Barbs Care-A-Lot

Based on interviews with staff, Facility Person #1 was on-site conducting maintenance work in the Infant Room on two occasions during August 2025 while children were in care. Facility Person #1 had direct contact with children at this time and lacked the clearances required for a facility person under the CPSL.

Based on interviews with staff, the operator permitted Facility Person #1 to enter the facility on three occasions during August 2025 with knowledge that the individual has felony convictions and is awaiting trial on felony charges. Two of these occasions involved Facility Person #1 entering the Infant Room to perform maintenance work while children were in care, resulting in direct contact with children. The third occasion involved Facility Person #1 entering the facility briefly to meet with the operator while children were present, though no direct contact with children at that time.

The most recent State Police and FBI Clearances in the file for Staff Person #2 exceeded 60 months between clearances. The State Police, Child Abuse, FBI Clearances and NSOR Certificates in the files for Staff Person #6 and 8 exceeded 60 months between clearances/certificates. The State Police, Child Abuse and FBI Clearances in the file for Staff Person #7 exceeded 60 months between clearances. The file for Staff Person #7 does not include an NSOR Certificate acquired within the past 60 months.

Observed ant traps, which were accessible to children, on the floor in the OT Room.

Observed golden pothos on the shelves between the YT and OT Rooms and Todd Transition and Infant Rooms.

The Foyer Area lacked a first aid kit.

The first aid kit in the OT Room lacked scissors. The first aid kit in the Infant Room lacked tweezers.

Observed in the bathroom of the Todd Transition Room: ceiling tile, discolored from water damage at the entrance and toilet paper dispenser on the wall was broken. Observed in the outdoor play spaces: Fence separating from tops of posts in the Infant/Toddler play spaces. Splintering wood and protruding nails from the toy shed.

The file for Child #4, a young toddler, did not contain an updated health report conducted within the past six months.

The files for Child #3, an older toddler, and #7, a preschool child, did not include an updated health report conducted within the past 12 months.

The most recent health assessments in the files for Staff Person #10 and 12 exceeded 24 months between assessments. The initial health assessment in the file for Staff Person #4 was conducted after the staff person's first day working in a child care position. The initial health assessment in the file for Staff Person #9 was conducted more than one year prior to the staff person's rehire date and is not valid (See LIS Code Sheet).

The most recent firesafety trainings in the files for Staff Person #1, 2, 3, 6, 7, 8, 10, 11 and 12 exceeded 12 months between trainings. The file for Staff Person #5 did not include documentation of annual firesafety training conducted within the past 12 months.

The most recent Mandated Reporter Trainings in the files for Staff Person #6, 7 and 8 exceeded 60 months between trainings. Staff person #9 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

A daily activity schedule was not posted in the Foyer Area.

The emergency contact forms in the files for Child #1, 2, 3, 4 and 6 did not include the work address and telephone numbers of the enrolling parents.

The emergency contact forms in the files for Child #5 and 6 did not include 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.

The emergency contact forms in the files for Child #2, 4 and 7 did not include the release persons' addresses.

The emergency transportation plan was not posted in the Foyer Area or OT Room.

The first parent updates for the emergency contact forms and fee agreements in the files for Child #4 and 7 were conducted more than six months after the child's first day of attendance at the facility.

The disclosure statements in the files for Staff Person #1, #3, #4, #5, #6 and #7 were on outdated forms. The file for Staff Person #1, who has been working at the facility for more than 45 days, did not include an FBI Clearance. The file for Staff Person #2, who has been working at the facility for more than 45 days, did not include an NSOR Certificate. The file for Staff Person #5 did not include a State Police Clearance, or an application for the state police clearance prior to the staff person's start date. The file for Staff Person #6 did not include a Child Abuse Clearance. (See LIS Code Sheet).

The files for Staff Person #1 and Staff Person #7, who have been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan (See LIS Code Sheet).

Observed one outlet near the fish tank in the OT Room and two outlets in the kitchen area of the Infant Room, which lacked protective receptacle covers.

Observed ceiling tiles discolored from water damage in the intersecting corner of the YT and OT Rooms.

Observed Infant Tylenol in the medication boxes in the YT and OT Rooms, that lacked the name of the child for whom the medication was intended.

Observed Ibuprofen for Child #1 in the med box of the OT room, and Orajel for Child #2 in the med box of the Infant Room. These meds did not have written parental consent for administration or a med log present.

The files for Staff Person #2 and #3, assistant group supervisors, lacked verification of two years child care experience.

The files for Staff Person #2, #3 and #6 included only one letter of reference.

Previously cited on 8/12/24: At approximately 1:30 PM, observed Child #1, an Infant, sleeping on a boppy pillow in a crib in the Infant Room. A medical reason documented in a statement signed by a physician, physician's assistant or CRNP was not in the child's record at the facility.

The file for Staff Person #2 lacked State Police, Child Abuse and FBI Clearances conducted within the past 60 months. The State Police, Child Abuse and FBI Clearances in the file for Staff Person #2 had expired. The fingerprint receipt/FBI clearance in the file for Staff Person #10 were after staff person's first day in child care (See LIS Code Sheet). The disclosure statements in the files for Staff Person #8, 11, 12 and 13 were on outdated forms and not valid.

On 8/12/24 at approximately 10:00 AM, observed Child #1, an Infant, sleeping in a carrier in the Infant Room.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

All-staff annual emergency plan training exceeded 12 months between trainings. 6/8/23-7/2/24.

On the PreK side of the Upstairs Preschool Room, observed four uncovered outlets by the art desk and three on the surge strip by the teacher's desk.

The stove in the kitchen adjacent to the Upstairs Preschool Room was accessible to children in care.

Observed a loose baseboard vent cover, which creates a potential pinch hazard, in the PreK side of the Upstairs Preschool Room.

Handwashing signs were not posted at the toilets in the SA and PS rooms or at the outside restroom near the pool.

On 8/12/24, at approximately 1:00 PM, Observed bookshelves, couches and chairs between several of the napping toddlers in the Downstairs Younger Toddler and Downstairs Older Toddler Rooms. This created less than 2 feet of space on three sides of three of the cots in the Younger Toddler Room and four of the cots in the Older Toddler Room. Observed less than 2 feet on three sides of three pack n plays in the Infant Room where infants were napping.

The most recent health reports in the file for Child #5, a Preschool Child, exceeded 12 months between reports.

The files for Staff Person #1, 2, 4, 5 and 14 did not contain health assessment conducted within the past 24 months. The most recent health assessments in the file for Staff Person #3 exceeded 24 months between reports. The initial health assessments in the files for Staff Person #10 and 13 were conducted after the staff persons' first day in child care (See LIS Code Sheet).

An emergency drill had not been documented for the past 12 months.

The initial health reports in the files for Child #4 and 7 were conducted more than 60 days after the child's first day in care.

The file for Staff Person #4, who has been working for more than 90 days, did not contain the one-hour health and safety update (See LIS Code Sheet).

The most recent mandated reporter trainings in the file for Staff Person #3 exceeded 60 months between trainings.

The most recent evaluations in the files for Staff Person #2, 4, 5, 6, 7 and 15 exceeded 12 months between evaluations.

The file for Staff Person #9, an Assistant Group Supervisor, lacked verification of 2 years childcare experience.

The files for Child #2, 3, 4, 5, 6, 7 and 8, who have been enrolled for more than 6 months, did not have a child service report conducted within the past 6 months.

The emergency contact form in the file for Child #7 did not include 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.

The emergency contact binder in the PreK Room did not include an emergency contact form for Child #7, who was receiving care in that space.

The most recent parent updates for the emergency plan and fee agreement in the files for Child #2 and #3 exceeded 6 months between updates. The fee agreement in the file for Child #9 has not been updated in the past 6 months.

The emergency contact form in the file for Child #9 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

The fire alarm 30-day test log includes test dates which are more than 30 days apart. The dates are 1/12/24-2/13/24 (32 days) and 3/5/24-4/12/24 (38 days).

Staff #1 file did not have the 1-hour health and safety update that needed to be completed by 12/30/22.

The file for staff #2 contained a 6-hour Health and Safety training that was taken on 8/27/2016 which is not an acceptable Health and Safety training.

Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 was supervising a group of 9 preschool age children when Child #1 was left outside alone and unsupervised.

** Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 was supervising a group of 9 preschool age children when Child #1 was left outside alone and unsupervised.

*Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 was supervising a group of 9 preschool age children when Child #1 was left outside alone and unsupervised.

Based on staff statements, on November 3, 2023, around lunchtime, while coming in from the outside play space Staff #1 left Child #1 outside alone and unsupervised.

The facility's emergency plan does not address continuity of operations. The file for Staff #1, 2, 5, 8 and 9 were all lacking the one hour Health and Safety Update.

The files for Staff #4, 7, 8 and 9 were all lacking annual emergency plan training.

In the Young Toddler room on the area below the sink there was peeling paint observed.

The files for Child #1 and 2 both contain immunization records that were lacking the annual influenza vaccine.

The school age have an inhaler in their go back that was lacking written instructions given by the individual who prescribed the inhaler.

The medication in the school age go back was not labled with the child's name.

The file for Staff #3, and 4 were lacking annual fire safety training.

The file for Child #3 contained an emergency contact form that was lacking the address of the child's physician.

The file for Child #1 and #3 both contained an emergency contact form that was lacking the address and phone number of the parents workplace.

Facility has evidence of infestation of mice indicated by mouse feces in different places throughout the facility.

Facility has evidence of infestation of mice indicated by mouse feces in different places throughout the facility.

The Transition Room was lacking posted emergency telephone numbers.

The file for Child #2 contained an immunization schedule that was lacking one dose of DTAP, one dose of Pneumococcal, one dose of MMR, one dose of Varicella, and two doses of Hep A. The file for Child #3 contained an immunization record that was lacking one dose of DTAP and one dose of Hep A.

Provider did not hold an annual emergency drill and document it in 2021.

Provider failed to test interconnected system every 30 days, however provider did get annual inspection done by vector who monitors the system.

The file for Child #1 whose enrollment date was 2/22/21 contained an initial health assessment dated 6/3/22 which is more than 60 days after the first day of attendance.

The file for Staff #1 contained a Health and Safety training that was obtained more than 90 days after their date of hire. (See LIS code sheet)

The Transition Room was lacking a posted Emergency Transportation Plan.

The file for Staff #2 contained 3 annual clock hours of child care training that were obtained between 12/20/20-12/20/21.