Inspection · 2022-08-10

Based on a review of 19 staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).

Evidence:
1. The record for staff #5, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing).
2. The record for staff #10, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing).
3. The record for staff #12, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing).
4. The record for staff #17, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing).
5. The record for staff #18 did not contain documentation of a completed national criminal history record check (finger printing).
6. The record for staff #19 did not contain documentation of a completed national criminal history record check (finger printing).
7. Staff #3 (Program Director) reviewed the records for the staff listed above, and confirmed that she had not received the results of the finger print background check (finger printing).

Based on a review of 19 staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed.

Evidence:
1. The record for staff #5, working during the inspection, did not contain a sworn statement or affirmation.
2 .The record for staff #6, working during the inspection, did not contain a sworn statement or affirmation.
3. The record for staff #12 working during the inspection, did not contain a sworn statement or affirmation.
4. The record for staff #17, working during the inspection, did not contain a sworn statement or affirmation.
5. The record for staff #18 did not contain a sworn statement or affirmation.
6. Staff #3 (Program Director) confirmed the sworn statement or affirmation was not completed prior to employment for any of the staff listed above.

Based on a review of 19 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #2 did not contain a completed search of the central registry finding.
2. The record for staff #3 did not contain a completed search of the central registry finding.
3. The record for staff #4 did not contain a completed search of the central registry finding.
4. The record for staff #5 did not contain a completed search of the central registry finding.
5. The record for staff #6 did not contain a completed search of the central registry finding.
6. The record for staff #7 did not contain a completed search of the central registry finding.
7. The record for staff #8 did not contain a completed search of the central registry finding.
8. The record for staff #9 did not contain a completed search of the central registry finding.
9. The record for staff #10 did not contain a completed search of the central registry finding.
10. The record for staff #11 did not contain a completed search of the central registry finding.
11. The record for staff #12 did not contain a completed search of the central registry finding.
12. The record for staff #15 did not contain a completed search of the central registry finding.
13. The record for staff #16 did not contain a completed search of the central registry finding.
14. The record for staff #17 did not contain a completed search of the central registry finding.
15.The record for staff #18 did not contain a completed search of the central registry finding.
16. The record for staff #19 did not contain a completed search of the central registry finding.
17. Staff #6 (Program Director) reviewed the records for the staff listed above, and confirmed that the search of the central registry finding has not been received.

Based on a review of ten children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance.

Evidence:
1. The record for child #5 did not contain a physical examination.
2. Staff #3 (Program Director) confirmed that the record for child #5 did not contain a physical examination, and had been enrolled for more than 30 days

Based on a review of 19 staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning

Evidence:
1. The record for staff #2 did not contain documentation of a negative tuberculosis screening.
2.The record for staff #3, present during the inspection, did not contain documentation of a negative tuberculosis screening.
3. The record for staff #4 did not contain documentation of a negative tuberculosis screening.
4. The record for staff #5 did not contain documentation of a negative tuberculosis screening.
5. The record for staff #8 did not contain documentation of a negative tuberculosis screening.
6. The record for staff #10 did not contain documentation of a negative tuberculosis screening.
7. The record for staff #12 did not contain documentation of a negative tuberculosis screening.
8. The record for staff #16 did not contain documentation of a negative tuberculosis screening.
9. The record for staff #18 did not contain documentation of a negative tuberculosis screening.
10. Staff #6 (Program Director) confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment for any of the staff listed above.

Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed.

Evidence:
1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 5/5/21.
2. Staff #3 (Program Director) confirmed that the annual fire inspection report had not been completed.

Based on observation, a review of 19 staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

Evidence:
1. There were four classrooms of children with a total of 15 staff present during the inspection. None of the records for the staff contained documentation to demonstrate that any of the staff were Program Leader qualified.
2. Staff #3 (Program Director) confirmed that none of the records contained documentation to demonstrate that any of the staff were Program Leader qualified.

Based on a review of 19 staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care.

Evidence:
1. Bead on a review of 19 staff records, two of the four classrooms with children did not have a staff with a current certification in CPR and First Aid during the inspection.
2. Staff #3 (Program Director) confirmed that two of the four classrooms with children did not have a staff with a current certification in CPR and First Aid during the inspection.

Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a monthly practice evacuation drill is completed.

Evidence:
1. The emergency drill log did not have written documentation to demonstrate that an emergency evacuation drill was completed during the months of July 2022 and August 2022.
2. Staff #3 (Program Director) confirmed that there was no written documentation to demonstrate that an emergency evacuation drill was completed during the months of July 2022 and August 2022.

Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date.

Evidence:
1. The lunch boxes for the children in care were not labeled with the child's name or date.
2. Staff #3 (Program Director) confirmed that the lunch boxes for the children in care were not labeled with the child's name or date.

Based on a review of ten children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.

Evidence
1. The record for child #5 did not contain the second emergency contact.
2. Staff #3 (Program Director) confirmed that the record for child #5 did not contain all of the required information.

Based on a review of 19 staff records, it was determined that the Licensee did not ensure that is record is kept for each staff member with all of the required information.

Evidence:
1. The record for staff #2 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
2. The record for staff #3 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
3. The record for staff #4 did not include date of hire, two references, an emergency contact, and job title and qualifications.
4. The record for staff #5 did not include date of hire, two references, an emergency contact, job title and qualifications and orientation.
5. The record for staff #6 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
6. The record for staff #7 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
7. The record for staff #8 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
8. The record for staff #9 did not include date of hire, an emergency contact, job title and qualifications, and orientation.
9. The record for staff #10 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
10. The record for staff #11 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
11. The record for staff #12 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
12. The record for staff #13 did not include date of hire, two references, an emergency contact, and job title and qualifications.
13. The record for staff #14 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
14. The record for staff #15 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
15. The record for staff #16 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation.
16. The record for staff #17 did not include date of hire, two references, an emergency contact, and job title and qualifications.
17. The record for staff #18 did not include date of hire, second reference, an emergency contact, job title and qualifications, and orientation.
18. The record for staff #19 did not include date of hire, two references, an emergency contact, and job title and qualifications.
19. Staff #6 (Program Director) confirmed that there records for the staff listed above were not complete.

Based on observation and interview, it was determined that the licensee did not ensure the most recently issued license posted at each public entrance of the facility and a notice shall be prominently displayed next to the license that states that a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections is available for inspection at the facility.

Evidence:
1. The most recently issued license and inspection findings were not posted anywhere in the facility.
2. Staff #3 (Program director) confirmed that the most recently issued license and inspection findings were not posted anywhere in the facility.