Little Summit Center

(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. 1 Assistant Director will conduct a training with staff that covers supervision requirements. Assistant Director will submit proof to LPA Tillery that the training was conducted. This requirement was not met, evidenced by: On 5/25/2022, LPA observed C1 walking down the hallway to the bathroom by herself. On 5/25/022, Children interviews also revealed that children are using the bathroom alone. 8

(a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. (1) Additional attention shall be paid to children who: Assistant Director will submit to LPA Tillery, corresponence stating she understands that staff are to conduct daily inspections for illnesses prior to accepting the child in care. (A) Have been absent because of illness. B) Have been exposed to a contagious disease. This requirement was not met, evidenced by: Based on information obtained during interviews, staff were not conducting daily inspection for illnesses. Request Denied

(a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. Assistant Director will submit to LPA TIllery, correspondence stating that she understands that parents are to be informed when a child becomes ill while in care and/or if there is an outbreak of a communicable disease. This requirement was not met, evidence by: Based on interviews and observations, staff did not notify parents about the recent hand foot and mouth outbreak in the center. 8

Based on observation and record review, the licensee did not comply with the section cited above in that 2 staff members did not have current Mandated Reporter Training Certificates on file, which poses a potential health, safety or personal rights risk to persons in care.

Facility staff failed to prevent the spread of illnesses

Facility staff did not notify parents of illness

Staff do not supervise children during bathroom time