101438.1(c) · Infant Care General Sanitation. 101438.1 (c) Washing, cleaning and sanitizing requirements for areas used by staff with infants, or for areas that infants have access to are as follows.

Based on interviews and observations, the staff

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101429(a)(2)(B) · Responsibility for Providing Care and Supervision for Infants (B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following

Deficient Practice Statement Based on record review and interview , the licensee did not comply with the section cited above when the 15 minute checks were not being documented for the children over the age of one, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/20/2023

Open Not marked corrected in the state record

Category: supervision. 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 record review, the licensee did not comply with the section cited above in two of five personnel files reviewed were missing a health screening. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/08/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101419.3(a) · Modifications to Infant Needs and Services Plan (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above the needs and service plans were being updated every 6 months instead of quarterly, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/22/2023

Open Not marked corrected in the state record

Category: health medication. 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 record review, the licensee did not comply with the section cited above in two of five child files reviewed were missing the medical assessment. The children have been enrolled for over 30 days. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/08/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101416.5(b) · Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when one teacher and one aide were supervising 9 infants, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/03/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101438.3(c)(1) · Indoor Activity Space For Infants (1) The sleeping area for infants shall be physically separate from the indoor activity space. This separation shall be accomplished as specified in (b) above.

Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above, in classroom 1 children were playing on the floor while other children were sleeping in cribs. Therefore the sleeping area was not physically separate from the activity space. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/10/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101439(h)(4) · Infant Care Center Fixtures, Furniture, Equipment and Supplies (h) Infant changing tables shall: (4) While in use, be placed within arm's reach of a sink.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the diaper changing table in classroom 2 was not within an arms reach of a sink which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(g) · 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, the licensee did not comply with the section cited above, in classroom 1 scissors were observed on the table, in classroom 1, classroom 2, and the kitchen, items labeled "Keep out of reach of children" were located on low shelves behind closed cabinets, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/10/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.