Childrens Journey

During a renewal inspection on 4/4/25-4/7/25 Cert rep noted Staff 1 did not renew their Child abuse clearances within 60 months. This is evidenced by child abuse clearances dated 7/12/19 and 9/16/24.

During a renewal inspection 4/4/25 Cert rep noted the facility's emergency plan did not address continuity of operations.

During a renewal inspection on 4/4/25 Cert rep noted an accessible electrical outlet in the bathroom of the toddler room did not have a protective outlet cover. Children in this room are under the age of 5.

During a renewal inspection on 4/4/25 Cert rep observed the Preschool excursion first aid kit did not have a water bottle.

During a renewal inspection on 4/4/25 Cert rep observed uneven sections of concrete resulting from a tree root pushing the concrete up in the outdoor playspace. This is a tripping hazard.

During a renewal inspection on 4/4/25 Cert rep noted tears in the brown couch in the small preschool room, tears in the blue mat in the toddler room. Cert rep also observed an exposed screw with an accessible sharp point on the stairs going into the left main entrance of the facility.

During a renewal inspection on 4/7/25 Cert rep noted Child 3(young toddler)'s most recent health assessment was dated 9/25/24. This is more than 6 months old. (see code sheet for date of birth).

During a renewal inspection on 4/4/25 Cert rep observed three expired diaper creams in the toddler room: Aquaphor(expired 10/2024), Desitin (expired 2/2024), and Zinc Oxide Cream (expired 10/2024)

During a renewal inspection on 4/4/25 Cert rep observed the trash cans used for the disposal of soiled diapers in the toddler and infant rooms were not handsfree due to the hand-free mechanisms being broken.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted more than 24 months between health assessments for the following staff: Staff 2(8/13/21 & 3/5/24), Staff 4 (5/30/22 & 2/28/25), Staff 5 (12/6/22 & 2/25/25) and Staff 6 (2/18/22 & 4/26/24).

During a renewal inspection 4/4/25 Cert rep noted the facility's emergency plan did not address lockdown emergencies or accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During a renewal inspection on 4/4/25 Cert rep noted an annual traffic letter was sent on 4/4/25. This is more 12 months since the previous letter sent 3/20/23.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted the most recent staff evaluation for Staff 3, 4, 6 and 7 was completed on 3/4/24. This is more than 12 months since the previous staff evaluations.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted Staff 1 had a high school diploma, transcripts for 2 early childhood education certificates from an accredited college, and 7 years of childcare experience on file. Staff reported obtaining an associate's degree in early childhood education, however verification of the degree was not on file. Staff 1 has been working as director.

During a renewal inspection on 4/4/25 Cert rep noted the facility's general daily schedule, supervision policies, and transportation policies were not being provided to parents at the time of enrolment.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted Child 1's fee agreement did not have arrival and departure times of the child.

During a renewal inspection on 4/7/25 Cert rep noted Child 4 did not have a phone number/contact information for the child's emergency contact.

During a renewal inspection on 4/7/25 Cert rep noted Child 5 did not have the name of the child's physican/medical care. Child 3's emergency contact did not have the health insurance policy number.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted Child 1's emergency contact form did not have home address, work address and work phone number for the parents.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted Child 2's emergency contact form did not have addresses for the release persons and Child 5's emergency contact form did not have phone numbers for the release persons.

During a renewal inspection on 4/4/25 Cert rep observed Child 1's emergency contact form was not present in the small preschool room while Child 1 was receiving care in that room.

During a renewal inspection on 4/4/425 Staff reported that children's emergency contact forms are not taking with staff during transportation of school aged children to and from school. Staff reported that the emergency medical transportation plan was not taken with staff when children left for transportation, excursions or field trips.

During a renewal inspection on 4/7/25 Child 4 did not have consent for emergency medical care and administration of minor first-aid procedures by facility staff.

During a renewal inspection on 4/7/25 Staff reported that only the most current fee agreements for enrolled children are in the files. Staff reported previous (initial and subsequent) fee agreements for all children currently enrolled were removed from the files and are no longer able to be accessed.

During a renewal inspection 4/4/25 Cert rep observed the facility did not have a means to access the 3270 regulations electronically.

During a renewal inspection 4/4/25-4/7/25 Cert rep noted Staff 4 (Training year 9/2023-9/2024) and Staff 7 (Training year 8/2023-8/2024) only completed 9.5 hours and 10.5 hours respectively during their training years.

During an unannounced inspection on 2/24/25 Cert rep noted 3 incidents of more than 30 days between fire detection testing: 6/14/24-7/18/24, 9/21/24-10/22/24, and 1/3/25-2/3/25.

During an unannounced inspection on 2/24/25 Cert rep observed Child 1 had an injury/incident report dated 2/14/25 in the facility accident, injury, illness file, but there was not a copy in the child's file. Staff reported that the facility was not maintaining a copy of accident, injuries and illness reports in the children's files.

During a complaint investigation on 5/21/24, it was observed upon entering the infant room that 2 infants were sleeping in two separate swings which is not the sleeping position recommended by the AAP. There was no documentation provided by the facility showing there was a medical reason that the children were sleeping in this position.

During a complaint investigation on 5/21/24, it was observed in the toddler room that there was not at least 2 feet of space on at least 3 sides of the rest equipment in use by the children.

It was stated by facility staff that on 5/15/24, staff person #1 left for the day leaving staff person #2 alone at the facility with child #1 and child #2 from approximately 5:20-5:30pm.

On 5/15/24, it was observed on video that child #1 was able to leave the SA room in a walker alone, go through the kitchen space, and then fall down 3 stairs before staff person #1, who had the child in their primary care group, noticed that the child left the room. According to the video and statements, there was approximately a 60 second lapse in time between the child leaving the room to the staff recovering the child from the fall in the walker. In addition, during the complaint investigation on 5/21/24, it was observed in the PreK room that staff did not establish their primary care groups. There were 17 children present with staff #3, #4, and #1. When asked, only staff person #3 stated that they had a care group and the responsibility of 5 children in that child care space. The other 12 children were not assigned to a care group.

On 5/16/24, information was received regarding a child in care at the facility being taken to a hospital to receive emergency medical care on 5/15/24. Staff at the facility were questioned on 5/21/24, and the facility was aware of the child's treatment at the ER. However, the facility themselves did not report this event within 24 hours to the NE regional office and did not provide a written report of the incident within 72 hours as required.

It was observed that the SA room leads directly into the kitchen space with 2 doors present between the kitchen and the SA room. Only one of the two doors contained a childproof lock to limit access to that kitchen space. Through the kitchen space there is a doorway that leads down a small set of 3 stairs to the hallway of the lower level of the building. It was observed that child #1 made their way through the kitchen space in a walker and fell down these stairs while in that walker. There was nothing limiting the child's access to both the hazards in the kitchen space or the hazards of the stairs while in the mobile walker.

It was observed that child #1 had visible injuries to their face after falling down 3 steps while in a walker, but the facility stated they did not provide to the family an incident report the day of the incident.

On 4/16/2024, rest cots in the toddler room were numbered, but there was no chart in the room to show what cots were labeled for the use of a specific child.

On 4/19/2024, the most recent health report on file for Child #2 was dated 3/21/2023. The most recent health report on file for Child #3 was dated 12/13/2022. Both children are young toddlers.

On 4/16/2024, an inhaler was observed in the medication bag in the Pre-K Counts classroom that did not contain the prescription label or any label with written instructions for administration from the individual who prescribed the medicine.

On 4/16/2024, Staff #1 had a current health assessment on file dated 4/7/2024. However, the previous health assessment that was on file for Staff #1 was dated 8/2/2021.

On 4/19/2024, Child #1, an infant did not have an initial health report on file. See LIS code sheet.

Staff #2 now has current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) as of 4/17/2024. However, the previous certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file for Staff #2 expired on 3/31/2024.

Staff #3 did not complete the required pre-service health and safety training within 90 days of hire. It was completed on 3/20/2024. See LIS code sheet.

On 4/16/2024, the preschool classroom did not have a written schedule of daily activities posted.

On 4/19/2024, the emergency contact information for Child #2 did not include the address and telephone number for the individual that was designated by the parent as a release person. See LIS code sheet.

On 4/19/2024, the emergency contact information for Child #2 did not include signed written parental consent for emergency medical for the child and also did not contain signed written parental consent for administration of minor first-aid procedures by facility staff.

On 5/2/2023, Staff #7 had a volunteer child abuse clearance on file. Staff #2 had current clearances on file. However, the state police and child abuse clearances for Staff #2 were dated 1/9/2023. Staff #8 had current clearances on file. However, the state police and child abuse clearances were updated on 9/16/2022 and the DHS FBI clearance was updated on 9/20/2022. The previous clearances on file for Staff #8 were dated as follows: 6/14/2017 for the state police and DHS FBI clearances and 6/20/2017 for the child abuse clearance. See LIS code sheet.

On 5/2/2023, the file for Child #1 did not include documentation of any of the immunizations according to recommendations of the ACIP. Child #2 did not have did not have documentation of the following up-to-date immunizations on file: Rotavirus, DTAP, HIB, Pneumococcal and Polio as recommended by the ACIP. Child #4 did not have documentation of the annual influenza immunization as recommended by the ACIP. The files for Child #1, Child #2 and Child #4 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

On 5/2/2023, the health assessment with a tuberculosis screening required at initial employment on file for Staff #1 was dated 8/26/2021. Staff #2 did not have an initial health assessment with a tuberculosis screening conducted until 1/13/2023. See LIS code sheet.

On 4/19/2023, two expired booster seats were observed inside the vans at the facility that are used to transport children. The instructions on these two booster seats read do not use this child restraint after 2020.

On 5/2/2023, Child #1 did not have an initial report or immunization record on file. Child #3 did not have an initial health report on file. See LIS code sheet.

Staff persons #2, #3, #5, #6, #8, #9, #10, #11, #12, #14 and #15 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. These were all completed at the time of the inspection.

Staff persons #2, #3, #7, #11, #13, #14 and #15 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Staff persons #2, #11, #14 and #15 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet). They all had the mandated reporter training completed at the time of the inspection.

On 4/19/2023, the written plan of daily activities was not posted in the preschool classroom.

Staff persons #2, #11, #14 and #15 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). They each completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 1/14/2023.

During the Renewal Inspection on 4/19/2022, an aboveground swimming pool was observed on the outdoor playground at the facility. It was observed that the pool sides are collapsing, that dirty water was in the pool, and there was nothing around the pool to make it inaccessible to children.

During the Renewal Inspection on 4/19/2022, peeling and chipped paint was observed near the door and the windows to the small building located on the outdoor playground. Cracked and rotted wood was also observed near the windows.

Child files were reviewed on 4/19/2022. There were not any immunizations documented after May 22, 2018 on file for Child #1.There also was not an exemption from immunization for religious belief or strong personal objection equated to a religious belief documented by a written, signed and dated statement from the child's parent or guardian on file for Child #1 to exempt Child #1 from being immunized according to recommendations of the ACIP. See code sheet for date of enrollment.

During the review of staff files on 4/19/2022, it was observed that each of following staff: Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 have not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). All five of these staff members been employed at the facility for longer than 90 days. See code sheet for dates of hire. In addition, the certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file for Staff #6, Staff #7 and Staff #8 expired on 3/31/2022.

During the review of staff files on 4/19/2022, it was observed that each of following staff: Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 have not completed professional development in the required health and safety basics. All five of these staff members been employed at the facility for longer than 90 days. See code sheet for dates of hire.

During the review of staff files on 4/19/2022, it was observed that each of following staff: Staff #1, Staff #3, Staff #4, and Staff #5 have not completed an approved mandated reporter training. All four of these staff members been employed at the facility for longer than 90 days. See code sheet for dates of hire.

On 4/19/2022, Staff #8 and Staff #9 did not have written evaluations on file that were completed within the previous 12 months.

During the Renewal Inspection on 4/19/2022, the written plan of daily activities was not posted in the school age classroom and was also not in the preschool classroom.

Child files were reviewed on 4/19/2022. The record for Child #1, Child #2 and Child #3 did not contain signed parental consent for emergency medical care for the child. These records also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See code sheet for dates of enrollment.

A Complaint Inspection was conducted on 10/19/2021. There were 12 Trix yogurts labeled with a use-by date of 10/4/2021 observed in the the refrigerator at the facility.