The Cubhouse at Golden Gateway

2 Atthetimeoftheinspection,thereweresevenstaffrecordswhichdidnotcontaininformationasoutlinedinARSD 67:42:17:15.

Atthetimeoftheinspection,documentationfororientationwasnotavailableforaproviderwhohasbeenemployed longerthan90days.

Severalmedicationstobeadministeredtochildrendidnothavewrittenparental/guardianpermissionwhichdocuments thechild'sname, thenameofthemedication,andthedates,times,anddosage. Theproviderdidnotdocumentthe dose,thechild'sname,thetimeanddateadministered,andthenameofthepersonadministeringthemedicine. Severalchildren'smedicationsnolongerneededwerenotreturnedtotheparent/guardian.

Atthetimeoftheinspection,fivechildren'srecordsdidnotcontaintheinformationasoutlinedinARSD67:42:17:42.

Is written consent obtained from each child's parent before administering all prescription and non-prescription medication? Does the consent…

Alooset-shirtwasobservedinacribwithasleeping infant.

Prevention of child maltreatment- A provider used inappropriate discipline with a child in care. All providers must use discipline methods as outlined in ARSD 67:42:17:41. The provider involved in the incident is no longer employed with the program and the Office of Licensing and Accreditation (OLA) will continue to monitor the program through the corrective action plan that is currently in place.

Parental Access- Parents were not immediately notified regarding a serious injury received while their child was attending the program. A parent must be notified by the provider immediately regarding any serious injuries received while the child is under care of the provider. The providers involved in the incident received a written warning from the director. The requirements of ARSD 67:42:17:49 were reviewed with program administration.

Sanitation requirements- A provider was observed failing to wash their hands with soap after changing diapers. All providers, program employees, and children shall wash their hands with soap, before preparing food or beverages, eating, handling food, or feeding a child, and after changing a diaper, using the toilet, helping a child use a toilet, or coming into contact with bodily fluid. The Office of Licensing and Accreditation (OLA) will require the provider, who failed to wash their hands after changing a diaper, to complete training on proper sanitation practices. Additionally, the sanitation and handwashing procedures were reviewed with providers.

Medication administration- There was numerous medications at the program that were no longer needed or expired. Before any medication is administered to a child, permission of the parent or guardian must be documented and must include the name of the child, the name of the medication, and the dates, times, and dosage of the medication. The medication must be returned to the parent when no longer needed or expired. All medication that is no longer needed or expired was returned to parents. Medication authorization forms were obtained from parents for the medication that was kept at the program.

Supervision - Providers did not adequately supervise a child in care. A center provider supervising children must be in the same room with the children or on the playground with the children, and must be able to see or hear the children, at all times. The Office of Licensing & Accreditation has implemented a Corrective Action Plan with the program and will monitor for compliance.

Center and school-age program ratio- The staff to child ratio was not maintained in one classroom. A center or school-age program must maintain the following ratios: (1) Five children to one staff for children up to three years of age; (2) Ten children to one staff for children three through four years; and (3) Fifteen children to one staff for children five years and over. The program has developed and implemented a written plan to ensure the staff to child ratio is maintained at all times. The Office of Licensing and Accreditation (OLA) will conduct monitoring visits to ensure ratio is maintained.

Supervision - an infant in care was not provided with adequate supervision. A center provider supervising children must be in the same room with the children and must be able to see or hear the children at all times, including being able to see children's movement during nap time. The program will receive additional training in the area of supervision by June 30, 2024. A Corrective Action Plan has been implemented with the program and monitoring visits will be conducted by the Office of Licensing & Accreditation for a period of 60 days.

Supervision - Three children in care were not adequately supervised. A center provider supervising children must be in the same room with the children and must be able to see or hear the children at all times. The program submitted a written plan to the Office of Licensing & Accreditation (OLA) to ensure children are supervised at all times. OLA has implemented a Corrective Action Plan with the program and will conduct monitoring visits.

Supervision - children in care were not properly supervised while transitioning from a bus to the facility. Staff members are responsible for the direct care, protection, supervision and guidance of every child through active involvement or direct observation. The program will submit a written plan to ensure children are properly supervised.