and interviews, the center failed to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present.

Evidence: The records for Staff #1 and Staff #2 who were working in the Infant classroom together, did not contain documentation that either staff member had met the qualifications of program leader or program director. The Director stated that neither staff member in the Infant classroom was qualified as a program leader or program director.

Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present.

Evidence:
1)The list of child allergies, sensitivities and dietary restrictions in the Toddler room was not current since Child #3 (Start date 7/17/23) was not on the list. The child record contained evidence that the parent had recorded a sensitivity to 2 foods.
2)While in the gym, the Toddler group, did not have a list of children?s allergies, sensitivities, and dietary restrictions accessible to them.
3)The list of allergies, sensitivities and dietary restrictions located in the Infant room, Toddler room, Preschool room and Junior Kindergarten room did not have a date on them as required.

(REPEAT VIOLATION) Based on observation, the center did not ensure that the diapering surface should only be used for diapering or cleaning children.

Evidence: In the Toddler classroom on the diapering surface was stored 4 bags of toys and children?s cot sheets.

(REPEAT VIOLATION) Based on review of 2 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

Evidence: The medication for Child #4 did not contain authorization from the child?s parent or physician.

Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age.

Evidence: On the cubby shelves in the Preschool classroom, there were 7 sunscreens stored that were accessible to children.

Based on observation, the center did not ensure that diaper cream was kept inaccessible to children.

Evidence: On the cubby shelves in the Preschool classroom, there were 2 diaper creams stored that were accessible to children.

Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification.

Evidence:
1)Staff #1 did not have a valid CPR and 1st Aid certification because the training certificate provided did not contain a date the certification was given.
2)Staff #2 and Staff #3 did not have a valid CPR and 1st Aid certification because the training program did not contain an in-person demonstration.

Based on observation, the center did not ensure that children ages 3 years old and under were not offered food that is considered to be a potential choking hazard.

Evidence:
In the Preschool classroom, there were 3 children aged years old who were offered whole grapes for lunch.

Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner.

Evidence: In the Preschool classroom, a child had brought a probiotic drink from home that was stored in their cubby and was not dated.

(REPEAT VIOLATION) Based on review of five staff records, the center did not obtain all of the required documentation for staff records.

Evidence: The center did not have documentation for Staff #1, Staff #2, Staff #3, or Staff #4 that two or more references as to character and reputation as well as competency were checked before employment.

(REPEAT VIOLATION) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.


Evidence: The Toddler group had 5 children present, but did not have a written record of children in attendance while they were in the gym.