Inspection · 2025-09-17

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Provisional hires, effect 7/1/2024, require all out of state background checks to be requested prior to employment.
The record of staff #1, employed for 11 months, contained a completed out of state child abuse and neglect search dated three months after employment. There was no documentation that the out of state child abuse and neglect check was requested prior to employment.

Repeat
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. The record of child #1, enrolled for 31 days, did not have documentation of immunizations. 2. The record of child #2, enrolled for 32 days, did not have documentation of immunizations. 3. The record of child #3, enrolled for 32 days, did not have documentation of immunizations. 4. The record of child #4, enrolled for 24 days, did not have documentation of immunizations. 5. The record of child #5, enrolled for 32 days, did not have documentation of immunizations.

At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening. An updated tuberculosis screening for staff #3 was due seven days ago.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. 1. Staff #1, who has not completed daily health observation training, was observed alone on the premises with children. 2. Staff #2, who arrived approximately 35 minutes later did not have daily health observation training.

During the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. 1. On September 17, 2025, for approximately 45 minutes, staff #1 was the only staff on the premises with a total of 17 children. 2. The second staff arrived on site at 3:34 pm.

Repeat
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The allergy, sensitivities, and dietary restriction list was not dated.

At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Staff #1, alone with children for 45 minutes, did not have CPR certification that included an in-person competency demonstration.

There shall be at least two staff members who meet the requirements of having current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. 1. Staff #1 was the only staff on site for 45 minutes. Staff #1 does not have CPR certification that includes an in-person competency demonstration.

Repeat
When centers choose to provide meals or snacks, children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns. Staff #1 was observed telling a child they couldn?t have a second serving of snack.

Repeat
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. 1. The record of child #3 did not contain the Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and the place of employment and work phone number for the two parents listed. 2. There was no record for child #3 who was in attendance on September 17, 2025. 3. Staff #1 stated she was not able to access children?s records on the iPad system.

Repeat
The center shall obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 1. The record of child #6, with an allergy, did not contain an allergy care plan. 2. The record of child #7, with an allergy, did not contain an allergy care plan

A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. 1. The record for child #1 (enrolled for 31 days), child #2 (enrolled 32 days), child #3 (enrolled 32 days), child #4 (enrolled 24 days), and child #5 (enrolled for 32 days) did not contain documentation of a signed agreement. 2. Staff #1 stated she was not able to access children?s records on the iPad system.