Inspection · 2022-09-08

Based on records reviewed, it was determined that a prescription medication was given to a child by staff that are not currently trained in medication administration.

Evidence:

1. Staff #1 reported that she had given medication to Child #1, and according to the medication administration record this was done on 9/7/22.
2. Staff #1?s medication administration training expired 4/14/22.
3. According to the medication administration record Staff #4 gave Child #1 medicine on 9/8/22 + 9/9/22.
4. When the inspector requested Staff #4?s medication training certificate it was stated that her record was not on-site, but it could be sent. The inspector was not able to verify Staff #4?s training, as the certificate was never provided to the inspector.

Based on observations made, it was determined that occupied cribs in the infant room did not have a minimum of 30? clearance on the service side.

Evidence:

1. Upon the initial observation of the infant room a child was observed in a crib that had less than 30? clearance on the service side. Consultation with staff and owner were held at this time and all acknowledged an understanding of the requirement.
2. During a follow-up observation of the infant room (about an hour later) 2 children were observed napping in 2 separate cribs that had less than 30? clearance on the service sides. Staff present did not demonstrate an understanding of the requirement and moved the cribs closer together in response to the inspectors query. The inspector provided further consultation to the staff and moved the cribs to the appropriate spacing.

Based on records reviewed, it was determined that 1 of 6 written injury reports did not document required information. Evidence: An injury report written for Child #3 did not include the time the parent was notified of the injury. The space was left blank.