Cynthia Francks Childcare

There was a Sanitizer, an equate Daily Moisturizer lotion and Fresh Cream Body lotion label " Keep out of reach of children" in the lower unlocked metal cabinet in the preschool room accessible to children. There was a GOOGONE label " Keep out of reach of children" in the lower unlocked metal cabinet in the OT room accessible to children. There was a Coppertone sunscreen and a Tylenol label " Keep out of reach of children" in the OT room cubbies accessible to children.

Ther was an unlabeled water bottle with yellow liquid in the stroller that was parked on the hallway.

The first-Aid kit in the preschool room lacked soap and tape.

There was a cracked bin in the YT room. There were 2 cracked bins in the preschool room. There was a broken tricycle in the playground. The red stroller floor is damage.

There were 2 cots in the YT that did not have at least 2 feet of space required on three sides of a cot.

The thermometer in the kitchen refrigerator is not operable.

Staff # 3 did not wash the child's hands after diapering.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

The file for child # 1 contained a current health report dated 9/26/24 that was provided after 60. The child was in care longer than 60 days without initial health report.

The OT and the YT room lacked an emergency transportation plan.

Per staff statements, Child #1 received an injury on 3/28/24. The incident report was completed the following day and placed in the child's classroom mailbox for Child #1's parent.

Base on staff statements, staff have been out of ratio in the morning and end of day, when mixed age groups are combined.

The sink by the changing table in the OT room is pulling off the wall.

Based on staff statement the children have not been taken outside daily.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: PQAS first aid and CPR.

Staff #1 was observed provided care for children alone without a valid FBI clearance on file. Staff #1 was a provisionally hired employee.

Observed staff #1 leave the Older Toddler room for a break at naptime when 8 older toddlers were in care but they were not all on their mats and sleeping at the time. More than one child was awake.

Staff person #2 has not completed the following required pre-service training within the designated time frame set by OCDEL (12/2022) (see LIS code sheet): health and safety update.

Based on staff statements, staff #1 raised her voice and yelled directly at a child on at least two occasions in December 2023.

Based on staff statements, staff #1 raised her voice and yelled directly at a child on at least two occasions in December 2023.

The Fire Detection Letter attesting to the operability of the Fire Detection System at the facility had not been updated in the previous year. The facility had not been testing the system every 30 days upon expiration of the letter.

The file for staff person #1 did not contain documentation of being fingerprinted for an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The FBI clearance is dated 9/9/22.

The child abuse clearance on file for Staff person #1 was obtained for volunteer purposes, making it invalid (See LIS Code Sheet).

The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, required as of 7/1/22, as per Announcement C-22-04.

The ABC rug and the World Map rug in the preschool room was frayed and curled on the edges and corner, causing a tripping hazard.

There were 2 foam blocks in the young toddler room that had teeth marks in them.

The most recent influenza vaccination on file for Child #1, who is 5 years old, is dated 11/26/18, more than 1 year ago, as recommended annually for a child this age. The immunization record on file for Child #2, who is 4 years old, includes 0 of 1 recommended MMR immunizations recommended for a child this age by the ACIP; 0 of 1 Varicella immunizations recommended for a child this age by the ACIP; and 0 annual influenza vaccines recommended annually for a child this age by the ACIP. The immunization record on file for Child #3, who is 16 months old, includes 3 of 4 recommended Pneumococcal immunizations recommended for a child this age by the ACIP. The immunization record on file for Child #4, who is 15 months old, includes 0 Influenza immunizations recommended annually for a child this age by the ACIP.

Staff were observed changing diapers in the young toddler room and not washing the child's hands following the diaper change.

There were infant feeding bottles for 2 infants that were not labeled with the name of the child for whom they were intended.

There was no written daily activity schedule in the middle school-age room.

The two most recent child service reports on file for Child #3 are dated 2/23/22 and 9/1/22, more than 6 months apart. The two most recent child service reports on file for Child #5 are dated 3/1/22 and 10/6/22, more than 6 months apart.

The emergency contact form on file for Child #1 does not include the complete address for the child's pediatrician/source for medical care.

In the young toddler room, the cabinet under the changing table had multiple toxics labeled "Keep out of reach of children," and had the handle broken preventing the lock on the cabinet from keeping the cabinet closed, resulting in the toxics being accessible to children.

In the young toddler room, the cabinet with the first-aid bag was unlocked resulting in the first-aid kit being accessible to children.

The exit door to the front sidewalk in the young toddler room was unable to be opened, and the exit door to the front sidewalk in the older toddler room was sticking to the doorframe, obstructing the door from being opened.

In the infant room, there was Infants' Tylenol for child #1 that lacked written parental consent for administration of the medication.

The parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.