Thomsen Learning Center

Based on records review, staff S1 was missing immunizations for MMR which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on file reviews, 5 of 6 children’s files reviewed were missing signed statement acknowledging receipt of Type A citation from site inspection on 10/25/22 and 11/3/22 and/or 11/2/23 and Accusation Summary.

Based on observation, upon LPA arrival at 11:35am, present at the facility were 10 infants with 2 staff in infant room 1E. Facility was out of ratio until, staff Harley Clover arrived at 11:47am, which poses an immediatel health and safety risk for children in care.

Based on records review, facility did not have proof of immunizations on file for Staff S1 - S2, which poses a potential hazard to the health and safety of children in care.

Based on records review, Lead testing has not been conducted within 180 days of licensure (7/16/22) which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on 2 of 5 staff files were missing immunizations (Tdap, MMR, Flu) proofs which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, 3 of 5 staff files were missing LIC 503 and/or negative TB proof which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview with staff Nicolle Daniels, she initially stated she is no longer the Director due to legal before stating that she was still Director, of the facility but that new teacher wasn't slated to start until Monday. She was observed as the fully qualified teacher in room 1B supervising 2 aides and 17 children then around 12:30pm entered infant room when that qualified teacher exited. There was no Director in place during the visit which poses a potential health, safety or personal rights risk to persons in care. which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on 5 of 5 staff were missing current Mandated Reporter Certificate which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation infant food including breast milk was not labeld with children's name or date the food was brought in which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, present at the facility during the visit were 9 infants with 3 staff in room 1E. All 3 staff (S1-S3); 2 aides, 1 teacher (not fully qualified). This poses a potential health and safety risk to the persons in care.

Based on file review of staff S1 - S3, the LIC 503 Health screening and/or Mandated reporter were missing from file. This poses a potential health and safety risk to children in care.

Based on records review, 1 of 4 childrens files were missing LIC 9224. This poses a potential health and safety risk to children in care.

Based on interview, Director stated LIC 9224 or verification of receipt of type A citation reports were missing from all children’s files.

Based on observation during site inspection, there were 13 infant with only 2 teacher in the classroom. This poses an immediate health and safety risk to children in care. 8 After 15 minutes, a third teacher came to the facility and helped in the infant room.

101161(a) Limitations on Capacity - A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not meet by: 1 Director disagrees with statement and stated there were only 12 infants in attendance. Director stated she will speak with the staff member in room 1E from today to find out why they had 13 observed infants by LPAs and submit statement to the department by 11/3/22. Based on interview and observation on 11/2/22, the infant classroom was observed with13 infants at a maximum licensed capacity of 12. This is an immediate risk to the health and safety of children in care. 8

Based on observation during site inspection, there were 11 infant with only 2 teacher in the classroom. This poses an immediate health and safety risk to children in care.

Based on interviews and records review, an incident report was never made to the department regarding child injury C1. This poses a potential health and safety risk for children in care.

Limitations on Capacity - A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not meet by: 1 Director stated, she will submit an updated Infant roster of the 12 identified infants remainng in the class to LPA Ma by 8/10/22. Director stated she will submit an application for a toddler option to adjust to the infant enrollment demand. Based on interview, observation, and review of relevant documentation, on 8/8/22, the infant classroom had 13 infants with a maximum capacity of 12. This is an immediate risk to the health and safety of children in care. 8

Facility did not inform parent of Type A allegations

Classroom Operating Out of Ratio and/or over capacity.