Inspection · 2024-02-22

Based on record review, the vendor did not ensure written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds.

Evidence:
Child #1, Child #4 and Child #10 record did not have documentation giving the vendor authorization for emergency medical care or not giving medical care. The question the vendor had on the registration form was a yes or no question . And nothing was marked.

Based on record review, the vendor did not ensure the orientation training for staff is completed on facility specific topics prior to the staff member working alone with children and within seven days of the date of employment.

Evidence:
There was no documentation the orientation was completed for Staff #4, Staff #5.

Based on record review, the vendor did not ensure at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

Evidence:
The vendor was unable to provide a document that confirmed at least one staff on duty who has obtained daily health observation with in the past three years.

REPEAT
Based on observation and staff interview the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

Evidence: Staff confirmed that electrical outlets did not have protective covers in the following areas:

1- In the two year old room, there was 2 outlets not covered.
2- In the 3 year old room, 4 outlets not covered.
3- In the Preschool room, 2 outlets not covered.

The staff who toured the building confirmed the outlets were missing and request the outlets to be covered during the inspeciton.

REPEAT
Based on observation and staff interview the vendor 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:
In the infant rooms, there was 2 cans aersol spray disinfectant and handsanitizer in the classroom.

In the two year old room, there was, handsanitizer, glass cleaner and santizer spray in the classroom not kept in locked place.

In the Infant 2 classroom, there was 2 disinfectant sprays in the classroom not kept in locked place.

In the 3 year old room, there was santizer wipes and disinfectant sprays not kept in locked place.

In the 2nd 2 year old, classroom there was handsanitizer not kept in a locked place.

All hazordous substances were labeled with at least two labels keep out of reach of children, flammable, warning, danger and caution.

The staff who conducted the tour confirmed all of the classroom chemicals were out. Staff requested staff to put chemicals in locked place.

Based on record review, the vendor did not ensure all require information was obtained for serious or minor injuries.

Evidence:
The 5 injury record reviewed did not include time and date parent was notified.

Based on record review and staff interview, the vendor did not ensure shelter-in -place procedures were practiced twice a year.

Evidence:
There was not documentation and staff were not able to confirm a shelter in place drill was conducted 2 times in 2023.

Based on record review and staff interview, the vendor did not ensure a lockdown procedures were practiced at least annually.

Evidence:
The staff were unable provide documentation or confirm a Lockdown drill was practiced in 2023.

Based on observation, the vendor did not ensure when child is plced in high chair , the protective belt shall be fastened securely.

Evidence:
Staff confirmed child #2 was in the high chair without being fastened securley.

Based on observation and staff interview, the licensee did not ensure bottles are not used while child is in designated sleeping area.

Evidence:
In the infant classroom, child #1 was in the crib with a bottle.

Based on observation and staff interview, the licensee did not ensure prepared infant formula will be refrigerated, dated, and labeled with the child's name if more than one infant is in care.

Evidence:
In the infant room (6-8 months), there were 3 bottles not labeled with date and name.