TRINITY UNLIMITED CHILD CARE CENTER

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 children's files which did not contain the sleep log which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview the licensee did not comply with the section cited above. LPAs observe that the napping area was not physically separate from activity space. LPAs observed infants being provided care and activities in the napping area which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above: LPA observed a can of insect poison (Real Kill- Wasp and Hornet) spray in the kitchen under the sink which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above: LPA observed 3 out of 3 staff not to have immunization records for pertussis and measles which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 3 children's files which did not contain the physician's report which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review , the licensee did not comply with the section cited above in 2 out of 3 files which did not contain an individual feeding plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above: LPA observed the changing table not to be within arms reach from a sink which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview , the licensee did not comply with the section cited above. Per Director the infant program has been using the preschool yard for a few years (approximate date was not provided) without prior approval from CCLD which poses/posed a potential health, safety or personal rights risk to persons in care.

Type B citation from complaint investigation - potential risk if not corrected

Type B citation - potential risk if not corrected

Based on observation and interview the licensee did not comply with the section cited above. LPAs observed preschool children entering the infant classroom to access the outdoor play yard. Director confirmed this is the only way to access the outdoor play yard which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above: LPA observed a can of insect poison (Real Kill- Wasp and Hornet) spray in the kitchen under the sink which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above: LPA observed the changing table not to be within arms reach from a sink which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above: LPA observed 3 out of 3 staff not to have immunization records for pertussis and measles which poses a potential health, safety or personal rights risk to persons in care.

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Based on observation and interview , the licensee did not comply with the section cited above. Per Director the infant program has been using the preschool yard for a few years (approximate date was not provided) without prior approval from CCLD which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 3 children's files which did not contain the physician's report which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview the licensee did not comply with the section cited above. LPAs observed preschool children entering the infant classroom to access the outdoor play yard. Director confirmed this is the only way to access the outdoor play yard which poses/posed a potential health, safety or personal rights risk to persons in care.

NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Page 2 Per Facility representative younger infants bring their own bottles, food and formula and they are stored in their cubbies and older infants are provided table food according to the menu provided by the facility. Menus are posted on the parent board upon entrance of the facility once a month. In the caterpillar classroom (2-3 years old) LPAs observed cleaning supplies stored in a high cabinet out of reach of children. LPAs observed a filtered water container and cups available for children. Children in this classroom are offered breakfast, lunch and a snack by the facility. There is a restroom in the classroom which contained one sink and one toilet. Per Facility Representative, the infant program uses the preschool yard for outdoor play. Per Facility Representative, the infant program has been using this yard for a few years. There is a yard at the front of the facility which was previously used by the infants but per facility representative, is not being used due to it not being approved for use by Community Care Licensing Division (CCLD). LPAs informed Director that a waiver or prior approval from CCLD is required any time there is a change in the physical plant for a facility- A type B citation will be issued. During the inspection LPAs observed preschool children entering the Tiny Tots classroom to access the play yard. Per Director, that is the only way to access play yard. LPAs informed Director that each licensed component shall be physically separate from each other. A type B citation will be issued. LPAs reviewed children's records. Two out of three children's records were missing the physician report and the individual feeding plan. All three files reviewed did not have the 15 minute sleep log. LPAs reviewed staff files. Staff files did not contain the child care provider training certificate. At least one staff

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

(b) Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components.

(b) Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components.

Based on interview the facility did not follow reporting requirments per Title 22. staff were notified by the parent on two separate occasions regarding marks on C1 by parent. Staff did not provide C1’s parent to Community Care Licensing which poses a potential health and safety risk to children in care.

Based on record review , the licensee did not comply with the section cited above in 2 out of 3 files which did not contain an individual feeding plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview the licensee did not comply with the section cited above. LPAs observe that the napping area was not physically separate from activity space. LPAs observed infants being provided care and activities in the napping area which poses/posed a potential health, safety or personal rights risk to persons in care.

§1596.8662 Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion. During staff file review, LPA did not see any Mandated Reporter did not see any Mandated Reporter Training by any staff. This poses a potential risk to the health and safety of children in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 children's files which did not contain the sleep log which poses/posed a potential health, safety or personal rights risk to persons in care.