Inspection · 2021-03-26

Based on a record review and interview, the facility did not have at least one person with daily health observation of children training.

Evidence:
1. There was not documentation to support that staff have daily health observation training.
2. The director stated that daily health observation training had not been completed.

Based on review of documentation, operational responsibilities failed to ensure that the center's own policies and procedures contained all policies and procedures that are required by the standards.

Evidence: Information required to be provided in writing to parents prior to the child's first day of attendance was missing the following:
1. The operating information to include the phone number where a message can be given to staff.
2. The description of established lines of authority for staff.
3. The appropriate general daily schedule for the age of the enrolling child to cover all hours of operation.
4. The center's policy regarding application of sunscreen, diaper ointment, and insect repellent.
5. The center's transportation policy; the applicant stated that the center would not be providing transportation however the handbook listed multiple means of transportation that would be provided.
6. The center's medication policy; applicant stated that the center would not be administering prescription and non-prescription medication however the handbook states medication will be administered.
7. The center's policies and procedures did not include a statement that the parent will inform the center within 24 hours or the next buisness day after child or any member of the immediate household developed any reportable communicable diseases, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.

Based on a review of policies and procedures, the provider did not ensure the written playground safety procedures had all required components.

Evidence:
The center's playground safety procedures did not include positioning of staff in strategic locations.

Based on observation, the facility did not have an adequate supply of age and stage materials and equipment available for each age group of arts and crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment, and manipulative equipment.

Evidence:
1. Room #1, did not have an adequate supply of age appropriate materials.
2. Room #2, room #3, room #4, and room #5, did not have any age appropriate materials.
3. Room #6 and room #7, did not have an adequate supply of age appropriate materials.

Based on observation, the center did not ensure the diapering area contained a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

Evidence:
1. In room #2 and room #3 there was a diaper changing area. There were no plastic lined storage systems, either foot-operated or used in a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal in room #2 or room #3.
2. The provider stated that the correct plastic lined storage system was not in room #2 or room #3.

Based on an observation and interview, the center did not ensure that each first aid kit contained all required supplies.

Evidence:
1. The first aid kit did not have scissors, tweezers, two triangle bandages, and a thermometer.
2. The Director stated that the first aid kit did not include scissors, tweezers, two triangle bandages, and a thermometer.

Based on review of the emergency preparedness plan, the plan did not address terrorism and the facility did not obtain documentation, that the plan had been developed in consultation with local or state authorities.

Evidence:
1. The emergency preparedness plan did not have documentation of being reviewed by the local or state authorities.
2. The licensing inspector observed the center's emergency preparedness plan did not address scenarios for terrorism.

Based on a review of the center's emergency preparedness plan, the center did not ensure that each required procedural component was addressed in the plan.

Evidence:
1. The center's emergency preparedness plan did not clearly identify the center's emergency officer and back-up officer to include a 24-hour contact telephone number for each.
2.The availability and primary use of communication tools, method of communication after evacuation and shelter-in-place.