101238.2(d)(2) · This is an amended document. 101238.2(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.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101238.2(d)(2) · 101238.2(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.

Based on observation, one empty glass

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101229(a) · 101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.

Based on interviews and record review, care and supervision was not provided to meet

Open Not marked corrected in the state record

Category: supervision. 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, furnishings, and equipment to meet his/her needs.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(d)(1)(C) · 101212 Reporting Requirements (d) …during the operation of the child... (1) Events reported... (C) Any unusual incident or child absence that threatens the physical or emotional health...of any child.

Based on interviews and records reviewed,

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101216.3(a) · 101216.3 (a) Teacher-Child Ratio: There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

Based on observation and record review,

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.3(a) · 101216.3 (a) Teacher-Child Ratio: There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238(a) · 101238 (a) Buildings and Grounds: The childcare 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.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101223(a)(2) · 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, furnishings and equipment to meet his/her needs. Staff will place a concrete sealant over the areas of separation on the conjoined areas of the concrete tunnel

because the play equipment on the play yard is not in good condition, child #1 got her hand stuck in one of the areas of separation of a concrete tunnel and Paramedics had to be called to free her hand

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101239(o)(1) · Fixtures, Furniture, Equipment and Supplies - Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts. Within 7 days, the Director shall notify the case carrying LPA with a plan to repair the jagged edge of the concrete tunnel to provide a safe environment to children in care.

the edge of one of the 3 concrete tunnels has a rough, jagged edge that poses a safety hazard for children in care SUPERVISOR'S NAME: Lady King

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101226(e)(1)(A) · 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: (A) Medications shall be kept in a safe place inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when two containers of diaper cream (Non prescription medication) labeled "keep out of reach of children" were stored in the children's diaper bins in the bathroom of classroom 2. The diaper bins were stored in a shelving unit that was accessible to the children as the bins were located less that 35 inches off the ground, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/29/2023

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.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when peeling paint was observed on the wall in the dining area, LPA observed the white sink in classroom 4 had brown residue on the sides and base of the bowl. The faucet in the bathroom of classroom 4 was leaking. The ceiling in room 3 was leaking drops of water into the light fixture and onto the floor, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/06/2023

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 when a cabinet in the in laundry area which held laundry soap, bleach, Ajax, dishwashing soap and additional disinfectants, was not equipped with a child safety lock and items were accessible. LPA observed the children walk past this unlocked cabinet under the supervision of a teacher on the way to the dining area for lunch. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/06/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238.2(d)(2) · Outdoor Activity Space (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 when there were two wood boards with nails/screws with a sharp edges. LPA observed three empty soda cans, a spray paint can, dried palm fronds, prickly weeds, papers, empty chip bags, a used sucker, and additional debris to the back of the outdoor play space. All items were accessible to the children in care. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/06/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(A)(1) · 101223 (A)(1) Personal Rights: To be accorded dignity in his/her personal relationships with staff and other persons.

Per Facility Representtive a training on personal rights and how to speak to children occurred on October 11, 2022 with all staff. Facility will submit sign in sheets to the Department and Agenda by October 17, 2022. Based on confidential interviews, the staff made statements to the children such as "your ears are not working”. These comments made the children feel as though something was wrong with their ears and did not provide the child with dignity. This posed a potential Health, Safety or Personal Rights risk to the persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101212(f) · 101212 (f) Reporting Requirements: The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101238(a) · 101238 (a) Buildings and Grounds: The childcare 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.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

101239.2(a) · 101239.2 (a) Drinking Water: Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.