Inspection · 2023-04-04

Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance.

Evidence: The record for Child #5, (first date of attendance 9-20-2021) did not include documentation of a physical

Based on staff record records and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Evidence: Staff # 3 (hire date 8-3-2022) did not have documentation of CPR / First Aid orientation

Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

Evidence: The most recent copy of the fire inspection available for review was dated 1-20-2022.

Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: Hazardous chemicals were observed in the toddler room and were stored in an unlocked manner.
1) A container of room deodorizer and a container of disinfectant were observed in a wooden cubby underneath the box of toys.
2) A container of disinfectant was observed on the hooks where `s belongings are placed.
These items are hazardous chemicals, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".

Based on staff record review, observation and staff interviews, the licensee did not ensure that there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.

Evidence: Staff #4, was the designated program leader for the toddler room and was the only staff supervising 5 toddlers during the inspection. Center owner documented in Staff #4?s record that they were promoted to program leader as of 6-20-2021. Center owner indicated they may have gotten rid of the training documents when the records were cleaned out.

Based on observation and staff interviews, the licensee did not ensure to wash their hands and did not ensure that children?s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.

Evidence: Staff #2 was observed conducting a diaper change for child #6 and the staff did not ensure child #6 had washed their hands after diapering.

Based on observation and staff interviews, the licensee did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.

Evidence: Staff #2 was observed conducting a diaper change and the diaper pad was not sanitized after. Staff #2 sprayed the diaper pad with a soap and water solution and then wiped it down. The diaper pad was not sanitized as it is required to be sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.