101226(d) · Health-Related Services (d) The licensee shall maintain the following first-aid supplies in a location accessible to staff but inaccessible to children (1) A current edition of a first-aid manual.(2) Sterile first-aid dressings. (3) Bandages or roller bandages.(4) Adhesive tape.(5) Scissors.(6)Tweezers.(7)Thermometer.(8) Antiseptic solution. Per Center Director, a first aid kit and a first aid manual was purchased for all 3 classrooms. LPA observed the first aid kit to be complete.

LPA observed the first aid kit to be incomplete and did not meet the requirements under health-related services which poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(a)(2) · Health-Related Service (a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch...(2) In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center. Per Center Director, an ouch report was designed for staff to document any injuries and or first aid administered of children in care. A copy of the ouch report was provided to the LPA.

disclosures made by the Center Director who stated written reports of child injuries are not documented or kept in the child’s file services which poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101174(d) · Disaster and Mass Casualty Plan (d)Disaster drills shall be conducted at least every six months. (1) Completion of such drills shall not require travel away from the child care center grounds or contact with local disaster agencies. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year. Per Center Director, a disaster drill was conducted on 4/12/2024. LPA reviewed records that are being used to document drills.

disclosures made by Center Director who was not able to confirm when the last disaster drill was conducted and did not have any disaster drills documented or logged for reference which poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226.1(b) · Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section ...(1)The person who signs the child in/out shall use his/her full legal signature and shall record the time of day...(d) The sign-in and sign-out sheets with the signatures required by this section and by Section 101226.1 shall be kept for one month and shall be available at the center for review by the Department. Per Center Director, parents were notified and reminded to sign their child in during drop off and sign child out at pick up. Center Director disclosed parent's have began signing their child in after LPA conducted interviews with parents.

disclosures made by Center Director and parents that the Center Director and/or staff will sign in on their behalf when they forget to sign which poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a) · 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. LPA observed Center Director removed broken toys and bicycles from children's play area. LPA observed heavy items removed from the high shelves and a barriers installed to prevent items from falling from the shelves. The following corrections will be submitted in a form of a photo to LPA via email by POC due date: Secure cubbies in Seastar's classroom, remove or repair rusted metal shelves

LPA observed children playing with broken toy trucks in the sand, bicycles with handlebars that had rough metal protruding from the rubber bar grips, heavy items stored on high shelves next to the space where children play in the classroom identified as Penguins and rusted metal shelves in the outdoors where children store their belongings which poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.