10463

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

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 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.

Training in SIDS, Shaken Baby Syndrome and Safe Sleep practices Not provided to staff

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 ensure staff received required training within time frames and/or failed to maintain training records.

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

Child care service staff identified/acting as group teachers do Not meet the required qualifications of the position.