Best Beginnings Learning Center

There was an uncovered electrical outlet accessible to children 5 years of age or younger by the pre-k room bathroom.

In the Infant room, there were three baskets that contained both sunscreen and baby food.

The back of a wooden shelf in between the YT room and the Nature zone was cracked. There was hole on the wooden board that supports the crib mattress. There were 2 damaged mattresses with exposed foam in the infant room. There was a damaged rainbow mat with exposed foam in nature zone.

The Motrin medication for child # 7 was expired. The medication expiration date was 2/25. The Tylenol medication for child # 2 was expired. The medication expiration date was 3/25. The Albuterol HFA 90 MCG medication for child # 3 was expired. The medication expiration date was 3/25.

There were 2 food containers on top of a desk in the preschool room that contained cheese, and lunch meat. There was a bin that contained yogurt on top of the desk in the preschool room. There was a lunch box that contained lunch meat on top of a shelf in the OT room. There was a container in the cubbies the that contained cheese in the YT room.

The file for staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The facility emergency plan was not reviewed at least annually. The last review was dated 12/15/23.

There was a damage window screen in the infant room.

The rubber board in room # 1 under the window in the nature zone was pulling of the wall.

The sink in room #2, was clogged and not draining water properly.

There were 2 cracked plastic bins one cracked green basket and a broken garbage can lid in Room #2. There were 2 cracked plastic bins one broken plastic drawer, a broken garbage can lid, a ripped fabric bin, a ripped large yellow foam block and 6 damage circle pillows in room # 1.

The cots in room # 2 were not labeled for the use of a specific child and used only by the specified child.

There was a crib with an infant child sleeping in the infant room, The crib was not at least 2 feet of space as required on three sides of other rest equipment and a jumping jungle while the equipment was in use. There were 2 cots in room # 2 that were not at least 2 feet of space required on three sides of a cot.

The file for staff # 1 contained a current health assessment dated 12/18/23. It was not obtained within 24 months of the previous assessment dated 7/29/21. The file for staff # 2 contained a current health assessment dated 11/29/24. It was not obtained within 24 months of the previous assessment dated 8/1/22.

There was cheese and yogurt out of the refrigerator on top of the cubbies in room #2. There was cheese out of the refrigerator on top of the cubbies in room #1.

The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Staff # 3 was observed working alone with 9 Preschool aged children. Staff # 3 lacked complete preservice training: Health and Safety training. The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment, lacked the child maltreatment statement.

Staff # 5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR training certificate is dated 1/5/24.

The file for staff # 4 lacked a minimum of one evaluation every 12 months.

The file for child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The Certificate of Compliance posted in a conspicuous location used by parents was dated 4/3/23-4/3/24.

Loose crib sheets were observed on the crib mattresses in the Classroom #3 (Infant Classroom).

The file for Staff Person #1 lacked a completed State Police Clearance at the time of review. A completed State Police Clearance was not on file until 1.29.24, 187 days after starting. The file for Staff Person #1 also lacked a NSOR certificate within 45 days of their provisional hiring. A completed NSOR was not on file until 134 days after starting. The file for Staff Person #1 also lacked a signed disclosure statement. Staff Person #1 was observed to be caring for children alone. The mandated reporter training on file for Staff Person #1 was not completed within 90 days of starting at the facility. The mandated reporter training was not completed until 132 days after starting. The file for Staff Person #3 lacked a NSOR certificate within 45 days of their provisional hiring. A completed NSOR was not on file until 57 days after starting. The file for Staff Person #6 lacked verification that they had been fingerprinted for their FBI clearance prior to starting. A completed FBI clearance was not on file until 120 days after starting at the facility. The updates to the mandated reporter trainings on file for Staff Person #5 exceeded 60 months between trainings on 5.24.18 and 7.27.23.

A container of diaper cream was observed in an unlocked drawer in the changing table in the restroom in Classroom #1. The diaper cream was labeled Keep Out of Reach of Children. A small bottle of hand sanitizer was observed hanging from a child's bookbag in a cubby Classroom #2. A bottle of bleach water solution was observed on a desk in Classroom #3. Young Toddlers were observed in the classroom and the bottle was within reach.

One window in Classroom #3 was observed be missing a window restriction allowing the window to open more than 6 inches.

Peeling paint was observed on the fencing located on the right side in the outdoor play space.

In the outdoor play space, a plastic door on a grill playset was observed to be cracked causing a sharp edge and a pinch point.

An expired Neosporin ointment was observed in the medication bin in Classroom #3 (Infant Classroom).

The sink that is being used to wash hands following diapering, making it a part of the diapering area, is also being used to prepare bottles in Classroom #3.

The health assessment on file for Staff Person #7 lacked information related to an assessment for communicable diseases and the results and the physician's assessment of their suitability to provide child care.

Four unlabeled bottles were observed in the refrigerator in Classroom #3.

The facility began operating on 11.21.2022. An emergency drill was not completed until 12.20.2023. This was not within 12 months of beginning operation.

The facility exceeded 30 days between smoke alarm testing on 12.1.23 and 1.11.24.

The file for Staff Persons #1, #2 and #6 lacked completion of their Pediatric First Aid and CPR training within 90 days of starting at the facility. The Pediatric First Aid and CPR training on file for Staff Person #1 was completed 163 days after starting. The Pediatric First Aid and CPR training on file for Staff Person #2 was completed 101 days after starting. The file for Staff Person #1 and #2 also lacked completion of the required health and safety training within 90 days of starting at the facility. The health and safety training for Staff Person #1 was completed 137 days after starting. The health and safety training for Staff Person #2 was completed 101 days after starting.

The agreement form for Child #2 lacked the fee amount to be paid.

The files for Children #1, #2, #3, #4 and #5 lacked approved developmental assessments addressing the child's growth and development. The files contained Ages and Stages which are a screening tool and not an acceptable assessment.

The emergency contact form for Child #5 lacked an address for one of the release persons listed.

The updates to the emergency contact forms and financial agreements for Children #1, #2, #3 and #4 exceeded 6 months between updates in November 2022 and November 2023 for Children #1, #3 and #4 and January 2023 and November 2023 for Child #2.

The file for Staff Person #6 lacked verification of education to qualify them for a position at the facility.

The file for Staff Person #1 lacked two written, nonfamily references. The file for Staff Person #6 lacked one of their two written, nonfamily references.

The file for Staff Person #4 lacked 9 of their 12 hours of child care training in their respective hire year.

The disclosure statements on file for Staff Person's #3, #6, #7 and #8 lacked a witness signature. Staff Person #9, a provisional hire who lacked a completed NSOR Certificate, was observed to be alone with children. The file for Staff Person #4 lacked a State Police Clearance that had been completed for employment purposes at the time of hire. The State Police Clearance accepted at the time of hire was completed for Volunteer purposes. A State Police Clearance for employment purposes was not on file until 49 days after starting at the facility.

A hand washing sign was missing from the toilet in the restroom in Classroom #2

Two unlabeled rest mats were observed in the Toddler areas in Classroom #1. Two unlabeled sleeping bags were observed in Classroom #2.

Written instructions from the physician were missing for an Albuterol Inhaler observed in the children's medication box in the office.

The file for Facility Person #2 and #4 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment on file for Facility Person #4 was completed 56 days and the tuberculosis screening was completed 59 days after starting at the facility.

The health assessment on file for Facility Person #4 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide childcare.

The facility exceeded 30 days between testing the smoke alarms on 12.15.22 and 2.6.23.

Staff person #1, #4, #5 and #7 were observed to be caring for children unsupervised. Staff person #4 and #7 have not completed the following pre-service training required prior to caring for children unsupervised: (3270.31(f)(1-10). Facility Person #5 has not completed the following pre-service training prior to caring for children unsupervised (3270.31(f)(1-9). Staff Person #1 has not completed the following pre-service prior to caring for children unsupervised (updated 2022 1-hour health and safety training). Staff Person #7 has also not completed the following pre-service training (mandated reporter training). The facility lacked a policy on the Prevention of Shaken Baby and Abusive Head Trauma as required by Federal Regulation.

A daily activities schedule was not posted in the Classroom #3 (Infants).

The written emergency transportation plan was not posted in Classroom #1.

The file for Facility Person #7 lacked verification of education prior to starting at the facility. The file for Facility Persons #3 lacked verification of hours to qualify them for the position they were reported to be hired to perform.

The file for Facility Person's #6 and #8 lacked two written, nonfamily references. The file for Facility Person #7 lacked one of their two written nonfamily references.

The emergency plan lacked continuity of operations in the aftermath of a disaster at the facility.

In the upper restroom between Classrooms #2 and #3 the door was observed to be damaged causing splintering wood. The bolts on the toilet on the right in Classroom #1 was observed to have large rounded screws exposed which could create a hazard to the children using the restroom.

Hand washing signs were missing from a toilet and sink in the left restroom and from the toilet and the changing area in the right restroom in Classroom #1. A handwashing sign was also missing from the changing table and sink in Classroom #1.

The facility lacked proof of purchase of the interconnected smoke detection system.