Violation

0520-12-01-10, (14) The administration of medication shall be in compliance with the following: (a) All medications, prescription and non-prescription shall be received from the parent by a designated staff person or management level staff person. An alternate staff person shall be available to administer medication in the event the designated staff person is absent. (b) The designated staff person shall document verification of the following: 1. The parent’s written authorization to administer medication and instructions on the methods of administration; 2. That medicines or drugs are in the original prescription container, are not out of date, and are labeled with the child’s name; and 3. The specific dosage and times medication is to be administered to the child. (c) The following documentation of administration shall be maintained in the child’s file and a copy provided to the parent: 1. Times medications administered; 2. Noticeable side effects; and 3. Name of staff person administering medication to child. (d) The parent of a child receiving medication shall sign documentation verifying the receipt of documentation of administration required by subparagraph (c) above and that all unused medication was returned to the parent. (e) Medication shall not be handled by children, with the exception of children with a physician’s authorization for the self-administration of a medication. Assistance to school-age children self-administering medication must be in accordance with Guidelines for Use of Health Care Professionals and Health Care Procedures in a School Setting. (g) All medicines, prescription and non-prescription shall be stored in a locked compartment or container. 1. If medicine requiring refrigeration is kept in a refrigerator the medicine shall be put in a leak-proof locked container. 2. Keys for these compartments shall be inaccessible to children. 3. Medication requiring emergency administration, as directed by the physician, nurse practitioner or physician’s assistant, e.g., “EpiPen,” asthma inhaler, etc., may be kept in an unlocked container that is inaccessible to children.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

Violation

Health and Safety 0520-12-01-10 (14) Upon reviewing allergy list, there are children with severe allergies that use an epi-pen or inhaler but staff was not aware of this and there was no rescue medication provided by the parent/guardian.

Corrected Corrected by Feb 28, 2022

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

Violation

School Age Before and After School Programs 0520-12-01-15 (12) All children were sitting on the floor for over an hour with no planned activities, this is not developmentally appropriate.

Corrected Corrected by Feb 3, 2022

Category: other. Marked corrected in the state record.

Violation

West Park Middlebrook Boys & Girls Club was cited for the violations listed below from a visit on December 13, 2021. Corrective action plan statement should be returned on or before December 21, 2021. Program Operation and Administration 0520-12-01-05 (7) (a) and (b) 1 through 6 and (e) 1 through 4

Corrected Corrected by Jan 5, 2022

Category: ratio. Marked corrected in the state record.

Violation

A child was picked up from Cedar Bluff Elementary School and was supposed to be dropped off at West Park @ Middlebrook Boys & Girls Club. When they arrived he was asleep and did not get off the bus. Staff did not realize that he was still on the bus until they got to the next stop at Regal Entertainment Group Teen Center. When they arrived at West Park the monitor on the bus signed that she did a walk-through on the bus, but she did not. There was also a staff person that came out from inside the club and signed that she did a walk-through on the bus, but she did not. Although the child was never left without adult supervision the club was still out of compliance. In order to have been in compliance: 0520-12-01-.13 TRANSPORTATION (17) A passenger log shall be used to track each child during transportation. (a) The first and last name of each child received for transport shall be recorded on the passenger log. A sibling group shall not be listed as a single group entry, for example, “Smith children”. (b) The driver of the vehicle or the monitor shall be designated as the person responsible for completing the log. (c) As each child is loaded onto the vehicle the time the child was placed on the vehicle shall be recorded on the passenger log. (d) The passenger log shall be updated immediately upon the child being released from the vehicle. The time the child was released shall be recorded and initialed by the person responsible for completing the log. (18) All drivers shall comply with the following:(a) Bus drivers who do not return to a central depot shall check at the end of every run to make sure that no person remains on the bus as defined in T.C.A. § 49-6-2114. Immediately upon unloading the last child the driver shall: 1. Physically walk through the vehicle; 2. Inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle’s interior; 3. Sign the log, with the driver’s full name, indicating the children are all unloaded. A Plan of Corrective Action is required to detail plans to prevent this situation from happening again.

Corrected Corrected by Apr 16, 2020

Category: supervision. Marked corrected in the state record.