101216.3(b) · Teacher-Child Ratio (b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. There were 38 children present today. Two out of the five staff in the morning were fully qualified and only one staff had completed 6 units. POC Due Date: 06/05/2023

Open Not marked corrected in the state record

Category: ratio. 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.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that the screen barricading the wall heater in the 2 years old room was broken; therefore, making the wall heater accessible to children. LPA also observed that the plastic picnic table was cracked. POC Due Date: 06/09/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(e) · Outdoor Activity Space (e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that there is tan bark around the play equipment, but there is not enough to absorb falls. POC Due Date: 06/09/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in one out of five persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/09/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101220(a) · Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 11 persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/09/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(b)(1) · Personal Rights (1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in three out of eleven persons which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/09/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.