Inspection · 2023-06-28

Based on a review of three staff records, the center did not obtain an updated central registry background every five years for one staff.
Evidence:
The record of staff #3 contained documentation of a completed central registry check dated 10/31/2017, exceeding five years. All background checks are required to be renewed every five years.

Based on review of five children?s records, the center did not obtain documentation of
immunizations for one child before the child?s attendance.
Evidence:
The record of child #1, enrolled 06/10/2023, contained documentation of immunizations
dated 06/30/2023 exceeding the first day of attendance.

Based on review of three staff records, the center did not ensure that each staff member
submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment.
Evidence:
1. The record of staff #1, employed 04/27/2023, contained documentation of a negative
tuberculosis screening dated 05/08/2023. The tuberculosis screening exceeded the first day of employment.
2. The record of staff #2, employed as a rehire on 05/02/2023, contained documentation of a negative tuberculosis screening dated 05/28/2022. The tuberculosis screening exceeded 30 days prior to the date of employment.

Based on review of three staff records, the center did not ensure there was always at least
one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.
Evidence:
The record of staff #1, staff #2, and staff #3 did not contain documentation of completing daily health observation training. Staff #, staff #2, and staff # 3 were the only staff on duty during the inspection on June 28, 2023.

Based on review of documentation, the center did not obtain an annual inspection from the health department.
Evidence:
The most recent health inspection was conducted on 05/20/2022 exceeding the annual requirement.

Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. Multiple cleaning materials were observed in the kitchen next to the classroom. The kitchen door was propped open and accessible to children in care.
2. The kitchen door next to the classroom was propped open using cans of paint. The cans of paint stated hazardous and keep out of reach of children.

Based on observation, the center did not post in a visible place at each telephone, 911 or
local dial number for police, fire and emergency medical services and the number of the regional poison control center.
Evidence:
The number of the regional poison control center was not posted in the center.

Based on observation, the center did not ensure a schedule of the trip's events and locations was posted and visible at the center site before leaving on a field trip,

Evidence:
On June 28, 2023 the licensing inspector observed the children 19 children and three staff leaving for a field trip offsite. The staff did not post Information regarding the scheduled field trip?s event and location was not posted and visible at the center site.

Based on review of five children?s records, the center did not obtain the parents signed
acknowledgement of the written agreement between the parent and the center for one child
by the first day of the child?s attendance.
Evidence:
1. The record of child #1, enrolled 05/30/2023, did not contain documentation of the parent?s
signature of the written agreement between the parent and the cent
2. The record of child #3, enrolled 06/10/2023, did not contain documentation of the parent?s
signature of the written agreement between the parent and the center.
3. The record of child #5, enrolled 05/30/2023, did not contain documentation of the parent?s
signature of the written agreement between the parent and the center.