Inspection · 2022-07-28

Based on record review and staff interview, the center failed to obtain a central registry check from another state than an employee has resided in within the past five years by the end of 30 days of employment.

Evidence:
1. Staff 1, hire date 06/20/2022, lacks a central registry check from a state he has resided in within the past five years.
2. Administrative staff confirmed this out-of-state central registry check had not been obtained.

Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment.

Evidence:
1. Records for staff 1 and staff 3, hire date 06/20/2022, lack the results of a central registry check.
a. These staff were working with children in the licensed program during the inspection.
2. Administrative staff verified that the results of the central registry checks were not on file for these staff.

Based on staff interviews and a review of written records the center failed to provide for the care and protection of a child.

Evidence:
1. On 06/20/2022, child 2 (age 6 years), sustained a concussion while in care in the sensory classroom.
a. The sensory classroom is set up for the care of children with special needs.
b. Child 2 has several diagnosed special needs according to written information on file in her enrollment record as well as interviews with the parent of child 2 and center staff.
2. Child 2 vomited on herself during lunch time at approximately 12:00pm.
a. The parent of child 2 stated she was lethargic on the car ride home and required assistance from both parents to exit the vehicle.
b. Once in the home child 2 indicated that her head hurt and the parent noted a raised knot on the back of her head.
c. Child 2 stated she had been hit in the back of the head with a block.
d. Medical care was obtained with a diagnosis of a mild concussion.
3. Staff 4, who was responsible for the care of child 2, stated the children had been building with the foam blocks however, several children began hitting each other with the blocks, which she stopped. Nevertheless, staff 4 stated she did not observe child 2 being hit with the foam blocks.
a. Staff 4 stated she had not received any training as to appropriate activity implementation for this class nor had she received any information regarding each child's special needs.
b. There is no written documentation on file to indicate that staff 4 received any training as to the care of special needs children.
4. Staff 1 stated he did not observe child 2 being hit with a foam block as he was assisting children with changing after swimming. Staff 1 further stated he was not aware that the children were playing with the blocks during this time.
a. Staff 1 stated he had not received any training as to appropriate activity implementation for this class nor had he received any information regarding each child's special needs.
b. There is no written documentation on file to indicate that staff 1 received any training as to the care of special needs children.
5. Administrative staff confirmed that no one saw child 2 being hit by a block and they had not been able to determine how child 2 received the injury.
6. Administrative staff confirmed that staff 1 and staff 4 had received no training in the care of special needs children beyond verbal information provided prior to the staff being assigned to this group.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence:
1. At approximately 10:10 am 3 children were observed in the lazy river and 3 children were observed standing beside the lazy river.
a. The lazy river is located outside of the indoor pool and is not within sight and sound supervision of the two staff responsible for supervising these 6 children who were identified to be 5 and 6 years of age.

Based on observation the center failed to ensure that while children are participating in swimming or wading activities they shall be no fewer than two staff members supervising the activity.

Evidence:
1. Three children were observed in the lazy river without any staff supervision at approximately 10:10 am on 07/28/2022.

Based on observation, the center failed to ensure that if a swimming area has a water depth of more than two feet, a certified lifeguard holding a current certificate shall be on duty supervising the children participating in swimming or wading activities at all times when one or more children are in the water.

Evidence:
1. No lifeguard was on duty at the lazy river when the inspector observed three children swimming in the lazy river at approximately 10:10 am.
a. The lazy river has a depth ranging from 1 - 3 feet.

Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated.

Evidence:
10 of 10 lunch containers reviewed were not dated.

Based on interview, the center failed to maintain and keep at the center a separate record for each child enrolled at the center.

Evidence:
1. Administrative staff stated no enrollment record was available for child 1 who began care the week of 06/27/2022.

Based on record review and interview, the center failed to ensure that staff records contain all of the required elements.

Evidence:
1. The job title of "Counselor" is listed for staff 2 and staff 3 in their staff file. Staff 2 and staff 3 were observed functioning as program leaders during the monitoring inspection conducted on 07/28/22 however, there is no written documentation to demonstrate that they possess the education, certification and experience required by the job position of program leader.
2. Administrative staff confirmed that written documentation of how both staff meet program leader qualifications was not on file.