Agnes Memorial

Based on record review, the licensee did not comply with the section cited above as 7 of 10 children's files reviewed did not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care. 8 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

Based on record review, the licensee did not comply with the section cited above as 2 of 10 children's files reviewed did not have a consent for emergency medical treatment form which poses/posed a potential health, safety or personal rights risk to persons in care. 8 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

Based on record review, the licensee did not comply with the section cited above as two staff did not have a health screening on file which poses/posed a potential health, safety or personal rights risk to persons in care. 8 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

Based on record review, the licensee did not comply with the section cited above in which 8 of 10 children did not have physician's reports on file which poses/posed a potential health, safety or personal rights risk to persons in care. 8 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected..

Upon LPA's arrival and entering the facility, LPA's observed two (2)... 1 By Close of Business 07/17/2026, facility will submit a written statement/plan to LPA on how the facility will remain in compliance and ensure that a qualified teacher is present to directly supervise assistants providing care to children. .. assistant supervising four (4) preschool aged children without a qualifying teacher present which poses an potential risk to the health, safety or personal rights of children in care. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

Based on record review, the licensee did not comply with the section cited above as one staff did not have a health screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in which 5 of 5 children did not have physician's reportss on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as 4 of 5 children's files reviewed did not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as 4 of 5 children's files reviewed did not have a consent for emergency medical treatment form which poses/posed a potential health, safety or personal rights risk to persons in care.

Director shall submit a plan of action by 4/19/24 detailing how they will remain in compliance moving forward. Subsequently all items requiring repairs and corrections shall be completed by 5/15/24. LPA's observed missing glass tiles on the classroom ceiling, large stains on classroom rugs, broken handle, chipped paint and spider webs on the outdoor play structure and feces camouflaged by the large wood chips. Exposed tarp under the chips poses tripping hazard. This is a potential risk to the health and safety of children in care. 8 LPA may return for an inspection to confirm corrections have been completed.

Facility failed to report to licensing an injury regarding day care child sustaining a fracture. This poses a potential risk to the health and safety of persons in care.

By POC date, facility shall submit a plan of action on how they will ensure the facility remains in ratio at all times. This requirement was not met as evidenced by: On at least one occasion facility was out of ratio when Director, who is the only staff with teacher qualifications assists a child to the restroom.

Per interviews and record review, with the exception of Director none of the staff present meet the teacher qualification requirements which poses an immediate risk to the health and safety of children in care.

One staff assisting with day care children was not associated to facility or have current clearance this poses an immediate health and safety risk to persons in care.

record review: licensee did not have an emergency information card for 7 out of 14 children. This poses a potential Health and Safety Risk to children in care.

Based on observation and record review, the facility did not comply with the section cited above in that 1 teacher and 2 teacher aids were supervising a total of 21 preschool children which poses an immediate health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in that a Disaster and Mass Casualty Plan could not be made available during today's inspection which poses a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview), the licensee did not comply with the section cited above in that outdoor play area is not maintained LPA observed tears in the fence and missing parts to the play structure which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in that sign in/out sheets were not made available which poses a potential health, safety or personal rights risk to persons in care.

Based on [(observation), the licensee did not comply with the section cited above in LPA observed mold spots on a package of flour stored in the refrigerator which poses/posed a potential health, safety or personal rights risk to persons in care.

Building and Grounds-The facility is in disrepair

facility failed to report an injury/incident report to Licensing.