Inspection · 2024-07-02

Based on review of 5 child records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance.

Evidence: The records for Child #3 (Start Date: 10/14/2022), Child #4 (Start Date: 10/14/2022) and Child #5 (Start Date: 3/27/2023) did not contain documentation of a physical examination.

Based on observation, areas and furnishings inside the family day home were not maintained in a safe condition.

Evidence: In the basement, which is the main programming space for child care, there was an unlocked refrigerator accessible to children in care ranging in ages 11 months to 11 years old. On the bottom lower shelf of the refrigerator door there were two open bottles of wine.

Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored in areas inaccessible to children.

Evidence:
1. In the basement, in the bathroom that was designated for child use, there were disinfectant wipes, with the warning ?Keep out of reach of children?, stored on the shelf behind the toilet. On the shelf next to the toilet, within reach of children, there was one bag of bath salts and two bags of Epsom salts with the warning ?Keep out of reach of children?. In an unlocked cabinet underneath the bathroom sink there was a bottle of bleach and a bottle of all-purpose cleaner both labeled ?Keep out of reach of children?.

Based on review of 5 child records, the provider did not ensure that the record for each child had includes all required information.

Evidence:
1. The record for Child #1 did not include father's place of employment and telephone number.
2. The record for Child #2 did not include father's place of employment and telephone number.
3. The record for Child #3 did not include the address for one of the emergency contact persons and father's place of employment and telephone number.
4. The record for Child #4 did not include the address for one of the emergency contact persons and father's place of employment and telephone number.
5. The record for Child #5 did not include the name and policy number of the child?s medical insurance and names of persons other than the custodial parents who are authorized to pick up the child.

Based on observation and staff interviews, the provider did not ensure medication, including refrigerated medication and medications for household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. In the basement, which is the main programming space for child care, there was an unlocked refrigerator accessible to the children in care. On the second shelf from the bottom on the door of the refrigerator, there was a bottle of Amoxicillin and Children's Tylenol. On the third shelf of the door of the refrigerator, there was a bottle of Cetirizine and cough syrup.
2. In the basement, in the bathroom that was designated for child use, on the top shelf of the bathroom cabinet, there was a box of unlocked heartburn medication.

Based on documentation review and staff interview, the family day home did not receive general written permission from the parent of each child for the provider to take the child off the premises of the family day home.

Evidence: Staff #1 and Staff #2 stated that children have been taken off the premises to several locations to include the neighborhood park, movies (2 times a week) and Chuck-E Cheese. Child #1, Child #2, Child #3, Child #4, and Child #5 did not have signed field trip permission forms on file. Staff #1 and Staff #2 stated that they were not aware that they needed written documentation for general ongoing field trips.