11221

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.

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

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

Epi auto injector Not provided, Not maintained or expired.

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.

Permittee failed to prohibit unsupervised contact with children by any individual for whom screening results have Not been received

All teachers have Not received training in infectious disease control and reporting.