101238(a) · 101238 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.

Facility will submit proof (copy) of a detailed plan of what steps the facility will take to ensure that the facility is clean and sanitary, in addition to the steps they already take. This plan shall be signed and dated. The facility will also submit proof of (copy of documents) the recently employed Janitor. All of the above items will be submitted to the Department by the POC due date. Based on observation and interview, the facility had debris on the floor of the preschool classrooms including food, dust, discolored marks on the floor, and brown and black marks on the floor of the restrooms and base of the toilets that children use. Also, there were brown makings and trash on the floor of the kitchen that is utilized for the entire facility. This poses/posed a potential health, safety, or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229.1(a)(1) · (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in, there was more than one sign in/out sheet that did not have a full legal signature and/or time of day which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238.2(e) · (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 in the School-Age outdoor play area is filled with wood chips and the areas under the swings and slides does not have sufficient covering to absorb a fall which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in Staff #1 did not have LIC503-Health Screening Report available updon review which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101221(b)(6) · Child's Records (b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in Admission/Enrollment Agreement not on file for Child #1 and Child #6 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(c) · (c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the School-Age play structure had wood chips on the play structure, including play structure stairs and stairway which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/28/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101173(d) · Plan of Operation - The child care center shall operate in accordance with the terms specified in the plan of operation. This requirement has not been met as evidenced by Facility Director understands the importance of following the Facility's plan of operations especially pertaining to the release of a child to an unauthorized representative. Facility Director will conduct a training with staff members regarding the release of a child and proper steps to take to verify their identity and notify the proper authorized representative before

Based on interviews conducted, Facility did not act in accordance of its plan of operation. On 8/17/21 Facility released a child to an unauthorized represenative and did not follow proper steps to verify the individuals relationship prior to releasing the child. This poses an immediate health and safety risk to the children in care releasing the child. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/23/2021.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101229(a)(1) · Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement has not been met as evidenced by IMMEDIATE CIVIL PENALTY OF $1000 WILL BE ASSESSED for repeat violation of cited regulation within 1 year. Facility Director understands the importance of providing care and supervision for children in care at all time. Facility director will conduct a training session with staff and submit the outline

Based on Interviews and records reviewed, on 08/24/21 Staff were unaware a Child went into the restroom and could not account for their whereabouts for the timeframe between 4:15pm and sometime after 5:00pm. This poses an immediate health and safety risk to the children in care of topics discussed regarding toileting, attendance, name to face and updating CSR accurately. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/23/2021.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101221(a) · Child's Records - A separate, complete and current record for each child is maintained in the child care center. This requirement has not been met as evidenced by Facility Director understands the importance of maintaining children's files and will have staff conduct an audit of files to assure that all children currently enrolled and on the facility roster have a file for review. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/29/2021

Based on observations fron a visit on 09/03/2021 LPA requested a review of a Child’s file for the purpose of verifying the documentation. The facility was unable to locate the Child’s file for review. This poses 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.

101221(d)(1)(C) · Reporting Requirements - Any unusual incident or child absence that threatens the physical or emotional health or safety of a child shall be reported to the Department within 24 hours of the occurrence. This requirement has not been met as evidenced by Facility Director understands the importance of reporting requirements and documentation of unusual incidents that occur in the facility. Facility Director will conduct training with staff and members of management on proper procedures for self-reporting and documenting unusual incidents that occur at the facility and the proper time frame they must be reported

Based on interviews conducted with staff on 09/03/2021, LPA discovered the facility had knowledge of an unusual incident which occured on 08/24/21 regarding care and supervision of a child in care and failed to report it to Licensing. This poses a potential risk to the health and safety of children in care to licensing. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/29/2021 SUPERVISOR'S NAME: Gilbert Sena

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.