101212(d)(1) · 101212(d) Reporting Requirement: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made The Center will have all staff members trained on reporting incidents accordingly. Once the training is complete, all the materials and participants will be provided to the Licensing Office for review. The facility will ensure that the training is completed by the due date.

, as evidenced by interviews and records review. It has been found that the Center failed to meet the requirement of reporting a head injury to the family and Licensing Office. The Center's failure to report the injury could pose a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101173(d) · 101173 The child care center shall operate in accordance with the terms specified in the plan of operation. (d)The child care center shall operate in accordance with the terms specified in the plan of operation. The center must commit to and adhere to its operational plan at all times, which includes promptly reporting any accidents or injuries to the families involved.

, as evidenced by the record review. The Center failed to adhere to the parents’ handbook, which indicated that an injury that a child sustained at the Center would warrant an immediate report to the family. Not following the Center’s plan of operation poses a potential health and safety risk to children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101174(d)(2) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.

Deficient Practice Statement Based on (record review), the licensee did not comply with the section cited above in that there is no emergency drill documented in the facility which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/28/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101229(a)(1) · 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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

Deficient Practice Statement Based on [(observation), the licensee did not comply with the section cited above in one child was left alone in the yard after staff brought other children back into the facility which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/28/2023

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 1 out of 4 staff did not have Health Screening of file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/14/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a)(12) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Deficient Practice Statement Based on (record review), the licensee did not comply with the section cited above in 1 out of 4 staff did not have TB clearance of file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/28/2023

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101226(e)(3)(B) · Health-Related Services (3) Prescription medications may be administered if all of the following conditions are met: (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 2 children did not have parental permission to admininster mediction on file which a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/28/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101229.1(a) · Sign In and Sign Out (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

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that there were no children signed in to the facility this day which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/28/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.