Cynthia K Francks Child Care

On June 18 around 8:30 am, Staff # 2 did not claimed child #1 during the supervision and ratio check.

There was a bag of Potting Mix label "keep out of reach of children." accessible to children in the playground. There was a hand sanitizer label "keep out of reach of children." accessible to children in on top of a cabinet on in the SA room. There was a Coppertone Sun protector label "keep out of reach of children." accessible to children in a cubby in the OT room.

There was a trash can without a lid that contained trash that has been contaminated with human secretion in the SA room.

The first aid kit in the SA room lacked gloves.

There were 3 cracked bins in the SA room. There was a cracked bin in the preschool room. The red 6 seat buggy was cracked in 3 different spots.

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

The most recent smoke alarm testing was 7/19/24, which is more than 30 days prior.

At approximately 11:15 am, 9 children, two staff, and a therapist were observed playing the indoor gross motor space. Staff #1 named 6 children as being in their assigned group: including 1 preschool aged child and 5 older toddlers. Staff #2 stated that they did not have a group of assigned children. Staff #2 stated that she was responsible for the whole group of children. When asked to name all the children, Staff #2 was unable to name all the children therefore, leaving three older toddlers that were not named as part of an assigned group of children.

There were 2 nails sitting under the girl's bathroom unlocked counter accessible to children.

There was peeling paint on the right side of the building wall by the table in the playground. Three was damaged plaster on the girl's bathroom wall.

There was a cracked Castle slide in the playground. There was a cracked sand box toy and 2 foam blocks with teeth marks in the pre-k room. There were 2 cracked baskets in the YT room. There was a cracked bin and 2 cracked wooden fire station toys in the OT room. There were 2 cracked baskets in the preschool room.

The operator was not maintaining a medication log for a prescription medication, Albuterol Sulfate Inhalation Aerosol For child # 3.

There were 2 gallons of milk and 1 yogurt plastic tub on top of the cubbies in the OT room.

The file for staff #1 contained a current fire safety training dated 1/12/24 that was obtained pass a year from the previous fire safety training certificate dated 10/7/22.

The file for child # 2 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The files for child # 1 and 2 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

The file for staff # 1 lacked 6 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

Staff #1 was observed to be using harsh, demeaning language in the presence of children. Corroborating statements from the Staff interviewed attest to Staff #1demeaning and harsh language used in the presence of children.

Corroborating statements from the Staff interviewed confirmed that Staff #1 does single out and threaten the children in care.

The file for Staff # 2 lacked verification of completion of the updated health and safety training.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR).

The file for Staff #1 contained a volunteer disclosure statement. The file for Staff #3 contained a State Police request that was obtained after their date of hire and therefore incorrectly provisionally hired. Staff #3 was observed to be working alone in the Young Toddler Classroom unsupervised without all clearances in their file.

Observed a laminator that had a metal cutting blade on the back that was accessible to the children in care and created a cutting hazard.

Observed a surge protector with three missing protective outlet covers in the Preschool Classroom. These outlets were accessible to children 5 years of age and younger.

Observed hand sanitizer labeled, "Keep Out of Reach of Children, " in an unlocked low drawer in the Young Toddler Classroom that was accessible to the children in care.

The first aid kit in the Older Toddler Classroom lacked nonporous gloves.

Observed multiple large weeds sticking through the metal fence and various pieces of garbage in the outdoor play space that created a tripping and tangling hazard to the children in care.

Observed a large play structure that had foam flooring underneath it in the Indoor Gross Motor space that was obstructing the exit from the facility.

Observed a wooden easel in the Preschool Classroom that had multiple small metal tacks that were sticking out in the back creating a cutting hazard for the children in care.

The Health Report for Child #3 lacked a signature by a physician, physician's assistant or a CRNP or the individual's professional title.

The Health Report for Child #1 and #2, both enrolled for more than 60 days, did not contain documentation of an influenza vaccination as required based on the child's age as per the ACIP recommended schedule.

The file for Child #4 lacked parental permission for Infants Motrin.

The file for Staff #4 contained a Health Assessment that was deemed unacceptable.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

Located in the Preschool Classroom were two spray bottles that did not specify the contents. Staff disclosed that it was a disinfectant.

The first aid kit located in the Young Toddler room lacked nonporous gloves.

Located in the Preschool Classroom was a low hanging chalkboard that had a detached trim piece on the right side creating a pinch point. In the Preschool Classroom there was a metal cabinet that had rust along the bottom creating a rough edge.

The file for Child #1, an infant, lacked a written formula and feeding schedule obtained from the parent.

The Emergency Contact information was not present in the Young Toddler Room for Child #3. The Emergency Contact information was not present in the Older Toddler Room for Child #2. The children were present and receiving care in those rooms.

The Health Report for Child # 1 lacked a signature by a physician, physician's assistant or a CRNP and the individual's professional title.

The Health Report for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The report for Child #3 lacked a 4th dose of DTAP and a influenza vaccination.

The Emergency Contact Form for Child #2 and #4 lacked the address of the child's physician.

The Health Report for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The report for Child #3 lacked a 4th dose of DTAP and a influenza vaccination.

Based on review of the facility's fire drill log, the school-age room was listed as the hypothetical location in both February and March 2022.

Both the state police clearance rap sheet and the FBI rap sheet in the file for staff person #1 included a charge that was missing a disposition and grade. The staff person was within their 45-day provisional period, but was observed in the hallway alone with 4 young toddlers

There was a black shoulder bag sitting on a wooden toy in the hallway, making it accessible to the young toddlers playing in the hall at the time of the inspection.

The bottom of one of the letters of reference in the file for staff person #2 was blurred, so the date and signature was not visible.

The child abuse clearance in the file for staff person #1, who was observed caring for children in the preschool room at the time of the inspection, was for volunteer purposes.

In the young toddler room, there was a stack of cots on coasters that was obstructing the doorway leading from that room into the older toddler room.

The last emergency plan training in the file for staff person #1, observed at the facility at the time of the inspection, was dated 10/7/2020.

There was a bottle of hand sanitizer sitting on a low shelf in the preschool room, making it accessible to the children in care at the time. The directions included instructions to keep out of the reach of children.