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25 | Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced follow up Plan of Correction (POC) visit and met with Licensee (LS), Tina McMurry, for the purpose of addressing several outstanding type B deficiencies. On 06/03/24, LS was cited because at least one disaster drill had not been conducted within six months, LS's temporary absence exceeded 20 percent of the hours that the facility was providing care on 06/03/24, the facility did not furnish evidence of 15-minute checks for C1 & C2; and missing Individual Infant Sleep Plans (LIC 9227) for C4 & C4. Furthermore, the facility was missing evidence of negative Tuberculosis (TB) clearance and completion of AB 1207 Mandated Reporter Training and proof of immunity against Measles, Pertussis, and Influenza for S2, S2's record was missing Employee Rights (LIC 9052) and Acknowledgement of Requirement to Report Suspected Child Abuse (LIC 9108).
On 06/25/24, LS submitted a completed LIC 9098 and updated disaster drill log which reflected a disaster drill was conducted on 06/03/24 at 2:55pm, a written statement in which the Licensee acknowledged she exceeded 20 percent temporary absence and expressed she would comply with the requirements by not allowing her temporary absence to exceed 20 percent of the hours that the facility is providing care per day. LS also submitted completed LIC 9108, LIC 9052, proof of immunity against Pertussis and Influenza for S2, evidence to show that 15-minute checks were conducted from 06/03/24 through 06/20/24 for C1-C2 & C4-C5 and completed LIC 9227 for C3-C5. LPA noted evidence of negative TB clearance and proof of immunity against Measles and evidence of completion of AB 1207 Mandated Reporter Training (MRT) were still outstanding for S2.
During the visit, LPA observed four children in the care of LS and one staff (S1). LS furnished evidence to prove she made attempts to submit her POC in a timely manner, however, LS's computer experienced technical difficulties. According to LS's statement, S2 did not complete her MRT and did not obtain evidence of TB clearance and/or required Immunization Record, and as such, S2 would not work at the facility until those required items were obtained; and the deficiencies were cleared. (Continue to LIC 809-C) |