Always Bettering Children Daycare LLC

Observed in the preschool room disinfectant wipes and carpet cleaner on the bottom shelf of a closet that was not locked.

The first-aid kit in the toddler room lacked gloves.

Observed in the toddler room a set of exterior doors blocked on the right side making inaccessible to exit in the event of an emergency.

Observed in the preschool room: 4 broken Magni Tiles, a brown wooden chair with loose legs, a red cushion chair torn with exposed foam, and a broken plastic container housing crayons,

Observed in the preschool room, assorted soft blocks with teeth marks and foam puzzle pieces with teeth marks.

Observed in the infant room a bottle not labeled for child #1.

At the time of the inspection, there was not documentation the emergency plan was delivered to the local municipality.

Observed in the cribs in the infant room loose fitted sheets in all cribs.

The file of staff #1 had documentation of completing mandated reporter training more than 60 months apart due to the fact they were dated: 2-18-21 and 6-5-15.

At the time of the inspection, there was not a daily schedule posted in the preschool 3 room.

The file of child #1 lacked an agreement with persons designated by a parent to whom the child may be released.

The file of child #1 lacked an emergency contact form with the full address of the child's physician or source of medical care. The file of child #3 lacked an emergency contact form with the name, address and telephone number of the child's physician or source of medical care.

The file of child #1 lacked an emergency contact form with the full work address and work phone number of the enrolling parent.

The file of child #1 lacked an emergency contact form with the information about the child's special needs or NA if not applicable.

The files of children #1 and #2 lacked an emergency contact form with the complete address of the individual designated by the parent to whom the child may be released.

At the time of the inspection, there was not a copy of the emergency contact form for child #1 in the child care space where the child was receiving care.

Staff #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/12/2019. Staff #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for staff person #1 contains current criminal history, child abuse and FBI clearances completed after the previous clearances expired. The file is now current.

Observed in the older preschool room cleaning supplies including bleach water and disinfectant accessible to children on a shelf in an unlocked cabinet.

Observed in the older preschool room, cleaning supplies including bleach water and disinfectant stored on a shelf above food items including crackers, nuts and packaged dried apple slices.

Observed on the toddler and preschool outdoor play spaces approximately 40 bolts that were on the fence posts / gates and protruding into the play area posing a danger of impalement of a child were to fall against the protruding bolt.

Observed the wooden playhouse on the preschool playground to have a hole in the side with splintering wood accessible to the children. Observed the plastic pirate ship on the toddler playground to have a cracked red plastic part resulting in a sharp edge.

The refrigerator in the older preschool room was lacking a thermometer.

The files for staff persons #2 and #6 contain current health assessments that were conducted greater than 24 months after the previous health assessment. The files are now current.

The facility is lacking documentation of an emergency drill conducted during the previous 12-month period.

The School Age Child Care Space is lacking a posted daily schedule.

The file for child #1 is missing the health insurance policy number.

The file for child #2 is lacking the addresses for the 3 parent designated release persons.

The file for child #1 contains an emergency contact form that has not been reviewed / updated by the parent during the previous 6-month period.

The files for staff persons #3, #4 and #5 contain PFA/PCPR certification completed greater 90 days after hire date. The training is now current.

The file for staff person #2, hire date (see IS code sheet), contains current Criminal History, child abuse, and FBI clearances that were obtained greater than 60 months after the previous clearance. The file also contains current mandated reporter training that was completed greater than 60 months after the previous training. The file is now current.

Observed the water at the sink in the infant / young toddler room measured 120 degrees.

Observed in the hallway near the girl's bathroom an approximately 2 inch metal rod protruding from the floor where the bathroom door had been removed.

Observed at the base of the toilets at the far end of the school age hall, protruding and exposed bolts.

The file for staff person #1 contains a current health assessment that was completed greater than 24 months after the previous health assessment. The file is now current.

The file for staff person #9 contains a current health assessment that is lacking a physician's statements regarding communicable disease and suitability to work in child care.

The facility emergency plan is lacking accommodations for infants and toddlers.

The files for staff persons #1,3,4,5 and 6 (see IS Code sheet for hire dates) contain Health & Safety training on topics #1-9 completed prior to 9/30/2016 which is not valid and contain current Health and Safety training topics #1-9 completed after the required date of 4/30/2022. The file for staff person #7, hire date (see IS code sheet) contains the Health & Safety Update 2022 completed after the required date of 12/30/2022. The file for staff person #9, hire date (see IS code sheet) contains Health & Safety Training topics #1-9 completed greater than 90 days after hire. The trainings are now current.

On 2/14/22 observed staff file #1, who has been employed for more than 90 days, did not contain an FBI fingerprint clearance.

On 2/9/22 observed all staff who have been employed for more than one year contained updated emergency plan training which was completed more than 12 months after the previously completed emergency plan training.

Observed on 2/9/22 an electrical outlet in the entrance foyer area which did not have a protective receptacle cover.

On 2/9/22 observed a spot of detached paneling in the school age room.

Observed on 2/9/22, a broken train toy bin in the preschool 3 room. Observed a broken toy truck in the hall by the bathroom.

Observed child file #4 and #5 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

On 2/9/22 observed the facility did not have documentation of fire alarm testing conducted at least every 30 days.

On 2/9/22 observed child file # 1 and #5 contained initial health assessments which were dated more than 90 days after the child's first day of attendance at the facility.

On 2/9/22 observed all staff, who have been employed for more than one year, contained updated fire safety training which was completed more than 12 months after the previous valid fire safety training.

On 2/14/22 observed staff file #1, 2, and 3, who have all been employed for more than 90 days, did not contain documentation of completion of the required health and safety topics.

On 2/9/22 observed the emergency contact form for child file #4 did not contain the health insurance policy number.

On 2/9/22 observed the emergency contact forms for child file #1, 2, 3, 4, and 5 did not contain the complete address for the individual designated by the parent to whom the child may be released.

On 2/14/22 observed staff file #4, 5, and 6 did not contain the required 12 hours of child care training during the period covering 12/19/20 to 12/19/21.