Beginning Zone, The

The infant shall be kept clean and dry at all times. 1 The facility will revise the parent and employee handbook to update about diaper changing policy. The facility will retrain staff on the new policy and procedures for diaper changing. The facility will have a new handbook for review by POC. The facility will provide an agenda, handouts, and sign in hsset from training on or before the POC date.

The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. The facility will have authorized representative attend online training for reprting requirements via www.childcarevideos.org. The facility will provide proof of training to LPA by POC date. The facility will revise parent handbook and staff handbook regarding communicable disease policy. In addition, the facility will provide staff training regarding updated policy. Agenda, handouts, and sign sheets must be provided on on or before POC date. Facility requested TSP referral.

Based on record review, the licensee did not comply with the section cited above in 4 out 6 children files which poses/posed a potential health, safety or personal rights risk to persons in care.

LPAs observe a saucer chair and two 1 Bouncer and saucer chair was removed at 1:08pm during inspection. bouncers were infants observe to be eating. Photos were taken. This poses a immediate health and safety risk to children in care.

Based on observation and record review, the licensee did not comply with the section cited above. staff which poses an immediate health, safety or personal rights risk to persons in care.

(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d) 2)... the occurrence of such event. (C)Any unusual incident or child absence that 1 Director stated that she was unaware that she had to report incident since incident did not not occur at the facility. Per director stated she will report all unusal incidents to the department. LPA printed regulation for director. Director submitted a declaration stating she understands the regulation. threatens the physical or emotional health or safety of any child. This requriment was not met as evidence by, the director stated she did not report incident to the department becuase she didn't think it was reportable. This is a potential risk to the health and saftey of children in care. 8