Building Blocks Child Center INC

On the field play space, there were multiple bolts on the fence that were protruding out from the fence and were a visible hazard.

The file for staff person #3, hired provisionally, had proof of application for the NSOR verification certificate at their start date and had an NSOR verification certificate dated 2-26-24 that was not within 45 days of their start date as required for a provisional hire. (See LIS CODE SHEET) The file for staff person #6 had an out of state Child Abuse & Neglect registry check that was dated after their start date. (See LIS CODE SHEET) The file for staff person #2 had state police clearances that exceeded 60 months between clearances. The file for staff person #7 had FBI clearances that exceeded 60 months between clearances. The file for staff person #4 had NSOR verification certificates that exceeded 60 months between certificates. The file for staff person #8 had NSOR verification certificates that exceeded 60 months between certificates.

At approximately 10 a.m., a preschool child was observed in an office with a behavioral consultant, and a staff person was not present in the office for supervision, resulting in a 0:1 staff to child ratio.

At approximately 10 a.m., a preschool child was observed in an office with a behavioral consultant, and a staff person was not present in the office for supervision.

At approximately 10 a.m., a preschool child was observed in an office with a behavioral consultant, and a staff person was not present in the office for supervision.

The file for staff person #6 lacked a copy of the NSOR verification certificate at their start date. (See LIS CODE SHEET)

In the cafe room, there were multiple pairs of scissors with sharp edges in two unlocked drawers that were accessible to children.

In the infant room in an unlocked cabinet in the changing table, there were a container of butt paste and two tubes of Aquaphor that were labeled "Keep out of reach of children" and were accessible to children.

In the pre-k counts room, there was a Purple Shamrock plant that is toxic.

The first-aid kits located in the infant room, 1 year old room, 2 year old room, 3 year old room, and pre-k counts room lacked sterile gauze pads.

On the preschool and toddler play spaces, there were multiple areas on the poured-in-place surface that had holes in the surface.

In the pre-k counts room, handwashing signs were not posted at the two toilets in the stalls in the girls' bathroom and the one toilet in the stall in the boys' bathroom.

In the infant room, there was a 4moms baby swing that had been recalled by the United States Consumer Product Safety Commission.

The file for child #3, a 4 year old enrolled more than 60 days at the facility, lacked documentation of the 1st and 2nd Hepatitis A vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #5 had a health assessment that exceeded 24 months between assessments.

Staff person #1, functioning as an aide, worked from 2-17-25 to 3-20-25 and was under 18 years of age. (See LIS CODE SHEET)

Staff person #8 had mandated reporter trainings dated 12-19-19 and 1-3-25 that were over 60 months between trainings.

The file for staff person #1, functioning as an aide, lacked verification of education/experience to qualify as an aide. The file for staff person #10, functioning as an aide, lacked verification of education to qualify as an aide.

Child #1 lacked a current child service report updated within the last 6 months. Child #2 had a child service report that exceeded 6 months between reports.

The file for staff person #9 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The file for staff person #4 had a volunteer state police clearance dated 1-24-21 and lacked a state police clearance for employment at their start date and requires a current state police clearance for employment. The file for staff person #5 had an FBI clearance dated 10-8-18 and lacked a current FBI clearance updated within the last 60 months. The file for facility person #8 lacked a disclosure statement.

The file for facility person #8 lacked current emergency plan training completed within the last year. The files for staff person #2 and #5 lacked current emergency plan training completed within the last year.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

In the lobby, the desk had an unlocked drawer with a bottle of Paya Hand Sanitizer Antiseptic Foam that was labeled "Keep out of reach of children" and was accessible to children.

The 2 year old room lacked a first-aid kit in the room.

The files for child #4 and #5, preschoolers, had a health assessment that exceeded 12 months between assessments.

The file for staff person #7 had an initial health assessment that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and requires a current health assessment. The files for staff person #1 and #5 had a health assessment that exceeded 24 months between assessments.

The file for staff person #7 had a tuberculosis screening by the Mantoux method that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and requires a current tuberculosis screening by the Mantoux method.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

The files for staff person #2 and #5 lacked current fire safety training completed within the last year.

Staff person #3 had mandated reporter trainings dated 10-14-18 and 10-16-23 that were over 60 months between trainings.

The file for staff person #6, functioning as an aide, lacked verification of education/experience to qualify as an aide.

The file for child #7 had an agreement that lacked the child's admission date.

The files for child #1, #2, #3, #4, #5, #6, #7, and #8 had the original agreement in the file. According to staff, the parent of each enrolled child did not receive the original agreement.

The emergency transportation plan was not posted in the multipurpose room and the lobby that is used as a play space.

The file for facility person #8 lacked two written, nonfamily references.

The fire drill log on file at the facility indicated that fire drills were conducted on 4/12/23, and then again on 6/30/23, more than 60 days apart.

The fire drill log on file at the facility did not list the names of facility persons participating in the fire drills.

Staff person #3, #5, and #8 were observed to be caring for children unsupervised. Staff person #3, #5, and #8 have not completed the following pre-service training required prior to caring for children unsupervised: Approved Health and Safety Training in the topics of 3270.31(f)(1-9).

The director did not have all required clearances prior to their start date as required by the CPSL. (See LIS CODE SHEET)

The file for staff person #6 had an invalid FBI clearance dated 9-12-22 and lacked a DHS FBI clearance. (See LIS CODE SHEET) The file for staff person #4 had a volunteer state police clearance dated 6-20-21 and a volunteer child abuse clearance dated 6-24-21, and the staff person had a state police clearance for employment dated 2-15-23 and a child abuse clearance for employment dated 2-15-23 that were after the staff person's start date. (See LIS CODE SHEET) The file for staff person #7, hired provisionally, had proof of application for the NSOR verification certificate at their start date and had an NSOR verification certificate dated 2-10-23 that was not obtained within 45 days of their start date as required for a provisional hire. (See LIS CODE SHEET) The file for staff person #9 had state police and child abuse clearances that exceeded 60 months between clearances.

The file for staff person #3 had emergency plan training that exceeded a year between trainings.

In the infant room, there was peeling paint in one area on the front left wall and in one area on the left wall above the first crib.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

The file for child #2, a 4 year old, had an immunization record that lacked documentation of the 1st and 2nd doses of the Hepatitis A vaccination by age 23 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The files for staff person #3 and #5 had health assessments that exceeded 24 months between assessments. The file for staff person #4 had a health assessment that was dated after their start date.

The file for staff person #7 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

The file for staff person #3 had fire safety training that exceeded a year between trainings.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved curriculum. Staff person #3, #5, and #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9).

The file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The emergency transportation plan was not posted in room F.

According to staff statements and confirmed through video observation, on 3-14-23 at approximately 4:30 p.m., staff person #1 was observed moving child #1 by picking the child up off of the floor by one arm and turning and moving the child approximately 3-5 feet to the other side of the staff person before setting the child down in a sitting position with the child leaning sideways. The staff was observed to move the child away from the door as parents were entering and exiting the facility.

A toilet used by children in care in the bathroom of the School Age Overflow Room was observed to have an exposed bolt protruding from the toilet base. Contact with said bolt could cause puncture and/or laceration injury, while also posing a threat of cross contamination.

An approximately 4' high wooden easel used by children in care in the Discovery Room was observed to have an exposed bolt that could cause laceration and/or puncture injuries. Also in the Discovery Room, in an area accessible to children in care, an approximately 30"x18" wooden table was viewed to have two loose legs that caused the legs to separate slightly from the tabletop when moved, which caused pinch points. In the Navigator Room, in an area accessible to children an approximately 3'x3' wooden table was observed to have exposed, protruding bolts on the underside of the table top where the table legs attached to the table. Contact with these bolts could cause puncture and/or laceration injury.

Although the files for Staff #1 and #2 contained documentation of the completion of fire safety training in the past 12 months, the previously completed trainings were completed more than 12 months prior.

During review of video surveillance of the Older Toddler child care space, Staff #1 was observed, at one point, roughly handling two older toddlers and forcefully placing them on time-out chairs. At another point, Staff #1 was observed again roughly handling an older toddler and dropping them onto their rest mat. Each of the identified incidents were determined to be a result of perceived noncompliance on the part of the children.

During review of video surveillance of the Older Toddler room, Staff #1 was observed roughly handling two children and placing them forcefully on time-out chairs. Staff #1 was also observed forcefully dropping a child onto his rest mat.

During review of video surveillance, Staff #1 and #2 were observed with their backs turned to eight older toddlers for four to five minutes. During this time, Staff #1 appeared to be preoccupied with changing decorations that adorned the wall of the child care space; while Staff #2 was observed completing paperwork at desk near the entrance of the room. A child in care was injured by another child during this time.

During review of video surveillance, Staff #1 was observed seated in a chair near the rear of the child care space. Eight older toddlers in care were successively called to her location where Staff #1 changed each of their pull-ups without sanitizing the surface of the area where the diapering occurred between the times each child changed.

During review of video surveillance, Staff #1 was observed seated in a chair near the rear of the child care space. Eight children in care were successively called to her location where Staff #1 changed each of their pull-ups without washing her hands between diapering.