Inspection · 2024-09-03

The license shall be posted in a conspicuous place on the licensed premises.

The center did not have the current license posted during the inspection on 9/3/2024 and
9/6/2024.

**Repeat Violation**
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #4 was due over a month ago. The most recent central registry check for staff #5 was due over a month ago.

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

Staff #3 had documentation of a national criminal background check completed 5 days after their first day of employment.

Documentation of additional immunizations is required once every six months for children under the age of two years.

The immunization record for Child #1 was dated over 7 months ago.

Physical examination and immunization records shall be signed and dated by a physician, his designee, or an official of the local health department.

The physical examination and immunization records for child #1 were not signed.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

The screening for Staff #2 was completed 6 days after hire.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

Staff #4 obtained 3 of the 16 required hours in 2023-2024. Staff #5 obtained 10.5 of the 16 required hours in 2023-2024.

**Repeat Violation**
The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children.

Staff #3, who did not meet lead teacher qualifications, was in a classroom with Staff #1 (assistant) supervising infants and toddlers for the duration of the inspection on 9/3/2024. Staff #4, who did not meet lead teacher qualifications, was alone with a group of preschool children for the duration of the inspection on 9/3/2024.

**Repeat Violation**
The required ratio for children ages birth up to 16 months is one staff per four children.

Staff #2 and staff #5 were observed supervising 13 children (youngest child under 12 months).

The required ratio for children ages 16 months up to 24 months is one staff per five children.

Staff #4 and staff #8 were observed supervising 12 children (youngest child age 23 months).

The required ratio for children ages 2 years is one staff per eight children.

Staff #6 was observed supervising 11 children (youngest child age 2) when staff #4 left the room for approximately 2 minutes.

**Complaint Related**
The following staff records shall be kept for each staff person: 1) Documentation that two or more references as to character and reputation as well as competency were checked before employment; 2) Information about any health problems that may interfere with fulfilling the job responsibilities; and 3) Name, address, and telephone number of a person to be notified in an emergency.

Staff #2, who has been actively working at the center for the past 2 weeks, had incomplete reference verifications in their record.

Staff #1, who has been actively working at the center for over 18 months, reported having a health condition that could interfere with fulfilling their job responsibilities; however, this information was not documented in the staff record.

Staff #3, who has been actively working at the center for 5 months, did not have the name, address or phone number of a person to be notified in an emergency documented in their record.