DER KINDER GARDEN INFANT CENTER

Type A citation from complaint investigation - immediate risk

Type A citation from complaint investigation - immediate risk

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Infant Care Activities (A) Staff shall place infants up to 12 months of age on their backs for sleeping.(1)This requirement shall not apply if the infant has a written medical exemption from a licensed physician that allows for an alternative sleep position...This requirement was not met as evidence by: During staff interviews, S2 stated she placed the infant on her stomach for a few minutes, to make sure the infant would go back to sleep. If not corrected, this poses an immediate 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 6 out of 9 employees are missing immunizations which poses a potential health, safety or personal rights risk to persons in care.

(1) Each infant shall be constantly supervised and under direct visual observation...(2)Sleeping infant(s) shall be directly observed by sight and sound at all times....Staff shall physically check on sleeping infant(s) every 15 minutes and document the following.... This requirement was not met as evidenced based on LPA's record review. LPA asked to review sleeping logs and Director stated the did not have 15 minute logs. This poses a risk to children in care 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 6 out of 9 employees are missing immunizations 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 3 out of 9 employees are missing TB test results in their files which poses a potential health, safety or personal rights risk to persons in care.

(A)Staff shall place infants up to 12 month of age on their backs for sleeping. This requirement shall not apply if the infant has a written....(1)This requirement shall not apply if the infant has a written medical exemption from a licensed physician... This requirement was not met as evidenced based on LPA's record review. LPA did not observed LIC 9227 in infant file. This poses a risk to children in care if not corrected.

.1(F)Cribs shall be free from all loose articles and objects, including blankets and pillows.(3)There shall be no objects hanging above or attached to the side of the crib. This requirement was not met as evidence based on LPA's observation of infant safe sleep environment. LPA observed infants sleeping with bibs on and a hanging toy device over an empty pack n play. In addition S1 and S2 acknowledge and stated that a blanket was placed in a pack n' play while infant was sleep which poses an immediate health, safety, risk to children in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 9 employees are missing TB test results in their files which poses a potential health, safety or personal rights risk to persons in care.

Type B citation - potential risk if not corrected