Apm Child Care Center

During the renewal inspection conducted 1/13/2025, the emergency plan reviewed did not address the facilities continuity of operations. The record reviewed for staff #7 did not include verification that staff completed the required one-hour health and safety training update.

During the renewal inspection conducted 1/13/2025, upon request there was no verification available to verify staff #1, #2 or #3 completed emergency plan training at the time of initial employment. Staff #4, #5, #6 and #7 emergency plan trainings were not updated on an annual basis. Last dated, Staff #4, 8/17/18, staff #5, 8/13/21, staff #6, 12/27/22 and staff #7, 12/28/22.

During the renewal inspection conducted 1/13/2025, room 8 measured for childcare space was observed being used as storage with extra furniture, toys, and boxes.

During the renewal inspection conducted 1/13/2025, two surges in room 3 and electrical outlets in room 8 were observed without Protective receptacle covers.

During the renewal inspection conducted 1/13/2025, there were no telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted by the telephone in room 8.

During the renewal inspection conducted 1/13/2025, peeled paint was observed in room 3 on the wall in the block center area. peeled paint was also observed in room 8 on the yellow wall.

During the renewal inspection conducted 1/13/2025, the heath assessment reviewed for child #5 did not include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection conducted 1/13/2025, the health assessment reviewed for child #1, #4, #5 and #6 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

During the renewal inspection conducted 1/13/2025, upon request there was no emergency drill log available for review to verify the facility conducts annual emergency drills.

During the renewal inspection conducted 1/13/2025, upon request there was no verification available for review to verify the facility sent their emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection conducted 1/13/2025, upon request there was no verification available for review to verify the facility notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

During the renewal inspection conducted 1/13/2025, upon request there was no verification available for review to verify Staff #1 completed the required health and safety training within 90days of hire. See code sheet for hire date.

During the renewal inspection conducted 1/13/2025, the agreement reviewed for child #2 did not include the amount of the fee to be charged per day or per week.

During the renewal inspection conducted 1/13/2025, the agreement reviewed for child #2 did not include the date on which the fee is to be paid.

During the renewal inspection conducted 1/13/2025, the agreement reviewed for child #4 and #9 did not include the persons designated by a parent to whom the child may be released.

During the renewal inspection conducted 1/13/2025, the agreement reviewed for child #2 did not include the date of the child's admission.

During the renewal inspection conducted 1/13/2025, the agreement reviewed for child #1, #2, #3, #4, #5, #6, #7, #8, and #9 did not include the services which are to be considered as extra.

During the renewal inspection conducted 1/13/2025, the emergency contact reviewed for child #3 did not include the address and telephone number of the child's physician or source of medical care. The emergency contact reviewed for child #5 did not include the telephone number of the child's physician or source of medical care.

During the renewal inspection conducted 1/13/2025, the emergency contact reviewed for child #6 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

During the renewal inspection conducted 1/13/2025, the emergency contact reviewed for child #8 did not include the address of the individual designated by the parent to whom the child may be released.

During the renewal inspection conducted 1/13/2025, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every childcare space.

During the renewal inspection conducted 1/13/2025, the emergency contact reviewed for child #9 was not updated within a 6-month period, last dated 3/5/24. The emergency contact and the agreement reviewed for child #1 was not updated within a 6-month period, last updated 6/11/24.

During the renewal inspection conducted 1/13/2025, the record reviewed for staff #4 only included one written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During the renewal inspection on 02.29.24, the record reviewed for Staff Person #1, Staff Person #2 and Staff Person #3, did not include a 12-month written evaluation.

During the renewal inspection on 04/12/23 the file reviewed for child #3 did not contain updated health assessment within 12 months. Health assessment reviewed in file was dated 03/11/22.

During the renewal inspection on 04/12/23 provider was unable to provide documentation of annual emergency drill.

During the renewal inspection on 04/12/23 the fee agreement reviewed for child #5 was missing child's date of admission.

During the renewal inspection on 04/12/23 the emergency contact form reviewed for child #2 was missing name, address, and telephone number of child's physician. Emergency contact form reviewed for child #4 was missing name and address for child's physician.

During the renewal inspection on 04/12/23 the emergency contact form reviewed for child #1, child #2 and child #4 was missing child's health insurance coverage information and policy number. Child #3 was missing child's policy number.

During the renewal inspection on 04/12/23 the training record reviewed for staff #1 was missing 12 hours of annual training.

During the complaint investigation from 09/1/22 showed Staff 1 hit child 2 and yank Child 1 and Child 3 by the arm. DURING THE INSPECTION CONDUCTED OCTOBER 28, 2022, FOR AN ADDITIONAL REVIEW OF THE VIDEO FOOTAGE; VIDEO FOOTAGE SHOWED STAFF PERSON # 1 HIT CHILD # 2 IN THE WAIST AREA IN AN ATTEMPT TO PREVENT THE CHILD FROM WALKING TO ANOTHER AREA IN THE CLASSROOM SPACE. VIDEO FOOTAGE SHOWED STAFF PERSON # 1 YANK CHILD # 1 AND # 3 BY THE ARM.

During the inspection the Director acknowledged that Staff 2, who is an aide, was unsupervised with ten children. The incident was also observed on video recording.

During the inspection the main exit of Room 1 was locked preventing anyone from entering or exiting and the emergency exit was obstructed with an art easel while 2 staff were caring for 9 children.

During the inspection the Provider did not have a written policy on Prevention of Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment.

During the renewal inspection the Provider did not have a report of an annual inspection of the fire detection system and did not have a written record of the manual testing of the fire detection system at least once every thirty days.