The program shall maintain on file for each staff member: (1) Documentation of the staff’s qualifications, including a resume, transcripts, diplomas, or any other documentation, which demonstrates their qualifications; (2) Documentation of a completed background check in accordance with He-C 4002.41; (3) A record of health screening, in accordance with (b) below; (4) Documentation of orientation, certifications, training, and professional development, as applicable; (5) Documentation verifying the staff reviewed the program’s emergency operations plan in accordance with He-C 4002.16(j); (6) Documentation verifying the staff reviewed their job description required in He-C 4002.16(e); and (7) Documentation of supervision regarding disciplinary actions or investigations specific to the staff member.

The licensing coordinator's review of 10 staff files revealed there was no documentation verifying that two staff reviewed the program’s emergency operations plan. Corrective action: Staff members signed off on their EOP. This is added into their training checklist which is reviewed with them by their supervisor.

He-C 4002.09(a) · Correction status not published

All medication shall be: (1) Inaccessible to children; (2) Stored at the temperature and conditions recommended by the manufacturer or as directed on the prescription label; (3) Stored in a secondary container separate from food if in a refrigerator; and (4) Labeled with the child’s name to ensure correct identification of each child’s medication.

The licensing coordinator's observation that there was an Epi-pen in a fanny pack hanging on the door handle of the closet in the Caterpillars classroom where it was accessible to the children. The fanny pack was immediately moved out of the reach of children. Corrective action: Teachers all signed off as a reminder that the Epi-Pen must remain up high. This is added into their training checklist which is reviewed with them by their supervisor.