Tusla Inspection Tips

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The following is some of the most common non-compliances as seen on recent inspection reports. It is not a complete list but it highlights some key areas.

Staff

  1. No Garda vetting or Police checks
  2. Qualifications not validated by QQI
  3. Out-of-date ID
  4. References not validated
  5. Use the words "validated by (insert name) on (insert date)"
  6. ID or Qualifications not certified. This means that 'copies' are on file but the provider does not state that they saw the originals
  7. No Job Descriptions on file
  8. No evidence of mandatory training courses, particularly Fire Safety and Paediatric First Aid
  9. Staff rosters not reflecting the actual staff present
  10. No protocol in place for the risk assessment of Garda vetting Disclosures
  11. Ratios not maintained during sleep, lunches etc

The Child’s File

  1. No Vaccination dates
  2. Child Records not updated with information on allergies/illnesses etc
  3. Collector details missing
  4. No Emergency Contacts
  5. No question on Registration Form regarding additional needs/disability
  6. No Anti febrile medication permissions
  7. No photogroph or video permissions

Infection Control

  1. Poor handwashing practices
  2. Poor nose hygiene practices
  3. Communal towels being used for hand drying
  4. Sweeping brushes and pans accessible to children in the rooms
  5. Open bins (bins should be covered and preferable foot controlled)
  6. Sanitary areas being used to store toys, materials and other equipment
  7. No linen change record or evidence of linen being washed regularly
  8. Grubby home corners
  9. Spare clothes being stored in open baskets in sanitary areas
  10. First Aid Boxes being stored in sanitary areas

Safe Sleep

  1. Fleece blankets used. Cellular blankets are now required
  2. No safe sleep notices on display
  3. Staff not able to describe how to respond in the event of sudden infant death
  4. The protocol for sudden infant death not referenced in policy
  5. Cots or sleep mattresses not 50cm apart
  6. Trailing flexes in sleep room
  7. Sleep room used for storage
  8. Temperature not controlled to 16 – 18 degrees

First Aid

  1. First Aid boxes stored in sanitary area
  2. First Aid boxes not stored in conspicuous area where staff have easy access
  3. First Aid box not available outside
  4. First Aid boxes containing items other than the recommended list particularly medicines and creams
  5. No evidence that contents of First Aid box is checked regularly
  6. Staff not qualified in First Aid (Certs out of date)

Medicines

  1. Poor medicine policy not covering all aspects of administration effectively
  2. Old medicine administration forms being used which does not record the 'route' of the medicine
  3. Parents not signing off on medicine administration records when they collect their children
  4. No permission for anti-febrile medication or other non-prescribed medicines such as burn cream, arnica etc
  5. Medicine policy not dealing effectively with the administration of emergency medicine such as epipen
  6. Children who use life-saving medication not having a Medical Emergency Care Plan
  7. Staff not trained by a qualified medical person to administer the epipen
  8. Medicine from outside Ireland being used (in different language)
  9. Staff unaware of what medicine is used to treat and possible side effects etc
  10. Medicine licensed for older aged child being administered to younger child, often at the request of parents (e.g Calpol 6 plus or Zirtek to infant)
  11. No protocol for getting advice on medicines ( e.g from the GP, Pharmacist etc)

Fire Safety

  1. No fire safety training
  2. Staff unable to demonstrate the use of fire extinguishers
  3. Battery operated fire alarms
  4. Fire drill record not adequate
  5. Over clutter in storage rooms causing a fire hazard

Child Welfare

  1. The dignity of the child not maintained in sanitary areas due to privacy issues where children are in view of other children
  2. Open doors on toilets

Behaviour

  1. Policy not outlining strategies to deal with Mild, Moderate and Severe behaviour
  2. Policy not referencing that corporal punishment will not be used
  3. Staff not being able to respond to questions regarding appropriate or inappropriate methods of self-regulation
  4. Inappropriate methods of behaviour management being used

Healthy Eating

  1. No potable water available within the rooms at all times
  2. Policy not referencing that appropriate portions will be served for age and stage of child
  3. Policy not referencing that a child will be offered food if they express hunger
  4. Parents not been advised on appropriate healthy lunches, with examples, from food groups
  5. Poor transitions from activities to lunches with children waiting too long at tables or n highchairs
  6. Food been placed directly on tables
  7. Adults not sitting with children and a sense of social occasion being created
  8. Allergy information inadequate
  9. Policy inadequate in relation to how it caters for religious and cultural needs

Health & Safety

  1. Hazards present and no risk assessments completed
  2. No H & S Statement
  3. No critical incident plan
  4. No Outing checklist and risk assessments
  5. No adult chairs available where children can be comforted or fed (younger age groups)
  6. Uncovered light bulbs
  7. Not HACCP compliant
  8. Uncovered sockets
  9. Trailing flexes
  10. Access or road or car park without break barriers
  11. Poor supervision and head counts when outdoors
  12. Register of children not being available outside