Two Steps Ahead Day Care Inc

“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.”

“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”

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

“At time of inspection it was determined that child care service failed to ensure staff received required training within time frames and/or failed to maintain training records.”

“Child care service staff identified/acting as group teachers do Not meet the required qualifications of the position.”

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

“At time of inspection child care service unable to document that all children enrolled have had an age appropriate medical evaluation.”

“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.”

“Permittee failed to prohibit unsupervised contact with children by any individual for whom screening results have Not been received”

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

“Child care service staff identified/acting as group teachers do Not meet the required qualifications of the position.”

“At time of inspection it was determined that child care service allows staff to perform their duties that are Not healthy or are incapable of carrying out their duties. Staff medical clearances are Not maintained by child care service.”

“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.”