Inspection · 2024-06-07

Based on record review and interview it was determined that the center did not ensure to have a criminal history check completed prior to the first day of employment for all staff.
Evidence:
1. Staff #3 did not have a criminal history background check and was observed caring for infant children during the inspection.
2. The director, Staff #1 confirmed that Staff #3 did not have a criminal history background check completed prior to employment and was caring for infant children.

Based on record review and interview, the center did not ensure that a copy of the central registry results were obtained by the 30th day of employment.
Evidence:
1. The record for Staff #4 (hired 4/8/2024) did not contain documentation of the central registry results.
2. Staff #1 (confirmed) that the record for staff #4 did not contain documentation of a central registry results by the 30th day of employment.

Based on record review and interview, it was determined that the center did not ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence:
1. Staff #3 did not have documentation of a negative tuberculosis screening and was in contact with children in the center during the inspection.
2. The director, Staff #1 confirmed that staff #3 did not have documentation of a negative tuberculosis screening and was in contact with children in the center.

Based on record review and interview, it was determined that the center did not ensure that staff complete orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1. The record for staff #4 (hired 4/8/2024) did not include documentation of a completed orientation training and has been working.
2. The director, Staff #1 confirmed that there was no documentation of a completed orientation training for staff #4.

Based on record review and interview, it was determined that the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1. The record for Staff #2 (hired 11/15/2020) and Staff # 5 (hired 11/23/2020) did not have documented training hours for 2023 in their record.
2. The director, Staff #1 confirmed that the documentation for the annual minimum of 16 hours of training was not in the record for staff #2 and #5.

Based on observation and interview, it was determined that the center did not ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.
Evidence:
1. A container of laundry detergent was stored above four canisters of baby formula.
2. The director, Staff #1 confirmed that the laundry detergent was stored above the baby formula.

Based on observation and interview, it was determined that the center did not ensure that during the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member with direct means for communication between the two of them.
Evidence:
1. Staff #2 confirmed she was alone in the center caring for four infants for approximately ten minutes before an additional staff member arrived.
2. The director, Staff #1 confirmed that staff #2 was alone at the center caring for children.

Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratios was 1 to 4 for children in care ages birth to 16 months.
Evidence:
1. Upon entrance to the infant center, inspectors observed for approximately 20 minutes, that the infant classroom had 19 children from ages nine months to 16 months and two staff, where five would have been required.
2. Staff #1 (Director) confirmed that the staff to child ratio was not 1 to 4 for the children in care ages birth to 16 months and further acknowledged that 3 more staff were needed.

Based on observation and interview, it was determined that the center did not ensure that staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes or more often as determined by the individual infant's needs.
Evidence:
1. 14 of the 19 infants under 24 months were observed strapped and sitting at an activity table with no activities for approximately 45 minutes.
2. The director, Staff #1 confirmed that the staff did not provide change in play space.

Based on observation and interview, the center did not ensure that cribs, cots, rest mats, and beds shall be identified for use by a specific child.
Evidence:
1. Eight of the ten cribs in the infant room were not identified for use by a specific child.
2. Staff #1 (director) confirmed that the cribs were not identified for use by a specific child.

Based on observation and interview, the center did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Evidence:
1. 10 bottles were inspected in the refrigerator.
a. Two did not have a name and date.
b. Two did not have a date.
2. Four canisters of baby formula were inspected.
a. One did not have a name.
3. Staff #1 (Director) confirmed that the bottles and formula listed did not have the required information.

Based on observation and interview, it was determined that the center did not ensure that the center shall maintain and keep at the center a separate record for each child enrolled.
Evidence:
1. Child #1 (age 9 months) did not have a record at the center and was in care during the inspection
2. The Director, Staff #1, confirmed that Child #1 did not have a record at the center.

Based on record review and interview, it was determined that the center did not ensure that documentation to demonstrate that the individual possesses the education required by the job position, two or more references as to character and reputation before employment and information for each staff which includes the name, address,verification of age requirement, job title, and date of employment or volunteering, and name, address, and telephone number of a person to be notified in an emergency.
Evidence:
1. The records for staff #2, staff #3, staff #4 and staff #5 did not have documentation of education via high school diplomas or transcripts.
2. The director, Staff #1 confirmed that the records for staff #2, #3, #4 and #5 did not include documentation of education.
3. The records for staff #3, staff #4 and staff #5 did not contain two or more references.
4. The director, Staff #1 confirmed that documentation of two or more references was completed for staff #3, #4 and #5 before employment.
5. The director stated that staff #3 was on a ?working interview? and did not have a staff
record on file and was caring for infant children.
6. The director, Staff #1 confirmed that there were no staff records at the center for Staff #3
who began working earlier in the week.