Star America M Inc.

“Enrolled children 6 months to 59 months have Not received FDA approved annual influenza immunization by December 31 of the year”

“Services fail to install interior fire alarms and/or sprinklers where required.”

“Constant and competent supervision provided by adequate staff for children and groups of children”

“Teacher to child ratios and group size maintained in Group Child Care program”

“Training in SIDS, Shaken Baby Syndrome and Safe Sleep practices Not provided to staff”

“At time of inspection staff observed changing diapers were observed Not wearing disposable gloves or other hand barrier gloves.”

“Children feeding bottles observed stored/used without being properly labeled with child's name and date of preparation at time of inspection.”

“Written Safety Plan does Not include safe sleep provisions”

“Child care service teaching staff acting as assistant teachers do Not meet age and educational requirements.”

“Infant Toddler Teacher qualification documents Not submitted to approved agent for review; documents Not available upon request”

“At time of inspection it was determined that child care service failed to maintain children's daily attendance records.”

“Child care service fails to conduct and document daily health assessment of incoming children. Individual Not trained to identify disease.”

“Staff and volunteers obtain documentation showing immunization with 2 doses measles/mumps, 1 dose rubella, 2 doses varicella and 1 dose Tdap. Medical exemptions only. History of measles, mumps or rubella shall Not replace MMR vaccine except in presence of MMR varicella antibodies.”

“Exits and other egress Not provided with required signage at time of inspection.”

“At time of inspection it was determined that child care service failed to conduct and document monthly fire drills.”

“Sufficient trained staff Not provided; staff Not on site; training unsatisfactory.”