The Community Action Organization of Western New York, Inc.

The Community Action Organization of Western New York, Inc.

License/Registration ID: 357454

Quality Stars Medication Admin Auto Injector
909 East Ferry Street Buffalo, NY 14211
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This Checklist reflects a partial list of the regulatory requirements based on the inspection performed. Additional violations may have been cited that are not included in the inspection checklist.
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Inspection ID:
2025-I-BRO-046708
Date:
09/17/2025
Inspection Type:
Monitoring
Inspection Result:
Violations found
Compliance Status:
Y-Compliant, N-Noncompliant, N/O-Not Observed, N/A-Not Applicable, P/V-Prior Violation
Reg
Compliance Status
413.3 Enforcement of Regulations
* Posting of Compliance History Document
413.3(g)(3)(i)
Y
418-1.3 Building and Equipment
All ramps, doors and handrails installed for ADA compliance
418-1.3(o)
Y
Children of school age have areas separate from younger children
418-1.3(j)
N/A
Chimneys, flues, and gas vents compliant with code requirements
418-1.3(o)(2)
N/O
Hood exhaust systems
418-1.3(o)(2)
Y
Liquefied petroleum gas stored in accordance with Reference Standard 35-5, 39-1, and 39-2.
418-1.3(o)
N/A
418-1.4 Fire Protection
* Adequate means of egress must be provided, and children are only cared for on floors with accessible alternate means of egress
418-1.4(f)
Y
418-1.5 Safety
A record of each shelter-in-place drill is maintained on file
418-1.5(b)(5)
Y
Call ID or blocking is not used to block calls from parents, the Office or other government entities
418-1.5(m)(3)
Y
Poisonous, toxic, flammable and dangerous items are inaccessible to children
418-1.5(v)
Y
Radiators & pipes have adequate protection to prevent injury when heating system in use
418-1.5(d)
N/A
Strings and cords from window coverings are inaccessible to children
418-1.5(z)
Y
* Suitable precautions are taken to eliminate all safety and health hazards
418-1.5(a)
Y
418-1.7 Program Requirements
Infants must not be exposed to television and other electronic visual media
418-1.7(z)
N/A
Pre-School children have large motor activities available
418-1.7(a)(1)
Y
Staff who care for infants have interaction with and are responsive to infants
418-1.7(f)
N/A
418-1.8 Supervision of Children
* Competent supervision is maintained at all times
418-1.8(a)
Y
* Number of staff is appropriate for number of children present
418-1.8(j)
Y
418-1.11 Health and Infection Control
Bathrooms kept clean with accessible toilet paper, soap, towels
418-1.11(i)(18)(i)
Y
Medication administration error reported to childs parent immediately and the Office within 24 hours
418-1.11(f)(10)
N/A
Medication administration log completed documenting time & dosage
418-1.11(f)(9)(i)
N/A
Medication administration only with written instructions for each medication for children 18 months of age and older
418-1.11(f)(7)(iii)
Y
Medication is administered at the right time
418-1.11(f)(8)(iii)
N/A
Medication is administered through the right route
418-1.11(f)(8)(v)
N/A
Toileting equipment appropriate to training level of children is provided
418-1.11(i)(18)(vii)
Y
Use of pesticides in outdoor spaces is prohibited unless approved by local health dept
418-1.11(j)(5)
Y
418-1.14 Training
* At least one staff member certified in First Aid and CPR is present at all times children are in care
418-1.14(k)
Y
Each identified staff and volunteer completed Federal Health and Safety training within required timeframes
418-1.14(b)
Y
Each identified staff supervising children alone completed Federal Health and Safety training.
418-1.14(b)
Y
418-1.15 Management and Administration
* Numbers and ages of children present are within licensed or registered capacity
418-1.15(a)(4)
Y
Summary of Violations
Date Cited
Regulation
Regulation Description
Compliance Status
Corrected on- Site?
09/17/2025
418-1.4(e)
All fire suppression equipment and systems must be tested and maintained in accordance with the applicable requirements of the Fire Code and Building Code of New York State or other applicable fire and building codes when the Fire Code and Building Code of New York State is not applicable.
Not Corrected
N
09/17/2025
418-1.11(f)(21)
In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.
Corrected
N
Date Cited
09/17/2025
Regulation
418-1.4(e)
Regulation Description
All fire suppression equipment and systems must be tested and maintained in accordance with the applicable requirements of the Fire Code and Building Code of New York State or other applicable fire and building codes when the Fire Code and Building Code of New York State is not applicable.
Compliance Status
Not Corrected
Corrected on- Site?
N
Date Cited
09/17/2025
Regulation
418-1.11(f)(21)
Regulation Description
In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.
Compliance Status
Corrected
Corrected on- Site?
N
Inspections may be conducted outside of program operating hours and/or off-site (where inspector was not on premises where care is provided) for the following reasons:
For additional information on this program and compliance history, contact:
Office: Buffalo Regional Office
Phone: (716) 847-3828