Bright Futures Children Center (infant)

PERSONAL RIGHTS

To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...This requirement was not met as evidence by: Based on record review the licensee did not comply with the section cited above, by staff S1 handling infant in a rough manner which poses an immediate health, safety or personal rights risk to children in care.

REPORTING REQUIREMENTS

(c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions.This requirement was not met as evidence by: Based on observation and interview the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to children in care.

(a) There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity.This requirement was not met as evidence by: Based on observation and interview the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to children in care.

The licensee shall require each recipient of the summary of the accusation to sign a statement indicating that he or she has received the document and the date it was received.This requirment was not met as evidence by Based on observation, interview, and record review, the licensee did not comply with the section cited above, by not having all parents sign the LIC 9224 which poses an immediate health, safety or personal rights risk to children in care.

ARTICLE 4. Suspension and Revocation

Upon receipt of an accusation indicating the department's intent to revoke a facility's license, the licensee shall provide copies of a summary of the accusation to the parent or legal guardian of each child receiving services in the facility...This requirement was not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above, by not providing a copy of the accusation summary to the parents which poses an immediate health, safety or personal rights risk to children in care.

STAFF-INFANT RATIO

There shall be a ratio of one teacher for every four infants in attendance.This requirement was not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above, facility staff out of ratio which poses an potential health, safety or personal rights risk to children in care.

No infant shall be forced to sleep, to stay awake or to stay in the designated sleeping area.This requirement was not met as evidenced by: Based on interview , the licensee did not comply with the section cited above, infants being forced to remain in designated sleeping area which poses an potential health, safety or personal rights risk to children in care.

A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a cribThis requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above, Faciltiy staff allowing infant C1 to sleep on cot before being unable to climb out of crib potential health, safety or personal rights risk to children in care.

STAFF-INFANT RATIO

101416.5(b) There shall be a ratio of one teacher for every four infants in attendance.This requirement was not met as evidenced by: Based on interview, record review, the licensee did not comply with the section cited above, by infant room being out of ratio which poses a potential health, safety or personal rights risk to children in care.

STAFF-INFANT RATIO

Infant Care Center Sleeping Equipment(b) A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib Based on observation and interviews, the licensee did not comply with the section cited above in which there was not enough cribs for infants in care and observed 2 infants sleeping in pack n plays, which poses an immediate health safety or personal rights risk to persons in care.

LIMITATIONS ON CAPACITY

A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.This requirement was not met as evidenced by: Based on observation, and interview, the licensee did not comply with the section cited above by allowing infants to be in the preschool room with preschool children present which poses an potential health, safety or personal rights risk to children in care.

ARTICLE 2. Administration of Child Day Care Licensing

Based on record review, the licensee did not comply with the section cited above , Staff S3 and S4 do not have proof of a current mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.

ARTICLE 2. Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in several staff files did not contain mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.

To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by: based upon the director and staff statements, Staff 1 inappropriately handled Child 1. This poses an immediate risk to children in care.

DISASTER AND MASS CASUALTY PLAN

Based on record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, facility has not conducted a fire drill in the last 11 months.

PERSONNEL REQUIREMENTS

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 files which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, S1-S3 were missing their TB testing verficiation in their staff files.

PERSONNEL REQUIREMENTS

Based on record review, the licensee did not comply with the section cited above in 3 out of 4 files which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, S1-S3 were missing the LIC 503 from their staff files.

FIXTURES, FURNITURE, EQUIPMENT AND SUPPLIES

Based onobservation, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, the infant classroom bathroom showed signes of mold which indicates it is not being cleaned regularly.

ARTICLE 1. General Provisions and Definitions

Based on record review, the licensee did not comply with the section cited above in 3 out of 4 which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, S1-S3 did not have immunizations in their file.

ARTICLE 2. Administration of Child Day Care Licensing

Based on ecord review, the licensee did not comply with the section cited above in 3 out of 4 files which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, S1-S3 did not have current Mandated Reporter training in their files.

OUTDOOR ACTIVITY SPACE

Based on observation, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. Specifically, LPA observed several tripping hazards, metal objects on the ground which could be a choking hazard, bent fencing with sharp edges, broken play equipment, and loose/broken gates.

To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: based on interviews, staff did not provide adequate supervision to prevent children from biting other children, which poses an immediate health, safety, and personal rights risk to children in care.

(4) The diaper changing area, where residue is splashed from soiled diapers and items and surfaces touched by staff during the diaper changing process, shall be washed and disinfected after each diaper change. This requirement was not met as evidenced by: based on observations, the facility did not comply with the section cited above, which poses a potential health, safety, and personal rights risk to children in care.

An infant shall not be swaddled while in care. This requirement was not met as evidenced by: based on observations, one infant had a blanket swaddled around them while sleeping, which poses an immediate health, safety, and personal rights risk to children in care.

Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement was not met as evidenced by: based on observations, staff are not documenting sleep checks, which poses an immediate health, safety, and personal rights risk to children in care.