Dont Worry Childcare Center

A metal trim piece, with sharp edges, was observed on the wooden sand table. The piece was determined to be from the ceiling tiles.

The floor on the water room lacked full coverage of a nonslip surface. Protruding bolts which hold the water wall frame to the floor were not covered. Nonslip surface coverings were observed to be overlapping causing a tripping hazard. One ceiling tiles was missing.

Splintering wood and exposed wood screws were observed on a wooden sand activity table in the water room.

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: Pediatric first aid/CPR.

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.

The file for staff #1 contained an expired FBI clearance dated 11/15/19 and contained clearances which were not renewed within 60 months. The clearances were dated as follows; state police 10/17/19, renewed on 1/08/25, child abuse 10/17/19, renewed 1/13/25, NSOR 12/03/19, renewed 1/10/25. Staff #1 may not work in a child care position.

The operator stated that during an emergency, communication with families would occur using telephones, however the plan did not include this detail.

The emergency plan was not posted at the facility.

The facility's letter to parents explaining the emergency procedures did not include details regarding how parents will be contacted when an emergency arises or after the emergency ends.

One electrical outlet, accessible to children 5 years of age or less in the OT room, lacked a protective cover.

Two tobacco vape devices were observed in the pocket of an adult's coat. The coat was hanging on a low hook in the young toddler room and the devices were accessible to children.

Three cans of shaving cream were observed in the supply closet in room 5.

Two stained ceiling tiles were observed in Room 4. Multiple sharp protruding wood screws were observed in the YT room where children's belongings are hung. The screws were holding the hooks in place but were protruding through the wood on the opposite site.

Damaged and crumbling plaster was observed to be accessible to children in the restroom of room 3. To the right of the sink, the rubber baseboard was not attached leaving the damaged plaster exposed.

In the infant room, a partially detached section of foam was observed on the interlocking foam floor tiles.

In the OT room, the hem of a dress in the dramatic play center was partially detached creating a loop and a sharp wood screw was observed in the faucet area of the play stove. In room 3, the blue plastic basket holding puzzle pieces was broken. In room 5, the plastic lid to the doll house supplies was cracked. In the Bike Room, cracked handles which created pinch points were observed on 3 scooter boards and the front fender of a plastic dump truck was broken.

In the infant room, food debris and a visibly soiled surface were observed on the corner of the low table holding the mini refrigerator.

The thermometer in the infant room refrigerator was inoperable.

The file for child #1, an infant, contained consecutive health reports dated more than 6 months apart. The most recent health report on file is current.

The file for child #3 contained a health report which was not dated, therefore compliance could not be determined.

An Epi-Pen observed in room 4 expired 11/2024.

An Epi-Pen observed in room 4 lacked written parental consent for administration.

The files for staff #2 and #5 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for both staff are now current.

The files for children #2, #4, and #5 contained initial health reports dated more than 60 days after they first day of attendance. Current health reports are now on file.

Staff #1 did not renew the mandated reporter training within 60 months. The certificates were dated 10/15/19 and 1/07/25.

The agreement for child #1 did not specify the date of admission. The dated entered was incomplete.

The file for staff #1 contained 10 annual training hours completed on time between 4/26/23 and the end of April 2024. An additional 2 hours were completed late on 1/17/25. The file for staff #3, #4, and #6 contained 8 annual training hours completed on time between December 2023 and December 2024. An additional 4 hours were completed late in January 2025. The annual training on file for staff #1, #3, #4, and #6 is now current.

A bucket with standing water under a leaking toilet in Room 4 was observed accessible to children.

The two most recent Emergency Plan trainings for Staff #3 dated 4/1/22 and 1/2/24 were more than 12 months apart.

An unlocked cabinet with multiple cans of shaving cream labeled 'Keep Out of Reach of Children', were observed in Room 6 and Room 7.

An outlet protruding from the wall with sharp edges was observed with sharp edges which could be hazardous to children. A broken vent cover was observed hanging above a toilet used by children in the bathroom located in Room 4. An outlet hanging from a wall in the Music Area and a loose baseboard boarder in the Room 6, which could be hazardous to children.

Peeling plaster and paint was observed on the ceiling of the bathroom in Room 1.

Foam blocks with teeth marks, a bookshelf with splitting wood at the base, and a foam chair with peeling plastic were observed not in good repair in Room 3. Broken magnatiles and two red plastic shopping baskets with cracked corners were observed accessible to children in Room 4.

An oversized ladybug pillow with peeling plastic pieces was observed in Room 1, which was accessible to children to are still placing objects in their mouths.

A high chair in the Infant room lacked the required T-straps.

A refrigerator in Room 1 did not contain a thermometer.

The most recent health assessment on file for Child #5, a preschool aged child, is dated 12/7/22, more than 12 months ago.

An Albuterol prescription for Child #7, which expired on 09/2022, was observed in Room 6.

In Room 3, the bathroom did not contain soap required for handwashing.

The Initial Health Assessments for Staff #2 (Dated 10/9/2023) and Staff #4 (Dated 1/29/24), were dated after their date of hire. (See LIS Code Sheet)

The most recent Emergency Drill is dated 1/13/23, more than 12 months ago.

The two most recent annual fire system inspection reports are dated 2/6/23 and 2/8/23, more than 12 months apart.

The facility lacked documentation that the Emergency Plan and subsequent plan updates were sent to the local municipality and County Emergency Management Services.

The two most recent fire safety trainings for Staff #1 (7/26/22 & 1/10/24) and Staff #3 (7/22/22 & 10/3/23) were more than 12 months apart.

The files for Staff #1 and Staff #3 only contained one staff evaluation dated 1/2/24 and none prior since date of hire. (SEE LIS CODE SHEET)

The file for Child #2 and Child #6 contained the original copy of the Financial Agreement. The original copy should be given to the parent and the facility retains a copy of the agreement form.

The Emergency Contact form for Child #1 did not contain a complete address for the child's physician or medical care.

The Emergency Contact forms for Child #1, Child #2, and Child #3 did not contain the enrolling parent's work address and phone number.

The Emergency Contact forms for Child #1, Child #2, Child #4, and Child #5 did not contain complete addresses for all release person's listed.

The file for Staff #3 did not obtain the annual minimum of 12 clock hours of child care training.

Staff #1 (10/8/22) and #2 (10/10/22) have pediatric first aid/CPR training in an approved curriculum on file; however, the trainer's PQAS certification expired on 9/22/22, making the trainings invalid.

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality - Revised 2022

Staff #1 was only 15 years old acting as a volunteer/staff, responsible for supervising a group of infant children, when she would be considered a child in care needing supervised at all times.

Child #1 who was 15 years old was assigned responsibility for children and was included in the staff child ratio, therefore putting the room out of ratio.

Staff #1 was only 15 years old acting as a volunteer/staff, responsible for supervising a group of infant children, when she would be considered a child in care needing supervised at all times.

The file for staff #5 contained an invalid state police clearance dated 3/22/22. The clearance lacked a dissemination date. Staff #5 was observed caring for children alone during the inspection.

The facility's emergency plan did not include details regarding continuity of business operations as required by Announcement C-22-04.

Standing water was observed in multiple locations on the floor of the water room. Rubber floor mats were in place, but were unevenly arranged and did not cover the entire floor. This caused some sections of the mats to slip when walked on. Standing water was also observed on the top level of the water table in the rear of the room and on top of the barrel that serves as a holding tank, both were accessible to children. Additionally, an extension cord was observed in use in the water room. The cord was threaded through a door jam with the door closed on the cord.

The water room, designated as a play space, has not been measured and approved by a certification representative. Based on statements made by staff, the room has been in use by children since August 2022.

An electrical outlet in the rear section of room 1, near the changing table, lacked a protective cover. The outlet was accessible to children 5 years of age or younger.

A can of Behr paint/primer was observed to be accessible to children in the water room.

Two cans on Barbasol shaving cream, labeled keep out of reach of children, were observed in the supply cabinet of room 6 with other art materials.

A first aid kit in room 5 was accessible to children in the cabinet of the adult desk. The cabinet door was not locked.

Two incomplete first aid kits were observed in room 5; one missing gloves and the other missing tweezers and gauze.

A throw rug in the infant room was observed to be bunched up and rolled which created a tripping hazard. A brown substance, which appeared to be dripping from the floor above the day care, was observed on the wall of room 4.

The rear restroom in room 4 lacked running water in the sink.

In room 4 the following items were observed, several protruding nails on the wooden train table, a broken yellow tub on the sensory table, a broken red storage basket, and two padded floor chairs were torn exposing the inner foam filling. In room 3, a broken splintering wooden slat was observed on a child size rocking chair. In room 5, the free standing swiveling storage unit in the dramatic play area was unsteady due to 2 missing screws in the base and a protruding screw was observed on the unit's mirror, a broken blue storage bin and the legs of the yellow wooden chair were loose creating pinch points. In room 6, a tear was observed in a black bean bag chair causing the filling to fall out, 3 broken or cracked storage bins and a broken plastic faucet on the play sink were observed. In the bike room, the seat of a yellow floor scooter was cracked and broken.

Two pieces of small tootsie roll candy were observed on a window ledge in the bike room. The candy was accessible and the room is used by children who are still placing objects in their mouths.

A large flat screen TV was observed on a table in the school age room. The TV was not anchored

The files for children #2, #3, #4, and #5 contained immunization records which lacked documentation of receiving the influenza vaccine in 2022 or yet in 2023. Written exemptions were not on file.

The file for staff #4 contained a health assessment which was not updated within 24 months. The most recent health report on file is now current.

The file for child #6, enrolled since 2020, contained an initial health report dated 7/26/22. No other health reports were on file.

The most recent child service report on file for child #4 was completed more than 6 months ago. The report was dated for July 2022.

The files for children #1 and #3 contained emergency contact information which did not include the work addresses and work telephone numbers of the enrolling parent.

The files for children #4, #5, and #6 contained emergency contact information which did not include the addresses or phone numbers of the individuals designated by the parent to whom the child may be released.

Based on statements made by staff, copies of accident reports are not being retained at the facility in an accident file.

Staff #1, #2, #5, #6, and #7 did not complete training in pediatric first aid and CPR within 90 days of hire. (See LIS Code Sheet). The training dates were as follows; staff #1 10/10/22, staff #2 10/10/22, staff #5 10/08/22, staff #6 10/10/22,and staff #7 3/12/22.

The record for staff #3 included a current state police clearance dated 6/12/2020, more than 60 months following their previous clearance dated 5/6/2015; and a current child abuse clearance dated 6/15/2020, more than 60 months following their previous clearance dated 4/29/2015.

Protective receptacle covers were not placed in (2) electrical outlets on the wall by the bathroom area and (1) electrical outlet on the wall in the children's play space in room #3 and (1) electrical outlet on the wall in the children's play space in room #4, accessible to children 5 years of age or younger.

The following cleaning materials and other toxic materials labeled keep out of the reach of children were observed in areas accessible to the children in room #6: a bottle of bleach cleaning spray was observed on a shelf and a deodorant stick was observed on a shelf in the children's coat storage unit.

Trash that was possibly contaminated by human secretions or excrement was contained in open, plastic-lined receptacle in the bike room.

The first-aid kit in room #6 did not contain soap.

There were food crumbs and spills from drinks observed on the floors and tables in room #6 and based on statements from staff, it was not cleaned from the snack served on the previous day.

Peeling/damaged paint was observed in several small areas on the bottom of the wall in the bathroom used by the school-age children.

There were (4) plastic bins in room #6 and (1) plastic bin in room #5 that were not in good repair (cracked/broken with rough edges and sharp corners).

A thermometer was not placed in the refrigerator in room #1.

The record for staff #1 included a current health assessment dated more than 24 months following their previous health assessment.

The operator did not post the menu at least 1 week in advance.

A written statement giving the formula and feeding schedule was not obtained from the parent for the infants in care.

The facility's emergency plan did not provide for accommodations for children with disabilities and children with chronic medical conditions.

The record for staff #3 included a certificate of completion of mandated reporter training completed on 7/26/2021, more than 60 months following their previous training completed on 11/25/2015.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the bike room.

Staff person #2 who worked in child care more than 90 days did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.