10305

Staff and volunteers obtain documentation showing immunization with 2 doses measles/mumps, 1 dose rubella, 2 doses varicella and 1 dose Tdap. Medical exemptions only. History of measles, mumps or rubella shall Not replace MMR vaccine except in presence of MMR varicella antibodies.

At time of inspection records of enrolled children's periodic medical examination were Not provided or maintained.

At time of inspection it was determined that child care service allows staff to perform their duties that are Not healthy or are incapable of carrying out their duties. Staff medical clearances are Not maintained by child care service.

At time of inspection child care service unable to document that all children enrolled have had an age appropriate medical evaluation.

Child care service failed to Notify DOHMH within 24 hours of child abuse allegation/indication or record of criminal activity of individuals associated with child care service; serious injury, death or loss of a child.

Child care service fails to conduct and document daily health assessment of incoming children. Individual Not trained to identify disease.

At time of inspection it was determined that child care service failed to ensure staff received required training within time frames and/or failed to maintain training records.

Child care service teaching staff acting as assistant teachers do Not meet age and educational requirements.