101226.1(a) · 101226.1 Daily Inspection for Illness: (a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.

The director states that she will conduct a staff meeting regarding the daily inspection for illness of children and when children are allowed to be accepted into care. She will discuss what symptoms of illness to look for and how to document their findings. The director will send LPA a copy of the meeting agenda and staff sign in sheets via email by POC due date of 8/12/22. Based on a record review, on 4/18/22 five children were allowed to remain at the facility with symptoms of illness. This poses a potential health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101237(a) · 101237(a) Alterations to Existing Buildings or New Facilities: (a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

The director reinstalled the dividers which separate the infant activity space and nap area at the time of inspection. The director understands that she must obtain approval before any changes to the facility are made. Based on LPA's observation the infant facility/nap area was altered prior to notification and approval by Community Care Licensing. This poses a potential health and safety risk to children in care. SUPERVISOR'S NAME: Tashima Daniel

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101429(a)(2)(C)(3) · Responsibility for Providing Care and Supervision for Infants (C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (3) Time of each 15-minute check

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Ten children did not have sleep documentation in their files for dates 2/22/22 and 2/23/22. This poses a posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/11/2022

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101427(j) · Infant Care Food Service (j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that two children have food in the facility without the current date. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/11/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101428(d)(1)(A) · Infant Care Personal Services...When changing an infant's diapers, the following shall apply:...No infant shall be left unattended while on a changing table.

Director states that she spoke directly to infant staff and subs reminding them that they are to have hands on at all times and to prepare the diapers and whatever else is needed for the diaper changes, prior to placing the child on the table. For any children that are wigglers, staff may take the pad and use it on the floor instead to avoid injury. There will be a staff Based on observation, interview and review of staff statements, although Staff #1 was standing at the changing table,Child #1 was briefly unattended while Staff #1 looked away to find a diaper, allowing for Child #1 to slip off and fall to the floor. This is a potential hazard to children in care should this not be corrected. meeting held this month and supervision at the changing table will be added to the agenda. A copy of the agenda and roster will be sent to licensing as proof of correction. Director also states that she is looking for a safe barrior, such as mesh, to block the opening of the changing table and adding cushioning on the floor as extra precaution. SUPERVISOR'S NAME: Renesha Pack

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.