Inspection · 2025-07-17

The center shall obtain a completed Sworn Disclosure Statement (SDS) prior to the employee's first day of employment.
Staff C's SDS was not signed prior to employment. It was overdue by one day.

Providers must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff C, who had been employed for 4 days and working at the center, did not have a completed national criminal background check completed prior to employment. The results on file were overdue by 4 days.
Staff D who had been employed for three months and working at the center, did not have a national background search completed prior to employment. The results on file were overdue by 2 weeks.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The screening shall be submitted at the time of employment and completed within the previous 30 calendar days form the date of employment.
Staff D's record contained a negative TB screening that was 2 weeks overdue.

Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Staff C and D did not have documentation of orientation for the facility within seven days of the date of employment. Orientation documented was for a different facility.
Staff B had no documentation of orientation available.

The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.
Three of four classrooms did not keep the allergy list confidential.

The center's procedures for administering medication shall: include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent.
Child #4's medication authorization listed a different facility as having permission to administer the medication.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.
Two medications were not stored locked in a classroom. Medications were in "ziplock" plastic bags, inside a backpack.

If sunscreen is used, the following requirements shall be met: Written parent authorization noting any known adverse reactions shall be obtained.
Child #1 had no written authorization to apply sunscreen available.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Child #2's record had a documented food allergy. There was no written allergy action plan in the record.