Inspection · 2024-01-26

Based on observation, the vendor did not ensure that the family day home does not exceed the capacity of children cared for as allowed by law or regulation.
Evidence
There were 8 children present in care when the inspector arrived at 11:00am on 1/26/24 to conduct the inspection. The vendor is not allowed to exceed the capacity of 4 children in care.

Based on review of general recordkeeping reports, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence
There was no written record of daily attendance during the inspection.

Based on review of children?s records the vendor did not maintain and keep at the family day home written or electronic information for each enrolled child.
Evidence
There was no record for child #3

Based on review of children?s records the vendor did not maintain complete records for each enrolled child.
Evidence
There was no written parental agreement between parent and the vendor for child #1 and #2.

There was no child information, name, home address and telephone number of parent, no emergency contact information, no authorized pick up, no immunization record, no emergency medical treatment authorization, no sick policy, and no written agreement between parent and the vendor for child #4 and #5.

There was no child information, name, home address and telephone number of parent, no emergency contact information, no authorized pick up, no proof of identity, no emergency medical treatment authorization, no sick policy, and no written agreement between parent and the vendor for child #6.

Based on review of documentation and interview, the vendor did not ensure that each caregiver annually complete at least 16 hours of training, including the department?s health and safety update coarse.
Evidence
Caregiver 1?s record was reviewed, and no training was available for review. Caregiver 1 reported that she had completed some trainings but wasn?t sure how many hours and had no documentation on file.

REPEAT VIOLATION
Based on observation the vendor did not ensure potentially poisonous substances were stored in areas inaccessible to children.
Evidence
Potentially poisonous substances, including cleaning agents and deodorizers, were accessible to children in the cabinet under the bathroom sink and under the kitchen sink.

Based on observation each bathroom was not equipped with all the required supplies.
Evidence:
No paper towels or an air dryer were observed in the bathroom the children use.

Based on observation, a caregiver was not physically present on site and providing direct care and supervision of each child at all times.
Evidence After existing the house on 1/26/24 at 12:45pm, but while still present on the property preparing to leave, the inspector observed Caregiver 1 leaving the family day home.
The inspector went back to the family day home to confirm that Caregiver 1 had left the home and to see who was caring for the children in care. The children in care were left with two household members, only one of which was an adult. The household members told the inspector that Caregiver 1 had an appointment. Neither household member is designated as a caregiver

Based on observation, supervision and ratio requirements were not met.
Evidence
Upon the inspector?s arrival at 11:00am on 1/26/2024, eight children were in care, totaling 17 points, with one caregiver when each caregiver may only care of 16 points at one time. The home remained out of ratio during the entire inspection, and then after the inspector left the home at 12:45pm. Caregiver 1 left the home, leaving the children with no approved caregivers when at least two caregivers were needed.

Based on observation, children less than three years of age were not protected from materials that could be swallowed or present a choking hazard.
Evidence
Observed in the area accessible to all the children were numerous pieces of small toys and objects, less than 1 ? inches in diameter and less than two inches in length, that could be swallowed or present a choking hazard to children less than three years of age.

Based on interviews, the children do not rest on individual cots or rest mats.
Evidence
Caregiver 1 told the inspector that the children rest on two futons that lay flat. The boys rest on one and the girls on the other, laying head to feet. Each futon is approximately 6 feet long by 4.5 feet wide.

Based on observation there is no way to dispose of soiled diapers that is either foot operated or used in such a way that neither the caregiver?s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
Evidence
There was no way to dispose of soiled diapers or wipes without the soiled diaper, wipe or caregiver?s hands touching the storage system during disposal.

Based on review of first aid supplies, the first aid kit was incomplete.
Evidence
The first aid kit was missing a digital thermometer, scissors, and single-use gloves.

Based on observation, the required non-medical supplies did not contain a working, battery-operated flashlight.
Evidence
There wasn?t a working battery-operated flashlight available.

Based on observation, the required nonmedical supplies did not contain a working, battery operated radio.
Evidence
There wasn?t a working battery-operated radio available.