Madison Square Child Development Center

During the investigation, it was determined that staff used improper techniques when responding to a medical incident.

Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.

The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.

At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.

One of the four children files was missing an updated immunization record.

1 child's file is missing a health statement for review during the inspection.

When reviewing the video it was observed of a child not washing hands after getting diaper changed.

When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.

It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.

It was found that a child was left unsupervised on the playground.

8 files were reviewed, 1 file was found to be missing an employee affidavit. This was corrected during the inspection when the Director, who is a notary added the form to the employees file.

8 files were reviewed, 1 was found to be missing immunization records.

The operation does not have a current monthly maintenance checklists available for review during an inspection.

8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed.

Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection.

Infant caregiver confirmed the handwashing sink is used to rinse infant bottles, plates, and spoons. Corrected during inspection. Plates and spoons were removed from sink area and infant caregivers were inform the sink is only for hand washing purposes.

There were two children identified with a food allergy, one child's food allergy plan was missing physician's authorization signature. Second child in care had a note from physician indicating child was allergic to lactose, but a food allergy plan was not created.