Inspection · 2023-06-08

Based on a review of staff records on 06/08/2023, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: 1. The record of staff #4, hired 05/23/2023 and staff #5, hired 03/27/2023, did not contain documentation of fingerprint results.

Based on a review of staff records and interview on 06/08/2023, the center failed to ensure to obtain a Sworn Statement from each staff prior to employment.
Evidence: The record of staff #1, hired 03/20/2023, and staff #4, hired 05/23/2023, did not contain documentation of a sworn statement. Staff #5 confirmed the sworn statements were not completed.

Based on a review of children?s records on 06/08/2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance.
Evidence: The record of child #5, enrolled 08/13/2021, did not contain documentation of a physical.

Based on a review of staff records and interview on 06/08/2023, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence: The record of staff #5, hired 03/27/2023, contained documentation of a tuberculosis screening dated 04/05/2023. Staff #5 confirmed she was at the center on 03/27/2023 when she completed orientation.

Based on observation and interview on 06/08/2023, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.
Evidence: The infant room had an unlocked cabinet under the sink that contained several cleaners. Infants were observed putting their hands on the cabinet. The labels on the Lysol, glass cleaner, and Lysol wipes stated "keep out of reach of children" and "caution." The label on the bleach stated "keep out of reach of children" and "warning."

Based on observation on 06/08/2023, the center failed to ensure that staff shall wash their hands with soap and running water before and after diapering and children's hands shall be washed with soap and running water after a diaper change.
Evidence: 1. Staff #5 was observed to not wash her hands before diapering a child. 2. Staff #5 placed the child on the floor to play with toys after the diaper change without washing the child's hands. 3. Staff #5 then picked up several items after the diaper change and did not wash her hands.

Based on observation and interview on 06/08/2023, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use.
Evidence: Staff #5 was observed to spray the diapering surface with bleach water and immediately put a paper towel on top of the solution and then wiped it away. Staff #4 confirmed that she immediately put a paper towel on top of the bleach solution and wiped it away.

Based on observation and interview on 06/08/2023, the center failed to ensure food from home container is clearly dated and labeled in a way that identifies the owner.
Evidence: There were three bottles in the infant room that were not dated. Staff in the infant room confirmed the bottles were not dated.

Based on a review of records and interview on 06/08/2023, the center failed to ensure that two or more references were checked before employment.
Evidence: 1. The record of staff #1, hired 03/20/2023, did not contain documentation of references. 2. The record of staff #4, hired 05/23/2023, did not contain documentation of one reference. 3. The record of staff #5, hired 03/27/2023, did not contain documentation of references. 4. Staff #5 acknowledged the references were not complete.