10314

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

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.

Constant and competent supervision provided by adequate staff for children and groups of children

Enrolled children 6 months to 59 months have Not received FDA approved annual influenza immunization by December 31 of the year

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

At time of inspection it was determined that child care service failed to take any and all necessary action to eliminate potential hazards.

At time of inspection floors/walls ceilings were observed Not maintained; in disrepair or covered in a toxic finish.