Any contaminated, expired, or discontinued medication, whether prescription or over-the-counter, and topical substances shall be returned to the child’s parents or, if belonging to the program, disposed of properly by authorized staff.

The licensing coordinator observed one expired children's pain relief in the Luna room. Corrective action: Our staff will regularly check their medication bins for outdated medications and remove them along with any medications that are no longer needed by children in their classroom.

He-C 4002.21(u) · Correction status not published

Child care staff shall ensure that potentially harmful items, including but not limited to matches, lighters, chemicals, materials labeled “harmful if swallowed,” flammable materials, sharp objects, and staffs’ personal belongings are locked or inaccessible to children.

The licensing coordinator observed Clorox wipes and various spray cleaners stored on a shelf within the school-age bathroom, which is accessible to children. Additionally, in the upstairs kitchen serving as a passageway to the bathroom area, there were at least 11 bottles of bleach and other cleaning supplies in an unlocked lower cabinet. Corrective action: The cleaning supplies located on the shelf in the bathroom were moved to a higher shelf in the classroom that is out of reach of the school aged children who use that classroom/bathroom. The cabinet in the kitchen already has a magnetic latch, which at that time was set to remain unlocked. This was fixed by switching the setting on the latch so it was activated/locked immediately. It will once again only open with the use of a magnetic key (kept out of reach of the children) and will remain locked to keep the products under the sink inaccessible to children.

He-C 4002.23(c) · Correction status not published

In order to assure that staff and children are familiar with all of the EOP drills, programs shall: (1) Practice evacuation off-site and bomb threats once per year with all child care staff; (2) Practice at least 2 other components of their EOP with all child care staff and children each calendar year; and (3) Review all EOP response actions with all staff at least 4 times each calendar year.

Child care staff shall supervise every child in care at all times.

Program staff self-reported that a child enrolled in the program was without supervision for two to three minutes after leaving the playground following another departing family. Staff B stated that they observed a child being brought back inside the program by the parent of another child after the child followed other individuals out of the program without staff supervision. Corrective action: In order to prevent children from wandering into the building from the playground undetected, we have made some adjustments. The doors to the playground and the PreK classroom are to be closed at all times, with the exception being when a staff member is standing in either doorway while monitoring the safety of a child going inside to use the bathroom, fill a water bottle, etc. We have also asked all families to be mindful of who is leaving the playground with them and check with a staff member if there is a child they do no recognize trying to go inside. Everyone has also been asked that the front door handle be for adult hands only. To better monitor who goes in and out of the building from the playground, we also have staff members positioned on or near the porch/door to the playground. Lastly, we have installed cameras in the classrooms and the lobby to monitor the safety of the children and the supervision by the staff.

He-C 4002.20(a) · Correction status not published

All prescription or over-the-counter medication and topical substances shall be kept in the original containers or pharmacy packaging and properly closed after each use.

The licensing coordinator's observation of two prescription injections that did not have a prescription label, Auvi-Q and an Epi-Pen,stored in the medication box in the Lightening Bugs classroom. Corrective action: Since this visit, we have received replacement prescription-labeled epi-pens and/or prescription-labeled boxes for each of these medications. We have also had the families fill out the required Medication Authorization forms and have made sure that updated allergy plans are posted and easily visible for both children. Moving forward, I will make sure that all staff review the information in their Medication Administration Course and require that all of their families have filled out the appropriate paperwork when sending in any medications. I will also make sure that any prescribed medications are only accepted in the original container with a prescription label.

He-C 4002.21(t) · Correction status not published

Except for nature-based programs that operate solely outside, programs shall conduct fire drills in accordance with the following: (1) Programs that operate continuously throughout the year shall conduct at least one drill each month of operation; (2) Programs that operate only during the school year shall conduct a drill within 14 days of opening each year and monthly thereafter; (3) Programs that operate only during the summer months shall conduct one fire drill in each month of operation; (4) Child care personnel shall conduct fire drills at varying times during operating hours, including night time hours, if applicable, to ensure that each child attending the program experiences fire drills; (5) Child care staff shall activate the actual fire alarm system for the building for at least 2 of the required monthly fire drills required each year and use a fire alarm or smoke detector to signal all other fire drills; (6) All children and child care staff shall evacuate the building during each fire drill; and (7) Child care staff shall check daily attendance records to ensure that all children and staff are accounted for, after the building is evacuated.