33-01 · Technical assistance per CCF Handbook 4.2.1, "Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: Child Care Facility Rules and Regulations Health, Safety and Nutrition Identifying and Reporting Child Abuse and Neglect Child Growth and Development Behavioral Observation and Screening B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: Special Needs Appropriate Practices (10 hours), or Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours)

[2] personnel have not completed 40 hour introductory training requirements

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Technical assistance per CCF Handbook 7.1, B "If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations."

Licensing authority is not in receipt of [2] outstanding immunization records for review and compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance per CCF Handbook 7.2, C "If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the children to remain in the program."

Licensing authority is not in receipt of [4] student health exams for review and compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Technical assistance per CCF Handbook 7.1.B, "If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations."

Total enrollments at inspection: 53 [20 of 53] immunization records reviewed for compliance (Nido Terra and Casa Fiore files) [1 of 20] did not contain immunization records. [1 od 20] is improperly documented on the DH Form 680 or DH Form 681

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance per CCF Handbook 7.2.C, "If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program."

[20 of 53] student health exams reviewed for compliance (Nido Terra and Casa Fiore) [4 of 20] did not contain a health exam

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-03 · Training Requirements

At the time of inspection, FSC observed that one Child Care Personnel did not begin the introductory training within 90 days of employment in the child care industry. CCF Handbook, Section 4.1 T / A provided that child care personnel must begin training within 90 days of employment in the child care industry

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.