Inspection · 2023-08-28

Based on a review staff records and interview, the center did not ensure staff completed required background check every five years.

Evidence:
1. The record of Staff #1 (employed 08/05/91) contained documentation of a fingerprint-based national criminal background check dated 06/06/23. The repeat background check should have been obtained prior to 02/21/18. The record for Staff #1 did not contain an updated Central Registry finding.
2. The record for staff #11 (employed 08/02/99) did not contain documentation of an updated fingerprint-based national criminal background check or an updated Central Registry finding.
3. During interview, a member of management acknowledged the fingerprints and central registry were not completed every five years as required.

REPEAT VIOLATION
Based on record review and interview, the center did not have documentation of central registry findings for two staff members.

Evidence:
1. The record for staff #6 (employed 07/10/23) and staff #9 (employed 07/13/23) did not contain documentation of Central Registry findings.
2. During interview, a member of management acknowledged that the Central Registry findings had not been received and management had not followed up after 30 days.

Based on a review of children's records, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years.

Evidence:
The record for child #9 (birth date 5/17/21) had one immunization record dated 02/25/22 at the time of enrollment on 03/01/22.

REPEAT VIOLATION
Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
In room #1, an area on the wall had drywall showing and 17 out of 32 rest mats were torn in various places. In room #2, one of the two bathrooms had a broken soap dispenser and 11 out of 19 rest mats were torn in various places. In room #3, an outlet was being used without a cover plate exposing the electrical receptacle and 7 out of 22 rest mats were torn in various places.

Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. In the pool pump area, next to the playground, there was Oxidizer labeled ?Danger? and ?Keep Out of Reach of Children?, Algaecide labeled ?Caution? and ?Keep Out of Reach of Children?, amd Algae Complete labeled ?Hazards to Humans and Domestic Animals?, ?Danger?, and ?Keep Out of Reach of Children?. The pool pump was not locked to prevent access by children.
2. In room #2, one container of bleach sanitizing solution labeled ?Keep Out of Reach of Children? and ?Danger? and one container of Sanibet disinfectant labeled ?Danger? and ?Keep Out of Reach of Children? was unlocked in the children?s bathroom.
3. In room #3, one container of bleach sanitizing solution labeled ?Keep Out of Reach of Children? and ?Danger? was sitting on top of the children?s cubbies.
4. In room #5, one container of bleach sanitizing solution labeled ?Keep Out of Reach of Children? and ?danger? was on the diaper changing table. The diaper changing table was not in use.

Based on observation, the facility did not ensure that restrooms were equipped with soap and paper towels or an air dryer.

Evidence:
1. In room #2, one of the two bathrooms did not have soap. Children were observed using both bathrooms.
2. In room #3, the bathroom room did not have soap or paper towels/air dryer. The classroom sink did not have soap or paper towels/air dryer.

Based on observation and measurements, the center did not ensure that resilient surfacing shall comply with minimum safety standards when tested.

Evidence:
Six out of six mulch depth samples taken around the fall zones of the playground all measured less than the required six inches.

Based on observation and interview, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present.

Evidence:
In room #1, the allergy list was not dated and included child a (last day of attendance 06/30/23), child b (last day of attendance 08/19/23), child c (last day of attendance 06/07/23), and child d (last day of attendance 08/19/23).

Based on review of two medications and interviews, the center did not ensure that long term medication authorizations had written authorization from the child?s physician.

Evidence:
A non-prescription and prescription long-term allergy medication was observed for child #11. There was not written authorization from the child?s physician.

Based on observation, the first aid kit did contain the minimum required supplies.

Evidence:
1. On bus #1, bus #2, and bus #3, the first aid kit did not include a thermometer, tweezers, or a first aid manual.
2. On bus #4, the first aid kit did not include scissors, tweezers, gauze pads, adhesive tape, band-aids, antiseptic cleansing solution, thermometer, single use gloves, or first aid manual.

Based on a review of children's records, the center did not ensure that each record contains all required information.

Evidence:
The records for child #5 (enrolled 03/15/22) did not contain documentation of viewing proof of the child's identity and age.