Y of Central Maryland Baltimore County Head Start Riverview

13A.16.07.06A

“OCC received a report of a child incident resulting in treatment by a medical professional. LS observed that the child's medical documentation is inconsistent between the doctor and parent statements. The parent has conflicting written responses for health conditions and medication on the emergency form and the health assessment I. According to the health assessment II form on file, the child does not have any notable health conditions or medication. However, the program has been provided with medication and its required documentation on site. The medication administration document was signed by both the pediatrician and the parent, but the health assessment II was not updated to align with the new diagnosis. The medical documentation is in need of an immediate update to consistently detail the child's medical condition and medication. The program did not check the box yes or no, regarding the update of the health assessment II on the medication administration form. The program will request that the parents and pediatrician complete a new emergency form, health assessment I and health assessment II immediately. The program will submit a copy to OCC immediately.”

13A.16.03.04C

“LS observed that the child's medical documentation is inconsistent between the doctor and parent statements. The parent has conflicting written responses for health conditions and medication on the emergency form and the health assessment I. According to the health assessment II form on file, the child does not have any notable health conditions or medication. However, the program has been provided with medication and its required documentation on site. The medication administration document was signed by both the pediatrician and the parent, but the health assessment II was not updated to align with the new diagnosis. The medical documentation is in need of an immediate update to consistently detail the child's medical condition and medication. The program did not check the box yes or no, regarding the update of the health assessment II on the medication administration form. The program will request that the parents and pediatrician complete a new emergency form, health assessment I and health assessment II immediately. The program will submit a copy to OCC immediately.”

13A.16.03.06E(2)

“The operator did not immediately on October 24, 2025, notify the office of a telephone number change at the center when the telephone system became inoperable.”

13A.16.11.04E(1)(b)

“LS observed 3 medications with 2024 expiration dates. These medications should be returned to parents or discarded. Program should request non-expired medications for the child with appropriate labeling.”

13A.16.10.04F

“LS observed a multiple outlet power strip on the #2 classroom floor with out every accessible electrical socket capped. These electrical sockets should be plugged or capped at all times.”

13A.16.06.04A(4)

“LS observed 1 staff medical evaluation that need to be updated.”

13A.16.06.04A(1)

“LS did not observe an employment medical evaluation for 4 staff.”

13A.16.06.02

“LS did not observe record of COMAR orientation for 9 staff.”

13A.16.06.01

“LS did not observe verification of age for 3 staff.”

13A.16.05.01A(2)

“LS observed 2 relocated soap container areas with uncovered holes and cracked paint on the walls of 2 of the 3 children bathrooms. LS observed in classroom #1, chipped paint and a loose screw with gaping holes where a shelving unit is supposed to be secured to the wall. These walls need to be repaired and repainted. The shelving unit should be secured to the wall.”

13A.16.05.01A(1)

“LS observed 2 relocated soap container areas with uncovered holes and cracked paint on the walls of 2 of the 3 children bathrooms. LS observed in classroom #1, chipped paint and a loose screw with gaping holes where a shelving unit is supposed to be secured to the wall. These walls need to be repaired and repainted. The shelving unit should be secured to the wall.”

13A.16.03.05C

“LS did not observe record of required training for staff. LS did not observe record of experience for 3 staff. LS did not observe function of positions for staff. LS did not observe verification of age for 3 staff. LS did not observe an employment medical evaluation for 5 staff. LS did not observe record of criminal background check results for 7 staff. LS did not observe record of COMAR orientation for 9 staff.”

13A.16.03.04G

“LS observed 1 child in need of 4 year old immunizations. Program will request updated immunization records from parents, then submit a copy to OCC.”