Bright Minds Early Learning Center LLC · Closed

Observed staff person #3 grabbed a child who did not want to go to watch the program on the TV. The child dropped themself to the floor and staff person #3 picked the child up around the child's body and attempted to move them. Staff person #3 was informed by Certification Staff to let the child go and they did not immediately do so, they continued to attempt to move the child toward the TV. Once the child was let go, the child was running around the table instead of going to watch the TV. The child was not causing harm to himself or to any other children in the classroom.

Staff person #3 was observed repeatedly yelling at the children yelling, "Don't do that", "No, No, No" or "STOP" in a harsh manner.

Observed a group of 7 older toddlers and 1 preschooler in the toddler classroom. The children were not engaged in play or other activity upon arrival to the classroom. The TV was on and staff were sending the children to the area in front of the TV to watch a program in lieu of age-appropriate activities or play. The children were then brought to the table to color a picture while the TV remained on in the background. Continued noncompliance previously cited on 07/23/2025, Observed 2 young toddlers and 3 older toddlers in the toddler classroom sitting at the table coloring and engaged in crafts for an extended period of time. Staff were not actively directing the activity for the development of skills and were unable to maintain the toddler's attention. The TV was on at a high volume and caused distraction for the children at the table. The activities were not age appropriate and the children were sitting at the table for a period of at least 1 hour.

Observed staff person #3 and #4 were not actively engaged with the group of older toddlers and preschoolers in the room. Staff person #4 was preparing a coloring page while the children were in front of the TV. Staff person #3 was not engaged with the children by talking to them, playing with them or interacting with them while staff person #4 was busy. Continued noncompliance previously cited on 07/23/2025, Observed staff person #1 and #2 were not actively engaged in conversation with the children in the toddler classroom during table activities. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 07/23/2025, 05/15/2025 and 04/17/2025. Provider's plan to maintain compliance submitted on 08/18/2025, 06/06/2025 and 05/07/2025 stated, "Provider will maintain compliance by ensuring Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried."

Observed toys and objects with a diameter of less than 1 inch in the toddler classroom which were accessible to the young and older toddlers in care. Observed plastic bins containing crayons, some were broken with small pieces under one inch. Observed plastic bags containing craft supplies such as google eyes, pom poms and other small craft items under 1 inch in an unlocked cabinet which were accessible to the young and older toddlers in care.

Observed the lid on the hands-free trash located in the toddler classroom used to discard soiled disposable diapers was not functioning properly for hands-free use, the foot petal was no longer opening the lid when pressed.

Breakfast served in the toddler classroom did not include at least one item from three of the four food groups. Breakfast included 2 items: Pop Tarts and milk.

Observed staff person #1 performing the duties of an Assistant Group Supervisor (AGS) while working in the toddler classroom with staff person #2 (an aide). The file for staff person #1 did not include acceptable verification of experience which was signed by a representative of the experiential entity to qualify as an AGS.

Observed 2 young toddlers and 3 older toddlers in the toddler classroom sitting at the table coloring and engaged in crafts for an extended period of time. Staff were not actively directing the activity for the development of skills and were unable to maintain the toddler's attention. The TV was on at a high volume and caused a distraction for the children at the table. The activities were not age appropriate and the children were sitting at the table for a period of at least 1 hour.

Observed staff person #1 and #2 were not actively engaged in conversation with the children in the toddler classroom during table activities. Continued noncompliance previously cited on 05/15/2025, Observed staff sitting in chairs on opposite sides of the older toddler classroom. Staff were not interacting with the children by talking to or playing with the 3 young and older toddlers receiving care. The TV was on in the classroom and the children were either watching TV or playing with the toys in the room. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 05/15/2025 and 04/17/2025. Provider's plan to maintain compliance submitted on 06/06/2025 and 05/07/2025 stated, "Provider will maintain compliance by ensuring Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried."

The financial agreement for child #1, #2 and #3 were not reviewed and updated by a parent at least once every 6-months. The financial agreement for child #1 and #2 were last reviewed on 10/23/2024. The financial agreement for child #3 was last reviewed on 09/12/2024. Provider failing to follow plans to maintain compliance regarding same violation from inspection of 05/15/2025. The provider's plan to maintain compliance submitted on 06/06/2025 stated, "Provider will maintain compliance by ensuring the parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information."

Observed the hot water temperature of the sink located in the toddler indoor gross motor space reached a temperature of 120° F. Observed the hot water temperature of the 3rd sink from the door in the bathroom on the main floor reached a temperature 113° F. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 04/17/2025. The provider's plan to maintain compliance submitted on 05/07/2025 stated, "Provider will maintain compliance by ensuring Hot water temperature, in areas accessible to children, may not exceed 110° F." Continued noncompliance previously cited on 04/17/2025, Observed the hot water temperature of the sink located in the toddler indoor gross motor space reached a temperature of 145° F. Observed the hot water temperature of the middle 2 sinks in the bathroom on the main floor reached a temperature between 111 - 113° F.

Observed the area rug in the toddler classroom was buckled / folded at the edge creating a trip hazard. Observed the area rug in the preschool classroom was buckled / folded at the corners and in the center of the rug, creating a trip hazard. Observed the light in the hallway above the water fountain was not operating. Observed a battery-operated power drill in the cubby in the hallway which was accessible to the children. Observed a power cord hanging down from the TV in the toddler room which was accessible to the children.

A copy of inspection summary issued in April for an unannounced monitoring inspection was not posted in a conspicuous location used by parents. *Corrected at the time of the inspection. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) o 09/16/2024, 11/22/2024, 01/30/025, 03/17/2025 and 04/17/2025. Each time, the provider's plan to maintain compliance submitted on 10/03/2024, 12/17/2024, 02/21/2025 and 04/09/2025 stated, "Provider will maintain compliance by ensuring the operator will post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected." Continued noncompliance previously cited on 04/17/2025: A copy of inspection summary issued in March for an unannounced monitoring inspection was not posted in a conspicuous location used by parents. Continued noncompliance previously cited on 03/17/2025: A copy of inspection summaries issued in April for unannounced monitoring inspections were not posted in a…

Observed staff person #1 and #2 sitting in chairs on opposite sides of the older toddler classroom. Staff person #1 and #2 were not interacting with the children by talking to or playing with the 3 young and older toddlers receiving care. The TV was on in the classroom and the children were either watching TV or playing with the toys in the room. Continued noncompliance previously cited on 04/17/2025, Observed staff person #1 and #2 sitting in chairs along the cubbies while the children were playing on the floor in front of them. Staff person #1 and #2 were not interacting with the children by talking to or playing with the 4 toddlers receiving care. Observed staff person #1 was sitting in a chair near the tables and staff person #3 was sitting in the area where the children were playing; staff person #1 and #3 were not actively engaged with the children by providing age-appropriate activities for young and older toddlers.

Emergency contact information and financial agreements for child #1, #2, #3, #4, #5 and #6 were not reviewed and updated at least once every 6 months. The forms were last reviewed and updated by the parents in October 2024.

Observed the hot water temperature of the sink located in the toddler indoor gross motor space reached a temperature of 145° F. Observed the hot water temperature of the middle 2 sinks in the bathroom on the main floor reached a temperature between 111 - 113° F.

Observed a window at the back of the young toddler classroom with the air conditioner unit which has a board which was no longer secured. The board is used to fill the open space between the AC unit and the window frame.

Observed in bathroom located next to the office, the second sink from the right was not draining properly. Observed in bathroom next to the office, the water tank on the first toilet on the right continued to run after being flushed.

Observed in the young toddler classroom, a hole in the mesh side of the Pack-N-Play labeled as #1.

Observed breakfast served included cereal, milk and fruit. Observed a third item from the four food groups was not provided to the children who did not have milk with their cereal.

Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) o 09/16/2024, 11/22/2024, 01/30/025, 03/17/2025. Each time, the provider's plan to maintain compliance submitted on 10/03/2024, 12/17/2024, 02/21/2025 and 04/09/2025 stated, "Provider will maintain compliance by ensuring the operator will post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected." A copy of inspection summary issued in March for an unannounced monitoring inspection was not posted in a conspicuous location used by parents. Continued noncompliance previously cited on 03/17/2025. A copy of inspection summaries issued in January and February for unannounced monitoring inspections were not posted in a conspicuous location used by parents.

Observed staff person #1 and #2 sitting in chairs along the cubbies while the children were playing on the floor in front of them. Staff person #1 and #2 were not interacting with the children by talking to or playing with the 4 toddlers receiving care. Observed staff person #1 was sitting in a chair near the tables and staff person #3 was sitting in the area where the children were playing; staff person #1 and #3 were not actively engaged with the children by providing age-appropriate activities for young and older toddlers.

Observed an electrical outlet in the preschool classroom which lacked protective receptacle covers and were accessible to preschool children.

Observed dirt and debris on the windowsills where the air conditioners are installed in the indoor play space and the older toddler 2 classroom.

Observed the lights in the back hallway outside the young toddler classroom were turned off, the hallway was completely dark with no artificial or natural light providing visibility in the area.

Observed a toilet in the upstairs bathroom with a crack in the toilet tank lid.

The director or designated staff person did not ensure a manual test of the fire detection system was completed within the past 30 days, the most recent test was completed on 02/05/2025.

A copy of inspection summaries issued in January and February for unannounced monitoring inspections were not posted in a conspicuous location used by parents.

Observed the toddler classroom had a mixed group of 4 young toddlers and 7 older toddlers. When asked to identify their groups, staff person #1 named 3 young toddlers and 2 older toddlers in their group; staff person #2 named 1 young toddler and 5 older toddlers in their group. Staff person #2 had a total of 6 children in their group which exceeds to maximum group size of 1:5 when a young toddler is in the group.

Upon arrival to the facility at 8:05 am, staff person #1 was sitting in the hallway answering the door as families were arriving for drop off. Staff person #3 and #4 were in the classroom with a mixed age group of 1 young toddler, 2 older toddlers and 1 preschool child. A 5th child (an older toddler) arrived at the same time as the certification representative. After observing the drop off process, Certification Representative asked staff person #3 to identify their group, staff person #3 named 1 young toddler and 1 older toddler. Staff person #4 was then asked to identify their group and named 1 older toddler and 1 preschool age child. The older toddler that had entered the room was not identified in either group. When asked about the 5th child in the room, staff person #4 then added the child to their group and named 2 older toddlers and 1 preschool child in their group.

Observed a mirror in the boy's bathroom downstairs with visible stains on the surface. Observed trash and debris along the bush in the lower outdoor play space and along the fence.

Observed a cafeteria table in the downstairs multipurpose room with crumbs and a sticky substance. The table had not been used that morning and was not wiped clean the previous day.

Upon arrival to the facility at approximately 9:25 am, observed staff person #1 enter the facility from her vehicle. Certification Representative then walked into the facility. The preschool classroom was lined up in the hallway outside the bathroom with staff person #1 and #2. When asked to identify their group, staff person #2 stated she was responsible for 3 older toddlers and 3 preschool age children. Staff person #1 stated she just started and did not know the children by name. Staff person #2 began naming the rest of the children and identified 6 preschool children. Certification representative counted 15 children in line and stated there were more than 12 children in the group. The second time, staff person #2 identified 3 older toddlers and 3 preschool children. Staff person #2 then added a 4th preschool child to her group exceeding the staff:child ratio of 1:6 when older toddlers are in a mixed age group. Certification representative then entered the young toddler classroom. Staff person #3 was observed caring for a group of 4 young toddlers and 3 older toddlers. The staff:child ratio with young toddlers in a mixed age group is 1:5. Staff person #3 was over ratio from…

*Upon arrival to the facility at approximately 9:25 am, observed staff person #1 enter the facility from her vehicle. Certification Representative then walked into the facility. The preschool classroom was lined up in the hallway outside the bathroom with staff person #1 and #2. When asked to identify their group, staff person #2 stated she was responsible for 3 older toddlers and 3 preschool age children. Staff person #1 stated she just started and did not know the children by name. Staff person #2 began naming the rest of the children and identified 6 preschool children. Certification representative counted 15 children in line and stated there were more than 12 children in the group. The second time, staff person #2 identified 3 older toddlers and 3 preschool children. Staff person #2 then added a 4th preschool child to her group exceeding the staff:child ratio of 1:6 when older toddlers are in a mixed age group. Certification representative then entered the young toddler classroom. Staff person #3 was observed caring for a group of 4 young toddlers and 3 older toddlers. The staff:child ratio with young toddlers in a mixed age group is 1:5. Staff person #3 was over ratio from…

Upon arrival to the facility at approximately 9:25 am, the preschool classroom was lined up in the hallway outside the bathroom with staff person #1 and #2. When asked to identify their group, staff person #2 stated she was responsible for 3 older toddlers and 3 preschool age children. Staff person #1 stated she just started and did not know the children by name. Staff person #2 began naming the rest of the children and identified 6 preschool children. Certification representative counted 15 children in line and stated there were more than 12 children in the group. The second time, staff person #2 identified 3 older toddlers and 3 preschool children. Staff person #2 then added a 4th preschool child to her group. Staff person #1 was responsible for the remaining children but was unable to identify her group. There was a total of 3 older toddlers and 12 preschool age children in the hallway.

The files for staff person #1, #2, #3, and #4 included NSOR clearances which were not updated within 60 months of the previous clearance. The most recent NSOR clearance on file for staff person #1, #2, #3, and #4 were completed on 01/10/2020 and were valid through 01/10/2025. An updated NSOR clearance was not on file.

Observed the baseboard heat in the older toddler 1 and older toddler 2 classrooms reached a temperature of 115° F - 116° F. The protective guards on several of the units were open allowing direct access to the heating unit.

Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 11/22/2024, 10/24/2024, 05/16/2024 & 04/05/2024. Provider's plan to maintain compliance submitted on 11/22/2024 stated, "Provider will maintain compliance by ensuring floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards." Provider's plan to maintain compliance submitted on 10/24/2024 stated, "Provider will maintain compliance by ensuring floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards." Provider's plan to maintain compliance submitted on 05/22/2024 stated, "Provider will maintain compliance by ensuring all floors, walls, ceilings, and other surfaces, including the facility's outdoor play space surfaces are kept clean, in good repair and free from visible hazards." Provider's plan to maintain compliance submitted on 04/17/2024 stated, "The provider of the facility will ensure and maintain to be in compliance at all times and will maintain that all the windows…

Observed 2 toilets in the upstairs bathroom which were not flushed after use.

Observed a kitchen playset in the toddler gross motor classroom with visible dirt at the base.

A copy of the negative sanction letter and all attachments were not posted in a conspicuous location used by parents.

On 11/27/2024, staff person #1 was engaged in a personal video call with an inmate on their cell phone while caring for children in the preschool classroom. During this time, staff person #1 was not properly supervising the children.

Observed staff person #1 leave the preschool classroom to return breakfast items to the kitchen, during this time staff person #2 was observed caring for a mixed group of 2 older toddlers and 8 preschool age children. The staff to child ratio when an older toddler in in care is 1:6.

At lunch, observed staff person #3 serve peaches to child #1. At that time, child #1 stated that they can't have peaches, they are allergic to them. Staff $2 and #3 were unaware that the child had an allergy to peaches and thought they were allergic to blueberries. Upon review of the emergency contact and health report for child #1, peaches were listed by both the parent and the child's physician that the child is allergic to peaches and to administer an epi-pen if injested. An epi-pen was not onsite at the facility.

Observed the doorknob on the bathroom in the hallway next to the office was broken and did not stay on the door exposing the latching hardware.

Observed a limited variety of play equipment and materials appropriate to the developmental needs, individual interests and ages of the children available to the children in the preschool, older toddler and school-age classrooms. The classrooms have a limited variety of play equipment for emotional, cognitive, communicative, perceptual-motor, physical and social development.

Observed the preschool, older toddler and school age classrooms have a limited variety of play equipment and materials for dramatic role-playing cognitive development, visual development, auditory development and tactile development.

At 9:40 am, observed child #2, an older toddler sleeping in a highchair in the preschool classroom. According to staff, the child had been sleeping since approximately 9:05 am. Staff did not move the child onto age appropriate rest equipment during this time.

The written plan of daily activities and routines do not include opportunities for staff directed activities and interactions. Children are observed engaged in free play throughout the day while staff are sitting and watching them play in lieu of interacting with the children in staff lead learning and development activities. Staff led activities listed in the daily schedule which are not being implemented include circle time/story time, fine motor play, music & movement, and art activities. The daily activities do not include opportunities for age-appropriate learning to develop skills, social competence and self-esteem.

At approximately 9:30 am, observed an open bottle of milk on a service cart which was not refrigerated. Staff person #1 stated the milk was brought upstairs for breakfast at approximately 7:00 am. At approximately 9:40 am, the milk was returned to the refrigerator after sitting at room temperature for approximately 2 1/2 hours.

Breakfast at the facility included cereal and milk. Staff person #1 stated that bananas were supposed to be served, but there weren't any available. Only 2 of the 4 food groups were served.

On 11/27/2024, staff person #1 was engaged in a personal video call with an inmate on their cell phone. During this time, staff person #1 was live videoing the children in the preschool classroom sitting at the table nearby and the children were visible to the inmate. Staff person #1 did not have permission from the parents to video the children for personal reasons.

Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 10/24/2024, 05/16/2024 & 04/05/2024. Provider's plan to maintain compliance submitted on 10/24/2024 stated, "Provider will maintain compliance by ensuring floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards." Provider's plan to maintain compliance submitted on 05/22/2024 stated, "Provider will maintain compliance by ensuring all floors, walls, ceilings, and other surfaces, including the facility's outdoor play space surfaces are kept clean, in good repair and free from visible hazards." Provider's plan to maintain compliance submitted on 04/17/2024 stated, "The provider of the facility will ensure and maintain to be in compliance at all times and will maintain that all the windows and windowsills in the facility in and all classrooms be kept clean, in good repair and free from visible hazards. Provider of the facility will ensure and to be in compliance at all times by maintaining the facility floors, surfaces of the facility including the facility's outdoor play space…

Observed hair beads with a diameter of less than 1 inch on the floor of the Older Toddler 1 classroom that were not immediately removed when a child pulled them out of their hair the previous day and were accessible to toddlers.

Observed the menu posted at the facility was for the week of 11/18/2024 - 11/22/2024. The menu for the following week (11/25/2024 - 11/29/2024) was not posted at least 1 week in advance.

Observed the inspection summary from 08/07/2024 and 07/17/2024 was not posted at the facility in a conspicuous location. The inspection summaries included regulatory noncompliance items cited that have not been verified.

Observed the trash can in the multipurpose room/cafeteria did not have a lid. The trash can is used to dispose of food items after meals.

Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 05/16/2024 & 04/05/2024. Provider's plan to maintain compliance submitted on 05/22/2024 stated, "Provider will maintain compliance by ensuring all floors, walls, ceilings, and other surfaces, including the facility's outdoor play space surfaces are kept clean, in good repair and free from visible hazards." Provider's plan to maintain compliance submitted on 04/17/2024 stated, "The provider of the facility will ensure and maintain to be in compliance at all times and will maintain that all the windows and windowsills in the facility in and all classrooms be kept clean, in good repair and free from visible hazards. Provider of the facility will ensure and to be in compliance at all times by maintaining the facility floors, surfaces of the facility including the facility's outdoor play space area(s) / surfaces to be kept clean, in good repair and free from visible hazards." On 10/28/2024, observed dead insects and debris on the floor in the Toddler 2 classroom. Observed the baseboard trim, windows and windowsills throughout the building were visibly dirty with dust, dirt and dead…

Observed a mini PacMan arcade game in the multipurpose/cafeteria with a missing knob which exposed the bolt used to hold the knob in place.

Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 08/21/2024 & 07/17/2024. Provider's plan to maintain compliance submitted on 09/07/2024 stated, "Provider will maintain compliance by ensuring when children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space." Provider's plan to maintain compliance submitted on 08/15/2024 stated, "Provider will maintain compliance by ensuring emergency contact information is present in a child care space for children receiving care in that space when children are in the facility." On 10/24/2024, emergency contact information was not present in the multipurpose room/cafeteria or outside on the preschool playground for child #1 while receiving care.

Observed the carpet in the older toddler room had visible staining and did not appear to be clean.

Observed peeling paint on the door frame of the exterior door leading from the playground into the multipurpose room in the basement. Observed crumbling paint/plaster on the exterior wall next to the entrance doorway of the facility.

Continued noncompliance previously cited on 08/21/2024, observed the rest equipment in the toddler classroom were not labeled properly to identify the use of the rest equipment by a specific child. The chart on the wall was not updated to match the numbered cots being used by the children in the classroom. On 09/16/2024, observed the children in the preschool and young toddler classroom were not on the rest equipment that was labeled for use for the specific child. Each classroom had numbered mats with a list of names for the cot numbers. The number on the nap mat provided to each child did not match the name & number on the chart.

The inspection summary for unannounced monitoring inspections conducted on 08/07/2024 and 08/21/2024 were not posted in a conspicuous location used by parents until each regulatory noncompliance item cited on the inspection summary was verified as corrected.

Continued noncompliance, previously cited on 07/17/2024 and 08/07/2024. Observed child #4, a young school-age child, walk out of the young toddler classroom and walk down the hallway unsupervised. Certification Representative asked staff person #1 where the child was going, and staff person #1 went to the door and called the child back into the classroom.

Observed pieces of green plastic safety fencing scattered throughout the mulch in the preschool outdoor play space, the plastic pieces have sharp points at the ends which create a hazard to the preschool and school-age children that use the play space. Continued noncompliance, previously cited on 07/17/2024. Observed a large hole at the bottom of the chain link fence along the hill at the side of the toddler playground.

Observed the staff bathroom was not equipped with a lidded waste receptacle.

Observed a plastic slide on the toddler playground with a large crack on the side which created rough edges and a pinch hazard.

Observed the rest equipment in the toddler classroom were not labeled properly to identify the use of the rest equipment by a specific child. The chart on the wall was not updated to match the numbered cots being used by the children in the classroom.

Observed an open container of milk sitting on the counter next to the sink located in the young toddler classroom which was not refrigerated.

The director did not ensure that a manual test of the fire detection system was performed at least once every 30 days. The most recent test was documented on 06/28/2024 with no subsequent tests documented.

Continued noncompliance, previously cited on 07/17/2024. Emergency contact information was not present in the multipurpose room/cafeteria for child #1, #2 and #3 while receiving care. Emergency contact information was not present in the young toddler classroom for child #4, and #5 while receiving care.

Observed staff person #1 supervising a group of 2 preschool age children, 8 young school age and 4 older school age children in the school-age classroom. The ratio for a mixed age group with preschool age children in care is 1:10.

***Upon arrival to the facility around 3:00 pm, while waiting at the entrance door, observed 3 children in the hallway near the water fountain unsupervised. One child ran down the hallway toward the entry door and then went into the school age classroom. Staff person #2 came into the hallway and went back into the classroom. When asked, staff person #2 stated child #1 was supposed to be supervising them, but they returned to the classroom to get staff person #2 because one of the children wasn't listening.

**Upon arrival to the facility around 3:00 pm, while waiting at the entrance door, observed 3 children in the hallway near the water fountain unsupervised. One child ran down the hallway toward the entry door and then went into the school age classroom. Staff person #2 came into the hallway and went back into the classroom. When asked, staff person #2 stated child #1 was supposed to be supervising them, but they returned to the classroom to get staff person #2 because one of the children wasn't listening.

Upon arrival to the facility around 3:00 pm, while waiting at the entrance door, observed 3 children in the hallway near the water fountain unsupervised. One child ran down the hallway toward the entry door and then went into the school age classroom. Staff person #2 came into the hallway and went back into the classroom. When asked, staff person #2 stated child #1 was supposed to be supervising them, but they returned to the classroom to get staff person #2 because one of the children wasn't listening.

Observed staff person #1 standing in the doorway of the school-age room across the hall from the preschool room, while in the hallway, staff person #1 was not physically present with the 10 preschool age children in the preschool room. Staff person #1 was unable to see, hear, direct and assess the children in their assigned group form their location in the hallway.

Observed a mixed age group of 2 preschool age and 12 school-age children receiving care in the school-age classroom: which has a maximum capacity of 12 children.

The director or designated staff person responsible for manually testing the fire detection system every 30 days, did not document the manual test of the fire detection system which was completed on 07/17/2024 on the fire drill log.

Upon arrival to the facility at 3:00 pm, Certification Representative rang the doorbell for access to the facility. While waiting at the door, observed staff person #1 look out the preschool classroom door toward the entrance door. Observed staff person #2 walk out of the school-age classroom and turned around and went back into the classroom. It was observed that staff person #1 saw the Cert Rep at the door and did not immediately open the door.

**Observed staff person #6 in the kitchen opening freeze-pops, while their group of 10 preschool age children was seated at a table in the multipurpose room next to the kitchen. Staff person #7 was observed supervising their group of 11 young and older school-age children and the group of 10 preschool age children. Exceeding the maximum group size for a mixed age group of 1:10. Observed staff person #1 standing in the hallway talking to a child's therapist, while supervising a group of 9 school age children in the classroom. Staff person #1 was not physically present with their assigned group and unable to see, hear, direct and assess the children from their position in the hallway. While outside on the playground, staff person #7 identified 9 out of 10 of the children in their group. Staff person #7 was unable to see, hear, direct, and assess a child that was sitting in the shade around the corner on playground.

Observed staff person #6 in the kitchen opening freeze-pops, while their group of 10 preschool age children was seated at a table in the multipurpose room next to the kitchen. Staff person #7 was observed supervising their group of 11 young and older school-age children and the group of 10 preschool age children. Exceeding the maximum group size for a mixed age group of 1:10. Observed staff person #1 standing in the hallway talking to a child's therapist, while supervising a group of 9 school age children in the classroom. Staff person #1 was not physically present with their assigned group and unable to see, hear, direct and assess the children from their position in the hallway. While outside on the playground, staff person #7 identified 9 out of 10 of the children in their group. Staff person #7 was unable to see, hear, direct, and assess a child that was sitting in the shade around the corner on playground.

**It was observed a group 4 of older school age children (14-year-olds) were unsupervised in the facility and outside on the playground. Observed 3 older school age children walked from the lower playground to the upper playground unsupervised. Staff person #1 was going to send them to complete an errand without supervision. A child is defined as a person 15 years of age or younger and must be supervised at all times.

It was observed a group 4 of older school age children (14-year-olds) were unsupervised in the facility and outside on the playground. Observed 3 older school age children walked from the lower playground to the upper playground unsupervised. Staff person #1 was going to send them to complete an errand without supervision. A child is defined as a person 15 years of age or younger and must be supervised at all times.

Observed 2 electrical outlets in the preschool classroom which lacked protective receptacle covers and were accessible to preschool children.

Observed a storage cabinet in the toddler classroom which was unlocked with cleaning products labeled Keep out of Reach of Children being stored on the bottom shelf which were accessible to the older toddlers and preschool children in care. Observed aerosol disinfectant spray on the portable sink located in the toddler classroom which was accessible to older toddlers and preschool age children. Observed insect traps behind the toilets in the bathrooms located in the basement, which were accessible to preschool age children.

Observed the bag containing the first aid kit was placed on a ground level stone retaining wall located in the preschool/school age playground that was accessible to children.

Observed power cords laying across the floor in the toddler classroom which were within reach of older toddlers and preschool age children. Observed a large hole at the bottom of the chain link fence along the hill at the side of the toddler playground.

Observed the left side cabinet door off its hinge on the portable sink in the preschool classroom

The file for child #6 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd Hepatitis A immunization.

Observed the sink in the infant/toddler classroom did not have paper towels for drying hands after handwashing. Observed the sink located in the kitchen did not have paper towels for drying hands after handwashing.

Observed the hands-free covered can next to the diaper changing table in the infant/young toddler classroom lacked a plastic-liner or trash bag. Observed diapers disposed in a lidded trash can next to the sink which was not hands-free.

The file for staff person #4 included a health assessment which was not updated within 24 months of the previous health assessment; the most recent health assessment on file was dated 06/03/2022.

The file for staff person #1, #2, #3, #4 and #5 did not include documentation of annual fire safety training. The most recent training for staff person #1, #2, #3 and #5 was documented in 05/2023 and in 06/2023 for staff person #4.

The facility director is not fulfilling the responsibilities and minimum duties as required by regulations.The director has not completed a written evaluation for staff persons #2, #3, #4 and #5 with in past 12 months. The most recent evaluation was completed in 06/2023.

**The facility director is not fulfilling the responsibilities and minimum duties as required by regulations. The director has not completed a written evaluation for staff persons #2, #3, #4 and #5 with in past 12 months. The most recent evaluation was completed in 06/2023.

The agreement for child #3 was not signed by the operator.

The agreement for child #3 did not include the amount of fee to be charged or specify the date on which the fee is to be paid.

The emergency contact information for child #3 did not include the work address and telephone number of the enrolling parent.

The emergency contact information for child #3 was initialed by the parent in lieu of signed parental consent for emergency medical care

The emergency contact information for child #3 did not include the address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #6 did not include the complete address of the individuals designated by the parent to whom the child may be released.

Emergency contact information was not present in the infant/young toddler classroom for child #1 while receiving care. Emergency contact information was not present in the school age classroom for child #2, #3, #4, and #5 while receiving care.

The emergency contact information for child #3 was initialed by the parent in lieu of signed parental consent for administration of minor first-aid procedures

Observed Staff person #1 returning to the facility at 1:10 pm. Staff person #1 stated they left the facility at approximately 12:57 pm, leaving the facility out of ratio during naptime. Staff person #2 was supervising a group of 7 older toddlers and 4 preschool age children. Staff person #3 was supervising a group of 10 school age children. Staff person #4 was supervising a group of 10 preschool age children. Staff person #5 was supervising a group of 1 infant and 3 young toddlers. There were no additional staff in the building to meet ratio requirements while staff person #1 left during their break.

Observed the rest equipment in use during naptime in the older toddler classroom did not have at least 2 feet of space on three sides of the cot.

Observed the upstairs bathroom did not have paper towels for drying hands after handwashing.

Observed a mixed age group of 7 older toddlers and 5 preschool age children receiving care in the older toddler classroom which has a maximum capacity of 10 children.

Observed the Pack N Plays in the infant/young toddler classroom were not labeled for the use by a specific child. Observed Pack N Plays in the infant/young toddler classroom with regular size crib sheets on the mattresses in lieu of sheets intended for a Pack N Play mattress. The sheets were too big for the mattress and created access material which creates a potential suffocation hazard.

Observed staff person #1 and #2 supervising a mixed age group of 2 young toddlers and 6 older toddlers, staff person #1 and #2 did not have assigned groups for the supervision of specific children.

Observed a fence wire which was pointing into the preschool outdoor play space, creating a sharp point. Observed a section of the cement retaining wall inside the fence around the preschool outdoor play space which was cracked and falling apart, creating a visible hazard. Observed a window blind in the infant/young toddler classroom which was detached from the middle support bracket. Observed visible dirt and debris on the tile flooring in the older toddler classroom. Observed chalk dust accumulated on the ledge of the chalkboard in the school age room. Observed loose computer wires under the computer desks in the school age room.

Observed a puddle of unidentified liquid on the floor of the downstairs Men's bathroom leading from the base of the toilet to the floor drain.

Observed the play kitchen set in the older toddler classroom with the plastic faucet broken off, there was a hole remaining where the piece was no longer in place which had rough edges.

Observed a piece of plastic approximately with a diameter of less than 1 inch on the floor of the toddler indoor play space which was accessible to children who are still placing objects in their mouths. *Corrected at the time of the inspection.

Observed a written statement giving the formula and feeding schedule for child #1 was not obtained from the parent.

The emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.The emergency plan did not provide a method for facility persons to inform parents that the emergency has ended and to provide instructions as to how parents can safely be reunited with their children.

The letter provided to the parent of each enrolled child did not explain the emergency procedures in subsection (a). The letter did not include information about lock-down procedures, relocation information, the method parent will be contacted, how the parent will be notified the emergency has ended with instructions on how the parents can safely be reunited with their children. It does not include information for accommodations of infants, toddlers, children with disabilities and children with chronic medical conditions. The emergency plan did not include information regarding annual emergency drills.

Observed a power strip on the floor in the preschool classroom which did not include protective receptacle covers in the unused electrical outlets. The power strip was in use and accessible to children 5 years of age and younger. *Corrected at the time of the inspection.

Observed the protective guards were missing on the electric baseboard heaters located in the Multipurpose Room (in the basement), in the basement girl's restroom, in the preschool and the older toddler 2 classroom allowing access to the heating elements. Observed the protective guards were out of place in the older toddler 1 classroom and the school-age classroom allowing access to the heating elements.

Observed the windows located in the gross motor room (upstairs last classroom on left) were not modified to limit the opening to 6 or fewer inches. The windows which are on the second floor open to a rooftop. *Corrected at the time of the inspection.

Observed the windows and windowsills in the classrooms were visibly dirty with dust, dirt and dead insects. Observed the baseboard trim throughout the building were visibly dirty with dust and dirt. Observed a missing screw on the metal doorknob plate leading out of the young toddler classroom. Observed the door leading into the older toddler 1 classroom is difficult to open due to the use of duct tape on the door and frame sticking to one another. Observed rough edges on the stage in the multipurpose room (downstairs) due to chunks of wood broken off of the edge. Observed on the blacktop area of the outdoor play space: The gate and top rails were rusty, a missing rail tie was missing at the bottom of the fence creating a gap, the top rail was disconnected at the left corner, the top rail was disconnected from the middle section (two panels from corner, there were exposed bolts protruding into the play area at the gate. The blacktop area had uneven surfaces and holes throughout the space creating a trip hazard. There were loose bricks along the side of the building. The stairwell leading down to the basement entrance did not have a protective gate to prevent a fall down the steps…

Observed peeling paint on the outdoor storyboard/chalkboard. Observed peeling paint on the door leading from the playground into the multipurpose room.

Observed a handwashing sign was not posted at the sink located in the kitchen.

Observed the girls' and boys' bathrooms located in the basement next to the multipurpose room were not equipped with a clean, lidded waste receptacle. *Corrected at the time of the inspection.

Observed the climbing dome in the toddler playground which is not intended for use by children under the age of 3 years old. Observed the older toddler 1 classroom did not include a variety of play equipment and materials as specified in §3270.101(c)(1) - (6). The classroom included books and a few toys. Observed the school-age classroom did not include a variety of play equipment and materials as specified in §3270.101(c)(1) - (6). The classroom included books, a few games with missing pieces, some arts and crafts items, and mega blocks intended for toddlers. The equipment and materials in the older toddler 1 and school-age classroom did not include a sufficient amount and variety to preclude long waits for use.

Observed on the mulch area of the playground: visible dirt on the playground equipment, a bolt missing from one of the bells in the drum section of the playground. Observed in the toddler playground: the feet from the caterpillar tube were dislodged from the equipment and strewn throughout the playground. The top tier of the plastic climber/slide was cracked and had a hole in the landing. Visible dirt on the playground equipment. Observed a toy grill in the indoor gross motor space with loose screws causing the grill to sway. Observed a broken hinge on the play kitchen set, causing the door to not close properly.

Observed the wood mulch protective surface around the embedded playground equipment was between 5 - 8 inches in depth and did not meet the required 9 inches, as recommended by the CPSC.

Observed a blue table in the older toddler 2 classroom with loose legs, causing the table to wobble. Observed a storage cabinet used to store games and other supplies in the school age classroom with a broken hinge.

The rest equipment in the preschool and older toddler classrooms were not labeled for the use of a specific child for use by the specified child.

The file for child #1 did not include an updated health report at least every 6 months for an infant or young toddler (see LIS code sheet). The initial health report on file was dated 07/19/2023 with no subsequent health report on file.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap and PCV13 immunizations.

The facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The facility Emergency Plan did not address Continuity of Operations.

The agreement for child #1, #2, #3, #4 and #5 did not specify the date on which the fee is to be paid. The agreement form used by the operator does not include this information.

The financial agreement for child #1, #2, #3, #4 and #5 were not reviewed by the parent at least once every 6 months; the financial agreements were signed at the time of initial enrollment (see LIS code sheet) with no subsequent reviews by the parent documented.