Alphabet Tree Lower Burrell

The parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The first aid kit in the 1-year old room lacked scissors and tape.

There was peeling paint in the 1-year old room next to the baseboard where the gate opens and closes. There was peeling paint next to the baseboards in the Preschool room under the windows.

The sink in the infant room next to the diaper changing station lacked a handwashing sign.

In the outdoor play space, the plastic brown and red slide had a crack in the ladder making it unstable for children to safely step on it. The blue plastic teeter-totter also had a crack on the seat creating a pinching hazard.

The file for Staff Person #2 (See LIS Code Sheet) contained a health assessment dated 1/2/25 which was more than 24 months from the previous health assessment dated 3/31/22.

The file for Staff Person #3 (See LIS Code Sheet) lacked TB screening results.

The health assessment on file for Staff Person #3 (See LIS Code Sheet) lacked results for communicable diseases as well as information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The Large Main Room at Entrance of Facility used as the two-year old room has a capacity of 10 children. There were 12 older toddlers being cared for in this space, exceeding the established capacity for the space.

Documentation of the fire alarm system test shows more than 30 days between testing. (12/2/24 and 1/2/25)

The facility lacked documentation that the emergency plan was submitted to the local EMA.

The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03.

Staff Person #1 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

The files for Child #1, #2, #3, #4, and #6 contained the original agreement forms.

The emergency contact form for Child #3 lacked the address for the child's physician.

The emergency contact form for Child #5 lacked the parent's work address.

The emergency contact form for Child #5 lacked the address of the individual designated by the parent to whom the child may be released.

The emergency contact form and financial agreement for Child #1 was last updated on 12/20/23, more than 6 months ago.

The emergency contact form for Child #5 lacked parental consent for administration of minor first aid procedures.

The file for staff # 1 lacked an updated Child abused and FBI clearance. The previous Child Abuse clearance was dated 12/18/18. The previous FBI clearance was dated 12/18/18.

There was 1 uncovered outlet in the YT room accessible to children 5 years of age or younger.

There was a bottle of hand sanitizer labeled, "keep out of reach of children," on top of a shelf in the preschool room accessible to children.

There was a window open more than 6' in the OT room while the children were in care. There was a window open more than 6' in the YT room while the children were in care.

There was a piece of crown molding coming off the wall by the pack and play, creating a tripping hazard in the infant room.

The preschool bathroom lacked 2 washing hand signs at each toilet.

There was a broken white tile coming off the wood shelf in the SA room. There was a cracked blue bin in the OT room. There was a cracked wooden shelf in the OT room. There were foam blocks with teeth marks in the OT room. There was a pack and play with 3 cracked plastic corners in the YT room. There was a broken toy grill in the playground.

There were 2 highchairs with missing straps in the YT room.

There were 1 crib and 2 pack and plays unlabeled in the YT room.

There were 3 mats in the YT that lacked at least 2 feet of space as required on three sides. There was1 mat in the OT that lacked at least 2 feet of space as required on three sides.

The file for child # 5 contained a current health report dated 1/26/24 that was obtained after 6 months of the previous report dated 6/6/23.

The file for staff #2 lacked a health report.

There was a bottle with milk that was not discarded in the YT room.

The file for child # 1 an older toddler contained a current health report dated 1/10/24, that was provided after 60 days. The child was in care longer that 60 days without initial health report. The file for child # 2 a school age contained a current health report dated 122/24, that was provided after 60 days. The child was in care longer that 60 days without initial health report. The file for child # 4 an infant contained a current health report dated 1/25/24, that was provided after 60 days. The child was in care longer that 60 days without initial health report.

The file for child # 3 lacked information about the child's growth and development. The file for child #4 contained a current child service report dated 1/30/24. The assessment was not conducted within 6 months of the child's start date of 5/22/23. The file for child #5 contained a current child service report dated 1/30/24. The assessment was not conducted within 6 months of the child's start date of 4/4/23.

The file for children # 4 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The file for child #1 contained an agreement form that was not reviewed.

The file for staff # 1 contained a volunteer Child Abuse Clearance.

There was a pair of adult scissors in the preschool room accessible to children.

There were 2 uncovered outlets accessible to children 5 years of age or younger in the school age room. There was 1 uncovered outlet accessible to children 5 years of age or younger in the preschool room.

There were three baby bags on the floor in the infant room. One of the bags contained Children's Tylenol, Cera Ve Moisturizing lotion, Cera Ve Wash and Shampoo and Boudreaux's Butt Paste. The other bag contained Infants Little reminders Fever and pain reliever. Accessible to children. There was a backpack in the preschool room that contained Diaper Rash Ointment label " keep out of reach of children." The was another backpack that contained Genexa medication for pain and fever, baby oral pain relief tablets and a bottle of sunscreen spray. The third backpack contained a A+D diaper rash cream. Accessible to children There was a basket on the lower shelf of the table Infront of the window that contained two packets of batteries one of the packets was open and accessible to children in the infant room. The door in the preschool laundry room was unlocked make the cleaning supplies, screws and tools accessible to children.

The sink in the preschool room is pulling off the wall. The carpet on the entry way at the front porch was ripped off creating a tripping hazard. There was a metal sign with sharp edges on the playground fence accessible to children.

The sink in the preschool room bathroom, was clogged and not draining water properly. The sink was filled with water. The sink countertop in the preschool room had stains and did not appear to be clean.

There was a purple sheet in the crib with vomiting stains in the infant room. There was another purple sheet with a stain in the infant room. There was a white sheet in the crib with crumbs in the infant room.

The thermometer in the kitchen refrigerator was not operable. The refrigerator in the preschool room lacked a thermometer.

The file for child #3, an infant, lacked a written statement from the child's parent giving the formula and feeding schedule.

The file for child #1 lacked the work addresses and telephone number of the enrolling parent on the emergency contact form.

The files for child # 1 and 2 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

Staff person # 1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training.

The operator was not maintaining a written log for testing the fire detection system every 30 days.

The facility's emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

One floor register in the Infant 1 Room had two sharp edges. Observed two nails protruding from the ramp on the side exit near the outdoor play space. Observed one strip of siding with a frayed edge on the outside of the facility near the outdoor play space. The bottom of one of the poles for the pavilion in the outdoor play space was dry-rotted, which caused the structure to wobble.

Observed peeling, flaking paint on the ramp for the side exit near the outdoor play space and at the bottoms of the poles to the pavilion of the outdoor play space.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility did not have a proof of purchase for the hard-wired interconnected smoke detectors.

The facility's emergency plan did not include evacuation routes to the location away from the facility premises.