Cynthia K Francks Child Care II

The letter to the families explaining the emergency plan did not include information regarding annual emergency drills.

There was a hand sanitizer, labeled keep out of reach of children, on a shelf in reach of children on the stage in the gym. The stage is accessible to children by unobstructed stairs.

There was a window in the second floor Pre-K room, accessible to school-age children who receive care in the room, that was not restricted to opening less than 6 inches.

The steps to the stage in the gym were accessible to children in care, allowing children access to stage. There was no railing or other barrier preventing a child from falling from the stage to the floor of the gym.

There was a small spot of peeling paint in the Pre-K room on a wall under the last window on the right when facing the windows.

There was a ball in the gym with small pieces of the ball's outer layer detaching, creating small removable pieces that present a choking hazard.

There was a child sleeping on a mat in the infant room that was no labeled with the child's name.

The bottom of the refrigerator in the information was not clean.

The initial health assessments on file for children #1, #4 and #5 were each completed more than 60 days after the respective child's start date.

The most recent health assessment on file for child #3 was completed more than 6 months prior.

The current health assessment on file for child #2 was not signed by a physician, physician's assistant or a CRNP.

The health assessment on file for child #2 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Documentation of firesafety training on file for Facility Persons # 2 and #4 indicate that the current firesafety training was completed more than 12 months after the previous firesafety training.

Facility Person #5 was classified as an assistant group supervisor based on completion of high school and 2 years of child care experience. The experience documented on file was not child care experience.

The emergency contact form on file for child #1 did not include the addresses of all release persons. The release persons listed on the agreement for child #6 were not listed on the child's emergency contact form on file.

The emergency contact form on file for child #1 did not include the physician's phone number.

Child records were not stored in a locked cabinet.

The facility persons' records were not stored in a locked filing cabinet.

There was documentation of 8 hours of child care training on file completed during the most recent review year for Facility Person #2.There was documentation of 2 hours of child care training on file completed during the most recent review year for Facility Person #4.

The file for staff person #2, who is beyond their 45 day provisional period included an FBI clearance that indicated charges, but there was no rap sheet attached.

At the time of the inspection, the continuity of operations could not be located in the facility's emergency plan.

The letter provided to parents explaining the emergency plan did not include information regarding lockdown procedures, accommodations for infants and toddlers and accommodations for children with special needs or chronic medical conditions.

The hot water temperature at the sink in the gym restroom, which is accessible to children, was 120° F.

There was no thermometer in the refrigerator in the toddler room.

According to documentation in the classroom, a child in the infant room was diapered at 9:00AM, then napped until 11:30am. According to statement of room staff, as of 11:55 the child's diaper had not yet been changed.

The menu was not posted at least a week in advance.

There were no written feeding schedules from the parents of eight enrolled infants.

There were two infant bottles not labeled with the child's name in the refrigerator in the toddler room.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

The disclosure statement in the file for staff person #1 and #3, both from a substitute staffing agency, was signed when they were hired at that agency. They did not sign a disclosure statement when they began working at the child care facility.

In an unlocked closet in the bathroom used by school-agers on the second floor, there was a bottle of "Damp Mop" detergent on the floor, making it accessible to the children in care.

The number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted in the infant or preschool 1 room. The list of emergency phone numbers posted in the toddler and preschool 2 room did not include a listing for "ambulance."

There was a cord lying across the floor of the path that leads from the older toddler are to the younger toddler area in the toddler room, causing a potential tripping hazard.

The only health assessment in the file for staff person #3 was dated more than 24 months ago.

The manufactures' instructions for use of safety restraints was not in one of the two facility vans used daily to transport school-agers.

The facility did not have proof of purchase of the fire detection system.

The last two evaluations in the file for staff person #2 were dated in 2019 and 2022. The staff person was on leave during the time an updated evaluation was due, but one was not completed until 3 months after they returned.

The most recent emergency contact information in the file for child #3 includes a policy number for the child's health insurance but listed "none" for the name of the insurance coverage.

The emergency contact information in the file for child #1 did not include a complete address for the three release persons listed, as there was no house number or street name.

The last 2 updates in writing by a parent on the emergency contact information in the file for child #2 were dated approximately 12 months apart.

The paperwork for staff person #1 and #3, both hired from a substitute staffing agency, were maintained in a single folder.