Health-Related Services (e) In centers where the licensee chooses to handle medications: (1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below: (B) Each container shall have an unaltered label.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as there were 2 medications (an inhaler and an EpiPen) that were not kept in their original packaging (and were also expired) which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/29/2021

101226(e)(1)(B) · Correction status not published

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

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as there were scissors and a knife in kept in a drawer in the kitchen accessible by children which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/15/2021

101238(g) · Correction status not published

Food Service (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.

101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). POC: By 7/31/21, a written plan of action will be sent to Licensing detailing steps staff will take to ensure children are supervised at all times.

interviews and record review conducted. This poses an immediate risk for the health and safety of children in care WHILE IN CARE, A CHILD WAS LEFT OUTSIDE THE FACILITY AND OBSERVED TO BE STANDING OUTSIDE A CLOSED DOOR ON THE PLAYGROUND ALONE. THIS IS A ZERO TOLERANCE VIOLATION WITH AN IMMEDIATE CIVIL PENALTY OF $500 and an office visit will be scheduled. ANY SUBSEQUENT VIOLATIONS OF ABSCENCE OF SUPERVISION WITHIN A 12 MONTH PERIOD MAY RESULT IN A $1000 CIVIL PENALTY.

101229(a)(1) · Correction status not published

101238(a)(1) Buildings and Grounds. The licensee shall take measures to keep the center free of flies, other insects and rodents. On or before 08/06/21, the facility stated they will contact a pest control company/exterminator to come spray the facility. Licensee will send a reciept to LPA Plumboy via fax, text, email, or post.

Based on observation, at 12:34pm LPA Plumboy observed a roach in the facility and informed the center director. Insects in the facility poses a potential health and safety risk to children in care. 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. SUPERVISOR'S NAME: Wynn Norona

101238(a)(1) · Correction status not published