Riverview Childrens Center

An EpiPen in the locked medication box in Classroom #4, labeled for use by Child #1 was observed with an expiration date of 06/2024.

The emergency contact form for Child #2 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.

The child abuse clearance in the file for staff person #8, hired on (SEE LIS CODE SHEET), was dated 6/18/23. The original child abuse clearance in the file dated 6/25/22 was for volunteer purposes.

In the red classroom, there was hand sanitizer sitting on the counter, making it accessible to the children in care at the time.

The last two health reports in the file for child #1, a preschooler, were dated 11/8/21 and 12/2/22.

In the red classroom, a staff person's bookbag was observed sitting on the floor and contained OTC medication, make it accessible to the children in care at the time.

Based on review of the facility's emergency drill logs, two drills were conducted on 4/14/23. In the second drill, which ocurred at 4 pm, only 13 school-age children and 3 school-age staff participated.

Based on review of the facility's fire drill logs, two drills were conducted on 10/28/22, 2/23/23, 3/30/23, and 5/31/23. During the second drill on each of those dates, only 13 school-age children and 3 school-age staff participated.

Based on review of the dates of facility's smoke detector tests, the following tests were conducted more than 30 days apart: 7/6 and 8/30/22; 10/28 and 11/30/22; 12/29/22 and 1/31/23; 2/23 and 3/30/23; 4/28 and 5/31/23; 6/23 and 7/26/23.

Based on conversation with staff, a copy of emergency plan updates was sent to the local and county emergency management services, but there was no proof of response from the agencies and the emergency plan delivery documented had not been completed at the time of the inspection.

The last two fire safety trainings in the file for the following staff were dated 10/28/21 and 11/28/22: #2 through #7 and #10-12.

The last two evaluations in the file for staff person #1 were dated 6/9/22 and 7/3/23.

The emergency contact information in the file for child #1 did not include a work address for the child's mother.

The FBI clearance in the file for facility person #6, a lifeguard, was dated one day after the individual started working with children and there was no proof of request for the FBI clearance prior to working with children.

During nap time in the Junior Pre-K room, the only staff person in the room could not see, hear, direct and assess one of the children, as the child was sleeping on the opposite side of a table and their blanket was pulled up over their head.

Based on conversation with the operator, they were using two outdoor areas for gross motor play which were not measured and not on the facility's capacity.

There was a bookbag sitting on a bench in the large outside play space. The bookbag contained Equate sunscreen, Repel Insect Repellent and Sandi-hand towlettes and was accessible to the children who were outside playing in that space. All 3 items included instructions to keep out of the reach of her children.

There was a bookbag sitting on a bench in the large outside play space. The bookbag contained a first-aid kit and was accessible to the children who were outside playing in that space.

There were several pieces of playground surfacing missing from the large outdoor gross motor space.

The file for child #1, a 10-month old, did not include a flu shot. Based on conversation with the operator, the child was ill at their last exam and could not get the vaccination.

The initial health assessment in the file for staff person #11 was dated one day after the individual began working with children. The last two health assessments in the file for staff person #8 were dated slightly over 12 months apart.

The title of the individual who conducted the health assessment in the file for staff person #12 was illegible.

The TB screening in the file for facility person #10, a lifeguard, was dated more than 12 months prior to their first day of employment by the facility.

The current health assessment in the file for staff person #1 and #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Based on conversation with the operator, the facility's fire detection system was being tested every 30 days, but the tests were not documented.

Staff person #9 and #11 had not completed the following required pre-service training within 90 days of their date of hire: First-aid/CPR

Facility person #13 has not completed the mandated reporter training within 90 days of their date of hire.

The most recent evaluation in the following staff files were not completed by the facility's director: #1 #2 #3 #4 #5 #7 and #8.

The file for facility person #13 did not include 2 letters of reference.