Inspection · 2025-12-22

Repeat violation: 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. Child 8 did not submit documentation of an immunization record for 5 days after attending the center.

Staff members caring for any child for whom emergency medications have been prescribed must have the appropriate Medication Administration Training. Child H has an emergency rectal medication on site, but there are no staff certified in Medication Administration Training - Rectal Medications.

The center shall ensure that procedures for administering medication shall include methods to prevent use of outdated medication. The emergency medication for one child expired
October 2025 and the parent had not been notified that a replacement was needed.

The medication authorization shall be available to staff during the entire time it is effective. Two emergency medications for Child A did not have written authorization from the parent. or physician. One medication for Child E did not have written authorization from the parent. One long term medication for Child H did not have written authorization from the physician.

When an authorization for medication expires, the facility shall 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. The medication authorization for Child C expired 8 months ago. The authorization for Child D expired 4 months ago. The authorizations had not been renewed and the medications had not been returned or destroyed as required. The medications were on site.

The facility shall have 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. Child 3 has diagnosed food allergies but did not have a written allergy action plan on file