Inspection · 2022-04-21

Based on provider statement, nighttime care supplies are not present.
Evidence:
Child #1 does not have a comb or toothbrush at the Family Day Home.

Based on observation, the upstairs bathroom has poisonous materials accessible to children.
Evidence:
Child #1 sleeps upstairs and has access to the bathroom where personal items and cleaners were not locked or put out of reach of children.

Based on observation, sharp objects were accessible to children.
Evidence:
A kitchen knife and scissors were in an unlocked drawer in the basement sink area.

Based on observation, protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age.
Evidence:
Outlets in the large play room (13) as well as in the upstairs bedroom (12) were not covered.

Based on observation, the main level bathroom did not contain all required supplies.
Evidence:
The hall bathroom was missing paper towels.

Based on observation, a sufficient supply of age appropriate materials and toys were not available for school-age children in care.
Evidence:
The provider only had several games available. No books, art materials and additional games were accessible to children.

Based on observation and provider statement, written attendance is not maintained daily.
Evidence:
No written attendance was available to verify which children have been attending the previous week.

Based on observation and provider statement, a child is sleeping in a prohibited crib.
Evidence:
Observed child #6 was sleeping in a mesh sided crib upon the Licensing Inspector's arrival.

Based on observation, a caregiver was not aware that a young child was eating food that posed a choking hazard.
Evidence:
Child #6 was observed eating a hard lollipop as well as gagging on an orange peel.

Based on record review and observation, 2 of 13 enrolled children did not have a written record with required information.
Evidence:
Child #1(date of attendance February 24, 2022) and Child #2 (date of attendance unknown by the provider) records could not be found during the Licensing visit. Missing information includes a record of enrollment (parent/guardian information, doctor information, emergency contact information, proof of identity and emergency authorization), physical and immunization records as well Information for Parents regarding the home's policies and procedures.

Based on record review, seven of nine children's records were incomplete.
Evidence:
Child #3 was missing an emergency contact.
Child #6 who is under two years of age was missing an updated immunization record (last updated 3/17/2021).
Child #7-Child #11 were missing a record of enrollment which includes parent/guardian information, doctor information, emergency contact information, proof of identity and emergency authorization.

Based on observation, the children's hands were not washed prior to eating PM snack.
Observed Child #4 and #6 eating fruit and neither washed their hands before eating snack.

Based on record review, 8 signed Information For Parents forms were not completed and signed by the parent/guardian by the first day of attendance.
Child #3,4,5,7,8,9,10 and 11 were missing all or parts of a completed Information for Parents form (including the provision of emergency relocation, medication policy or the liability declaration)

Based on observation, a child was seen eating a food that could be a potential choking hazard.
Evidence:
Child #6 was observed eating a hard piece of candy that he picked up off the floor.