Crayon Clubhouse III

At approximately 11:00am, in Rm 2 after a diaper change, a staff person was observed holding an older toddler up to the portable camping sink to wash their hands due to lacking a platform or steps for the child to use. In Rm 3, which cares for young toddlers, the sink used to wash children's hands after diapering was observed to lack a platform or steps for the child to use.

The child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 2/21/25 which was conducted more than 6 months from the previously dated 2/20/24 health report on file.

The child file for Child #2, who is a preschool age child, lacked an updated health report; the last health report on file is dated 2/23/24 which is more than 12 months old. The child file for Child #3, who is a preschool age child, was observed to contain an updated health report dated 1/9/25 which was conducted more than 12 months from the previously dated 12/7/23 health report on file.

The staff file for staff person #1 contained a health assessment dated 12/18/24 that was deemed unacceptable due to the date, physician's signature/title, printed name, and the Mantoux test date appear to have been altered using white-out.

The staff file for Staff person #1 who is functioning as a Group Supervisor, lacked a bachelors degree.

The child file for Child #2 contained a current child service report dated 1/13/25 that was not completed every 6 months from the previous report dated 3/28/24.

The child file for Child #3 contained a current financial agreement form that lacked the child's admission date.

The child file for Child #4 contained a current emergency contact information form that lacked the addresses for two of the designated release persons listed.

The child file for Child #4 lacked a financial agreement form.

The letter to the parents explaining the emergency procedure does not address annual emergency drills, lockdown, and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility has not conducted an emergency drill on an annual basis as evidence by the most recent emergency drill documented at the facility was dated 9/20/23.

Upon review of the facility's fire drill log the fire drill conducted on 7/10/24 lacked the time of day it was conducted.

The staff file for staff person #1 was observed to lack one nonfamily reference.

In Rm 1, at approximately 10:50am, 2 staff and 7 children of mixed ages (older toddler and preschool age) were observed. During the onset of supervision and ratio, Staff person #1 identified and named all 7 children. When Staff person #2 was asked to identify and name the children they were responsible for Staff person #2 said they were just a floater and did not claim responsibility for any children. Staff #1's group exceeded ratio because of their group size.

Child file #1 lacked an updated health report every 6 months as required for a young toddler as evidenced of the health report dated 8/21/23. (See LIS CODE SHEET)

Child file #1 lacked the child's admission date on the agreement form.

Child file #2 lacked signed written consent by a parent on the emergency contact form for emergency medical care for the child while in care.

Child file #2 lacked signed written consent from parent on the emergency contact form for administration of minor first-aid procedures while the child is in care.

Per staff statements and documentation, on 6/29/23 Child #1 developed a skin irritation on their arm, leg and stomach. It was determined that the skin irritation may have been caused from the child being placed on the changing mat before the sanitizing solution of bleach water was completely dry.

Per staff statements and documentation, on 6/29/23 Child #1 developed a skin irritation on their arm, leg and stomach. It was determined that the skin irritation may have been caused from the child being placed on the changing mat before the sanitizing solution of bleach water was completely dry.

The crib sheets in the pack n play where an infant was sleeping were loose and pose a suffocation hazard for the infants while sleeping.

The facility had plastic bags with play food and children's extra clothing in that were accessible to the children in care who are still putting objects in their mouths.

The facility lacked a written feeding schedule including formula for Child #2 and the bottles for Child #2 lacked labels with child's name on the bottles. (See LIS CODE SHEET)

Child file #1 lacked the health insurance coverage and policy number for a child on the emergency contact form.

The facility lacked an emergency contact form for Child #2 in each child care space for which the child was receiving care.

Staff file #1 lacked documentation of the staff persons education prior to hire at the facility. (See LIS CODE SHEET)

The facility lacked a statement regarding the continuity of operations in the event of an emergency and a plan to train volunteers on the emergency plan as per Announcement C-22-04 Updated Emergency Preparedness and Response Planning Regulations and Requirements.

The gutter on the outside of the building was broken allowing run off from the building to flow and pool on the pads in the outdoor play space.