ABC 24 HR Child Care Above and Beyond 24 HR CH

The current NSOR clearance on file for Facility Person #1 was completed more than 60 months after the previous NSOR clearance on file.The current criminal history and NSOR clearance as well as mandated reporter training on file for Facility Person #2 were completed more than 60 months after the previous respective clearance/training. The current mandated reporter training on file for Facility Person #4 was completed more than 60 months after the previous mandated reporter training on file.

There was no plan for continuity of operations after an emergency in the facility's emergency plan.

The letter to the parents explaining the emergency plan did not include information on the facility's plan for a lockdown or the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At approximately 10:00 AM on 7/9/25, 20 schoolage children were observed receiving care in the facility's outdoor playspace with an established maximum capacity of 15 children.

There were no tweezers in a first aid kit in the toddler room.

The following hazards were observed in the facility's outdoor playspaces: Splintered wood on an area of the floor on the deck, nails protruding from the fence in the back of the preschool/schoolage space, and the rubber mat on the ground of the preschool/schoolage playspace was wrinkled in areas, creating tripping hazards.

There was no handwashing sign posted at one of the urinals in the restroom off of the middle room.

There was no lidded trash can at the sink located in the back of the infant/toddler space, near the exit to the playspace.

The most recent health assessment on file for child #5, a preschooler, was not completed in the previous 12 months.

The current health assessment on file for Facility Person #3 was completed more than 24 months after the previous health assessment on file.

The current health assessment on file for Facility Person #6 indicated the facility person had a communicable disease, but did not provide further information.

The current 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.

The facility's current emergency plan did not specify the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions in the event of an emergency.

Documentation of emergency drills at the facility indicate drills were conducted om 11/2023 and then again in 6/2025.

Fire drills were documented as completed on 10/18/24, then next again on 12/19/24, more than 60 days apart.

Two consecutive fire drills (4/3/25 and 5/2/25) were documented as using the same hypothetical location for the fire.

There was no documentation that the facility has sent the most recent version of the emergency plan to the local municipality and to the county emergency management.

The current agreement on file for child # 5 did not specify the fee amount charged.

The current agreements on file for children #4 and #5 did not specify the arrival and departure times.

The current agreements on file for children # 1, #2, #3, #5 #6 and #7 did not specify the persons designated by a parent to whom the child may be released.

The current agreement on file for child #5 did not specify the date of the child's admission.

The current emergency contact form on file for child #5 did not include the work address and phone number for the enrolling parent.

The current emergency contact forms on file for children #5 and #7 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The current emergency contact form on file for child #5 as well as the agreements and emergency contact forms on file for children #2, #3, #4 were reviewed and updated by parent in writing more than 6 months after the previous review dates. The most recent agreement on file for child #5 as well as the most recent emergency contact form and agreement on file for child #6 were not reviewed and updated by a parent in writing in the previous 6 months.

Video footage from the facility shows that on 12/20/24 at approximately 4:30 PM, in the dining area, Facility Person #1 handled child #1 roughly. Facility Person #1 pulled on the back of the sweatshirt worn by child #1, a young school age child, moving the child backwards, then sideways, then they pushed the child forward and down into a chair.

The child abuse clearance on file for Facility Person #4 was a volunteer child abuse clearance.

***On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

****On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

*On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

**On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

The facility's emergency plan did not include a plan for continuity of operations after an emergency.

The facility's emergency plan was documented as reviewed by the operator most recently in June of 2023.

There was an unlidded trash can in the preschool/schoolage area containing spoons used by the children.

There were no bandaids in the first aid kit in the infant space.

There was peeling paint on the walls of the restroom stalls and damaged plaster on the wall to the right of the entry to the restroom. There was an area of damaged plaster on the wall in the dining area.

The sink in the infant space was not at the height for young toddlers in care in that space to reach it, nor was there a stool present to allow the children to reach the sink.

There was a cracked plastic toy bin in the older toddler area.

The health assessment on file for child # 3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease or a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

Disposable diapers were disposed of in a trash can in the infant space that was not hands-free. The hands-free lid on the trash can used for diaper disposal in the older toddler space would not close completely as it was equipped with an ill-fitting liner that interfered with the closing and hands-free operation of the lid.

Staff were washing dishes in the sink in the infant diapering area used to wash hands hands after diaper changing.

On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question. The iniitial health assessment on file for Facility Person #6 was completed after their start date.

The facility's menu was not posted a week in advance.

There was no feeding schedule from the parent of one of the infants in care.

The operator uses a 12 passenger Transit van to transport children in care.

Documentation of smoke detector testing on file indicates the smoke detectors were tested on 3/1/24 and again on 4/1/24 - more than 30 days apart.

The documentation of completion of the required health & safety update training was completed by Facility Person #6 more than 90 days after their start date.

There were loose cribs sheets on cribs used by infants in the infant area.

An inspection was conducted at the facility on 8/6/24 and noncompliance was cited. Correction of this noncompliance had not yet been verified by the Department. The inspection summaries from this date were not posted at the facility.

There was no documentation of firesafety training completed in the previous 12 months on file for Facility Persons #1 and #2.

There was no documentation of completion of mandated reporter or health & safety training on file for Facility Person # 4, employed at the facility for more than 90 days. The health & safety training completed and on file for Facility Person #6 was completed more than 90 days after their start date.

The mandated reporter training completed and on file for Facility Person #3 was expired.

There was no staff evaluation completed by the director and on file for Facility Person #2, employed at the facility more than 12 months.

There was no child service report completed and a copy given to the parent, on file for child #1, enrolled at the facility for more than 6 months.

The agreement on file for child #5 was the original.

The emergency contact form on file for child #3 did not include the phone numbers of all release persons listed.

There was no emergency contact form in the preschool/schoolage space for a child receiving care in that space.

The current emergency contact and agreements on file for children #2, #3, and #4 were not reviewed and updated by a parent in writing within the previous 6 months.

There was documentation of three hours of child care training on file completed int the most recent review year (12/2022 - 12/2023) on file for Facility Person #1.

The health assessment on file for staff person #2 stated that there was no physical exam completed.

The most recent mandated reporter training on file for staff person #1 was expired and dated 3/1/19, over 60 months old.

The file for staff person #2 was lacking any proof of education or experience to qualify them as an aide.

At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child.

At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child. At approximately 12:45 PM, Facility Person #3 was supervising a group of 10 preschoolers. Facility Person #3 was standing at the changing table while changing a child's diaper and was unable to see one of the children in their group due to the placement the child's cot, on which they were resting, and the placement of the changing table.

At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child. When Facility Person #1 and #2 were asked to identify which children they were each supervising, Facility Person #1 identified 12 young schoolagers. Then Facility Person #2 identified 2 preschoolers and 7 young schoolagers, including 2 children already identified by Facility Person #1. As a result, 3 children were not claimed by either staff person. At approximately 1:00 PM, when again asked to identify which children they were each supervising, Facility Person #1 identified 11 of the children and Facility Person #2 identified 10 of the children. As a result, one child was not claimed by either staff person.

**At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child. When Facility Person #1 and #2 were asked to identify which children they were each supervising, Facility Person #1 identified 12 young schoolagers. Then Facility Person #2 identified 2 preschoolers and 7 young schoolagers, including 2 children already identified by Facility Person #1. As a result, 3 children were not claimed by either staff person. At approximately 1:00 PM, when again asked to identify which children they were each supervising, Facility Person #1 identified 11 of the children and Facility Person #2 identified 10 of the children. As a result, one child was not claimed by either staff person.

According to reports from the Erie County Health Department and staff statements, a decomposed rodent was observed under a fryer, stuck in grease on the floor, in the kitchen of the facility during inspections conducted on 7/9/24 and 7/25/24.

There was no source of running water for handwashing at the diapering area in the Preschool room.

A door leading from the Middle/Entry room to the Infant/Toddler room was blocked with a large toy bin of blocks.

There were three cots in use in the Preschool room with less than 2 feet of space on three sides.

There was no hands free lidded trash can used for diaper disposal in the Preschool room.

The FBI clearance on file for Facility Person #1 was completed after their start date. There was no application for an FBI clearance on file for Facility Person #1. The disclosure statement on file for Facility Person #3 was not dated. There was no signed disclosure statement on file for Facility Person #4.

There was an infant observed sleeping on a boppy pillow in a crib.

At approximately 4:07 PM on 11/14/23, child #4, a young schoolager, walked from the outdoor childcare space into the building through the infant toddler space (where staff were present supervising their infant/toddler groups) and into the main room to their parent who was waiting to pick them up. There was no communication between the staff supervising the child in the outdoor space (Facility Person #7) to the staff in the infant/toddler space regarding a change in the staff person assigned to supervise the child. Facility Person #7, the staff assigned to supervise the child outside, did not remain physically present with child #4.

There was an infant observed sleeping on a boppy pillow in a crib, not in the position recommended by the AAP.

There were sharp adult scissors on the front desk located in a child care space in reach of children.

The most recent review date documented for the facility's emergency plan was 6/28/22.

The letter to the parents explaining the emergency plan did not address the facility's plan for a lockdown, accommodations in the event of an emergency or the facility's annual emergency drills.

There was no source of water for handwashing near the changing table in the preschool space.

The initial health assessment on file for child #1 was dated more than 60 days after the child's start date.

The health assessment on file for Facility Person #1 was completed after their start date. There was no health assessments/TB test on file for Facility Person #4. There was no health assessment on file for Facility Person #5. The current health assessments on file for Facility Persons #6 and #8 were completed more than 24 months after the prior health assessments on file.

The most recent emergency drill documented was recorded as occurring on 6/27/22.

There was no letter on file from the previous 12 months notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Facility Persons #2 and #4 were classified as assistant group supervisors without documentation of the required previous child care experience from the experiential entity on file.

There was no child service report on file for child #3,enrolled in and attending the facility more than 6 months.

The agreement on file for child #2 is the original.

The emergency contact form on file for child #2 did not include the child's physician's information.

The emergency contact form on file for child #2 did not include the enrolling parent's work address and phone number.

The current emergency contact form and agreement on file for child #3 were reviewed and updated by a parent in writing more than 6 months after the review of previous emergency contact form and agreement on file.

There were no nonfamily written references on file for Facility Persons #1 and #4.

In the Infant room, an outlet wall plate located above a crib was observed to be cracked and not in good repair.

The gates at the bottom of the steps that lead to the second level and the gates in the Infant, Toddler 1, and Toddler 2 rooms were observed to be cracked with sharp edges and not in good repair. In the Toddler 2 room, several large building blocks were observed to be tearing on the edges and corners and were not in good repair.

The diapering pad in the Infant room was observed to have several holes that expose the foam interior. A children's play mat in the center of the Infant room was observed to have several holes exposing foam. In the Infant and Toddler 1 room, small foam building blocks were observed to have bite marks and accessible to children who are still placing objects in their mouths. In the Toddler 1 room, large foam building cubes were observed to have holes and tears exposing the foam interior. These conditions pose a choking hazard to the children in the room who are still placing objects in their mouths.

In the Toddler 1 room, soiled diapers were observed in a plastic-lined can but was not hands-free and did not have a covered lid. The diapering can in the Toddler 2 room was not hands-free as the step pedal was observed to be broken.

Staff person 1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training. (see LIS code sheet):

Documentation of smoke detector testing indicates testing went beyond 30 days when tested on 3/1/2023 and then again on 4/1/2023.

On 3/24/23 a young schoolage child was injured while in care (scratched). The incident report prepared by staff that day was not given to the parent until 4/7/23.

According to statements from staff, on 1/9/23 at approximately 11:30 AM, when Facility Person #1 was moving their group of children from the older toddler space, through the gross motor room, and into the infant space for diapering, Child #1, an older toddler, left the group to use the restroom, as directed to do so by Facility Person #1. Child #1 was discovered by Facility Person #2 when the Child was leaving the restroom where the child was unsupervised. According to staff statements, it was estimated Child #1 was unsupervised for approximately 2-3 minutes.

On 1/9/23, the following instances of groups exceeding the minimum staff:child ratio occurred, according to staff statements and attendance documentation: From approximately 9:45 AM-11:15 AM, Facility Person #4 was supervising 2 infants and 3 young toddlers in the infant space. From approximately 8:10 AM - 9:45 AM, Facility Person #5 was supervising 3 young toddlers and 3 preschoolers in the young toddler area until another preschooler arrived. From approximately 9:45 AM - 11:30 AM Facility Person #5 was supervising 3 young toddlers and 4 preschoolers in the young toddler area.

According to statements from staff, on 1/9/23 at approximately 11:30 AM, when Facility Person #1 was moving their group of children from the older toddler space, through the gross motor room, and into the infant space for diapering, Child #1, an older toddler, left the group to use the restroom, as directed to do so by Facility Person #1. Child #1 was discovered by Facility Person #2 when the Child was leaving the restroom where the child was unsupervised. According to staff statements, it was estimated Child #1 was unsupervised for approximately 2-3 minutes.

According to statements from staff, on 1/9/23 at approximately 11:30 AM, when Facility Person #1 was moving their group of children from the older toddler space, through the gross motor room, and into the infant space for diapering, Child #1, an older toddler, left the group to use the restroom, as directed to do so by Facility Person #1. Child #1 was discovered by Facility Person #2 when the Child was leaving the restroom where the child was unsupervised. According to staff statements, it was estimated Child #1 was unsupervised for approximately 2-3 minutes. Facility Person #1 was not physically present with Child #1.

SECOND CITATION, CITED ON 11/15/22: Prior to serving the children lunch, staff caring for children in the older toddler space (Facility Persons #1 and #3) did not ensure four of the young toddlers in care washed their hands. Facility Person #3 wiped these children's hands with a wipe.

After the children's lunches were prepared and delivered to the older toddler space by another facility person, Facility Person #1 did not wash their hands prior to serving the children in their care their lunch.

SECOND CITATION, CITED PREVIOUSLY ON 11/15/22: The fire drill log on file at the facility did not include the names of the facility persons who participated in each fire drill.

There was no documentation that the interconnected fire alarm system had been tested by the operator, which is required to be done, and documented, at least every 30 days under Act 62.

The NSOR clearance on file for Facility Person #3 was completed after their start date (See IS code sheet.) There was no application for an NSOR clearance dated prior to their start date on file for Facility Person #3. NSOR clearance on file was dated 7/19/22.

Three infants were observed sleeping in bouncy seats, not in the position recommended by the AAP.

There was an uncovered outlet on a wall under a window in the wobbler's area,

There was a sunscreen labeled "keep out of reach of children" on a shelf in the front area of the pre-K/schoolage room, in reach of children. There were cleaning supplies on a low shelf in the kitchen, near the unlocked entrance across from a restroom used by children.

There was damaged plaster on the lower part of a wall in the back of the school age space, near the entrance to the kitchen. There was damaged plaster on a wall behind a trash can in the preschool restroom.

There was no lidded trash can in the girls restroom.

There was a crib in use by a child in the infant space labeled for use by another child.

In the infant space there were 2 cribs and one packnplay in use with less than 2 feet of space on 3 sides.

The most recent health assessment on file for child #3, and infant, was more than 6 months old.

The current health assessment on file for child #4, a preschooler, was updated more than 12 months after the previous heath assessment on file.

The current health assessment on file for child #3 did not include an immunization record. The immunization records on file for children #4 and #5 did not indicate the children had current influenza vaccines, recommended annually by the ACIP.

After a diaper change in the Toddler 2 space, it was observed that a wipe was used to clean the child's hands (an older toddler), rather hand handwashing.

There was no health assessment on file for Facility Person #1.

There were no written feeding schedules at the facility from the parents of two enrolled infants.

The only documentation of an emergency drill conducted at the facility indicates the emergency drill was conducted on 6/27/22, more than 12 months after the regulation effective date of 6/27/22.

The fire drill log at the facility did not indicate the names of the facility persons participating in fire drills.

The emergency plan did not specify the facility's plan for a lockdown.

The initial health assessment on file for child #5 was completed more than 60 days after the child's first day of attendance at the facility.

There was no letter sent to the annual traffic safety authorities from the previous year, notifying them of the program's use of pedestrian and vehicular routes around the child care facility.

There was no documentation that Facility Person #4, employed at the facility more than 90 days (See IS Code sheet) had completed health and safety training.

There was no daily activity schedule posted in the infant area for that group.

There were no child service reports - or other approved form - completed, and a copy given to parents - on file for children #3 and #4, each enrolled at the facility for more than 6 moths.

The original agreement was on file for child #5.

There was no physician's information specified on the emergency contact form on file for child #2.

There was no health insurance policy number on the emergency contact form on file for child #1.

The addresses of all release persons were not listed on the emergency contact form on file for child #4.

There was no emergency contact form in the infant space for one of the children receiving care in that space.

The most recent emergency contact form and agreement on file for child #3 were not reviewed and updated by a parent in writing in the previous 6 months. The current agreements and emergency contact forms on file for children #1, #3, and #4 were reviewed and updated by a parents in writing more than 6 months after the previous update.

There were no nonfamily written references on file for Facility Person #1, and there was only one written nonfamily reference on file for Facility Person #2.

There was no documentation that Facility Person #3, employed at the facility more than 90 days (See IS Code sheet) had completed an approved pediatric first aid/CPR training.

The fire drill log at the facility shows the last documented fire drill as conducted on 2/16/22. According to staff statements, there was a fire drill conducted on 4/15/22 that was not documented.

There was no documentation on file that Facility Person #1 had completed the required health and safety training. Facility Person #1 has been employed at the facility more than 90 days. (See IS Code sheet.)

The file for staff person #1, hire date 3/10/2021, contains a signed disclosure statement that was not witnessed as required under CPSL. Staff #1 may not work in a childcare position until a valid disclosure statement is completed. The file for staff person #6, provisionally hired 4/12/2021, contains a volunteer criminal history clearance dated 3/24/2021 which is not accepted for employment in a child care position. The file contains a valid criminal history clearance dated 11/3/2021 which was not at the time of initial hire as required by CPSL but is now current. The file contains verification of FBI fingerprinting dated 3/31/2021 however is lacking a completed FBI clearance and has worked for greater than 45 days. Staff person #6 may not work in a child care position until the completed FBI clearance is obtained. The file for staff person #7, hire date 7/22/2021, contains a volunteer criminal history clearance dated 6/27/2021 which is not accepted for employment in a child care position. The file contains a valid criminal history clearance dated 11/2/2021 which was not at the time of initial hire as required by CPSL but is now current. The file for staff person #8, hire date…

The file for staff person #9 is lacking verification of training regarding the facility emergency plan at the time of initial employment.

It was observed that a power strip on the floor at the front desk and accessible to children ages 5 and under was lacking a child safety protector in one of the outlets.

By the front desk there was a long extension cord and several computer cords hanging low and accessible to children in care. In the preschool classroom there were loose and exposed phone wires. In the preschool table area the carpet was visibly soiled and stained. In the preschool play area the area rug was fraying. In the middle activity room the foam floor tiles were dirty and stained. By the entrance to the kitchen door the floor bricks were cracked and crumbling with sharp edges. On the outside play space the wooden handrail was cracked and splintering.

The boy's and girl's bathrooms were lacking lidded waste receptacles.

On the outside play space it was observed that the plastic log cabin play house was cracked by the windows and on the roof presenting several sharp edges and pinch points.

It was observed that on the outdoor play space an embedded school bus climber and bike merry-go-round were installed without an approved protective surfacing below.

In the Toddler 1 space it was observed that vinyl covered foam pads were being used to cover the metal legs of the room dividers. The vinyl was cracked and crumbling and exposing the interior foam. The vinyl and foam pieces are choking hazards in a classroom where young children are placing objects in their mouths.

The file for child #1 contains an exemption from immunization statement that does not include the reason for exemption.

It was observed that in the infant and toddler classrooms diapers were being disposed of in trash containers that were not covered.

The file for staff person #4 contains an initial health report that was conducted more than 12 months prior to initial service and therefore not valid. The file for staff person #10 is lacking a health assessment completed during the previous 24 month period.

The file for staff person #4 contains a TB test that was conducted more than 12 months prior to initial service and is therefor not valid.

The operator is unable to submit the proof of purchase for the hardwired interconnected fire detection system.

The file for child #2, older school age, who has been in attendance for greater than 90 days does not contain a health report nor immunization report.

The files for staff persons #2, 5, 7, hired after 12/18/2020, are lacking certification in pediatric first aid and CPR and have exceeded 90 days of employment. The file for staff person #11, hired prior to 12/18/2020, is lacking certification in pediatric first aid and CPR and has exceeded 180 days. The files for staff persons #5, 8, hired after 12/18/2020, are lacking certification in the health and safety topics within 90 days of employment. The files do contain current health and safety training. The files for staff persons #10 and 11, hired prior to 12/18/2020, are lacking health and safety training and have exceeded 180 days.

The file for staff person #12, hire date 12/13/2019, is lacking mandated reporter training and has exceeded 90 days since hire.

The file for staff person #6, serving as an assistant group supervisor, is lacking verification of child care experience. The file contains documentation of lifeguarding which cannot be counted as child care experience. The file for staff person #8, serving as an assistant group supervisor, is lacking verification of child care experience. The verification must specify that the experience was in caring for children and signed by the representative of the experiential agency. The file for staff person #12, serving as an assistant group supervisor, is lacking verification of education. Staff persons #6, #8 and #12 may serve as aides until verification of education and/ or experience is obtained.

The files for staff persons #3, 10, 11 and 12 are lacking written evaluations completed during the previous 12 month period.

The files for child #1,3,4 and 5 contain financial agreements that are lacking the names of the persons designated by a parent to whom the child may be released.

The file for staff person #12 is lacking 2 written non-family references.