Elza Cenord

13A.15.12.01F

“LS observed that the written daily schedule does not indicate a time in the morning for breakfast or AM snack. Provider is asked to update this, as well as the program's end time from 5pm to 6pm to be more accurate.”

13A.15.10.01H(1)

“LS observed the first aid kit needs the following items: an operable flashlight, an ice back or chemical ice pack, paper towels, a thermometer, and a paper or plastic bag for trash.”

13A.15.05.04B(1)

“LS observed a power strip located on the ground next to the printer in the living room area. Provider is asked to make this area inaccessible to children or ensure all unused outlets on the strip are plugged.”

13A.15.03.04C

“LS observed 1 instance of an emergency form needing the enrollment date and physician contact information. LS also observed 2 instances of children needing lead test results.”

13A.15.03.03A

“LS did not observe the written discipline policy during the inspection. Provider is asked to add this section to their parent contract referencing the material found in COMAR section 13A.15.07.04.”

13A.15.05.06F

“Licensing specialist observed 2 children sleeping in the cribs using blankets. These children are old enough that they should be able to sleep on a cot with these blankets without issue.”

13A.15.05.06D

“Provider states that the children sleeping in the cribs had notes from the parents, but was unable to locate these notes during the inspection. The provider has been informed that the children are past the acceptable age for them to be sleeping in a crib regardless of if they have a note from the parents.”

13A.15.05.06C(2)

“Licensing specialist observed two children sleeping in cribs who were both 2 years old or older. Unless there is a medical reason for sleeping in the cribs, the provider is asked to transition the children ages 2 and up to sleeping on a cot.”

13A.15.05.04B(2)

“Licensing specialist observed that the child barrier separating the living room from the upstairs area of the home is broken. Provider Is asked to attach a functioning gate to the area around the stairs and to send a picture to the OCC.”

13A.15.05.01E

“Licensing specialist observed that the hot water temperature in the children's bathroom can reach up to 140 degrees F. Provider is asked to find a way to reduce the temperature and to maintain constant supervision when the children are washing their hands.”

13A.15.05.01C

“Licensing specialist observed the presence of insects in the children's bathroom. Provider is asked to clean the floor and shelfs, as well as take the necessary measures to ensure that there is no infestation occurring in the home.”

13A.15.03.04A(3)

“Licensing specialist observed 3 instances of children's emergency forms in need of annual updates from the parents. One child also needs the physician information to be filled out. Provider is asked to follow up with the parents about this.”