101230(b) · Activities - (b) All children shall be given an opportunity to nap or rest without distraction or disturbance from other activities at the center.

Staff admitting that some children are making noise and waking up napping children Director, Carrie Rouch provided LPA with a written notice on how staffing will be changed to accommodate children who are active and noisy to prevent and disruption of napping children. This poses a potential risk to children in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101220(b)(2) · Child's Medical Assessments (b) The medical assessment shall provide the following: (2) Results of a test for tuberculosis.

Deficient Practice Statement Based on record review,, the facility did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Child #4 and #9 are missing their TB test assessments in their files. POC Due Date: 06/23/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101219(a) · Admission Agreements - (a) The licensee and the child's authorized representative shall jointly complete a current individual written admission agreement for the child.

a form requesting to take photos of a child was not signed by the parent/guardian granting Director, Doreen Blake agrees to submit a written statement on how the facility will remain in compliance with Admission's Agreement to Community Care Licensing by 05/27/22. that permission. S4 admitted to taking a photo of C1 to show to parent and the photo was not part of the protocol of the ProCare app. This is a potential risk to the health and safety of 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.

LPAs observations of a spilled dark brown, dried substance on the bottom of the Director, Doreen Blake agrees to have the refrigerator in classroom #6 cleaned and submit a photo and have a staff meeting on proper sanitizing with a signed agenda to Community Care Licensing by 03/14/21. children's refrigerator in classroom #6. Children rotate into diffferent classrooms every 40 minutes for different themes. LPAs observed the items in classroom #3 not being sanitized prior to transitioning children into a different classroom. This is a potential risk to the health and safety of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(2) · 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (2) To be accorded safe, healthful and comfortable accommodations..

Director will purchase plug-ins for immediate assistance with smell and contact property management to assist in get insight on how to remove smell altogether or correct plumbing issue. Director will provide proof of contact with property management by 9/17/21 Staff interviews and what LPAs smelled while touring the facility This poses a potential risk ro children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229(a)(1) · 101229 Responsibility for Providing Care and Supervision (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...Supervision shall include visual observation.

DIrector will conduct a training on "assigned observation spaces" for the outdoor activity space. Director will provide training on Supervision and provide proof of training to the department by 9/17/21 During inspection LPAs observed at least 4 children during outdoor activity time out of visual supervision. This poses a potential risk to children in care

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.