Inspection · 2023-01-09

Based on review of children?s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence:

1. The record for Child #2 (first day of attending center 10/03/2022) contained an immunization record dated 06/04/2022. Child #2 is under two years of age. Updated immunization records were required to be obtained.
2. The record for Child #4 (first day of attending center 05/16/2022) contained an immunization record dated 05/12/2022. Child #4 is under two years of age. Updated immunization records were required to be obtained.
3. A member of management confirmed the information during the inspection.

Based on interview, the center could not provide the licensing inspector an annual fire inspection report.

Evidence:

The director stated she could not locate the current fire inspection report

Based on review of the center?s policies and procedures, the center did not ensure the center?s policies for administering medication were consistent for the parent and staff handbook

Evidence:

1. The director stated that medication was not administer at the center.
2. The parent handbook stated ?No Medication will be given at the daycare by staff. At this time, no medication will be administered by the staff?.
3. The staff handbook states, ?Medication will be administered by the director only?.

Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots, beds and rest mats.

Evidence:

In the two year old classroom, eight children were observed napping on cots. Four of the cots were less than 12 inches away from each other

Based on review of eight staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

Evidence:

1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current CPR. The director stated she did not have documentation of the staff completing CPR certification.
2. The record of staff #4, who was identified as the van driver and alone on the van with school age children, had documentation of CPR certification dated 10/11/2022 however the training did not have an in-person competency demonstration.
3. The record of staff #5, who was observed alone with a group of 4 infants, had documentation of CPR certification dated 03/27/2022 however the training did not have an in-person competency demonstration.
4. The record of staff #6, who was observed alone with a group of 8 two year olds, had documentation of CPR certification dated 09/01/2022 however the training did not have an in-person competency demonstration.
5. The record of staff #7, who was observed alone with a group of 8 preschool children, had documentation of CPR certification dated 01/17/2022 however the training did not have an in-person competency demonstration.
6. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of CPR certification. The director stated she did not have documentation of staff #8 completing CPR certification.

Based on review of eight staff records and interview, the center did not ensure in each grouping of children there was at least one staff with current first aid certification.

Evidence

1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current first aid certification. The director stated she did not have documentation of the staff completing first aid certification.
2. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of first aid certification. The director stated she did not have documentation of staff #8 completing first certification.

Based on review of three injury reports, the center did not maintain a written record of children?s serious and minor injuries that included all required documentation.

Evidence:

Three injury reports reviewed did not have documentation of the time when parents were notified of the injury.

Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely.

Evidence:

Child #2, 17 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.

Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child?s name.

Evidence:

Two prepared bottles were observed in the refrigerator. The two bottles were not labeled with a name or date. Staff #5 identified the two bottles as belonging to child #4.

Based on review of five staff records, the center did not obtain all required documentation for each staff record.

Evidence:

The record of staff #1, staff #5, staff #6, staff #7 and staff #8 (all identified as program leaders) did not contain to demonstrate that the individual possesses the education, certification, and experience required by the job position.