Mothers Morning Out

The facility does not have documentation verifying that the parents of enrolled children received a letter explaining the emergency procedures.

There was a can of Lysol Disinfectant spray labeled "Keep out of the reach of children" on the sink where children wash their hands in Room M that was accessible to children.

The hot water in the bathroom sink in Room B measured 126°F; the hot water at the sink in Room J measured 117°F; the hot water in the sink next to the bathroom in Room M measured 139°F

Windows were observed to be open with no screen in Rooms B, J, and M.

The first aid kit in Rooms B, G, J, M, KLN, and H did not include soap.

There was a cracked faceplate in Room N that had sharp corners and edges.

There was no handwashing sign at the toilet in the bathroom in Room B; at the toilets or the 2nd sink in the bathroom in Room M; or at the toilet in the bathroom in Room KLN.

The bathroom in Room M did not include a lidded waste receptacle.

The immunization record on file for Child #5 who is 2 years old, includedb1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The file for Child #7, who was enrolled more than 60 days ago, does not include the child's immunization record.

There were 2 containers of Diazepam in the facility labeled for use by 2 different specific children that did not have written parental consent to administer.

Through observation and discussion, it was determined that the facility does not refrigerate potentially perishable food brought from home for children's lunches.

The emergency plan on site at the facility does not include accommodations for children with disabilities and children with chronic medical conditions, as required per Announcement C-22-04

The emergency plan on site does not include provisions regarding continuity of operations, required per Announcement C-22-04. The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

The agreement on file for Child #1, #2, #3, #4, #5, #6, and #8 is not signed by the operator. The file for Child #7 does not include a signed Agreement.

The agreement on file for Child #1, #2, #3, #4, #5, #6, #8 does not include the services to be provided by the childcare facility.

The agreement on file for Child #1 and #2 does not include the child's arrival and departure times.

The agreement on file for Child #2, #3, #4, #5, #6, and #8 does not include the persons to whom the child can be released.

The agreement on file for Child #1, #2, #3, #4, #5, #6, and #8 does not include the child's date of admission.

The file for Child #7 did not include emergency contact information.

The emergency contact form on file for Child #1, #2, and #6 does not include a complete address for the child's pediatrician or source of medical care.

The emergency contact form on file for Child #1, #2, #3, #4, #5, #6, and #8 does not include the work address and telephone number for the enrolling parent.

The emergency contact form on file for Child #3 does not include the child's health insurance coverage and policy number for the child's health care benefits.

The emergency contact form on file for Child #6 does not include a complete address for all listed release persons. The emergency contact form on file for Child #3, #4, #5, #6, and #8 does not include a complete address and telephone number for all listed release persons.

The file for Child #1, #2, #3, #4, #5, #6, #7, and #8 does not include written parental permission for the facility to administer minor first aid procedures.