Just Like Home Daycare Center

Based on the documentation of the testing of the fire detection system, the last testing of the fire detection system occurred more than 30 days ago on 2/23/2024.

The current FBI clearance (3/1/2024) of staff person #1 was updated more than 60 months from the prior (1/17/2019).

The immunization record of child #1 contained documentation of 3 of the 4 DTaP vaccinations as recommended by the ACIP and did not have an acceptable exemption on file.

A bottle of Tylenol in the kitchen area was not labeled with the name of the child for whom it is intended.

The current health assessment (5/10/2023) of staff person #1 exceeded 24 months from the prior health assessment (2/25/2021).

Documentation of annual fire safety training for staff person #1 exceeded 12 months (10/5/2022 and 2/29/2024).

The emergency contact form of child #2 did not contain the work address of the enrolling parent who signed the form.

The immunization record of Child #1 was observed to contain 2 out of the 3 Polio vaccines, 1 out of 2 Hep A vaccines, 2 out of the 3 Hep B vaccines as recommended by the ACIP and did not have an acceptable exemption on file.

The immunization record of Child #1 was observed to contain 2 out of the 3 Polio vaccines, 1 out of 2 Hep A vaccines, 2 out of the 3 Hep B vaccines as recommended by the ACIP and did not have an acceptable exemption on file.

Based on conversation with facility person #1, children with symptoms of a communicable disease or infection that can be transmitted directly or indirectly, and which may threaten the health of children in care were excluded from care at the facility, however, a doctor's note was not obtained from a physician and added to the children's files.

The first aid kit in the downstairs toddler space was accessible to the children on a hook in the cubby.

The downstairs toddler space contained a blue rug which was curling on the edge creating a tripping hazard. The chain link fences defining the outdoor play spaces contained exposed bolts. The gate of play space farthest from the building contained pole which was not stabilized into the ground and the bottom frame of the gate was rusted and broken.

Downstairs, the first restroom on the right, contained a changing table which did not have a posted handwashing sign.

Downstairs, the second restroom on the right, did not contain a lidded trash can.

One doorway in the downstairs infant space was blocked by an infant play yard.

A small, round manipulative in the outdoor play space (closest to the building) was cracked.

The most recent health assessments of child #4, identified as a preschool age child (see coded LIS sheet), exceeded 12 months (dated 10/29/2021 and 11/10/2022).

The immunization records of child #3, 4 and 5 did not contain documentation of a current influenza vaccination as recommended by the ACIP or an acceptable exemption.

A written annual evaluation was not completed by the director for facility person #1 and 2.

Documentation of the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided was not provided within the past 6 months for child #1, 2, 3, 4 and 5.

The file of facility person #1, employed with the legal entity prior to 12/19/2020 (see coded LIS sheet), contained documentation of 1 hour of training between the training year of 12/19/2021 to12/19/2022 lacking 11 hours of annual professional development.

The back left classroom contained stain, Tylenol and pain medication, all labeled keep out of the reach of children, accessible to children in unlocked drawers.

Two windows, the first and last on the right in the preschool/SA room, are above ground level, accessible to children and were able to be opened more than 6 inches.

The infant/toddler space contained foam, which was wrapped around a metal pole and accessible to children still placing objects in their mouths.

The refrigerator in the infant/toddler classroom did not contain a thermometer.

Though the wireless interconnected fire detection system was operable, the hard-wired interconnected fire detection system did not operate when tested by the operator. It was stated both systems were required to obtain the occupancy permit. The system was repaired by a technician, and operational when the certification representative left the facility.

The facility did not have a policy which included recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and did not address the prevention and identification of child maltreatment.

The emergency contact information of child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

Though a copy of the regulations were accessible to parents, the facility did not provide the parents of enrolled children information on how to access the regulations electronically.

Observed in the following areas: Front Entrance: Hole in siding with frayed edge and two protruding nails. Toddler Room: Electrical Insulation Cover near stage separating from wall, which creates a pinch hazard. Preschool Room: Electrical Outlet Box separating from wall, which creates a pinch hazard. Outdoor Play Space: Wood framework at bottom of exit door splintering. Side molding missing and bottom molding separating from building.

Handwashing signs were not posted near the sinks and toilets in the facility.

The refrigerator in the kitchen lacked a working thermometer.

Evacuation routes were not posted on each floor of the facility.