Inspection · 2024-05-07

Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises.

Evidence: The most recent inspection results were dated 11-16-2023 were not posted in a conspicuous place.

Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check (CRC) and search of the central registry check (SCR).

Evidence: Staff #3?s most recent CRC is dated 1-25-2019 and the SCR is dated 2-18-2019. Both background checks were not updated every 5 years a required

Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for Child #3, (first date of attendance 5-6-2024) did not include documentation of required immunization.

Repeat
Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department

Evidence: The physical and immunization documents for Child #5 did not include a physician or designated individual?s signature

Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.

Evidence: The records for Staff #3 did not include updated TB screening as the most recent screening was dated 1-17-2021.

Repeat
Based on observation, staff interview and record review, the licensee did not ensure to
follow the required ratio of 1 staff for every 4 infants in care.

Evidence: At 1:10 PM In the infant room 9 children, youngest age 4 months were observed with only 2 staff. The ratio of 1 staff to every 4 children was not followed.

Based on observation and staff interview, the licensee did not ensure cots/mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

Evidence: Three children out of seven were observed sleeping without a second cover (top or bottom).

Repeat
Based on observation and staff interviews, the licensee did not ensure the requirements for diapering were followed.

Evidence:
1.The diaper pad/ surface was not sanitized after each use as sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes. Staff #4 was observed conducting a diaper changes, and the diaper pad was wiped with disinfectant wipes and was not sprayed with a disinfectant solution as required.
2. The diaper pad in the toddler room had small tears and therefore it was no longer nonabsorbent.

Based on observation and staff interviews, the licensee did not ensure if diaper ointment or cream is used, it shall be in original container and labeled with the child's name and stored in a place inaccessible to children

Evidence: Three containers of diaper cream were observed and were not labeled with the children?s names and were stored in a drawer below the handwashing sink and accessible to children

Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.

Evidence: Center owner confirmed they did not have documentation of November and December 2023 evacuation drills.

Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of lockdown procedures practiced at least annually.

Evidence: Center Owner confirmed they did not have documentation of a 2023 lockdown drill.

Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks.

Evidence: The menu posted was for the week of April 29, 2024

Repeat
Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: Two out of two of the classrooms did not have attendance list as required;
1.At approximately 1:10 PM, 9 infants were observed in the infant room and only 8 were on the attendance list
2. There was not an attendance list for the toddler room and 7 children were observed