Inspection · 2024-07-17

Based on a review of records, the provider failed to ensure providers have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.
Evidence: The record of staff #1 did not contain documentation of CPR certification from either the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

Based on a review of records, the provider failed to ensure providers have a current certification in first aid as appropriate to the age of children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.
Evidence: The record of staff #1 did not contain documentation of first aid certification from either the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

Based on a review of annual training records and interview, the provider failed to obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.
Evidence: 1. The record of the provider did not contain documentation of 16 hours of training from February 2023 to February 2024.
2. The record of caregiver #2, hired April 13, 2017, did not contain documentation of 16 hours of training from April 13, 2023 to April 12, 2024.
3. The provider confirmed the training was not completed.

Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.
Evidence: 1. The metal swing set on the outdoor play area contained protruding metal from the chain holding the seat of the swing.
2. There were six "S" hooks on the metal swing set that were not closed tightly. A finger was able to fit in the opening.
3. The wooden playset contained chipped and peeling paint and splintered wood in several areas.
4. The Step 2 play yard was visibly soiled with dirt.
5. There was a tricycle that contained rusted areas on the metal parts.
5. A plastic tricycle was visibly soiled with dirt.

Based on observation and interview, the provider failed to ensure hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of the reach of children under five years of age.
Evidence: 1. Child #2 (age 1yr), was sleeping in a crib in front of a window with sheer curtains and blinds with a cord hanging. The window curtains were pulled into the crib where the child was sleeping. The window blind cord was also within reach of the child in the crib.
2. The provider confirmed the curtains were in the crib and the cord was within reach.

Based on observation, the provider failed to ensure a caregiver shall be physically present on site and always provide direct care and supervision of each child.
Evidence: Upon arrival of the inspection at 11:40am the provider was observed outside. The provider stated she was outside for approximately 3-5 minutes. The children could not be seen from outside the home. There were 4 children inside ranging in ages from 10 months to 7 years old.