Daisy Day Care Center LLC

During renewal inspection, health assessment on file for staff person #2 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

During renewal inspection, previous certificate for pediatric first-aid/CPR training on file for staff person #5 expired on 8/31/2024 and was not renewed until 10/10/2024. Previous certificate for pediatric first-aid/CPR training on file for staff person #6 expired on 9/30/2024 and was not renewed until 10/10/2024.

During renewal inspection, fire safety certificates on file for staff person #3 and staff person #4 are dated 2/22/2023 and 4/15/2024, which is past 12 months.

During renewal inspection, staff person #3 obtained 7 hours of annual child care training for training year 12/14/2022-12/14/2023.

During complaint investigation conducted 8/8/2024, staff person #1 was not able to identify any children in primary care group. Staff #1 was covering for another staff member on break. Additionally, complaint investigation verified that staff members leave school-age children in a room to watch movies while they go into other rooms to speak with other staff members.

During unannounced monitoring conducted 8/8/2024, health assessment and TB test for staff person #2 were both dated 9/23/2022, which is over 12 months prior to initial service (see LIS code sheet for start date).

Complaint investigation conducted on 8/8/2024 verified that an inappropriate movie has been played on the facility's TV by school-age children who have access to the facility's TV remote/ YouTube.

During unannounced monitoring conducted 8/8/2024, staff person #1 and staff person #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

During unannounced monitoring conducted 4/10/2024, staff person #1 and staff person #5 were 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: Pediatric first-aid/CPR from PQAS instructor. Staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/19/2019.

During unannounced monitoring conducted 4/10/2024, staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/19/2019. Staff person #2 did not have NSOR clearance on file and was observed to be working alone in the young toddler classroom. Staff person #1 had PSP clearance request on file dated 7/20/2023, which is not an acceptable clearance. Staff person #1 also did not have NSOR clearance on file. Staff person #1 was observed to be working alone in the infant classroom.

During unannounced monitoring conducted 4/10/2024, staff person #1 was present in the infant room with 5 children. The youngest child in the infant room was 7 months old. Staff person #2 was present in the young toddler room with 7 children. The youngest child in the young toddler room was 2 years old.

During unannounced monitoring conducted 4/10/2024, health assessments on file for staff person #3 were dated 3/12/2022 and 4/8/2024, which is past 24 months. Last health assessment on file for staff person #4 is dated 12/15/2021.

During unannounced monitoring conducted on 4/10/2024, facility's fire detection testing log reflected that smoke detectors were tested past 30 days on the following occasions: 11/13/2023-12/18/2023, 1/15/2024-2/19/2024.

During unannounced monitoring conducted on 4/10/2024, staff person #1 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 from PQAS instuctor.

During complaint investigation conducted 4/10/2024, staff person #2 did not know the names of children in their group. Additionally, two school-age children were observed to be alone in a room on the second floor of the facility. Throughout the investigation, school-aged children were observed to be walking through the hallways and traveling to different floors of the facility unaccompanied by a staff member.

As of the renewal inspection on 11/29/23, staff #1 did not have clearances from a state she has lived in in the previous 5 years.

As of the renewal inspection on 11/29/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

During the renewal inspection on 11/29/23, the heater in Room 5 that is at floor level accessible to children was on and got very hot to the touch.

During the renewal inspection on 11/29/23, the ceiling tiles by the windows in room #6 were stained.

During the renewal inspection on 11/29/23, there was not two feet of space on three sides of cribs when infants were sleeping.

As of the renewal inspection on 11/29/23, accident and incident reports were not being filed in the child's file.

On 2/15/23, in the afternoon, there were 17 preschool and school-age children observed with staff #1. This number of children requires at least 2 staff persons at all times.

During an unannounced inspection on 2/15/23 in the afternoon, there were 17 preschool and school-age children observed with staff #1. Staff #1 was standing at the top of the ramp to the play space by the open door to the facility. The children were going in and out of the open door of the building, making it impossible for the teacher to supervise and be physically present with all of the children.

During an unannounced inspection on 2/15/23, staff #1 was observed working alone with 17 preschool and school age children. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training and Pediatric First Aid and Pediatric CPR.

During an unannounced inspection on 2/15/23, Staff #1 (see code sheet for hire date) was observed working alone with 17 preschool and school age children. Staff #1 did not have NSOR on file.

On 2/15/23 during an unannounced inspection, there were 17 preschool and school age children in the outdoor play space that measures for 11 children.

On 2/15/23 during an unannounced inspection, Staff #1, who was working with children, did not have a health assessment and results of TB screening on file.

On 2/15/23 during an unannounced inspection, Staff #1, who was working with children, did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

As of the renewal inspection on 11/28/22, Staff #2 did not have clearances from New York, where she has lived in the previous 5 years.

during the renewal inspection on 11/28/22, there were 9 preschoolers in a room that measures for 8, and 8 school agers in a room that measures for 7.

As of the renewal inspection on 11/28/22, Staff person #1 has a Pediatric First Aid and Pediatric CPR certificate that expired 9/16/22 (see LIS code sheet for hire date).

During the renewal inspection on 11/28/22, there was no emergency contact information in the room where child #1 was receiving care.

It was confirmed through interviews at a complaint investigation conducted on 11/17/2021 that a staff person left the school-age classroom unsupervised to get snacks and use the bathroom. The facility provided a plan of correction that stated "A staff meeting was done on 11/5/21. We reviewed and discussed some of the regulations. Also, a memo was provided to all staff members on 12/9/21 to make sure all staff understand that they must be in compliance with these regulations (children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times). We will provide supervision training on a regular basis to all staff members. We will make sure that all children are supervised by the staff at all times." The correction date given was 12/9/21. On 12/14/21, staff #1 left the classroom to answer the door, leaving the class unattended. Staff #2 left the infant room to greet the Certification Rep, leaving the room unattended.

On 11/4/21 during the renewal inspection, the cribs in the infant room were not labeled for use of a specific child. The program submitted a plan of correction that stated "Cribs are all labeled with the child's name. We will make sure labels are updated and accurate at all times." The correction date was 11/15/21. On 12/14/21 during a follow up visit, there was a three year old in a crib in the infant room that was not labeled for the child. This is an ongoing violation.

On 11/4/21 during the renewal inspection, there was no documentation of influenza vaccine in the previous year on file for child #1 (start date 9/8/20). The facility provided a plan of correction that stated "Documentation of influenza vaccine or an exemption letter will be submitted for child #1 by 12/4 or the child will be removed from care. We will have a system in place to track when updates are needed and notify parents 30 days prior to the document expiration." A correction date of 12/4/21 was given. On 12/14/21, there was still no documentation of influenza vaccine or an exemption letter and the child was in care.

On 11/4/21 during the renewal inspection, there was no emergency contact form in the toddler room for a child that was receiving care in that room. The provider submitted a plan of correction that stated "The emergency contact form was put in the classroom emergency contact folder. We will keep folders updated and in order to easily find documents." The date of correction given by the provider was 11/4/21. On 12/14/21, there was no emergency contact form for child #1 in the room where he was receiving care. There was also no emergency contact information for child #2 in the room where the child was receiving care. This is an ongoing violation.

It was confirmed through interviews at a complaint investigation conducted on 11/17/2021 that Staff #1 has left the school-age classroom unsupervised to get snacks and use the bathroom.

On 11/4/21 during the renewal inspection, the most recent disclosure statement on file for staff #1 was dated 11/16/16. Staff #2 (hire date 7/25/21) was missing FBI clearance and NSOR, and the required CPSL training and must be removed from care. Staff #3 (hire date 11/8/19) was missing NSOR and must be removed from care. Staff #6 (hire date 12/1/20) was missing NSOR and must be removed from care. Staff #7 (hire date 9/16/20) was missing a signed disclosure statement and NSOR and must be removed from care.

On 11/4/21 during the renewal inspection, there were 8 children with 1 staff in the preschool room, however, the youngest child was 2 years old requiring a ratio of 1:6. There were 14 school age children that were left several times with one staff person.

On 10/27/21 staff #1, an aide at the facility, was alone with school age children. This was confirmed through interviews conducted during a complaint investigation on 11/4/21 and 11/17/21.

On 11/4/21 during the renewal inspection, there were Clorox Wipes, hand sanitizer and Lysol spray on the sink accessible to children in the Preschool room.

On 11/4/21 during the renewal inspection, the cribs in the infant room were not labeled for use of a specific child.

On 11/4/21 during the renewal inspection, there was no immunization record on file for child #1 (start date 6/30/21) and no documentation of influenza vaccine in the previous year on file for child #2 (start date 9/8/20).

On 11/4/21 during the renewal inspection, staff #3 was observed changing three diapers consecutively before nap without washing any of the children's hands or her own hands.

On 11/4/21 during the renewal inspection, staff #3 was observed changing three diapers consecutively before nap without cleaning the changing table or changing the surface covering after each use.

On 11/4/21 during the renewal inspection, staff #2 (start date 7/25/21) did not have a health assessment on file. The most recent health assessment for staff #7 was dated 5/28/19.

On 11/4/21 during the renewal inspection, the health assessment form for staff #4 did not indicate that the physician completed a health assessment or provide an assessment of the person's suitability to provide child care.

On 11/4/21 during the renewal inspection, there was no TB screening and results on file for staff #2 (hire date 7/25/21).

On 11/4/21 during the renewal inspection, there were 14 school age children in a room with a capacity of 8.

On 11/4/21 during the renewal inspection, the most recent fire safety training for staff #8 was dated 9/16/20.

On 11/4/21 during the renewal inspection, the health and safety training for staff #1 was dated 9/5/16, prior to the acceptable date for the training. There was no health and safety training for staff #2 (hire date 7/25/21), and staff #3 (hire date 11/8/19).

On 11/4/21 during the renewal inspection, there was no written evaluation in the previous year on file for staff #1, #3, #4, #5, and #7, all employed for over one year.

On 11/4/21 during the renewal inspection, there was no director employed at the facility. It was reported to the Certification Representative that the director resigned in August 2021.

On 11/4/21 during the renewal inspection, none of the children were taken outside all day, despite it being a sunny day with temperatures in the 50s and no air quality alerts.

On 11/4/21 during the renewal inspection, there was no emergency contact form in the toddler room for child #2 where the child was receiving care.

On 11/4/21 during the renewal inspection, there were no references on file for staff #2 (hire date 7/25/21).