Emmanuel Child Care Center

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In two (2) rooms there were two children with expired permission slips for administering medication.

Violation corrected during visit

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In two (2) rooms there were expired diaper cream permission slips or no permsission slips.

Violation confirmed corrected by letter received from provider on 8/10/2026

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space 10A there were two (2) children's over the counter medications without authorization.

Violation confirmed corrected by letter received from provider on 8/8/2025

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An expired epi-pen in space 10b was not returned to the family within seventy-two (72) hours.

Violation corrected during visit

A valid qualification letter was not on file and available to review at the facility. A qualified staff member’s file did not have a valid qualification letter available for review.

Violation confirmed corrected by letter received from provider on 4/2/2025

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-pens in room three (3) and room two (2) were expired.

Violation confirmed corrected by letter received from provider on 8/12/2024

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members A.B. and B.I. did not have a current health questionnaire on file.

Violation corrected during visit

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members A.B. and B.I did not have a current yearly updated emergency information form on file.

Violation corrected during visit

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with existing staff who care for children ages 0-5 within 30 days of adopting the policy. Of the three staff files reviewed one staff (see staff and training worksheet) did not have proof of having the policy reviewed with them.

Violation corrected during visit

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was one bottle on nonprescription medication on Ms. D. desk assessable to the children in care. Upon arrival there was a sick child in the office and this medication was in locked storage.

Violation corrected during visit

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Of the three staff files reviewed none of the staff (see staff and training worksheet) had proof of completion on the six clock hours of orientation in the required topic areas.

Violation confirmed corrected by letter received from provider on 1/26/2024

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Of the three staff files reviewed one staff (see staff and training worksheet) did not have a medical report that was completed prior to employment.

Violation confirmed corrected by letter received from provider on 1/26/2024

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Of the three staff files reviewed one staff (see staff and training worksheet) did not have the required documentation to show that they are free of active TB.

Violation confirmed corrected by letter received from provider on 1/26/2024

No longer on the state’s site as of August 28, 2026

A safe indoor and outdoor environment was not provided for the children. On the preschool playgrounds there was a fence by the gym and both shelters that had poles and they were covered with pipe covers and duct tape. The duct tape was peeling and tearing away, and the pipe covers were busting.

Violation confirmed corrected by letter received from provider on 9/26/2023

No longer on the state’s site as of August 28, 2026

The depth of the loose surfacing was not based on critical height of the equipment. The loose surfacing under the swings was not the required 6 inches. Under the swings the children had kicked out all mulch therefore due to the displacement the mulch was not in adequate amount. The mulch under the non-mobile play units with slides there was compacted mulch which did not provide the required depth of protective surfacing.

Violation confirmed corrected by letter received from provider on 9/26/2023