Noncompliance Area: The most recent annual trainings regarding the facility's emergency plan exceeded 12 months between training: 9/4/19-10/6/20. The most recent emergency plan training is current.
Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
All facility persons are current with this annual training requirement. In the future, the operator will ensure that Emergency Plan Training is scheduled within 12 months and all facility persons participate. Training documentation will be included in facility records for all facility persons at the time of initial employment, on an annual basis and at the time of each plan update.
Noncompliance Area: The fee agreements in the files for Child #1 through #4 were not signed by the operator.
Correction Required: An agreement shall be signed by the operator and the parent.
Child Development Centers, Inc. operator signed the fee agreement. In the future, all fee agreements will be signed by the operator.
Noncompliance Area: The Emergency Contact Form in the file for Child #4 did not include the names and phone numbers of the emergency contact persons.
Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.
The names and phone numbers of emergency contact persons were added to the form. Child Development Centers, Inc. will ensure that all emergency contact forms have the names and phone numbers of emergency contact persons.
Noncompliance Area: The Emergency Contact Form in the file for Child #4 did not include the phone number of the child's physician.
Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Child Development Centers, Inc. obtained the name of the child's physician and phone number. Child Development Centers, Inc. will ensure that all emergency contact forms have the name and phone number of the child's physician.
Noncompliance Area: The Emergency Contact Forms in the files for Child #1, #2 and #4 did not include the health insurance policy numbers.
Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
Child Development Centers, Inc. obtained the health insurance policy numbers for child #1, #2, and #4. Child Development Centers, Inc. will ensure that all emergency contact forms have the health insurance policy numbers in the future.
Noncompliance Area: The Emergency Contact Form in the file for Child #4 did not include the name, address and telephone numbers of the release persons.
Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
Child Development Centers, Inc. obtained the name, address and phone number of release persons. Child Development Centers, Inc. will ensure that the name, address and phone number of release persons Is included on the emergency contact form at all times.
Noncompliance Area: The immunization records in the files for Child #2, #3 and #4 did not include documentation of a flu shot conducted within the past 12 months or a letter of exemption from the parents. Child #2 and #3: November, 2018. Child #4: None.
Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. A child's record shall contain initial and subsequent health reports.
Child Development Centers, Inc. will obtain either a copy of the flu vaccine or a letter of exemption from each Family for child #2, #3, #4. Child Development Centers, Inc. will obtain proof of flu vaccine or exemption for all children annually.
Noncompliance Area: The Emergency Contact Forms in the files for Child #1, #2 and #4 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.
Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
Child Development Centers, Inc. will obtain parental consent for emergency medical care and minor first aid for Child #1, #2, and #4. In the future Child Development Centers, Inc. will obtain the signed consent at enrollment and with each 6 month update.
Noncompliance Area: The files for Staff Person #1 through #4 included documentation of initial training in the facility's emergency plan, which was conducted more than one week after the staff persons' initial dates of employment. First day in childcare: 9/9/19. Initial Emergency Plan Training: 12/4/19. This training is now current.
Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Child Development Centers, Inc. provided emergency plan training for the employee on 12/4/2019. In the future Child Development Centers, Inc. will complete training prior to the initial time of employment, on an annual basis and at the time of Plan update.
Noncompliance Area: The file for Staff Person #4, who was hired as an Assistant Group Supervisor, did not include a copy of a high school diploma and verification of two years experience in childcare.
Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
Child Development Centers, Inc obtained the high school diploma and verification of hours for the employee. Child Development Centers, Inc. will ensure that proper paperwork including the high school diploma and verification Of hours is obtained prior to the initial time of employment.
Noncompliance Area: Observed in Bathroom #119: Tile floor adhesive in an unlocked closet. Disinfectant spray in the unlocked lower storage area of diaper changing table. These were accessible to children who use this bathroom.
Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Child Development Centers, Inc. removed the toxins from the room. Child Development Centers, Inc. will ensure that all toxins are locked at all times.
Noncompliance Area: Observed wooden pallets and extra fencing in Outdoor Play Space #1. Observed tools, ladders and other supplies used for construction in the gym, which currently prohibit the space from being utilized as an indoor play space.
Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Child Development Centers, Inc. installed fencing around Play Space #1 to ensure that the materials were not accessible to children. Child Development Centers, Inc. has prevented use of the gym until the construction materials are removed. Child Development Centers, Inc. will ensure that all areas are kept clean, in good repair and free from visible hazards at all times.
Noncompliance Area: Hand-washing signs were not posted above two of the toilets in Bathroom #119 and three of the toilets in Bathroom #120.
Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
Child Development Centers, Inc. posted handwashing signs in bathroom #119 and #120. Child Development Centers, Inc. will ensure that each toilet, toileting chair, diapering area and sink in the facility have handwashing signs posted at all times.
Noncompliance Area: Observed brown stains from previous water damage on two ceiling tiles in Room #4 above the left window. Observed a hole in the wall in the hallway across from Room #3 where a water fountain had previously been installed. Observed holes in the wall with broken protruding bolts under the cafeteria window in the gym. Observed construction equipment, ladders, supplies and tools in the gym, which were due to remodeling not being complete.
Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Ceiling tiles will be replaced. A stainless steel metal cover will be installed over the opening where the water fountain used to be. Maintenance is caulking all the holes in the wall of the gym and will be removing all equipment, ladders, supplies and tools so that the gym is safe for play. Going forward, floors, walls, ceilings and other surfaces, will be kept clean, in good repair and free from visible hazards.
Noncompliance Area: The two bathrooms across from Room #2, which will be utilized by the program, did not have installed operable sinks and toilets.
Correction Required: The ratio of flushing toilets to toilet-trained children is one toilet per 15 young or older toddler and preschool children to; one toilet per 20 school-age childrenA sink shall be located in or near a toilet area.
Plumber is currently working in the bathrooms and toilets and sinks will be installed. Boys room will have three toilets, girls room will have four toilets and each bathroom will have two sinks. Going forward, facility will have the at least the minimum ratio of sinks and toilets for the children who are in care.