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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.

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

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.

Qualified Group Teacher Not designated to cover for Education Director. Permittee failed to Notify Department of separation from service of Education Director

N permittee shall admit a child without appropriate documentation of immunization or medical exemption

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