Trf All Saints

Based on (record review) the licensee did not comply with the section cited above in that the LIC701 was missing for C1 and C4 which poses/posed a potential health, safety or personal rights risk to persons in care.

101223(a)(2)-(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evdenced by: 1 Facility will submit a written plan for monitoring and understanding of personal rights by

Based on [(observation) ], the licensee did not comply with the section cited above in that LPA observed debris/bug under changing mat 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 that S4 did not have immunizations on file for review which poses/posed a potential health, safety or personal rights risk to persons in care. This is a repeat violation and a civil penalty has been assessed for $250.00.

101223(a)2) Personal Rights To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidence by: 1 Facility will schedule a parent conference as required by facility and noted in Parent Handbook. Facility will also schedule a staff meeting to identify interventions including staffing of the plan and/or interventions to be used by

Based on interview the licensee did not comply with the section cited above in that Lead testing has not been completed 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 that 3 out of 5 files reviewed did not have immunization's for review 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 that files reviewed show INS plans are past due for updates which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA’s record review , staff and Parent interviews the facility did not maintain supervision of all children which resulted in a child being unsupervised int the paking lot. This is an immediate risk to the health and safety of children in care. 8 Director will submit statement of understanding of cited regulation above including monitoring of gate and communication with parents to the department by 06/23/23.

Based on record review- facility did not have 5 employees on the roster. Although fingerprint cleared the 5 employees were not associated to the facility. This is a potential health and safety risk to persons in care.

Staff does not provide adequate supervision to day care children.

Staff did not prevent child from harming another child in care