Orange Tree Christian Preschool

Family home — in-ground pool drowning prevention requirements — Based on observation the licensee did not comply with the section cited above. The pool safet net does not meet the pool safety requirements. The facility failed to correct citation. This poses/posed an immediate health, safety or personal rights risk to persons in care.

Criminal background check — Based on observation and records review, the licensee did not comply with the section cited above in 3 out of 7 staff present at the facility who were not associated/cleared, which poses an immediate health, safety or personal rights risk to persons in care. The LPAs observed Adrea Sheperd, Nicole Sarkozy, Crystal Carlton caring for children during the visit. Records show all three staff have worked in the facility since before December 2023. All three stated they had worked there since before December 2023 without association/clearance.

Personnel Requirements — Based on records review, the licensee did not comply with the section cited above in 7 out of 7 staff present at the facility, which poses an immediate health, safety or personal rights risk to persons in care. None of the staff present were able to demonstrate current Pediatric First Aid-CPR certification. The director said all staff took it together and need to renew it.

Limitations on Capacity and Ambulatory Status — LPA observation & interview, a Third Party Provider conducted a 30 min. gymnastics class w/10 preschool children w/1 facility staff present. Per interview, this class is every Thurs. for 30 minutes in this room (not w/in licensing conditions). Per record review, license states, "Rooms 101, 102, and 103. This poses/posed a potential health, safety or personal rights risk to persons in care

Family home — in-ground pool drowning prevention requirements — Based on observation the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. There is a pool on the premisses. The pool does not meet the pool safety regulations as there is no fence, wall, or barrier or a gate that meet the requirement.

1596.8595(c)(1) A licensed facility shall provide to the parents or guardians of each child copies of any licensing report that documents any Type A citation The licensee did not comply with the regulation above as evidenced by: Based on interview statements and records review, the licensee did not meet the regulation above in one report, which poses/posed a potential risk to children in care. The licensee provide a copy of a licensing report dated 3/5/24 on 3/19/24 via email.

Carbon monoxide detectors required — Based on observation and interviews with Director, the licensee did not comply with the section cited above in 1 out of 1 carbon monoxide detectors, which poses/posed a potential health, safety or personal rights risk to persons in care. The director was unable to show the facility was equiped with a carbon monoxide detector during the visit. The director stated she did not know where the detector was or whether the facility had one.

Disaster and Mass Casualty Plan — Based on records review and interview with the director, the licensee did not comply with the section cited above in 1 out of 1 disaster drills that must be conducted every six months, which poses/posed a potential health, safety or personal rights risk to persons in care. The director did not have a disaster drill log and stated someone took it out of the file and did not put it back.

Mandated reporter training — Based on records review and interview with the director, the licensee did not comply with the section cited above in 6 out of 7 staff present at the facility, which poses/posed a potential health, safety or personal rights risk to persons in care. None of the six staff had a current mandated reporter certificate. The director stated the staff needed to review the certification.

Staff immunization requirements — Based on records review, the licensee did not comply with the section cited above in 4 out of 7 staff present, which poses/posed a potential health, safety or personal rights risk to persons in care. S3, 4, 5, and 6 did not have proof of immunizations or had incomplete immunizations, meaning that they were missing proof of immunization for mmr or tdap or both.

Personnel Requirements — Based on records review, the licensee did not comply with the section cited above in 2 out of 7 staff present, which poses/posed a potential health, safety or personal rights risk to persons in care. S2, S3 and S4 did not have proof of health screening in file.

Teacher Qualifications and Duties — Based on observation, the licensee did not comply with the section cited above in 1 out of 7 staff present, which poses/posed a potential health, safety or personal rights risk to persons in care. S6 did not have a copy of transcripts or qualififcations in file at the time of the visit. The LPAs observed S6 provide care and supervision on her own to children in care at the time of the visit. S6 was operating as a lead teacher.

Personnel Records — Based on recrods review, the licensee did not comply with the section cited above in 2 out of 5 files reviewed reviewed during the inspection, which poses/posed a potential health, safety or personal rights risk to persons in care. The personnel files for staff S3, S4, and S5 did not have a proof of TB testing during the inspection. S5 reproduced proof of testing while the LPAs were in the facility.

Child's Medical Assessments — Based on records review, the licensee did not comply with the section cited above in 2 out of 5 children files reviewed during the inspection, which poses/posed a potential health, safety or personal rights risk to persons in care. C4 and C5 did not have a medical assessment/physicians report in file when the LPAs reviewed the files with the director.

Child Care Center Director Qualifications and Duties — Based on observation and interviews with staff, the licensee did not comply with the section cited above in 1 out of 1 staff with designated reponsibility, which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed director not present and did not have a person with designated responsibility at around 9am when the LPA arrived for the inspection. Staff said the director would arriv in 25 minutes. LPAs waited about 25 min.