251.05(2)(a)3.a. · Staff Record - Physical Examination

Staff B was missing a report on a physical examination that was completed not more than 12 months prior to nor more than 30 days after the person was hired. The physical examination report may be a printout of an electronic record from a medical professional or on a form provided by the department. The report shall be signed and dated by a licensed physician, physician's assistant, or other EPSDT provider. The report shall indicate that the person is free from illnesses detrimental to children, including tuberculosis, and that the person is physically able to work with young children.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(c) · Cardiopulmonary Resuscitation Training

Documentation of Staff A obtaining and maintaining a current certificate of completion for infant and child cardiopulmonary resuscitation (CPR) including Department-approved training in the use of an automatic external defibrillator (AED) within 3 months of beginning to work with children was not available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

251.05(3)(cm) · Child Abuse & Neglect - Biennial Training

There was not documentation of Staff D having received training within one week after beginning work at the center and at least every 2 years thereafter, on child abuse and neglect laws, how to identify children who have been abused or neglected, and the procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(11)(b)5. · Outdoor Play Space - Energy-Absorbing Surfaces

There was not sufficient energy-absorbing surfacing under the large climbing structure and in a fall zone of four feet beyond the equipment. An energy-absorbing surface, such as loose such as loose sand, pea gravel, or pine or bark mulch, in a depth of at least nine inches is required under climbing equipment, swings, and slides whenever the play equipment is 4 feet or more in height and in a fall zone of four feet beyond the equipment. Shredded rubber and poured surfacing shall be installed to the manufacturer's specifications based on the height of the equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

251.06(2)(n) · Garbage Containers - Construction & Disposal Schedule

Garbage cans containing food garbage in multiple classrooms were missing a cover. Garbage containers in the building shall be rigid, covered, watertight, and emptied daily or more often as needed.

Open Not marked corrected in the state record

Open / not marked corrected.

251.07(6)(f)6. · Current Authorizations For Medications On Premises

Some medications on the premises were missing a current Authorization to Administer Medication form or other written administration authorization from the child's parent. No medication intended for use by a child in the care of the center may be kept at the center without a current medication administration authorization from the parent.

Open Not marked corrected in the state record

Open / not marked corrected.