Caros Daycare LLC

There is Gold Bond lotion, Desitin diaper cream and hand sanitizer on a low shelf, which is accessible to the children, near the entrance to the Infant/Toddler area. All items say "Keep out of Reach of Children" on the bottle.

There is a coffee pot in use on a shelf which is accessible to the children near the entrance to the Infant/Toddler area.

There are chairs and car seats stacked in the Infant/Toddler area, which can be pulled down on a child.

The changing pad on the changing table in the Infant/Toddler area is ripped, resulting in exposed foam.

There is Desitin diaper cream near the changing table in the Infant/Toddler area which is not labeled for a specific child

There is no verification that an emergency drill has been conducted in the last year.

The emergency plan does not address continuity of operations.

The cots are not labeled for use by a specific child.

There are no written statements giving the formula and feeding schedule completed by the parent for the infants in care.

Staff Person #1 and Staff Person #3 each resided outside of Pennsylvania in the previous five years and neither have clearances from those states on file nor do they have proof that the clearances were requested.

A plastic play house in the outdoor play space had a hole and crack in it.

Child #1, a young toddler, most recent health assessment on file was 1/31/2023.

Child #2 did not have proof of influenza immunization for the 2022-2023 influenza season. Child #2 also did not have an exemption letter on file.

Staff Person #3 had their health assessment conducted after they started providing child care.

Staff Person #1 and Staff Person #2 have been working in child care positions at the facility for more than 90 days and have not completed the required preservice trainings. Staff Person #1 and Staff Person #2 have until 12/1/23 to complete the training. See code sheet for dates of hire (DOH).

Per review of the children's files, parents are not updating their child's emergency contact information and fee agreement forms every 6 months. It is being done yearly.

Staff Person #3 did not have proof of education on file.

Staff Person #1 and Staff Person #2 both lived outside of Pennsylvania within the previous 5 years and do not have clearances from those states. Nor did they have proof they submitted for the clearances.

Staff person #3 did not submit fingerprints for the FBI clearance until 11/10/22 which was after the first day in a child care position. See code sheet for date of hire.

Per the facility's fire drill and detection log, the system was tested 6/23/22 and then not again until 7/28/22 and 9/21/22 and then not again until 10/27/22.

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

Staff Person #1 was a resident of New York within the last 5 years and did not have New York state child abuse history clearance or New York state sex offender registry clearance.

In the toddler room, plastic bags were accessible to the children.

The Operator sent a copy of the emergency plan to Lehigh County Emergency Management Agency, but did not send a copy to Whitehall Township, the local municipality.