Inspection · 2021-10-01

Based on record review and interview it was determined the center obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. There was no documentation of immunization for child #2.
2. Staff confirmed that there was no immunization documentation available for child #2 during this inspection.
3. Child #2 were in attendance during this inspection.

Based on record review and interview it was determined the center did not ensure each child had a physical exam by or under the direction of a physician within the required time frame.
Evidence:
1. There was no documentation of physical exam for child #2(enrolled 9/6/21).
2.There was no documentation of physical exam for child #3(enrolled 9/7/21).
3. Staff confirmed that there was no physical exam documentation available for child #2 and child #3 during this inspection.
4. Child #2 and child #3 were in attendance during this inspection.

Based on record review and interview it was determined the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening no later than 21 days after employment.
Evidence:
1. The records for staff #1(hired 2019), staff #2(hired 9/21/21), and staff #3 did not contain documentation of a negative tuberculosis screening.
2. Staff confirmed that this documentation was not available during the inspection.
3. Staff #1, staff #2, and staff #3 were working with children during this inspection.

Based on observation, interview, and record review it was determined the center did not maintain and make accessible records and reports on children and staff.
Evidence:
1. The center failed to make accessible the required documents to initiate and complete the required inspection within the required time frame.
2. This inspector provided the center with the initial inspection request on 10/01/21. Inspector did not receive the requested information by the required 10/4/21. This inspector followed up on 10/6/21 and 10/8/21 regarding the initial inspection request. These documents were received on 10/8/21.
3. The record review request was sent on 10/8/21. Records were not made accessible by the required 10/12/21. Inspector followed up on 10/12/21, 10/21/21, 10/28/21, and 11/3/21.
4. As of 11/3/21 many of the documents requested were not received electronically and were unavailable during the virtual tour.
5. Inspector emailed and spoke with site director, area director, and regional manager in attempts to gain access to the documents needed to complete the inspection.

Based on record review and interview it was determined the center did not ensure at least one staff member trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care is on the premises during the center's hours of operation.
Evidence:
1. Staff #1's first aid/cpr training expired 8/12/21.
2. There was no documentation of first aid/cpr training in the records for staff #2 and staff #3.
3. Staff confirmed that this documentation was not available during this inspection.

Based on record review and interview it was determined the center did not ensure that each child enrolled in the program had a record that contained all of the required components.
Evidence:
1. There were no addresses for the required emergency contacts for child #1 or #2.
2. One of the two required emergency contacts for child #3 did not contain the address.
3. The record for child #1, child #2, and child #3 did not contain documentation of previous and concurrent child day care and schools attended by the child.
4. Staff confirmed that this information was not in the record.
5. These children were in attendance during this inspection.

Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required components.
Evidence:
1. The staff record for staff #1 did not contain documentation of the date of hire, the 2 required reference checks, and written information to demonstrate that the individual possesses the education, orientation training(not dated), staff development, certification, and experience required by the job position(program director).
2. The staff record for staff #2 did not contain documentation of the 2 required reference checks, and written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position(program leader).
3. The record for staff #3 did not contain the the date of hire, the 2 required reference checks, orientation training required by the job position.
4. Staff confirmed that these records were not available during this inspection.

Based on record review and interview it was determined the center did not ensure that each employee had a central registry finding within 30 days of employment.
Evidence:
1. The record for staff #1(hired 2019) did not contain documentation of central registry findings.
2. The record for staff #2(hired 9/21/21) did not contain documentation of central registry findings.
3. Staff confirmed that this documentation was not available during this inspection.