Inspection · 2023-05-16

Based on record review, the vendor did not ensure to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
The vendor did not have a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs on the day of the inspection.

Based on record review, the vendor did not ensure that children?s records contained all of
the required information.
Evidence:
1. The record of child #1 (estimated enrollment date: 7/2021) did not contain the following required information; Child?s Name, First Day of Attendance, Address, Gender, proof of identity, Disclosure to administer/not administer medication and Permission for field trips.
2. The record of child #2 (estimated enrollment date: 7/2021) did not contain the following required information; Child?s Name, First Day of Attendance, Address, Gender, proof of identity, Disclosure to administer/not administer medication and Permission for field trips.
3. The provider did not ensure to obtain a record for child #3 (enrollment date unknown).
4. The record of child #4 (enrollment date: 6/4/2021) did not contain the following required information: Gender, Name/Address/Phone of one emergency contact, Disclosure to administer/not administer medication and permission for field trips.

Based on record review, the vendor did not ensure that each caregiver undergo TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician.
Evidence:
The record of caregiver #1, did not have documentation of a tuberculosis screening. The inspector has previously viewed TB results for the caregiver and the caregiver stated that they needed to get another TB screening due to the previous screening being expired.

Based on observation, the vendor did not
ensure areas and equipment of the family day
home, inside and outside, were maintained in a
clean, safe, and operable condition.
Evidence:
The provider had a large television on the floor,
leaning against the wall which presented an
injury hazard if pulled by a child.

Based on observation, the vendor did not ensure potentially poisonous substances such as cleaning agents and disinfectants were stored in areas inaccessible to children.
Evidence:
1. The provider's bathroom had a cleaning agent within the reach of children in care.
2. There was a bottle of cologne sitting on a table within the reach of children in care.
3. There were several used tobacco products and ashes located on the provider's counter top within the reach of children in care.

Based on observation, the vendor did not ensure to keep medication in a locked place using a safe locking method that prevents access by children.
Evidence:
There was two containers of medication located on top of the provider's refrigerator, out of the reach of children in care.

Based on record review, the vendor did not maintain a record of the practice drill dates for one year.
Evidence:
The vendor did not have a record of the dates of the practice drills for one year.

Based on observation, the vendor did not ensure that tables were cleaned and sanitized before and after each use for feeding.
Evidence:
The inspector observed used paper towels, food, food crumbs and a sticky film on the table where children eat. The inspector arrived during naptime and the table was not cleaned or sanitized during the inspection.