Inspection · 2024-07-18

Based on review of three staff/applicant records, it was determined that not all staff had a sworn statement completed prior to employment, as required. Evidence: the record for staff #1 (date of employment: 6/1/2024) did not have documentation of a sworn statement.

Based on review of three staff records, that not all records contained documentation of a negative tuberculosis (TB) test/screening at the time of employment, completed within 30 days of employment. Evidence: the record for staff #1 (date of hire: 6/1/2024) did not have documentation of a negative TB test/screening. The record for staff #2 (date of hire: 7/16/2024) had a TB test/screening that was dated: 7/17/2024. The record for staff #3 (date of hire: 5/23/2024) did not have documentation of a negative TB test/screening.

Based on documentation review, there is not at least one staff member on duty that has obtained instruction in performing the daily health observation of children. Evidence: there is no documentation that any staff have daily health observation training.

Based on observation, the facility failed to ensure that all areas outside the center were maintained in a clean and safe condition. Evidence: There was trash and glass outside on the playground. There were multiple nails protruding from the back wooden fence.

Based on review of documentation, the facility did not have written procedures for injury prevention, as required. Evidence: There was no documentation of injury prevention procedures.

Based on review of documentation, the facility did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma, as required. Evidence: There was no documentation of procedures for the prevention of shaken baby syndrome or abusive head trauma.

Based on review of documentation, the facility did not have written playground safety procedures that included all information, as required. Evidence: There was no documentation of playground safety procedures that included: 1) Provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children or 2) Method for maintaining resilient surfacing.

Based on review of documentation, the facility did not have at least two staff members with current first aid and CPR certification. Evidence: only one staff has documentation of current certification in first aid and CPR.

Based on review of documentation, the facility did not have a written emergency preparedness plan, as required. Evidence: There was no documentation of an emergency preparedness plan.

Based on observation, the facility did not have emergency evacuation and shelter-in-place procedures or maps posted. Evidence: there was no emergency evacuation maps posted.

Based on observation, the facility did not have a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center posted in a visible place at each telephone, as required. Evidence: no emergency numbers were posted.

Based on review of three staff records, not all records contained all required information. Evidence: The record for staff #1 (date of hire: 6/1/2024) did not have verification of age and orientation trainings. The record for staff #2 (date of hire: 7/16/2024) did not have documentation that two or more references were checked before employment or verification of age.