101238(a) · 101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

A TOUR OF THE TWOs PLAYGROUND WHICH REVEALED THE WOODEN FENCE HAS A SPACE/GAP UNDERNEATH WIDE ENOUGH FOR A SMALL CHILD TO POSSIBLY CLIMBY UNDER ONTO THE ADJACENT PARKING LOT During today's inspection, licensee had the facility's handyman secure the space by installing a two by four in the gap, thus preventing children from climbing underneath. LPA confirmed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101216.3(a) · (c) A teacher-child ratio of one teacher supervising 24 napping children is permitted provided that the remaining teachers necessary to meet the overall ratio specified in Section are immediately available at the center.

INTERVIEWS WHICH REVEALED A STAFF MEMBER WAS LEFT ALONE WITH 19 CHILDREN AT NAP TIME. NOT ALL CHILDREN WERE NAPPING AT THE TIME, THUS MAKING THE CLASSROOM OUT OF RATIO The facility is allowed to have 1 teacher or aide supervise up to 24 napping children, provided there is another teacher readily available to be in the classroom if a child awakes. Licensee will ensure that there is a qualified staff member available to enter to classroom for ratio purposes if one or more children are awake during nap time.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS- TODAY 2 STAFF MEMBERS DO NOT HAVE THE REQUIRED HEALTH SCREENING FORM IN FILE POC Due Date: 02/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101217(a)(12) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS- TODAY 2 STAFF MEMBERS DO NOT HAVE THE REQUIRED TB TEST RESULTS IN FILE POC Due Date: 02/03/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(1) · 101223(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

an interaction between a staff person and child in care which involved the staff person abruptly This facility agreed to provide proof of staff training regarding the personal rights of children in care and staff-child interactions. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected. and forcefully grabbing/moving the child in an inappropriate manner posing a potential risk to the health and safety of the child. This facility provided proof of completion of this

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.