Bloom and Grow ELC LLC · Berwick

The inspector observed the files for staff #3, #4, and #5 and found that all have the outdated version of the disclosure statements on file.

The infant room did not have a source of running water for handwashing present in infant diapering area.

The thermometer was missing from the infant room refrigerator that is used to store infant milk and bottles.

The inspector was informed by staff that sanitizer is used in replacement of handwashing by staff following diapering in the infant room.

The director was unable to produce the annual emergency drill log from 2025.

Staff #1 had an expired pediatric first aid/CPR training on file and has been working in direct care with children continuously. This is evidenced by the previously documented pediatric first aid/CPR training on file which expired 12/2025 and a renewal pediatric first aid/CPR training dated 01/07/26.

The inspector found that emergency contact forms were missing from both the toddler and infant classrooms.

Staff person #1 did not complete 12 hours of annual training during their training year from 7/2025 to 7/2026. Staff person #1 only completed 11 hours of annual training. Staff #2 did not complete 12 hours of annual training during their training year from 2/2025 to 2/2026. Staff #2 only completed 7 hours of annual training.

During the unannounced renewal inspection on 7/23/25 the inspector observed two unlabeled pack and play style cribs in the infant room.

During the unannounced renewal inspection on 7/23/25 the inspector observed child files and found that child #2 did not have a signed health report on file as is required.

During the unannounced renewal inspection on 7/23/25 the inspector observed the following unlabeled over the counter medications in the infant area; Aveeno, Balmex, and Aquaphor.

During the unannounced renewal inspection on 7/23/25 the inspector observed preschool children being provided Purell hand sanitizer prior to lunch versus hand washing as is required.

During the unannounced renewal inspection on 7/23/25 the inspector observed the fire drill/detection log and found that the facility documented a manual test of the smoke detectors on 5/12/25 and then not again until 7/1/25. The manual testing is required every 30 calendar days.

During the unannounced renewal inspection on 7/23/25 the inspector observed child files and found that child #3 did not have an admission date on file as is required.

During the unannounced renewal inspection on 7/23/25 the inspector observed child files and found that child files #1 and #3 were missing the required enrolling parent's work address and work phone numbers as are required

During the unannounced renewal inspection on 7/23/25 the inspector observed child files and found that child #2 was missing the required signatures for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Continued Non-Compliance: On 5/6/25 an allocated unannounced was conducted at the facility. The inspector observed the file for staff #1and noted that this staff was missing required out of state clearances since hire (see LIS code sheet) and was working in direct care. The facility's acceptable plan of correction indicated the correction would be implemented by 5/6/25. On 5/29/25 an unannounced inspection was conducted. The inspector observed staff #1 in direct care with children and was still missing required out of state clearances since hire (see LIS code sheet).

Continued Non-Compliance: On 5/6/25 an allocated unannounced was conducted at the facility. The inspector asked the preschool and infant room staff to identify their specific group of children and was told that the two staff in each room did not have assigned groups of children. The facility's acceptable plan of correction indicated the correction would be implemented by 5/6/25. On 5/29/25 an unannounced inspection was conducted. The inspector asked the infant room staff to name their assigned children, and the staff named seven children and only six were present.

Continued Non-Compliance: On 5/6/25 an allocated unannounced was conducted at the facility. The inspector observed two children in the infant room in highchairs and not strapped in. The facility's acceptable plan of correction indicated the correction would be implemented by 5/6/25. On 5/29/25 an unannounced inspection was conducted. The inspector observed an infant in a highchair and not strapped in.

While at the facility for an allocated unannounced the inspector observed the file for staff #1and noted that this staff was missing required out of state clearances since hire (see LIS code sheet) and was working in direct care.

While at the facility for an allocated unannounced the inspector asked the preschool and infant room staff to identify their specific group of children and was told that the two staff in each room did not have assigned groups of children.

While at the facility for an allocated unannounced the inspector observed two children in the infant room in highchairs and not strapped in.

While at the facility for an allocated unannounced the inspector observed a wallflower (Erysimum) plant in the outdoor play space that is toxic plant to humans.

While at the facility for an allocated unannounced the inspector observed a small piece of pole and concrete in the outdoor play area to be protruding from the ground creating a sharp tripping hazard.