101427(h) · 101427 Infant Care Food Service (h) …At no time shall a bottle be propped for an infant…

Licensee states they will e-mail the agenda training no later than 7/11/2024 Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by allowing staff to prop up a bottle during feedings with blankets and allowing the infants to sleep on their back which poses an immediate health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101430(a)(3)(E) · 101430 Infant Care Activities (a) …the following shall apply: (3) All infants shall… (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.

Licensee states they will e-mail the agenda training no later than 7/11/2024 Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff allowing infants to sleep in equipment not permitted for sleeping which poses an immediate health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(j)(3) · 101427 Infant Care Food Service (j) …(3) Bottles and dishes provided by the authorized representative shall be rinsed and returned to the authorized representative for sanitizing at the end of each day.

Licensee states they will e-mail the new process ensuring bottles are cleaned daily no later than 7/24/2024 Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff allowing formula bottles to sit out for more than a day and did not rinse and return to parents by the end of the day which poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(b) · 101427 Infant Care Food Service (b) There shall be an individual feeding plan for each infant.

Licensee states they will e-mail the completed forms no later than 7/24/2024 Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by not completing a Needs and Service Plan at intake with parents & authorized representatives which poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101439.1(f) · 101439.1 Infant Care Center Sleeping Equipment (f) Cribs shall be free from all loose articles and objects, including blankets and pillows.

Licensee states they will e-mail the agenda training no later than 7/24/2024 Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff allowing toys, blankets, and other objects in the cribs while infants slept which poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101427(i) · (i) High chairs or other appropriate seating equipment shall be used to seat infants during feeding…

Licensee will e-mail a copy of the agenda for the training no later than 7/24/2024. Based on observations and record reviews, the Licensee did not comply with the section cited above as Staff 1 and 2 used high chairs to keep infants in them and not for feeding and allowed infants to do feedings while in sleeping in cribs which poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(g) · 101238 Buildings and Grounds g) Disinfectants, cleaning solutions… that could pose a danger if readily available to children shall be stored where inaccessible to children.

Licensee will e-mail a copy of the agenda for the training no later than 7/24/2024. Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above as Staff 1 and 2 left out cleaning supplies that were accessible on cabinets in the infant classroom which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Mariela Ramon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101430(a)(3)(b) · 101430 Infant Care Activities (a)… (3) All infants…. (B) No infant shall be forced to sleep, to stay awake or to stay in the designated sleeping area.

Licensee will e-mail a copy of the agenda for the training no later than 7/24/2024. Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above as Staff 1 and 2 forced an infant to stay in the sleeping area which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Mariela Ramon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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...

Licensee plans to replace/clean the mats, clean the toys, and clean the chair and e-mail pictures once completed no later than 7/5/2024. Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above as the center had soiled toys, soiled mats, and a soiled seat being used by infants in care which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Mariela Ramon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.