DALY, NANCY L.

Based on the records review, the licensee did not comply with the section cited above. One in four staff members did not have their complete immunization records on file or available for review; missing immunization includes measles and TB clearance, which pose a potential risk to the health, safety, or personal rights of children in care.

Resolution: Before beginning employment, the licensee must ensure that all staff members' immunization records are complete and on file. The licensee will obtain a complete immunization record of S1 and include it in the personnel file by the due date of 2/20/2026. A follow-up visit will be conducted to confirm that any deficiencies have been addressed.

Based on observation, interview, and record review, the Licensee did not comply with the section cited above in 14 children present today, and all are under four years old. The Licensee did not have at least one child enrolled in and attending kindergarten or elementary school; a second child at least six years of age when operating a maximum of 14 children. Therefore, the Licensee did not follow her license limitations, which poses an immediate health, safety, or personal rights risk to children in care.

Resolution: The facility must adhere to the licensed limitations and requirements. The facility must reduce the number of preschool children currently enrolled in her capacity and provide Licensing with a written plan/schedule to comply with her license limitation by September 9, 2022. A written plan and schedule will be sent to LPA. A return visit is required.