2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed four staff records and observed one staff member to be missing documentation of the required abuse prevention training. Correction: Obtain the required abuse prevention training for all staff as required. Correct immediately by 8.18.2025, and submit a written statement of compliance to the Specialist by 8.25.2025. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

One container of Cetaphil lotion on top of children's cubbies in room 130, accessible to children and labeled keep out of reach of children. Correction: All items labeled keep out of reach of children must be inaccessible. Correct by 8/26/24. Director removed the Cetaphil lotion and placed it in a upper cupboard inaccessible to children. Corrected at the time of inspection. No response necessary. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 4 staff files and observed Meghan D. to have an expired child abuse prevention training. Correction: Obtain a current child abuse and prevention training. Correct by 8/26/24. Document compliance to Specialist by 9/26/24. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Category: recordkeeping. Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 4 staff files and observed Carol S. to be missing a Emergency Disaster Preparedness Training. Correction: Obtain a Emergency Disaster Preparedness Training. Correct by 8/26/24. Document compliance to Specialist by 9/26/24. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 4 child files and observed one child to be missing written authorization for emergency medical care. Correction: Obtain written emergency medical authorization signed and updated annually by the parents/guardians. Correct by 8/26/24. Document compliance to Specialist by 9/26/24. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Category: health medication. Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 4 staff files and observed Carol S. and Meghan D. to be missing a medical statement. Correction: All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider. Correct by 9/26/24. Document compliance to Specialist by 9/26/24. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: health medication. Marked corrected in the state record.

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 4 child files and observed one child to be missing written authorization for topical preparations. Correction: Obtain written authorization for topical preparations. Correct by 8/26/24. Document compliance to Specialist by 9/26/24. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Category: ratio. Marked corrected in the state record.