Carters Open Arms · Chester

During renewal inspection on 7/17/25, Cert Rep observed the following: While doing a walk-through of the facility, the toddler classroom right from the office and the school age room were not set up and ready to receive children

During renewal inspection on 7/17/25, Cert Rep observed the following: The facility did not have documentation of testing the fire detection system every 30 days

During renewal inspection on 7/17/25, Cert Rep observed the following: Child # 3's health assessment was dated 6/26/24

During renewal inspection on 7/17/25, Cert Rep observed the following: The facility's shaken baby syndrome policy did not include prevention and identification of child maltreatment

During renewal inspection on 7/17/25, Cert Rep observed the following: 1. Child # 2's emergency contact and agreement was last signed 8/5/24 and 4/4/25 2. Child # 4's emergency contact and agreement was last signed 4/1/24 and 3/28/25 3. Child # 5's emergency contact and agreement was last signed 3/10/24 and 4/4/25

During renewal inspection on 7/17/25, Cert Rep observed the following: Staff # 2 had documentation of 6 childcare hours and not the annual 12 hours

During renewal inspection on 8/8/24, while reviewing staff files, Cert Rep observed the following: Staff # 5's health assessment was dated 3.23.22

During renewal inspection on 8/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: The facility did not have documentation that they were testing the fire detection system every 30 days.

During renewal inspection on 8/8/24, while reviewing staff files, Cert Rep observed the following: Staff # 4 did not have documentation of health and safety training in file.

During renewal inspection on 8/8/24, while reviewing staff files, Cert Rep observed the following: Staff # 5 did not have documentation of 2500 childcare hours to qualify as AGS

During renewal inspection on 8/8/24, while reviewing children's files, Cert Rep observed the following: Child # 5 and # 7;'s emergency contact did not have physicians address listed

During renewal inspection on 8/8/24, while reviewing children's files, Cert Rep observed the following: Child # 3's emergency contact did not have policy number listed Child # 5's emergency contact did not have insurance and policy number listed

During renewal inspection on 8/8/24, while reviewing children's files, Cert Rep observed the following: Child # 5's emergency contact did not have release person's phone number listed

During renewal inspection on 8/8/24, while doing a walkthrough of the facility, Cert Rep observed the following: Emergency contacts were not present in Room # 1 for all the children that were receiving care in the space.

During renewal inspection on 8/8/24, while reviewing children's files, Cert Rep observed the following: Child # 1's agreement and emergency contact was last signed 1/17/24

During renewal inspection on 8/8/24, while reviewing children's files, Cert Rep observed the following: Child # 6 and # 7's emergency contact did not have parent's signature for emergency medical care and administration of minor first aid

During renewal inspection on 8/8/24, while reviewing staff files, Cert Rep observed the following: Staff # 2 had 4 hours in file and not the mandatory 12 hours of childcare training Staff # 4 had 10 hours in file and not the mandatory 12 hours of childcare training

At the time of renewal inspection, a policy and procedure to identify the potential signs of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

At the time of renewal inspection observed the old wooden fence gate leaning on the fence with exposed sharp pieces of wood.

At the time of renewal inspection, immunization record of child #2 and #4 did not include influenza immunization according to recommended schedule by ACIP. A letter of exemption was not observed in the file of child #2 and #4. Immunization record of child #4 included influenza immunization from 2020.

At the time of renewal inspection, documentation of proof of purchase and date of purchase of an interconnected fire detection system was absent.

At the time of renewal inspection, staff person #1, #2, #3, and #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

At the time of renewal inspection files of staff person #4 did not include verification of education and child care experience that qualifies staff #4 for a position of an assistant group supervisor and is required prior to service at the facility.

At the time of renewal inspection, agreement of child #1 did not specify services to be provided to the family and the child,

At the time of renewal inspection, agreement of child #1 and #2 did not specify arrival/departure time. Agreement of child #1 and #3 did not specify the persons designated by a parent to whom the child may be released.

At the time of renewal inspection, a record of child #4 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

On February 2, 2023 certification representative contacted the provider in reference to a DOH audit report received. The report showed that the health assessment for child #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 was missing immunization shots.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE A CHILD ABUSE CLEARANCE, AN FBI FINGERPRINT CLEARANCE, AN NSOR CLEARANCE, OR THE MANDATED REPORTER TRAINING.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. STAFF PERSON #4 WAS ON CELL PHONE WHILE IN THE CLASSROOM WORKING WITH INFANTS AND TODDLERS. CHILDREN WERE NOT SUPERVISED AT THIS TIME.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1, #2 AND #5 DID NOT INCLUDE UPDATED EMERGENCY PLAN TRAINING.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE ELECTRICAL OUTLET LOCATED IN THE OUTDOOR PLAY SPACE DID NOT HAVE A PROTECTIVE COVER. (CORRECTED ON SITE).

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE TELEPHONE LOCATED IN THE PREK AND TODDLER CLASSROOM DID NOT HAVE EMERGENCY NUMBERS POSTED NEAR OR ON THE CORDLESS PHONE.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRST AID KIT LOCATED IN THE PREK CLASSROOM DID NOT CONTAIN TWEEZERS. (CORRECTED ON SITE).

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE OUTDOOR PLAY SPACE NEED TO BE CLEANED AND THE YARD DOOR WAS BROKEN OFF IN POOR REPAIR.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. STALL #1 LOCATED IN BATHROOM #2 HAD RUST ON BOTH WALLS.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE PORTABLE SINK LOCATED IN THE INFANT ROOM WAS NOT WORKING AND DID NOT HAVE FRESH WATER FOR STAFF OR CHILDREN TO WASH HANDS.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THERE WAS A PLASTIC TRASH BAG ON THE INFANT CRIB LOCATED IN THE INFANT/TODDLER CLASSROOM. (CORRECTED ON SITE).

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE REFRIGERATOR THERMOMETER WAS TEMPING ABOVE 45° F.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #4, #5 AND #6 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. STAFF PERSON #4 DID NOT WASH THE 1 YEAR OLD CHILD HANDS AFTER DIAPERING.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. STAFF PERSON #4 DID NOT WASH THEIR HANDS AFTER DIAPERING.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THERE WAS A GALLON OF MILK LEFT OUT ON THE COUNTER THROUGHOUT THE TIME OF THE INSPECTION. (CORRECTED ON SITE).

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR INFANTS OR TODDLERS.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FACILITY DID NOT HAVE A COMPLETED EMERGENCY DRILL LOG AVAILIBLE.

ON JUNE 24, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRE ALARM SYSTEM WAS NOT BEING TESTED EVERY 30 DAYS.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 AND #4 DID NOT INCLUDE HEALTH & SAFETY TRAINING.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #5 DID NOT INCLUDE AN UPDATED ANNUAL EVALUATION.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FOR CHILD #7 DID NOT INCLUDE THE ENROLLING PARENT HOME OR WORK PHONE NUMBERS.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FOR CHILD #1, #2 AND #7 DID NOT INCLUDE RELEASE PERSON ADDRESS.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUDE TWO WRITTEN REFERENCES. IN ADDITION, THE RECORD FOR STAFF PERSON #4 ONLY INCLUDED ONE WRITTEN REFERENCE.

ON JUNE 24, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #5 ONLY INCLUDED 6 CLOCK HOURS OF CHILD CARE TRAINING.