Inspection · 2024-12-16

The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for staff #3, who is currently working, was dated two days after their first day of employment.

Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #3 did not have a completed national criminal background check prior to hire, the criminal background check was overdue by 6 days.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

1. Child #1 had documentation of immunizations which were over 1 year and 2 months past the due date.
2. Child #3, who had been attending the center for over 2 years, 7 months did not have documentation of immunizations.
3. Child #4, had documentation of immunizations which were over 2 months past the due date.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

1. Child #1 had documentation of a physical examination which was over 1 year and 1 month past the due date.
2. Child #4 had documentation of a physical examination which was over 1 month past the due date.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff #4 had a TB screening dated four days after the start of employment.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

1. An outlet on the wall leading to the school age room was coming away from the wall, leaving a gap posing a risk.
2. Chipped, peeling paint , and dry wall was observed in the school age room and the pre-k room.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

1. In the two?s classroom, one bottle of bleach and water was sitting out on the counter.
2. The center?s hallway cabinet was unlocked and contained a container of bleach and water sitting on top of the cabinet and one container of bleach and water and Lysol was inside the cabinet unlocked.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

The allergy list was not current in the toddler room, two?s room, and school-age room were dated 6/20/2024. A student who is no longer enrolled was listed on the allergy list in all rooms.

Cribs, cots, mats and beds used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

In the two?s room, eight children were resting without a bottom cover.

Children's hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water after helping a child use the toilet.

In the toddler room, staff completed a diaper change, and the staff member did not wash their hands. The child did not wash their hands.

Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

A foot operated storage system used for disposing diapers was inoperable in the infant and two?s rooms.

The center is required to maintain a written record of children's serious and minor injuries with all required components documented on the day of occurrence.

Ten injury reports were reviewed. Three reports did not contain the type and circumstance of the injury, five did not contain the date and time parents were notified, and three did not contain documentation of how parent was notified.

When a child is placed in a high chair, the protective belt shall be fastened securely.

In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.