Inspection · 2024-12-03

Based on record review and interview, the center failed to ensure each staff member has been certified by a physician, physician assistant, or nurse practitioner to be free from any disability which would prevent him from caring for children under his/her supervision.

Evidence:
The record for S5, employed 09/15/2022 did not contain a Staff Health Record certified by a physician, physician assistant, or nurse practitioner to stating S5 is free from any disability which would prevent him from caring for children under his/her supervision.

Based on observation, the center did not ensure that all vehicles must have current vehicle inspections.

Evidence:
Licensing inspector observed an expired inspection sticker on the center?s small bus. The inspection sticker expired 07/2024.

Based on observation the center failed to be in compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics.
Evidence: Safe sleep guidelines state to keep soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and nonfitted sheets, away from the infant?s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation. Two infants in the Infant I room were observed propped in their cribs in Boppy Pillows.

Based on observation, the center did not establish and implement procedures for hand washing by staff and children after diapering.
Evidence:
A staff member in the Infant I room was observed changing two children?s diapers. After the diaper change the staff member failed to wash the children?s hands.

Based on child record review the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions.

Evidence:
The records for C2 and C5 did not contain immunizations records.

Based on observation, the center failed to ensure all areas of the premises accessible to children were free of obvious injury hazards.
Evidence:
1. Several areas under the swing sets and teeter totter had exposed bare compacted dirt creating a risk if a child were to fall off the play equipment onto hard dirt without other cushioning material.
2. Multiple electrical outlets in the rooms used by the children were missing the child proof outlet covers creating a shock risk to children.
3. A PVC drainage pipe located in the younger children playground was broken exposing sharp edges creating a skin snag risk.

Based on child record review, the center did not ensure that a record contained the required information.

Evidence:
The record for C1 did not document proof of the child?s identity and age within 7 business days of attendance.

Based on staff record review, the center did not ensure that staff had documentation of central registry results within 30 days of employment and the Sworn Disclosure Statement on the first day of employment.

Evidence:
1. The record for S1, employed 09/28/2023 did not have results of a central registry search
within 30 days of employment. The results of the central registry search for S1 are dated
11/06/2023.
2. The record for S2, employed 04/04/2022 did not have results of a central registry search
within 30 days of employment. The results of the central registry search for S2 are dated
07/17/2023.
3. The record for S5, employed 09/15 /2022 did not contain findings of a central registry search.
4. The record for S3, employed 08/05/2024 did not contain a signed Sworn Disclosure Statement.