Violation

Staff Records

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff meeting documentation

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Prospective employees/volunteers reviewed

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Health Care Consultant Agreement

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff First Aid Training

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Periodic review of current employees/ volunteers

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's records and checklist

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

BRCs on all potential employees

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Equipment is clean, safe, secured, and poses no hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergies, medical info, special diets, emergency medications; privacy protected

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Evacuation drill log, all groups

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Food Storage, Sanitation & Safety

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication Storage; Medication Container/Label

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Building Inspection; Fire Inspection; Environment free of pests; Date of IPM

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff monitor environment for hazards-Hazardous items not accessible to children

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A sampling of staff files was reviewed. 1) Two staff files did not include the current First Aid Certification. The staff members have been employed for 6+ months. 2) One staff file was missing evidence of a 2nd reference check. 3) There were 6 staff who had expired Background Record Checks (BRC).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff meeting documentation was reviewed. Documentation did not include staff meeting information for the months of June-August 2025 and November 2025. All staff must meet for a minimum of 2 hours monthly.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There were 6 staff who had expired Background Record Checks (BRC).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Please email EEC when the current Health Care Agreement has been uploaded to the document library. The HC Agreement needs to be reviewed and signed at the time of the license renewal.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There were 2 staff files that were reviewed that did not include the current First Aid Certification. These staff have been hired for 6+ months.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A sampling of children's files was reviewed. One child's file included their Transportation Plan, where the arrival and departure modes of transportation were blank.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There were 2 air purifier units that were not secure.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the boy's bathroom, there was a toilet plunger stored accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) The Allergy/Medical Condition List did not include that a child had a food allergy that requires emergency medication. 2) The Allergy/Medical Condition List did not include information for a child who recently started at the program.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Fire Drill Log did not include documentation that a drill was conducted in May 2025. Evacuation drills must be conducted monthly.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) Individual packages of Cheese Its did not include an expiration date. 2) Individual packages of Gold Fish had expired.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Documentation in a child's file included that they had emergency medication for a food allergy. This medication has not been provided to the program by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Panda Classroom, the emergency bag that included medication was stored accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Building Inspection has expired. Please email EEC when the current inspection has been uploaded to the document library.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Teddy Bear classroom had a staff member's purse stored accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergies, medical info, special diets, emergency medications; privacy protected

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's Medication Consent Form was missing the parent signature and date.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program needs to ensure that the Allergy/Medical Condition List in all classrooms is current.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergies, medical info, special diets, emergency medications; privacy protected

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Rest Time

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Food not served beyond recommended dates

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Building Inspection and Fire Inspection - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Postings

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Toxic Substances

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The allergy/medical condition list did not include one item that a child was allergic to.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A sampling of staff files was reviewed. 1) One staff file did not include a bi-monthly observation that was due 1/25. 2) One staff file was missing documentation of an interview and evidence of a staff orientation. 3) One staff file was missing a 2nd dose of MMR or proof of immunity.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A sampling of children's files was reviewed. One child's file included 2 Medication Consent forms that were signed over a year ago and have expired.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Beaver classroom, during rest time, there was insuffient lighting for the back 2/3 of the classroom in order to ensure proper supervision.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the kitchen, there were 4 containers of milk with an expired expiration date.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program's Building Inspection has expired. Please email EEC when the updated inspection has been uploaded to the document library.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There were 3 toilet bowl plungers and 1 toilet brush found in bathrooms accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Beavers Classroom did not include a posting noting the location of the First Aid kit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's Individual Health Care (IHC) Plan was signed over a year ago and has expired. 2) One child had 2 IHC Plans. Both plans did not include consequences if the medication was not administered, staff who were trained in the medication administration, who trained the staff, and parent and doctor signature/date.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's IHC Plan included that the child had medication should they have a minor allergic reaction. The child's parent has not provided this medication and paperwork to the program.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Beavers Classroom, the emergency bag with children's medication was found on the floor under a table accessible to the children,

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Food not served beyond recommended dates

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Building Inspection and Fire Inspection - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A sample of staff files were reviewed. One staff file did not include evidence of being registered in the PQ Registry and evidence of completion of 12 Essential trainings.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There were some cans of applesauce and jars of pickles in the kitchen. Expiration dates for these items were unable to be located.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) There was a fan accessible to children in the Lions and Dinosaur classrooms. 2) There was a toilet plunger in the girl's bathroom accessible to the children. 3) There were 2 cots in the Lion's classroom where the material was frayed. 4) There was a flat-screen TV in the Lions classroom that was tippable.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program does not have a current Building Inspection. Please email EEC when a current inspection has been uploaded to the LEAD document library.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's doctor's information included that a child should take 2 puffs of emergency medication as needed. However, the prescription label included that the child could take 2 puffs of the emergency medication if needed for 7 days. All medication directives from the child's doctor need to be consistent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Documentation of medication administration; Current consent for medications

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Three staff files revewed did not include bi-monthly observations,

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child had 2 emergency medications. Both medication consent forms did not include all required information.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) Two children's Individual Health Care Plans (IHC) did not include consequences if the treatment is not given signed/dated by the doctor. 2) One child's IHC Plan was not signed by the child's parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergies, medical info, special diets, emergency medications; privacy protected

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Bottles/pacifiers/toothbrushes/sleeping materials labeled with child's name

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Changing surface protected with covering of adequate size

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Documentation of medication administration; Current consent for medications

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication Storage; Medication Container/Label

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Proper sanitizing techniques; Bottles labeled and out of children's reach

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Weekly snack/meal menu made available; Previous menus on file for one year

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Changing table or diapering area not used for any other purpose

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

No peeling or flaking paint (indoor and out)

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) Two children's enrollment forms were signed/dated by parents over a year ago. 2) Two children's files did not include a current LEAD test and results.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) 2/27/23 - Staff files were locked and unable to be reviewed at the time of the visit. 2) 3/6/23 One staff file reviewed did not include evidence of interview date /documentation. 3) Two staff files reviewed did not include evidence of 2 reference checks. 4) Three staff files reviewed did not include evidence of written staff bi-monthly observations.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) 2/27/23 - Monthly staff meeting documentation was not available at the program at the time of the visit. 2) 3/7/23 Review of the Staff Meeting Log did not include evidence of staff meeting for a minimum of 2 hours in 9/22 and 11/22.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

2/27/23 The Injury/Incident Log was reviewed. The program had not completed the log in a while. There were Injury/Incident Reports in the binder; however, they were not organized by date so that the program can monitor the injuries/incidents to see if there are any patterns.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

On 2/27/23, the former Program Director was present while the current Program Director was out. The former Program Director did not have a current BRC.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Panda classroom, EEC was informed that there was a child that had visited the classroom from another classroom from 9 AM- 12PM due to an upcoming transaction to the classroom. The attendance reviewed did not include that the child was present from 9-12 that day and therefore, during that time, attendance was not accurate.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) The boys and girls bathrooms had a toilet bowl plunger accessible to children. 2) The girls bathroom had a toilet bowl brush accessible to children. 3) The boys bathroom floor had a section of tile missing. 4) In the Teddy Bears, the lip on the step up to the stage area was missing some of the strip of protective rubber molding

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The staff schedule posted was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There was an old Allergy/Medical Condition List posted in the Teddy Bear Room that was not covered to ensure children's privacy.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Teddy Bear classroom, there was a child's bottle that was unlabeled.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Two diaper changing surfaces were not protected with a covering that is of adequate size to prevent the child from coming in contact with the changing surface.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child had 2 Individual Health Care (IHC) plans. Each IHC Plan was over one year old and did not include all required information and were signed/dated over a year ago. 2) One child's IHC Plan did not include staff who were trained in the administration of medication, who trained them and consequences if medication is not administered with Doctors signature and date. 3) One child's IHC plan was signed/dated over one year ago.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child had 2 medications, Both Medication Consent forms was signed/dated by the parent over a year ago. 2) One child's medication was not accompanied by a Medication Consent Form and did not include directions for storage.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's emergency medication had expired. 2) One child's emergency medication prescription label had expired; however, the medication was still current.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) In the Teddy Bear classroom, there was an unlabeled bottle of disinfectant accessible to the children. 2) In the Panda classroom, there were alcohol wipes accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

EEC was shown the program's menu for the week of 3/7/23; however, this was not posted at the time of the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One changing table included items that were used for another purpose.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Panda's classroom, there was peeling and chipping paint on the walls.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Schedule current and posted

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's records and checklist - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff meeting documentation

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Record of injuries, behavior incidents, accidents, emergencies

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Prospective employees/volunteers reviewed

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Accurate attendance; arrival/departure times

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Physical Space Paint

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's file included 2 Medication Consent Forms that did not include parent signature/date. In addition, this child's physical did not include evidence of [REDACTED] test results.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) The bathrooms, toilets and floors appeared dirty. 2) The girls bathroom had a plunger accessible to the children. 3) The boys bathroom trash did not have a cover for diaper disposal.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There was chipping/peeling paint observed on the walls in the Teddy Bear classroom and hallway.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's Individual Health Care Plan (IHC) did not include potential consequences if the medication is not administered. 2) One child had 2 IHC Plans that were not signed/dated by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Refuse: Garbage storage

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One staff file reviewed did not include 2 doses of MMR or proof of immunity.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's file reviewed was completed, signed and dated by the parent over one year ago. 2) One child's file did not include a current Lead Test and results.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the kitchen, there was garbage in an uncovered trash container.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) The Individual Health Care Plan (IHC) for one child's emergency medication was not signed by the parent and did not include which staff were trained in administration of the medication and who trained staff of administration of the medication. 2) One child's IHC Plan did not include the consequences if the medication was not given, side effects of medication, which staff were trained in administration of the medication and who trained staff of administration of the medication.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A child had 2 emergency medications. Both medications had expiration date of 6/21.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space - safe, clean, in good repair

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergies, medical info, special diets, emergency medications; privacy protected

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

First Aid Kit (SLGSA)

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication Storage; Medication Container/Label

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Three children's files were reviewed. One child's Enrollment Form page was incomplete.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One classroom electrical outlet did not include a safety plug.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's enrollment forms include information from the parent that stated to watch the child should they have a fever because they have had a seizure due to fever in the past. Even though the child does not have medication for this, you need to include this information on your Allergy/Medical Condition List whereas as all staff must be aware of this medical condition.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One first aid kit reviewed did not include a CPR mouth guard or tweezers.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medications for two children were reviewed. 1) One child's Authorizaton for Medication Form for both medications did not include that staff must have taken the 5 Rights of Medication training to administer medication. 2) The top portion of one chlid's Authorization for Medication forms has not been completed by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Program Director’s evaluation should be completed, signed and dated by a member of the Board of Directors as a supervisor.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Attendance Recording and Group Sizes/Ratios

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Food not served beyond recommended dates

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Authorization for Medication Form

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergy/Medication List

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Allergy/Medical Condition List

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Adequate lighting during nap time

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1). One child’s file included a physical which was over one year old. 2). One child’s enrollment forms were signed and dated over one year ago. In addition, the file did not include a progress report which was due 12/19.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1). One staff file was missing a current annual evaluation 2) Two staff files did not have evidence that 1/3 required professional development hours were completed in diverse learners for 2019. 2) One staff file included written staff observations; however, the observations were not completed consistently bi-monthly.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The previous weeks' attendance for all groups were reviewed. The [REDACTED] attendance did not include one child’s time of arrival; however, the time of departure was included.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The refrigerator in the kitchen included 2 4-packs of yogurt which had an expiration date of 1/8/20.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child did not have an Authorization for Medication Form for their medication. 2) One child's Authorization for Medication Form did not include the dosage and the date the parent signed the form. The second Authorization for Medication Form did not include the date.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the girls bathroom, one toilet tank cover was missing and one toilet was not working.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child had a medical condition. The medical condition was not noted on the Allergy/Medical Condition List.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

[REDACTED]children had emergency medication to use as needed. Neither medication was noted on the Allergy/Medical Condition List.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The back half of the Butterfly Room did not have adequate lighting to allow for proper supervision during nap time.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1). One child’s IHC Plan did not include consequences should medication not be administered, which staff were trained in administering the medication and who trained staff in medication administration. 2). One IHC Plan did not include the name of the child’s medication and neither the doctor nor the parent dated the form. 3). One IHC Plan did not include the description of the medication condition and the printed name of the child’s doctor.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's IHC Plan included administration of [REDACTED] of medication. The parent provided the medication to the program in liquid form. There is no measurable conversion for that MG amount to ML. Therefore, the program is unaware of the correct medication dosage amount for this child.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

pocetbook accessible to children

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

IPM Plan

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

IHC Plans

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

attendance

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

legal order acknowledgement statements

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Teddy Bear classroom, an educator's purse was observed accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Integrated Pest Management (IPM) Plan on-line is currently over one year old and expired. Please update the plan on-line; sign and upload the indoor and outdoor plans to the portal document library.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's Authorization for Medication Form for an [REDACTED] did not include directions for storage and the date the parent signed the form. The child's [REDACTED] Authorization for Medication Form did not include potential consequences if the medication is not given and the date the parent signed the form. 2) A parent provided a [REDACTED] to the program. The prescription label included that the[REDACTED] needed to be applied to the child 3 times per day. The program has not applied this child and required medication paperwork was missing. This child's [REDACTED] and [REDACTED] did not have an Authorization for Medication Form. 3) One child's Authorization for Medication Form for an [REDACTED] was not signed/dated by the parent. 4) One child's Authorization for Medication Form for an [REDACTED] was incomplete.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A note from a child's doctor included that [REDACTED] be administered for an [REDACTED] reaction. The parent has not provided this medication nor required paperwork to the program. Therefore, the program does not have this emergency medication immediately available for use as needed.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's Individual Health Care Plan (IHC) was not signed/dated by the child's doctor. 2) One child's IHC Plan was incomplete.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Panda classroom, attendance for the day was inaccurate. Eleven children were accounted for on attendance; however, there were twelve children present.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the visit, the program director reported that two families have not returned the Legal Order Acknowledgment statement.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) At the visit, it was determined that 3 staff had not signed the Legal Order Acknowledgement Statement. 2) At the visit, it was determined that 5 families had not signed the Legal Order Acknowledgment Statement.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's Emergency and Contact Pick Up form was not signed/dated by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

October attendance for all classrooms was reviewed. Two children's time of departure was not recorded upon leaving the program.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Two staff files were reviewed. 1) One file did not include a current physical exam, 2 doses of MMR or proof of immunity, bi-monthly observations were inconsistent and the PQ registry documentation included 8/18 expiration, the Program Orientation Check List was not signed by the educator. 2) One file did not include the BRC compliance statement, Staff Information Form, Program Orientation Check List, bi-monthly observations were inconsistent and the PA Registry documentation included 6/19 expiration. The staff had been employed for 6+ months and current First Aid certfication was missing.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) One child's Transportation Plan was signed by the parent; however, the form was blank. 2) One child's Transportation Plan arrival mode was inaccurate.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

IHC Plans

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

emergency medications available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Authorization for Medication Form

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Progress Reports

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

signed legal order notification statements families/staff

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's files

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

attendance

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

staff files

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Transportation Plan

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plans (IHC): 1) One child's plan for an [REDACTED] was missing potential consequences and parent signatures. This child's [REDACTED] plan did not include all information required in an IHC Plan. 2) Two children's [REDACTED] plans for an [REDACTED] did not include all required information. 3) One child's IHC Plan did not include the description of the chronic condition, symptoms, potential consequences and doctor signature.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

1) At the visit, the licensor requested a review of 2 children's [REDACTED]. This medication was unavailable for review at the time of the visit. Emergency medications such as [REDACTED] must be immediately available for use as needed. 2) Three children's medication documentation included the administration of [REDACTED] for an [REDACTED]. This emergency medication and required paperwork has not be provided to the program by the parents. 3) One child's IHC Plan included administration of a second [REDACTED] should the child's [REDACTED] symptoms persist after 15 minutes of administration of the first [REDACTED]. The parent has only provided one [REDACTED] to the program.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication Authorization Forms: 1) One child's form for an [REDACTED] did not include directions for storage nor parent signature and date. This child did not have this form for the administration of an [REDACTED]. 2) Three children did not have this form for the administration of the [REDACTED].

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One preschool child's file included a progress report dated 12/18. Progress reports for preschool children should be conducted every 6 months.

Open Not marked corrected in the state record

Open / not marked corrected.