Inspection · 2024-06-04

Based on record review the vendor has not ensured that adults living and working in home have completed all required background checks.
1 - Household member #1 does not have any background checks on file in the home.
2 - The vendor confirmed that background checks have not been obtained for the household member.
3 - The vendor could not provide documentation that she had a completed sworn statement or affirmation on file
4 - The vendor could not provide documentation that she had a completed central registry background check on file.
5 - The fingerprint provided for the vendor was dated March 12, 2019 and was past due for update.

Based on observation the vendor failed to maintain a written hard copy record of daily attendance.
Evidence:
The vendor stated that there was not any written attendance documentation available for review during the inspection.

Based on record review the vendor failed to maintain children's records with all required information.
Evidence:
1 - The record for Child #1, #2 and #3 did not contain the following information: parent place of employment and address, the emergency contact information did not include the address, there was not any medical insurance information, documentation of those authorized to pick-up, documentation of the first day of attendance, proof of identity, emergency medical care authorization, or authorization to administer medication.
2 - The vendor confirmed that the records for the enrolled children were incomplete.

Based on record review the vendor failed to ensure that each caregiver is free of communicable tuberculosis (TB).
Evidence:
1 - There was not any documentation of TB on file for the vendor during the inspection.
2 - The vendor confirmed that there was not TB documentation available during the inspection.

Based on record review the vendor failed to obtain documentation that the child has been immunized as required.
Evidence:
1 - Child #1, #2 and #3 do not have documentation of immunizations on file.
2 - The vendor confirmed that there was not any documentation of immunizations on file for the children enrolled in the program.

Based on record review the vendor failed to maintain documentation of any training as required.
Evidence:
1 - There was not any documentation of training hours completed on file for the vendor.
a. There is not any documentation that the required preservice training was completed
b. There was not any documentation that the annual safety training updates have been completed.
c. There is not any documentation that the required 16 hours of annual training.
2 - The vendor confirmed that there was not documentation of any of the required training on file during the inspection.

Based on observation the vendor failed to ensure that areas and equipment are maintained in safe condition.
Evidence:
1 - The grass leading up the front entrance of the family day home is greater than 8 inches tall and posed a trip hazard to entering the home.
2 - The steps and deck leading to the back entrance of the home is in disarray including splitting and rotting wood, uneven wood and peeling paint.

Based on observation and interview the vendor failed to ensure that diaper changing is completed as required,
Evidence:
The vendor explained that the diaper changing take place on the floor, not a nonabsorbent and washable surface that is cleaned and sanitized after each use.

Based on observation the vendor failed ensure that soiled diapers and wipes are disposed of in a foot operated system.
Evidence:
There was not a foot operated diaper pail in the family day home.

Based on interview the vendor failed to have a written emergency preparedness plan.
Evidence:
The vendor stated that she did not have a written emergency preparedness plan.

Based on interview the vendor failed to ensure that evacuation procedures are practiced monthly.
Evidence:
The vendor stated that she did not have documentation that evacuation procedures were practiced monthly.

Based on interview the vendor failed to ensure that shelter-in-place procedures are practiced twice a year.
Evidence:
The vendor stated that she did not have documentation that shelter-in-place procedures were practiced twice a year.

Based on interview the vendor failed to ensure that lockdown procedures are practiced annually.
Evidence:
The vendor stated that she did not have documentation that lockdown procedures were practiced annually.

Based on interview the vendor failed to ensure that dogs are vaccinated for rabies and treated as required.
Evidence:
The vendor stated that she did not have documentation of rabies vaccination or other treatments for the family dog.