Multicultural Education Station

Based on investigation, on 12/22/2023 both facility staff #1 and facility child #1 tested positive for measles. The operator did not notify all parents of enrolled children of the suspected measles outbreak in the facility until 1/4/2024.

The operator failed to protect the health and safety of children when a facility staff and child were instructed to quarantine after being exposed to measles while unvaccinated. Facility staff was notified of the measles exposure on 12/11/2023 and instructed to quarantine until 12/29/2023. Facility staff #1 acknowledged being at the facility on 12/15/2023 and facility child #1 was present the facility on 12/20/2023 and 12/21/2023. Consequently, four children were exposed and later tested positive for the disease. The operator failed to notify all enrolled parents of the suspected outbreak in a timely fashion in order to prevent additional exposures.

The facility is without a qualified director to manage the facility and be onsite at least 30 hours per week.

At the time of inspection, Facility staff #6 did not have an FBI clearance at least every 60 months. The FBI clearance in the record was dated 10/19/2016.

At the time of inspection on 10/12/2023, Certification Representative observed 4 questionable health assessment forms which appeared to have been altered and/or fraudulent in the files of facility staff #1, #2, #3 and #4. Certification Representative verified the 4 health assessments were not valid after speaking to the health providers and sending copies of the forms for their view. Certification Representative received confirmation that there were no records of those health assessments being conducted for those staff on the dates of service written on the health forms.

At the time of inspection on 10/12/2023, Certification Representative observed broken ceiling tiles that were in need of repair in the area of the back exit

At the time of inspection, there was not a health assessment at least every 12 months for facility child #1. The last health assessment in the record was over 16 months.

At the time of inspection, Facility staff #8 did not have a health assessment on file at the facility.

The facility emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At the time of inspection, Certification Representative observed a fire system inspection dated 6/28/2022 which indicated that the system is not monitored due to the phone lines needing service. Facility staff #1 provided Certification Representative verification of monthly system checks that were completed in July, August and September 2023. There was not documentation of fire system checks completed at least every 30 days. Additionally, there was not proof of purchase of the fire system onsite. The fire system purchase attestation form did not have a date of approximate purchase. This attestation form was corrected onsite.

The facility emergency plan did not include a lock-down procedure.

At the time of inspection, there was not a health assessment on file within 60 days of enrollment for facility child #3.

At the time of inspection, the facility emergency plan did not address continuity of operations. Additionally, there was not a written policy to address shaken baby syndrome, abusive head trauma and child maltreatment on file at the facility.

Facility staff #1 who was the director at the time of inspection, does not have the qualifications to serve as a facility director. Facility staff #1 had verification of an Associate's degree but there were not transcripts in the record. After a review of the transcripts sent to the Certification Representative on 10/17/2023, it was observed that facility staff #1 did not have at least 30 credit hours in qualifying fields of service and therefore does not qualify as a director.

At the time of inspection, the agreements for facility children #1, #2, and #4 did not include fee information.

At the time of inspection, there were not child service reports or any other growth and development assessment on file for facility children #1, #2 and #4 as required at least every 6 months.

At the time of inspection, the agreement forms for facility children #1, #2, #3, and #4 did not list the names of the persons designated by a parent to whom the child may be released.

At the time of inspection, the emergency contact form for facility children #2 and #4 did not include the health insurance information as required.

At the time of inspection, the emergency contact form for facility child #4 did not include the addresses of all of the individuals designated by the parent to whom the child may be released.

At the time of inspection, there was not signed parental consent for emergency medical care or the administration of minor first-aid procedures for facility child #4.

At the time of inspection, facility staff #5 and #7 did not have acceptable verification of education. There was not an evaluation of the US equivalency for the staff's education as required due to being foreign credentials.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's criminal history record expired. The date it was obtained is 8/1/2016.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include verification of fire safety training.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include verification of CCDBG health and safety professional development training.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include verification of completion of pediatric first aid and pediatric cardiopulmonary resuscitation training.

During the unannounced monitoring inspection conducted on 7/21/2023 observed staff person #1's file did not include an annual minimum of 12 clock hours of child care training.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed 1 staff person with 7 in the infant room with the youngest being 11 months old.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed the staff person in the After School room did not know the names of the children in her assigned group.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed peeled paint in the Preschool room.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed the toilet located in the back bathroom when flushed the water was not going down.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed the children in the Toddler room's cots were not 2 feet apart.

During the allocated unannounced monitoring inspection conducted on 6/16/2023 observed staff did not provide immediate access to the facility to the certification representative. The certification representative called the facility telephone and requested access into the facility but was not let in for twenty minutes. Also observed that staff did not have access to the files and records while the director is not in the building.

During the renewal inspection conducted on 10/13/2022 observed staff person #1's state police clearance stated it is for healthcare purposes. Observed staff person #2's FBI clearance is expired with the last one on file from 9/17/2017. Observed staff person #4's file did not include a state police clearance. Observed staff #5's file did not include the National Sex Offender Registry (NSOR).

During the renewal inspection conducted on 10/13/2022 observed the chain in the inside of the tank on the toilet needs to be re-attached in the Toddler room bathroom.

During the renewal inspection conducted on 10/13/2022 observed the facility did not have a current copy of the general liability insurance policy on file at the facility.

During the renewal inspection conducted on 10/13/2022 observed staff person #3 and #5's files did not include a written evaluation within the 12 month time frame.

During the renewal inspection conducted on 10/13/2022 observed staff person #3's file did not include verification of education.

During the renewal inspection conducted on 10/13/2022 observed staff person #5's file included a school document from another country that needs to be evaluated for U.S equivalency.

During the renewal inspection conducted on 10/13/2022 observed child #2's emergency contact information did not include the work telephone number of the enrolling parent.

During the renewal inspection conducted on 10/13/2022 observed child #1's emergency contact information did not include the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection conducted on 10/13/2022 observed staff person #5's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During the renewal inspection conducted on 11/3/2021 observed staff person #2s file did not contain mandated reporter training. Observed staff person #3's file did not contain the criminal history record.

During the renewal inspection conducted on 11/3/2021 observed an infant sleeping in a swing as staff person advised they did not have enough rest equipment for all the infants.

During the renewal inspection conducted on 11/3/2021 observed staff in the young toddler room and infant room were not assigned the responsibility for supervision of specific children.

During the renewal inspection conducted on 11/3/2021 observed the bathroom located in the back room had no cover on the light switch.

During the renewal inspection conducted on 11/3/2021 observed the facility did not have a transportation first-aid kit.

During the renewal inspection conducted on 11/3/2021 observed staff person #2 and #3's files did not contain pediatric first-aid and CPR training.

During the renewal inspection conducted on 11/3/2021 observed staff person #1 and #2's files did not contain Health & Safety training.

During the renewal inspection conducted on 11/3/2021 observed staff person #3's file did not contain verification of experience working with children.

During the renewal inspection conducted on 11/3/2021 observed the infant room, indoor play space, preschool room and after school room did not have daily schedules posted.

During the renewal inspection conducted on 11/3/2021 observed the indoor play space and the infant room did not have emergency transportation plans posted.

During the renewal inspection conducted on 11/3/2021 observed staff person #3's file did not include verification of age.

During the renewal inspection conducted on 11/3/2021 observed staff person #2's file did not contain verification of education.

During the renewal inspection conducted on 11/3/2021 observed staff person #3's file only contained one reference letter.