101223(a)(3) · 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation...

Director stated a training will be heald with all staff regarding toileting accidents protocols. All staff must sign and date and proof will be provided to LPA. Based on interviews C1 was instructed on how to clean themselves by S3 from the doorway of the restroom after having a potty incident, which resulted in C1 being in the restroom for approximately 30 to 40 minutes attempting to clean themselves with wet paper towels.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101229(a)(1) · (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time,(1). Supervision shall include visual observation.

Director will ensure S2 has assistance during transitioning and diaper changes to prevent children in care from being hurt, climbing on tables, and playing with the sink water. Director will submit a signed copy of required assistance policy for S2. Based on interviews the facility is meeting ratio requirements,however S2 needs assistance during tranisions and diaper changes which poses a potential health, safety or personal rigths risk to children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101239(n) · Fixtures, Furniture, Equipment and Supplies (n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

Deficient Practice Statement Based on observation, LPA's observed a broken bicycle and broken kitchen that obtained sharp edges. Director removed all broken items while LPA's were present which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/26/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(e)(1)(B) · 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, C1 is prescribed albuterol that was not in its original packaging and prescription which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/26/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(18) · Food Service (18) All kitchen, food-preparation and storage areas shall be kept clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin.

Deficient Practice Statement Based on observation, LPA's observed hard food and other items stuck at the bottom of the inside of the refrigerator which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/26/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101238.2(d)(2) · (d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above LPA's observed two empty rectangular planters that were occupied by sitting water. Director quickly emptied both containers which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/26/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101226(c) · "The licensee shall obtain emergency medical treatment without specific instructions from the child's authorized representative if...the nature of the child's...injury is such that there should be no delay in getting medical treatment for the child."

Director will conduct a staff training addressing emergency disaster plan and assignments for future similar incidents. Director will submit proof of training to LPA by 7/28/23. Staff witnessed child become unconcious and shake but immediate medical attention was not obtained. This poses a potential health, safety, or personal rights risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d)(1)(B) · "(d) ...a report shall be made to the Department by... next working day and during its normal business hours. In addition, a written report...shall be submitted...within seven days following the occurrence of...Any injury to any child that requires medical treatment."

Director will have a staff training on how to complete an Unusual Incident Report. Director will submit proof of training to LPA by 7/28/23. The department did not receive notification - verbal, written or otherwise - disclosing that a child had suffered an injury that resulted in medical attention. This poses a potential health, safety, or personal rights risk to the children in care. SUPERVISOR'S NAME: Deborah Mullen

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.