Inspection · 2023-11-29

Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the infant room in an unlocked cabinet there were containers of disinfectant spay and wipes. These hazardous chemicals were observed, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".

Based on observation and staff interviews, the licensee did not ensure the required procedures were followed for diapering.

Evidence: The diaper pad/ surface was not cleaned with soap and at least room temperature water and sanitized after each use. Staff #3 was observed conducting diaper changes fand only wiped down the diaper pad with a sanitizing wipe. Soap and water were not used to clean the surface and it was not sanitized as required. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.

Based on observations and staff interviews, the licensee did not ensure medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.

Evidence: Center Director confirmed medication (Epi-Pen) belonged to Child #1 and it was not labeled with the child's name, the dosage amount, and the time or times to be given.

Based on observation and staff interviews, the licensee did not ensure, medication, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the toddler room there were 1 medication (Epi-Pen) observed stored in an unlocked first aid box attached to the wall.

Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding.

Evidence: Child #3 and Child #2 were observed eating snack in their highchairs and center staff were observed only wiping down the high tray with a sanitizing wipe. The highchairs were not sanitized as required. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.

Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name.

Evidence: Child #3? was observed drinking a bottle and it was not labeled or dated.

Repeat Violation
Based on record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained all required information.

Evidence: Center Director verified the following items were missing from the children?s records.
1.Records for Child #1, #2, #3, #4, and #5 did not include the previous childcare / school attended.
2. The records for Child #1 did not include home address, employment location or employment phone number for one parent and no employment phone number for the 2nd parent.
3. The record for Child #2 did not include home address, home phone number, employment location or employment phone number for one parent and the address for the second emergency contact listed.
4. The record for Child #3 did not include the employment phone numbers for both parents and the addresses for both emergency contacts listed

Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation.

Evidence: Center Director verified the following items were missing from the staff records;
1.Staff #1, #4 and #5 did not have documentation of any health-related problems that my interfere with the job.
2. Staff #2 did not have documentation of two references conducted prior to hire.
3. Staff #4 date of hire was not documented