Inspection · 2025-04-15

Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #4, who had been employed for more than a month, did not have a completed national criminal background check.

The center must request a search of the central registry prior to the employee's first day of employment. Staff #4, who had been employed for more than a month, did not have a central registry search requested.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 6 months, did not have documentation of requesting a central registry check or criminal history from a state the staff lived in within the past 5 years.

Areas and equipment of the center, inside and outside, shall be maintained in a clean and safe condition. The safety gate at the bottom of the stairs in the infant room was not latched were Child #2, an infant in care was observed gaining access to the steps. Additionally, the nipple while attached to an infant bottle fell on the floor and the nipple was later seen leaning against a wall, was given to the infant for feeding without cleaning the nipple or bottle first.

Children under 10 years of age always shall be within actual sight and sound supervision of staff,
except that staff need only be able to hear a child who is using the restroom. During the inspection Staff #1 walked out of the ?turquoise? classroom and across the hall to a bathroom leaving six children, ages 4 and 5 years old without actual sight and sound supervision of any staff. Additionally, twice during the inspection children under the age of 10 years old were sent to the bathroom which not located so that staff are able to hear children while in the restroom.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required. This list shall be dated and kept confidential in each room or area where children are present. The allergy list are posted in two classrooms in such a way that all the information including the children?s names are visible to any entering the classroom and therefore are not kept confidential.

Sunscreen shall be labeled with the child's name. There was a tube of sunscreen without any name on the container, that was available for staff to administer.

If diaper ointment or cream is used, the following requirements shall be met, written parent authorization noting any known adverse reactions shall be obtained. There is not any written authorization for the diaper cream that is available for staff to apply to Child #1.

Staff records are required to be kept for each staff and contain all required information. The record for Staff #2 and #3 do not contain documentation of education required by the jobs positions they hold. The record for Staff 4 did not contain documentation of references.

Certain documents related to the terms of the license are required to be posted on the premises of each facility including the findings of the most recent inspection of the facility. The most recent inspection findings were displayed in way that the report could be read.