Inspection · 2024-03-25

Based on review of six staff records, the center did not obtain the results of the central registry background report within 30 days of employment for four staff members.

Evidence:
The record of staff #1, employed 02/05/2024, did not contained the results of a central registry background, exceeding 30 days from the date of employment. There was no documentation of a follow-up to the status of the request.

Based on review of six staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment.

Evidence:
1. The record of staff #2, employed 07/21/2023 as a rehire, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment.
2. The record of staff #3, employed 01/09/2024, contained documentation of a negative tuberculosis screening dated 11/19/2023, exceeding 30 days prior to employment.

Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence:
1. The chain link fence around the playground area has a bent post that creates a V shaped opening in the fence and exposes the metal ends of the fence posing a hazard of snagging the skin of a child in care.
2. The wooden deck platform, approximately five feet from the ground, has a floor plank that is not flush with the others. The plank bows downward creating a tripping hazard.
3. The wooden lattice fence along the grassy area contained multiple nails protruding. The nails posed a risk of snagging the skin of a child in care. Children were observed playing in the grassy area near the fence.

Based on observation, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles.

Evidence:
Children were observed playing on a small piece of climbing equipment in the grassy area outside the fenced playground on 03/25/2024. The climbing equipment was sitting on an artificial turf carpet, that did not meet the minimum safety standards for resilient surfacing.

Based on interview and review of documentation, the center did not maintain in a way that is accessible to all staff who work with children, 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.

Evidence:
1. The center?s allergies, sensitivities, and dietary restriction list could not be located. There was no list in each room. The record of child #2 list a dietary restriction.
2. The director acknowledged the list of allergies, sensitivities, and dietary restriction could not be located for review.

Based on review of six staff records and observations, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration.

Evidence:
The record for staff #6 did not contain documentation of current CPR certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.

Based on review of six staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

Evidence:
The record of staff #6, did not contained documentation of first aid certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.