Cora After School at Northwood

Certification rep reviewed staff #1 file and observed staff #1 did obtain one hour health and safety update.

During the renewal inspection certification rep did not have access to staff files; files are not located on site.

Certification rep reviewed staff #3 file and observed staff #3 has only 1.1 years of reexperience on file and was observed working alone unsupervised at the time of the renewal inspection.

During the renewal inspection certification rep did not observe a written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

At the time of renewal, certification rep observed rooms 130, 129 and 131 missing a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every childcare space and shall accompany a staff person who leaves on an excursion with children.

During the renewal period certification rep observed additional noncompliance during a follow-up visit, Staff #6 was observed working alone with children with an incomplete record, staff # 6 was missing on record: 10-hour health and safety training, Pediatric first aid and CPR training, verification of employment, emergency plan training, date of tb results on the physical examination form. Staff #6 start date: 10/24/23.

During the renewal inspection certification rep did not observe certificate of compliance posted in a conspicuous location used by parents.

At the time of renewal inspection, file of staff person #4 did not include NSOR Certificate. File of staff person #6, who is a provisional hire, did not include signed Disclosure statement and verification that staff person #6 applied for NSOR certificate and FBI required by DHS.

At the time of renewal inspection observed 16 older school age and 37 young school age children with three staff in gym.

At the time of renewal inspection, document that staff person #4 and #6 received training regarding the emergency plan at the time of initial employment was not observed. Record of staff person #2 and #3 did not include verification that staff participates in emergency plan training at least annually. Last emergency plan training on file for staff person #2 and #3 was from 9/8/21.

At the time of renewal inspection, health report of child #2 and #3 did not include a review of the child's immunized status according to recommendations of the ACIP.

At the time of renewal inspection, a health assessment of staff person #4 did not include a physical examination, an examination for communicable diseases and the results of that examination.

At the time of renewal inspection, a health assessment of staff person #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection did not receive verification that the operator sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment was not observed. In addition, the emergency plan did not contain a statement regarding 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. In addition, staff person #1, #4, and #6, who did not have completed pre-service training were observed working unsupervised in Gym.

At the time of inspection, the file for staff person #3 did not include verification of receiving annual fire-safety training. Fire Safety training on file was from 4/17/21.

At the time of renewal inspection, staff person #1, #2, #3, #4, and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR,. Staff person #1, #2, #3, and #4 First Aid and CPR training was not from a PQAS approved curriculum and the instructor was not PQAS-certified. Staff person #5 did not have pediatric first and CPR. Staff person #1, #4, and #5 have not completed pre-service training within 90 days of hire (see LIS code sheet): Health and Safety Topics.

At the time of renewal inspection file of staff person #3 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training.

At the time of renewal inspection observed 53 children with no group supervisors for every 45 enrolled children. Two group supervisors are required for the group of 48 children. Non-compliance continues from 4/4/2022.

At the time of renewal inspection, emergency contact form of child #1 did not include the work address and phone number of the enrolling parent.

At the time of renewal inspection, emergency contact form of child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of renewal inspection, file of staff person #6 and #4 did not include verification of education and/or child care experience required prior to service at the facility. File of staff person #4 did not include verification of child care experience.

At the time of renewal inspection, file of staff person #4 included just one written, nonfamily reference from individual attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection on 4/4/22 observed 48 children with no group supervisors for every 45 enrolled children. On 5/23/22 provider had 51 children in attendance, on 5/24/22 provider had 50 children in attendance with one group supervisor. Two group supervisors are required for the group of 48, 50 or 51 children. Non-compliance continues on 5/24/22.

At the time of renewal inspection, file of staff person #2, #3, and #4 did not include NSOR Certificates. Staff person #2, #3, and #4 are not provisional hire. File of staff person #4 did not include DHS required FBI clearance. File of staff person #4 had FBI PDE clearance that cannot be accepted.

At the time of renewal inspection observed working portable space heater in the director's office.

At the time of renewal inspection, written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

At the time of renewal inspection, emergency plan did not include information about accommodations for shelter of children during lock-down.

At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed.

At the time of inspection, the file for staff member #4 did not include verification of receiving annual fire-safety training.

At the time of inspection, the files for staff member #2 and #4 did not include an annual staff evaluation.

At the time of renewal inspection observed 48 children with no group supervisors for every 45 enrolled children. Two group supervisors are required for the group of 48 children.

At the time of renewal inspection, file of staff person #3 and #5 did not include verification of experience required for the position of an assistant group supervisor. File of staff person #4 did not include verification of education required for the position of group supervisor. A staff person's record shall include verification of child care experience and education prior to service at the facility.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 132, 130, 129, 128, and 127 where children were observed.

At the time of renewal inspection, file of staff person #2 and #5 included only one reference, file of staff person #3 and #6 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection file of staff person #1 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. File of staff person #1 included only 3 hours of training.