Dr Gertrude A Barber Center-Child Care

Noncompliance Area: A child-sized table in room 120, in an area accessible to children in care, was observed to have a loose leg presenting the possibility of a pinch-point injury or blunt force injury if said table were to collapse.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The files for Staff #1-8 did not contain documentation of the completion of emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: An unused, unprotected electrical outlet was viewed in an area accessible to children near the entrance/exit of room 120.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: In an area accessible to children in care in room 120, a nail was observed protruding from the stool used by children in care to access the sink, which posed a risk of causing a laceration or puncture injury.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: An approximately 30"x30" square wooden table with four exposed bolts protruding near each table leg joint was observed in an area accessible to children in care. Said bolts could cause laceration or puncture injury.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: In an area accessible to children in care under the age of six, a surge protection strip was observed to have two unused, unprotected outlets.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: A pump-spray bottle of sunscreen was observed on a cabinet countertop in an area accessible to children in care. Manufacturer's label of said sunscreen advised to keep out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The bottom right corner of a wall-mounted dry erase board was observed to have a broken piece of plastic and a sharp edge that could cause laceration injury. Dry erase board was located in an area accessible to children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: In room 118, in an area accessible to children in care, a plastic storage basket with a diameter of approximately 8" was observed to have a crack, which resulted in a sharp, jagged edge that could cause a laceration injury.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The file for Child #1, whose date of birth is 04/07/2014, contained an immunization record that included only the initial dosage of Hepatitis B vaccine. Per ACIP recommendations, the second dosage of Hepatitis B vaccine should have been administered at 1 to 2 months of age, and the third dosage between 6-18 months of age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: In room 118, A spray bottle containing a bleach spray, labeled Keep Out of Reach of Children was observed in an inaccessible cabinet. The bottle was being stored directly above a locker in which a child's coat and backpack were being stored. In the event that the spray bottle would leak, there was not a barrier between the cabinet and the locker below, which could cause contact with the child belongings and, in turn, result in contact with the child.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The first-aid kit in room 118 did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: A lid to a plastic toy storage bin in room number 118 was observed to have a crack with sharp edges.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Staff #1 and #2 were observed in room 120 supervising nine three to five-year-old children who were napping. Staff #1 and #2 were both seated at the front of the classroom. A child was observed sleeping on a rest mat behind storage shelving. Neither staff #1 and/or #2 were able to maintain visual supervision of child from their vantage points. The room is equipped with mirrors in the two far corners of the classroom, but said mirrors did not provide adequate reflection of children to maintain appropriate supervision.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: A container of Aquaphor ointment was observed in an area that is inaccessible to children in care. The ointment did not have the child-user's name labeled on the container. Staff #3 explained that the ointment was for a specific child to treat eczema.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.