A & N Little Bugs Daycare & Preschool LLC

The current criminal history, child abuse and FBI clearances on file for Facility Person #2 were completed more than 60 months after each previous respective clearance on file.The disclosure statement on file for Facility Person #3 was signed and dated after their start date.

There was no documentation that the operator has reviewed the emergency plan in the previous 12 months.

The documentation of emergency plan training on file for Facility Person #4, employed that the facility for more than 90 days, was noted as completed on a date that had not yet occurred.

In the back preschool room, there was a container of disinfectant wipes on the desk, in reach of children.

The most recent health assessment on file for child #3 was completed more than 12 months prior.

The most recent health assessments on file for children #4 and #5, young toddlers, were each completed more than 6 months prior.

The immunization record on file for child #2 indicated the child did not have sufficient doses of the MMR, varicella and Hepatitis A vaccines according to the ACIP recommendations based on the age of the child.

In the (hands-free) trash can used for diaper disposal in the middle infant space there were diapers in bags. Operator states soiled diapers are placed in bags prior to disposal.

There was one bottle in the middle infant room not labeled with the child's name.

Fire drills were recorded as occurring on 8/2/24 and 10/18/24, more than 60 days apart.

Smoke detector testing was documented as occurring on 8/30/24, then again on 10/18/24, more than 30 days apart.

The most recent letter on file at the facility, sent to the local traffic safety authority to notify them of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 5/9/2023.

The current first aid training completed and documented on file for Facility Person #1 was completed after the expiration of the previous first aid training on file.

Facility Person #4 was classified as an assistant group supervisor with fewer than the required years of child care experience documented and on file.

There were no child service reports completed, a copy given to parents, and a copy on file for children #1-#5.

There was no documentation on file of child care training hours for Facility Persons #1 and #2 completed in the most recent 12 month review period (12/2023-12/2024 for both staff).

Facility Person #6 was observed caring for children unsupervised. There was no documentation of completion of the required preservice health & safety training or pediatric first aid & CPR training on file for Facility Person #6.

The criminal history clearance on file for Facility Person #4 was incomplete. Mandated reporter training completed and documented on file for Facility Person #1 was completed more than 90 days after their start date.

There was no documentation of emergency plan training on file for Facility Person #6, employed at the facility for more than 90 days.

There were uncovered outlets on a power strip by the desk in the front room, accessible to children

There was White Out labeled "keep out of reach of children" in an unlocked desk drawer in the front room, accessible to children in care.

The first aid kit in the front room did not inlcude tweezers

In the back room, there was a door missing from a plastic play kitchen unit, exposing rough/sharp surfaces where it would have attached.

There were paper clips with a diameter of less than 1 inch in an unlocked desk drawer, accessible to toddlers in care, in the front room.

There were two health assessments on file for child #1. One was dated 4/4/22. The other was undated, so it was unable to be determined if the health assessment was completed in the previous 12 months or in the 12 months following the other assessment.

There was a sample packet of Neosporin cream in the first aid kit in the front room, not labeled with a child's name to be used for that child.

There was no written parental consent for a Tylenol at the facility - labeled for an enrolled child.

The current health assessment on file for Facility Person #2 was completed more than 24 months after the prior health assessment on file.

There were four infants' bottles in the middle room, not labeled with the child's name.

The time of day fire drills were conducted was not documented on the four most recent fire drills on the facility's fire drill log.

There was no documentation a copy of the facility's emergency plan was sent to the local municipality.

The documentation of current pediatric first aid & CPR training documented and on file for Facility Person # 5 was completed more than 24 months after the previous pediatric first aid & CPR training on file.

The health & safety training completed and documented on file for Facility Person #1 was completed more than 90 days after their start date. There was no documentation of the required preservice health & safety training completed and on file for Facility Person #6, employed at the facility more than 90 days.

Facility Person #1 was classified as an assistant group supervisor. Based on the education documented and file for Facility Person #1, there was insufficient child care experience documented for Facility Person #1 to be classified as an AGS.

The were no staff evaluations on file for Facility Persons#2, #3, and #5 completed in the 12 months prior.

There was no documentation of pediatric first aid & CPR training completed and on file for Facility Person #6, employed at the facility more than 90 days.

There was documentation on file of a total of 9.5 hours of training completed during the most recent review year on file for Facility Person #3.

There was no documentation of dates the emergency plan was reviewed and updated.

The facility's emergency plan was not posted in a conspicuous location.

The letter to the parents explaining the emergency plan did not information regarding the plan for lockdown, information on contacting the parents, or a plan for accommodations.

There were Clorox wipes on a shelf near the entry to the facility in the young toddler room, in reach of children.

There was a container of Clorox wipes stored in a bin with sippy cups and a box of snack food items in the infant room.

There was no first aid kit present in the outdoor play space while children were receiving care in that space.

There was a first aid kit in the older toddler room in an unlocked drawer in reach of children. There was a first aid kit on a shelf near the entry to the facility in the young toddler room, in reach of children.

In the infant room, there were 2 small batteries, and 2 small screws, all of the diameter of less than one inch, in a drawer in a drawer accessible to toddlers who sometimes receive care in that room.

The current health assessment on file for child #1, a young toddler, was completed more than 6 months after the previous health assessment on file. There was a health assessment on file for child #2 that was more than 6 months old, and another health assessment that did not include a dated signature from the physician.

There was no documentation of current flu vaccines, recommended annually by the ACIP on file for children #1 and# 2.

There was a child's Tylenol, and another child's ofloxacin, at the facility without written parental consent for administration of these medications.

The current health assessment on file for Facility Person #1 was completed more than 24 months after the prior health assessment on file. The two most recent health assessments/TB tests on file for Facility Person #2 were completed more than 12 months prior to their start date and then after their start date.

The emergency plan did not specify accommodations for children with disabilities and children with chronic medical conditions. in the event of an emergency.

Documentation of the annual emergency drill did not include all required information.

There was no documentation on file to show that the emergency plan had been sent to the county Emergency Management Agency.

Letters on files that were sent to traffic safety authorities regarding routes used were dated 1/22/21 and 5/9/23.

There was no documentation on file of completion of the one hour updated health and safety training for facility person #2, employed at the facility more than 90 days.

There was no documentation of completion of first aid training on file for Facility Person #1.

There was no documentation of any fire safety training completed by any staff employed at the facility more than 12 months: facility persons #1, #4, #5,#6 and number #7.

Facility person #4 was classified as an aide based on completion of 8th grade and at least 2 years of childcare experience. There was no documentation of the required education and/or childcare experience on file for facility person #4.

There were no assessments on file and copies given to parents of children #1, #2, and #3, all enrolled for more than 6 months.

There were no emergency contact forms in the outdoor play space for the children receiving care in that space.

The link to the regulations that was posted for the parents was the link to a different chapter of childcare regulations, chapter 3280.

There was documentation of one training hour completed in the most recent annual review period for Facility Person #1. There was documentation of 8 training hours completed in the most recent annual review period for Facility Person #4.

On 10/19/22 a renewal inspection was conducted at the facility. Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): pediatric first aid and CPR training The facility's acceptable plan of correction indicated the correction would be implemented by12/15/22. On 1/4/23 an unannounced inspection was conducted. Staff person #1 still has not completed the following required pre-service training: pediatric first aid and CPR training

Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: approved pediatric first aid and CPR, mandated reporter, health and safety

There was no criminal history or NSOR clearance or proof of application for either clearance on file for Facility Persons #1, who was observed caring for children unsupervised. (See IS Code Sheet) The FBI clearance on file for Facility Person #4 was not valid. There was no NSOR clearance on file for Facility Person #4 who is serving as the director and, as such, is unable to be hired provisionally as per the CPSL. (See IS Code Sheet) There was no FBI or NSOR clearance on file for Facility Person #7. (See IS Code Sheet)

From approximately 11:40-12:00PM, while a staff person was needed to prepare and serve lunch, Facility Person #5 was supervising 4 infants and 3 young toddlers in the front room.

There was a toy present in a packnplay while in use by an infant, in the front room.

An infant was observed asleep in a bouncy seat in the front room at 12:30 PM and again at 12:50 PM.

The emergency plan did not include a plan for continuity of operations in the event of an emergency.

There was no documentation of the date of an emergency evacuation plan review.

There was no documentation of updated annual emergency plan training on file for Facility Persons #2 and #3 and initial emergency plan training on file for Facility Person # 7.

The emergency evacuation plan was not posted.

From approximately 11:40-12:00PM, while a staff person was needed to prepare and serve lunch, a total of eight children (2 infants, 2 young toddlers, 3 older toddlers, and 1 preschooler) were receiving care in the back room, which as a measured capacity for a maximum of seven children.

There were no handwashing signs posted at the toilet and training chair in the restroom.

There was no lid on the trash can in the restroom.

There were 3 packnplays in the front room and a packnplay in the middle room not labeled with the names of the children who use them.

There were four packplays in the front room, and two packnplays in the middle room in use without at least 2 feet of space on three sides.

The health assessment on file for child #3, a preschooler, was more than 12 months old.

The written parental exemption from an influenza vaccine on file for child #1 was not dated.

There were sample packets of medication - none labeled with the name of a specific child - in the first aid kit in the front room. There was an children's ibuprofen and children's acetaminophen in the middle room each labeled "daycare."

In the middle room, food preparation including bottle heating and preparing occurs on the counter next to sink used for handwashing after diapering.

The current (initial) health assessment on file for Facility Person #6 was completed after the facility person's start date. The health assessment was dated 10/5/22. (See IS Code Sheet)

The health assessment on file for Facility Person #1 did not include an examination for communicable diseases and the results of that examination.

The health assessment on file for Facility Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

There were no written feeding schedules from the parents of seven of the eight enrolled infants.

The emergency evacuation plan did not specify accommodations for toddlers.

There was no emergency drill conducted or documented.

Fire drills were recorded as conducted on 3/4/22, 5/4/22 and 7/5/22 which occur more than 60 days apart.

The log recording the smoke detector testing indicates tests were conducted more than 30 days apart, on the following dates: 7/1/22 and 8/1/22 as well as on 9/1/22 and 10/3/22.

There was no documentation that the emergency plan was sent to the local municipality and to the county emergency management agency.

There was no health assessment on file for child #2 who has been enrolled at the facility for more than 60 days.

There was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Facility person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first aid & CPR

Documentation of education on file for Facility Person #4, classified as the program's director, does not indicate Facility Person #4 has completed the required education to serve as a director.

There is no director-qualified staff person employed by the facility.

Child records were not stored in a locked cabinet.

Facility persons' records were not stored in a locked cabinet.

There was documentation of 10 of the 12 required training hours (during the most recent review year) on file for Facility Person #5.

The files for staff #1, 2, 3, 4 and 5 lack a date on the disclosure statement. The file for staff #2, lacked a State Police clearance on or before initial date in a child care position. Start date - 5/24/21. State Police clearance date is 6/11/21. The file for staff #3 lacked an NSOR on or before initial start date in a child care position. Start date - 10/26/21. NSOR date- 12/7/21.

The files for staff #1, 2, 3, 4 and 5 lack emergency plan training within one week of hire. There is no documentation of emergency plan training on file.

Observed one bottle of cleaning materials which were not labeled with the contents.

In the Infant room, observed a first aid kit which lacked disposable, nonporous gloves.

The refrigerator in the infant room was 50 degrees F.

The immunization record on file for child #1 lacks verification of a flu shot within the past year and has 1 Hep A when 2 are recommended for the age of the child. Flu shot is dated 9/22/20.

Observed prescription medication for child #6 which lacked written instructions from the individual who prescribed the medicine. Observed Gas Release medication for child #5 which expired 11/20.

The initial health reports assessments on file for staff #1 and 3 were not completed within 12 months prior to providing initial service in a child care setting. There are now current health assessments on file.

Fire drills were not conducted every 60 days. The fire drills which were more than 60 days were dated 3/23/21 and 5/23/21 and then 9/1/21, 11/2/21 and 1/4/22. The hypothetical location of the fire drills conducted on 3/23/21 and 5/23/21 was the same for consecutive drills.

The fire alarms were not tested every 30 days. The dates which were more than 30 days were as follows: 9/1/21, 10/4/21, 12/1/21, and 1/4/22.

The initial health assessments on file for children #3 and 4 were completed more than 90 days (regulatory suspensions were still in effect) following the first day of attendance at the facility. There are now current health assessments on file.

The file for staff #2 lacked completion of the health and safety training within 90 days of hire. Start date 5/24/21. Health and Safety training was completed 12/15/21.

The file for staff #5, with start date of 5/17/21, lacked mandated reporter training within 90 days of hire. There is now current mandated reporter training on file and dated 11/5/21.

. The file for staff #3, who holds the title of assistant group supervisor, lacks 119 hours of child care experience. There are 2381 hours of child care experience on file and a high school diploma.

The emergency contact information on file for child #1 lacks the enrolling parents work address and work phone and a name of the health insurance coverage. The emergency contact information on file for child #2 lacks a health insurance policy number.

Observed that none of the children receiving care in the young toddler room had emergency contact information present in the child care space.

The infant room lacked an emergency transportation plan.

The file for child #1 lacks signed parental consent for administration of minor first-aid procedures by facility staff.

The files for staff #1, 2 and 6, who have been in a child care position for longer than 90 days, lack verification of current pediatric CPR.