Achievers

Mandated reporter training — Based on interview and record review, the licensee did not comply with the section cited above in one out of three staff files. S2's file did not have proof of a Mandated Reporter Training certifcate and during interview stated that she did not posses one, which poses a potential health, safety or personal rights risk to persons in care.

Personnel Requirements — Based on interview and record review, the licensee did not comply with the section cited above in one out of three staff files. Staff S2 did not have a health screening on file. S2 stated during interview that she has not completed a health screening within 1 year of her date of employment, which poses a potential health, safety or personal rights risk to persons in care.

Limitations on Capacity and Ambulatory Status — Based on interviews conducted children C1, C2 & C4 have been observed playing on the playground with the children enrolled on more than one occasion and are not enrolled at the facility or do not meet the limitations specified on the license, which poses a potential health, safety and/or personal rights risk to the children in care.

Activities/Napping — Based on LPA’s observation and interview, on 03/20/24 at 2:05pm, S1 was supervising 23 children in the Butterflies nap room, with more than one child awake on their nap mats without a teacher immediately available at the center to join S1 to meet the ratio requirements, which poses a potential health, safety and/or personal rights risk to the children in care.

Criminal Record Clearance — Based on observation, record review, and interview the licensee did not associate 2 of 6 staff criminal record clearances to the facility. S4 and S5’s criminal record clearances were not transferred to the facility prior to the first day of employment, which poses a potential health and safety risk to persons in care.

Fixtures, Furniture, Equipment and Supplies — Based on observation, multiple areas of the physical plant were not in good condition. The area above children's sink near the diaper changing area had exposed dry wall, metal strip along outside doors was separating from doors, exposing a screw on one door. Outdoor play equipment (space ship, red car, and steering wheel) had areas of deteriorating or splinted wood. The licensee did not comply with the section cited above in maintaining the named areas above in good condition, which poses/posed a potential health, safety or personal rights risk to persons in care.

Health-Related Services — Based on observation and interview, the licensee did not comply with the section cited above in stored medication for two children, C6 and C7. C6 and C7's medication did not contain it's original packaging or a label with instructions from the physician, which poses/posed a potential health, safety or personal rights risk to persons in care.