Crayon Castle Child Care Center INC

On 10/15/24, observed 12 older toddlers in the toddler room with staff #4 and 5. Observed staff #4 walk out of the room and down the hall and out the back door for approximately one minute. This left staff #5 alone in the room with 12 older toddlers. Ratio 1:12.

The operator did not inform parents of enrolled children of a suspected outbreak of lice in the facility.

Per document review and staff statements, children with symptoms of lice were not excluded from child care until the child was no longer considered a threat to the health of others.

Per document review and staff statements, staff with symptoms of lice were not excluded from child care until the staff was no longer considered a threat to the health of others.

The first aid kit in the school age room lacked nonporous gloves.

In the 3- 4-year-old room, observed a blue bin of toys on the toy shelf. The hard plastic blue toy bin was cracked causing a pinch and crush point to the children in care.

In the 2-3 year old room, observed foam blocks with teeth marks in them on a toy shelf and foam letters in a clear bin with a white plastic lid.

There was more than 30 days between manual checks of the fire detection system. This is evidenced by the fire detection checks on file which are dated 5/3/24 and 6/3/24.

There was more than one year between fire safety trainings on file for staff #3. This is evidenced by the fire safety trainings on file with dates of 4/17/23 and 6/13/24.

The revised 10-hour health and safety training on file for staff #2 was completed on 9/19/24 which was more than 90 days past their hire date. SEE IS CODE SHEET.

The operator lacked updated sections in their emergency plan that addresses the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

The operator's letter to the parents of enrolled children explaining the emergency plan procedures was not updated to include the update regarding the accommodations for infants, toddlers, children with special needs and medical conditions.

The school age room had shaving cream that stated "keep out of reach of children" on the label and was intended to be used in arts and crafts with the children.

The first aid kit located in the preschool 5's room lacked nonporous gloves in the kit.

The operator lacked a section addressing the prevention and identification of Child Maltreatment in their Shaken Baby syndrome, abusive head trauma and child maltreatment policy and procedure to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03.

The file for staff person #2 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 7/20/20 and 8/25/22.

The file for staff person #1 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) within 90 days of hire. The health and safety training in the file is dated 8/31/22.

Staff persons #1, #2, and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started with Center Based Care: Building Blocks for Quality.

Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for child #1 lacked verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

The facility lacked proof of purchase of all interconnected fire detection devices. The fire panel and 5 interconnected smoke alarms were replaced in 2019 and proof of purchase is on file.However, not all of the facility's interconnected smoke alarms were replaced at that time and their proof of purchase is not on file.

The facility's emergency plan lacked a plan that provides for shelter of children during lock-down and a plan that provides for accommodations for infants, toddlers and children with disabilities.

The operator did not sent a copy of the emergency plan to the local municipality.

The Pediatric CPR/First Aid training on file for staff #1 expired 9/19/19.

The file for staff #3, 4 and 6, all who have been employed for longer than 90 days, lack the required Pediatric/First Aid/CPR training. The file for staff #4, with start date of 6/9/21, lacked health and safety training within 90 days of start date. There is now health and safety training on file and dated 9/8/21.

The files for staff #2 and 5 acked mandated reporter training within 90 days of hire. There is now current mandated reporter training on file.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

On 9/17/21, at approximately 8:15 AM, observed staff #1 and #2 outside waiting for the school bus and supervising 17 young school age children and 1 infant.