Childrens Adventure LRG CTR

Staff #2, #4 and #5 completed mandated reporter training more than 60 months following the date of their previous training.

The emergency contact information for child #1 and #3 lacked the work telephone number of the enrolling parent. The emergency contact information for child #2 lacked the home and work addresses and telephone numbers of the enrolling parent.

Loose sheets were observed in a crib, which posed a potential suffocation risk for the infant who was using the equipment.

The emergency plan was not posted in the facility.

The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures.

Trash that appeared to have been contaminated by human secretions was contained in a plastic-lined receptacle that was not closed.

A toaster on the counter in the preschool room was plugged in and accessible to children in care.

A door in the infant room that exits to the outside of the building was unable to be opened due to the mulch on the ground outside the door. The hallways throughout the facility that lead from the rooms to the exits from the facility were obstructed with furniture and equipment (2 children's tables, 3 adult benches, a playhouse, 3 cribs, a rocking chair, an infant seat, a toy storage bench, a children's bookshelf, a drying rack, a large storage tub containing blocks and multiple boxes/storage containers of supplies.)

A plastic storage bin that was cracked with a rough edge was observed under a bench in the hallway, accessible and posing a potential hazard to children in care.

There were (2) large stuffed animals with removeable eyes and labeled for use by children ages 3 and up observed in the infant room, accessible to children under age 3.

The record for child #2 lacked a current health report.

Medications (Ibuprofen and Anti-Monkey Butt w/Calamine) in the 2YO room were not labeled for the children for whom the medications were intended.

Written consent for administration of medications (Ibuprofen and Anti-Monkey Butt w/Calamine) observed in the 2YO room were not provided by a parent.

The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous health assessment.

The facility's emergency plan did not provide for the continuity of operations. The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03.

Emergency contact information for child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for child #1 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During a supervision assessment at 1:50 PM, naptime, a young toddler was observed sleeping with a blanket covering her face, so that she was not being properly supervised.

There were 2 missing toilet bolt covers on the toilet in the Green Square toilet stall in the preschool bathroom.

There was a cracked bin with sharp edges in the toddler room containing play people figures.

The two most recent health assessments on file for Child #3, who is a preschool age child, are dated 3/10/22 and 7/12/23, more than 1 year apart.

The immunization record on file for Child #2, who is 20 months old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age.

There was a bottle of liquid Tylenol in the Baby Land classroom labeled for use by child #2 which did not have written parental permission to administer.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

The child service report on file for Child #2 is not dated, so it is unknown if it was completed timely.

The emergency contact form on file for Child #1 does not include the child's policy number for the child's health care benefits.

The file for Staff person #2 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

The file for Staff person #2 includes a signed disclosure statement that is not dated, making it invalid.

The current emergency plan on file does not include the required updated of volunteer emergency preparedness training and continuity of operations, which were required as of 7/1/22, as per Announcement C-22-04.

There was an outlet cover missing on the 2 year old room in the dramatic play area.

There was a fence pole in the upper corner of the outside play space that did not have a cap on it, with sharp edges on the exposed metal pipe and a sharp metal fence wire sticking up several inches from the middle of the fence pole.

There was no handwashing sign at the first sink in the first bathroom.

The most recent health assessment on file for Child #4, who is 3 years old, is dated 2/24/21, more than 12 months ago.

The current immunization record on file for Child # 2, who is 16 months old, includes 3 of 4 Pneumococcal vaccinations recommended for a child this age by the ACIP. The most recent influenza vaccination on file for Child #4, who is 3 years old, is dated 11/14/19, more than 1 year ago, which is recommended annually by the ACIP.

The file for Child #3, who has no immunizations, does not include a written exemption from the parent, citing a religious belief or strong personal objection equating to a religious belief.

According to the submitted fire drill log, fire drills were held on 12/23/21 and 3/1/22; and 9/23/21 and 11/24/21, more than 60 days apart.

According to the submitted 30 day test log for the interconnected smoke detectors, the detectors were tested on 10/19/21 and 11/19/21, more than 30 days apart.

The emergency contact form on file for Child #1 does not include the work address or telephone number for the enrolling parent.