Winchester Head Start Program

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In spaces EHSd, 3/4L, and PS 4 there were electrical outlets were not covered with safety plugs.

Violation corrected during visit

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In group number thirteen (#13) there was an electrical outlet floor level that was not covered with a safety plug.

Violation corrected during visit

Parent's medication authorization did not include required information. In space number one (#1), space number seven (#7) and space number twelve (#12)four (4) children did not have updated date for administering emergency medication and permission forms for emergency medication out of date. In space number twelve (#12) the correct documents were not on file or able to be reviewed as the documentation was incorrect.

Violation confirmed corrected by letter received from provider on 4/24/2024

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space #4, the classroom serving toddlers, a child was spoken to in a harsh manner with a raised voice saying, "Get back here NOW!", "Get in this line, before I have to tell you again" and "I said watch your mouth".

Violation confirmed corrected by letter received from provider on 11/19/2023

Parent's medication authorization did not include required information. In Space #11, the classroom serving preschool aged children, the medical authorization form for one child was not completed and did not have details on dosage, expiration date, or permission date range.

Violation confirmed corrected by letter received from provider on 11/19/2023

Staff did not complete the health and safety training within one year of employment. Of the twelve (12) staff files that were monitored, and one (1) staff did not have the required training within the one-year period. The Health and Safety Training was completed on 07/10/2023 and it was due to be completed by no later than 02/14/23 (see staff and training worksheets).

Violation confirmed corrected by letter received from provider on 11/19/2023

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space #4 that serves toddlers a staff member wiped a child's nose while holding a glove and a tissue and did not sanitize or wash her hands once the task was completed.

Violation confirmed corrected by letter received from provider on 11/19/2023

All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Of the twelve (12) files reviewed there were two (2) staff persons who did not have their First Aid Training with in 90 days of hire. Both now have the training with certification, but could not provide any documentation to support that they had obtained the certification within the required timeframe.

Violation confirmed corrected by letter received from provider on 11/19/2023

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Of the twelve (12) files reviewed there were two (2) staff persons who did not have their CPR Training certifications with in 90 days of hire. Both now have the trainings certification but could not provide any documentation to support that they had obtained the certification within the required timeframe.

Violation confirmed corrected by letter received from provider on 11/19/2023

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 1a that serves children who are two years old the Medication Administration Log was not attached to the Medication Authorization Permission. This classroom corrected this during the visit. In the Spaces #11, #12, #13 there was no Medication Administration Log attached to the Medication Authorization Permission and this was not corrected during the visit. 10A NCAC 09 .0803 (centers) Person who gives the child the medicine completes this Medication Administration Record. Attach page to the Medication Administration Permission.

Violation confirmed corrected by letter received from provider on 11/19/2023