The White House Daycare Center 2 INC

During renewal inspection conducted 8/7/2024, unlined trashcan without a lid in Room #1 was observed to have used tissues inside. Additionally, lid in the bathroom used by children is broken, exposing used tissues inside.

During renewal inspection conducted on 8/7/2024, child #2 was observed to be in play-pen #4. List on the wall indicated that play pen #3 belongs to child #2.

During renewal inspection conducted 8/7/2024, there was no thermometer in the refrigerator in Room #2.

During renewal inspection conducted 8/7/2024, last health assessment on file for child #2 is dated 1/5/2024. Child #2 is a young toddler (see LIS code sheet for date of birth). Last health assessment on file for child #4 is dated 3/9/2023. Child #4 is preschool-aged (see LIS code sheet for date of birth).

During renewal inspection conducted 8/7/2024, the following children's immunization records were not up to date according to the recommendations of the ACIP: Child #1: Received 2 of 4 doses of HIB, 3 of 4 doses of Pneumococcal, and 1 of 2 doses of Hep A vaccines. There is no exemption on file. Child #1 is a young toddler (see LIS code sheet for date of birth). Child #2: Received 1 of 3 doses of Hepatitis B, 2 of 4 doses of HIB, and 3 of 4 doses of Pneumococcal vaccines. there is no exemption on file. Child #2 is a young toddler (see LIS code sheet for date of birth). Child #3: Received 2 of 3 doses of Hepatitis B, 3 of 4 doses of DTaP, 2 of 4 doses of HIB, and 1 of 2 doses of Hep A vaccines. There is no exemption on file. Child #3 is an older toddler (see LIS code sheet for date of birth).

During renewal inspection conducted 8/7/2024, health assessment on file for child #2 is a visit summary and does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During renewal inspection conducted 8/7/2024, health assessment on file for staff person #3 is dated 4/29/2023, which is more than 12 months prior to providing initial service (see LIS code sheet for start date).

During renewal inspection conducted 8/7/2024, staff evaluations on file for staff person #1 are dated 10/10/2022 and 3/14/2024, which is past one year.

During renewal inspection conducted 8/7/2024, emergency contact form for child #2 was missing address of child's doctor.

During renewal inspection conducted 8/7/2024, the following information was missing from child #2's emergency contact form: mother's work address and work telephone number and release peoples' telephone numbers and addresses.

During renewal inspection conducted 8/7/2024, health assessment for staff person #2 indicates that TB test was administered; however, does not indicate result.

As of the renewal inspection, the state police clearance for staff #1 indicated a charge and no rap sheet was provided.

As of the renewal inspection on 8/23/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

As of the renewal inspection on 8/23/23, the letter provided to parents did not include information about lockdown, or accommodations for infants and toddlers, children with special needs, and children with chronic medical conditions.

As of the renewal inspection on 8/23/23, the facility did not have an annual fire alarm inspection report on file indicating that the fire system is in proper working order.

As of the renewal inspection on 8/23/23, one reference for staff #1 was by a family member, there were no references on file for staff #2, and staff #3 only had one reference.

During the renewal inspection on 11/15/22, ceiling tiles in the infant/toddler room and in the school age room were water stained.

On 11/15/22 during the renewal inspection, the health assessment for Staff #1 indicated that the physician did not find the staff suitable to provide child care with no further explanation.

On 6/8/22 during an investigation of an incident that occurred on 6/7/22, Staff #1 stated that the children were put in high chairs in order for staff to change diapers. Child #1 reached into his cubby for his blanket, and pulled himself over with the blanket while he was confined in the high chair.

On 6/8/22 during an unannounced inspection, there were 3 infants with staff #1, 5 young toddlers with staff #2, and 2 older toddlers with staff #3 all together in the infant area. Staff #2 left the room leaving 3 infants, 5 young toddlers and 2 older toddlers with 2 staff. On 7/13/22 during an unannounced inspection, Staff #3 was alone with 11 PS children that requires 2 staff. There were 9 infants and young toddlers with staff #2 and staff #4 when staff #2 left the room to open the front door leaving the 9 infants and toddlers with one staff.

On 6/8/22 during an unannounced inspection, there were 3 infants with staff #1, 5 young toddlers with staff #2, and 2 older toddlers with staff #3 all together in the infant area. Staff #2 left the room leaving 3 infants, 5 young toddlers and 2 older toddlers with 2 staff. On 7/13/22 during an unannounced inspection, there were 9 infants and young toddlers with staff #2 and staff #4 when staff #4 left the room to open the front door leaving the 9 infants and toddlers with one staff.

On 6/8/22 during an investigation of an incident that occurred on 6/7/22, the high chairs were observed to have wide bases and t-shaped safety straps. However, children were observed in the high chairs without the safety straps buckled.

On 5/16/22 during the renewal inspection, the health report on file for Child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

On 5/16/22 during the renewal inspection, Staff #2 did not wash the hands of child #1 after diapering.

On 5/16/22 during the renewal inspection, the emergency plan did not include accommodations for infants and toddlers, which the facility has enrolled.

On 5/16/22 during the renewal inspection, there had not been an emergency drill conducted.

On 5/16/22 during the renewal inspection, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

On 5/16/22 during the renewal inspection, Staff #1 did not have documentation of 2 years of experience with children to qualify for the stated Assistant Group Supervisor position.

On 5/16/22 during the renewal inspection, there was only 1 written, non-family reference on file for staff #3.

On 5/16/22 during the renewal inspection, Staff #3 did not complete Pediatric First Aid and Pediatric CPR training in an approved curriculum. The staff has been employed at the facility for more than 90 days.