A Childs Place Day Care Center

During the time of inspection, it was observed that a written plan of daily activities was not posted in the Giraffe classroom. This was corrected during the inspection.

Documentation of the record on file for child 1, did not include signed parental consent for administration of minor first-aid procedures by facility staff.

While conducting a correction verification visit, it was observed that the inspection summaries for SIN: 00254530 and SIN: 00253740 were not posted in a conspicuous location used by parents.

Documentation on file for staff member 1, did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Documentation of the disclosure statement on file for staff member 1 did not include a witness signature. This was corrected during the inspection.

Documentation of the health assessment on file for staff member 1 did not include a physical examination or an examination for communicable diseases and the results of that examination.

The facility self-reported to certification representative that child 1 left the playground, unsupervised and went to the main door of the facility.

During an allocated unannounced monitoring visit, it was observed that medication was stored in a first aid kit in the ducky classroom that was within reach of children. The first aid kit/medication was put out of reach of children during the visit.

Documentation of the child abuse clearance on file for staff member 1, staff member 2, staff member 3 and staff member 4 was obtained after their first day working with children. Staff member 1's child abuse clearance was obtained on 9/19/23. Staff member 2's child abuse clearance was obtained on 5/16/23. Staff member 3's child abuse clearance was obtained on 9/13/23 and staff member 4's child abuse clearance was obtained on 12/20/23.

During the time of inspection, it was observed that the first aid kit in the 4's and 5's classroom was missing soap. Soap was added to the first aid kit during the inspection.

The parent letter that outlines the emergency evacuation plan on file did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions was added to the parent letter during the inspection.

The facility did not have documentation of an annual emergency drill on file.

The facility did not have documentation of sending the emergency plan to the local municipality office.

Documentation of the agreement on file for child 1 and child 2 did not include a date on which the fee is to be paid. The date on which the fee is to be paid was added to the agreement of child 1 and child 2 during the inspection.

During the time of inspection, it was observed that outlet covers were missing in the Infant 1 and Infant 2 room.

During the time of inspection, it was observed that there was a container of lysol wipes and an aersol can of air freshener within reach of the children in the young toddler room. These were placed out of reach of children during the inspection.

During the time of inspection, it was observed that the first aid kit was in a bookbag that was kept on a hook within reach of the children in the 4's and 5's room. The epi-pen for child 2 was located in the book bag that was within reach of the children. The book bag was moved to a location that was kept out of reach of children during the inspection.

During the time of inspection, it was observed that the first aid kit in the 2's and 3's room was missing scissors and tweezers. Tweezers and scissors were added to the first aid kit during the inspection. It was also observed that a bottle of soap/water mix was in the first aid kit in the older toddler classroom.

During the time of inspection, it was observed that the siding in the 2's and 3's classroom was cracked and had sharp edges that could cause a cut. A piece of tape was placed over the siding to cover the sharp edges during the inspection. During the time of inspection, a drain cover located on the floor in the school age classroom was loose and able to be moved. When the cover was moved, a large hole was observed that could cause a child's foot to fit in it.

During the time of inspection, the medication log for child 1 was missing written instructions on how to administer the medication.

Staff number 5 did not have a complete State Police clearance on file. State police clearance for staff number 5 was obtained on the day of inspection.

In the infant room, 5 infants were observed in care. Staff number 5 was observed providing care and being counted in ratio but staff number 5 did not qualify as an aide or higher. Staff number 5 cannot be counted in ratio. As a result, there was one staff with 5 infants.

In the preschool 5 room, there was a list of primary care groups on the wall. When asked, staff person number 1 did not know the primary care group assigned to them. In the Older Toddler room, Staff person 2 did not know the primary care group assigned to them. A list of primary care groups was on the wall but was not utilized by staff person number 2.

In the infant room, water damage was observed on multiple ceiling tiles. In the Preschool 3 room, dust and dirt was observed on the window blinds, window sills, toy shelves and toy bins. In the Preschool 4 room, dust was observed on the toy kitchen set, window sills, and window blinds. In the Preschool 5 room dust was observed on the window sills, toy shelves, toy bins, and on the toy kitchen and sink.

Medication for child number 2 was not in the original container.

The medication for child number 2 did not have any written instructions from the individual who prescribed the medication.

The medication for child number 2 was not in the original container and did not have the name of the child who the medication was intended for.

Medication for child number 2 did not have record of an expiration date as the original container was missing.

Child number 1 and child number 2 had a prescription medication of Auvi-Q but no medication log was present.

Health Assessment for staff number 3, hire date 6/16/21 was not completed before working with children. Health Assessment for staff number 3 dated 6/22/21. Staff number 3 does not have a TB screening completed.

The Health Assessment for staff 1 indicated that the staff had a communicable disease but did not include the results of the communicable disease. The Health Assessment for Staff number 6 did not include an examination for communicable diseases and the results of that examination. The box asking about Communicable diseases was left blank for staff number 6

The Health Assessment for Staff number 6 did not indicate the physician's or CRNP's assessment of the person's suitability to provide child care.

The Emergency Plan on file did not list any accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Fire detection testing was greater than 30 days on multiple occasions. Conducted 3/2/21 and again on 4/19/21, conducted 4/19/21 and again on 5/20/21, conducted on 6/15/21 and again on 7/19/21, conducted on 8/3/21 and again on 9/27/21, conducted on 10/13/21 and again on 11/18/21, conducted on 11/18/21 and again on 12/20/21. These Fire detection tests were completed greater than 30 days.

Staff number 1 had 1 non family reference on file but was missing a second reference. Staff number 7 did not have any written nonfamily references on file.