Inspection · 2024-04-03

Repeat violation. Based on review of five staff records, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 1 (date of employment 8/11/2023) did not have a signed sworn disclosure statement on file.

Repeat violation: Based on review of five staff records, the facility failed to have documentation of a completed search of the central registry (CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 5 (date of employment 11/20/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.

Repeat violation: Based on review of five staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 1 (date of employment 8/11/2023), Staff 2 (date of employment 5/22/2023), and Staff 5 (date of employment 11/20/2023) not have documentation of a TB test or screening.

Based on observation, the facility failed to have staff wash their hands and the children's hands with soap and running water after a diaper change. Evidence: Staff did not wash the child's hands or the staff's hands immediately after changing a child?s diaper.

Based on observation, the facility failed to have staff clean and sanitize the diaper changing table as required after each use. Evidence: Staff in the twos room did not clean and sanitize the diaper changing table after a child's diaper was changed.

Based on review of medication, the facility failed to keep medication in a locked place using a safe locking method that prevents access by children. Evidence: a bag of medication for one child and a bottle of staff medication were beside the medicine cabinet in the director's office, unlocked. One child's medication was located in the staff refrigerator, unlocked.

Based on review of seven medications on site, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: the medication authorization for one child expired 2/14/2024 and the medication was not returned. The medication expired 11/2023.

Based on review of the emergency drill log, the facility failed to conduct a shelter in place drill a minimum of twice per year. Evidence: there was documentation of only one shelter in place drill in the past year (conducted 4/14/2023).

Based on review of the emergency drill log, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no documentation of a lockdown drill.

Repeat violation: Based on observation, the facility failed to sanitize tables after each use for feeding. Sanitize is defined as " the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions." Evidence: the tables in the open room upstairs still had food particles from lunch after rest time.

Based on review of five children's records, the facility failed to have required information in each child's file. Evidence: Child 5 did not have a separate Child Registration form completed (from the sibling in care). The child did not documentation of allergies, signed written agreement, date of enrollment, and persons authorized to pick up,

Repeat violation: Based on review of five staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 3 (date of employment 10/18/2023) did not have documentation of a second reference on file