Calvary Care Early Learning Center

On 7/23/25 during an unannounced allocated monitoring inspection Staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and CPR from a PQAS approved trainer and a PQAS approved curriculum. See LIS code sheet for Date of hire.

During an allocated unannounced inspection on 7/23/25 Facility Person 2 had PSP clearance dated 4/17/24 with a purpose of "Volunteer" and did not have a request for a PSP clearance with a purpose of Employment. Facility Person 2 is not a volunteer. Facility Person 2 obtained a PSP clearance dated 7/23/25 with a purpose of Employment, however this is after their first day working with children.

During an allocated unannounced inspection which including a swimming inspection on 7/23/25 Cert rep observed that each care group did not have a first aid kit during the excursion to the pool. One first aid kit was taken for the 8 care groups and the first aid kit did not include a water bottle.

During an allocated unannounced inspection on 7/23/25 Staff 3 and 4 had one written reference in their staff files.

During an unannounced inspection on 12/12/24 Cert rep noted that Facility person 1 had a NSOR request dated 8/8/24 on file. Facility person 1 did not have the NSOR certificate on file at the facility. Facility person 1 is outside of her provisional hire window (See LIS code sheet for date of hire). An acceptable plan of correction was received on 12/12/24 with a correction date of 12/12/24. During an unannounced renewal inspection on 1/31/25 Cert rep noted that Staff 2 had a NSOR that was dated 11/6/2019. This is more than 60 months since the clearance was obtained therefore the NSOR was expired. Staff 2 had an NSOR request dated 1/13/24 on file. Staff 2 was not in a provisional hire window (See code sheet for date of hire). Staff 2 was observed to be working at the facility in a childcare position during renewal inspection. Cert rep noted Facility person 1 did have a valid NSOR certificate on file.

During a renewal inspection on 1/31/25 the facility's emergency plan did not address continuity of operations.

During a renewal inspection on 2/12/25 Cert rep noted Staff 5 had emergency plan training on 5/22/24. This was more than 90 days after her date of hire. See code sheet for date of hire.

During a renewal inspection on 1/31/25 Cert rep observed electrical outlets that did not have protective outlet covers in the following locations: The youth room in the unlocked cabinet under the sink and the fellowship hall on the wall by door number 19. Children who would have access to these rooms could be 5 years old or younger.

During a renewal inspection on 1/31/25 Cert rep observed the following cleaning products in the following locations All locations were accessible to children. All Cleaners were labeled "keep out of reach of children": 1. Clorox wipes, Lysol disinfecting spray, scrubbing bubbles cleaner, and Bio-renewable glass cleaner (Under the unlocked sink in the boy's bathroom on the 2nd floor) 2. Fantastic, Clorox wipes, and disinfecting wipes (Under the unlocked sink in the youth room)

During a renewal inspection on 1/31/25 Cert rep observed the fellowship hall did not have a first aid kit. This room is licensed as child care space.

During a renewal inspection on 1/31/25 cert rep observed peeling plaster in the youth room to the right of the door way.

During a renewal inspection on 2/12/25 Cert rep noted Staff 3 had a TB test dated 8/22/24. This is after her date of hire (see code sheet).

During a renewal inspection on 1/31/25 Cert rep noted the emergency plan did not address the facility accommodations for infants and toddlers. The facility does not currently have infants enrolled.

During an unannounced inspection on 12/12/24 cert rep noted there was more than 30 days between fire detection testing the following times: 1/24/25-2/25/24, 4/4/24-5/6/2024 and 10/24/24-12/9/24 An acceptable plan of correction was received on 12/12/24 with a correction date of 12/12/24 During an unannounced renewal inspection on 1/31/25 it was noted there was more than 30 days between fire detection testing the following times: 12/9/24-1/31/25

During a renewal inspection on 1/31/25 Cert rep noted the facility did not have a written policy that addressed: 1. Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma and 2. Strategies for coping with a crying, fussing, or distraught child

During a renewal inspection on 2/12/25 Cert rep noted Staff 5 received Pediatric First Aid and CPR training on 5/22/24. This is more than 90 days after her date of hire. See code sheet for date of hire.

During a renewal inspection on 2/12/25 Staff 4 had an associate's degree in early childhood education and 1.856 years (2320 hours) of experience documented on file. Staff 3 had an associate's degree in a non-human services field, which included 30 credits of education or human services credits. Staff 3 had no experience verified on file. Staff 3 and 4 have been working as a group supervisors.

During a renewal inspection on 2/12/25 Children 1, 2 and 3 did not have the parents' work addresses or work phone numbers.

During a renewal inspection on 1/31/24 Cert rep observed that the facilities plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not in the excursion bags for rooms 201/203, 205/207, 206/208, and 209. Staff reported this plan was not being taken with staff when leaving the facility with children for an excursion.

During a renewal inspection on 2/12/25 cert rep noted the most recent parent review of Child 2's emergency contact information was done and signed by the parent on 7/24/24. This is more than 6 months since the previous review.

During a renewal inspection on 1/31/25 Cert rep noted the facility did not have a means for the parents to access the 3270 regulations electronically.

During an unannounced inspection on 12/12/24 Cert rep noted that Facility person 1 had a NSOR request dated 8/8/24 on file. Facility person 1 did not have the NSOR certificate on file at the facility. Facility person 1 is outside of her provisional hire window (See LIS code sheet for date of hire).

During an unannounced inspection on 12/12/24 Cert Rep observed staff in the toddler room discarding soiled diapers into a plastic lined trash can that required the staff to push the lid of the trash can in order to dispose of the diaper. This trash can was not hands free.

During an unannounced inspection on 12/12/24 Cert rep noted that the fire drill log did not have a hypothetical location of the fire noted for the fire drill on 1/8/24. Cert rep also noted that there was one incidence of more than 60 days between fire drills: 9/27/24-12/9/24.

During an unannounced inspection on 12/12/24 cert rep noted there was more than 30 days between fire detection testing the following times: 1/24/25-2/25/24, 4/4/24-5/6/2024 and 10/24/24-12/9/24

During an unannounced inspection on 12/12/24Staff person/facility person # 2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/11/2019.

On 1/26/2024, the most recent health assessment on file for Staff #1 was dated 6/2/2021. See LIS code sheet.

During the Renewal Inspection on 1/26/2024, the facility had not conducted an emergency drill within the previous 12 months. The most recent emergency drill was conducted on 6/16/2022.

During the Renewal Inspection, the emergency contact information forms for Child #1, #2, #3, #4 and #5 were each last dated March of 2023.

Staff #2 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) within 90 days of hire. Staff #2 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 1/8/2024. See LIS code sheet.

During the Renewal Inspection on 1/25/2023, Staff #1 had a volunteer child abuse clearance on file. Staff #2 had all required clearances on file on 1/25/2023. However, the state police clearance was dated 11/2/2022 and the child abuse clearance was dated 11/5/2022. The prior state police and child abuse clearances on file for Staff #2 were dated 8/23/2017. Staff #2 completed mandated reporter training on 11/1/2022. The previous mandated reporter training on file for Staff #2 was dated 8/27/2017.

During the Renewal Inspection on 1/25/2023, Child #1, #2, #3 and #4 all preschool children did not have health reports on file that were completed within the previous 12 months.

During the Renewal Inspection on 1/13/2022, the following was observed: Loose tiles that left sharp edges exposed in the church level bathroom Room 115 and a cracked switch plate that left sharp edges exposed in the Youth Room.

During the Renewal Inspection on 1/13/2022, none of the staff for the files that were reviewed had current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) that was completed through an approved provider. The course that was completed for the most current certifications 2021 did not have an in-person or a live component.

During the Renewal Inspection on 1/13/2022, the mandated reporter training was up to date for Staff #1. However, this training was completed on 12/29/2021. The most recent mandated reporter training on file that Staff #1 completed was dated 5/7/2015.