Downtown Child Development Center

There was a cot not labeled with the name of the child using it in Room 127.

The most recent health assessment on file for child #1, a young toddler, was completed more than 6 months prior. The current health assessments on file for children #2 and #4 were completed more than 6 months after the prior health assessments. Children #2 and #4 were young toddlers when the health assessment were due.

The most recent immunization record on file for child #1 indicated the child did not have sufficient doses of the pneumococcal, MMR and varicella vaccines according the ACIP recommendations for the age of the child.

The trash cans used for diaper disposal in the toilet areas of Rooms 127 and 130 were not hands-free.

A tray of food in serving bowls brought from the kitchen and served to the children for lunch, was set on top of the mat used for diapering on the counter in Room 130.

The TB test results documented on file for Facility Person #1 indicates the test was read after their start date.

The health assessment on file for Facility 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.

The fire drill log shows that monthly fire drills conducted between November 2024 and July 2025 were all conducted in the same 45 minute period of the day (2:15-3:00 PM).

Documentation of smoke detector testing indicates testing was conducted on 7/8/25 then again on 8/20/25, more than 30 days later.

There was no health assessment on file for child #3, who has been attending the facility for more than 60 days.

The most recent firesafety training documented and on file for Facility Persons #3 and #4 was completed more than 12 months after the previously documented firesafety training on file.

There were no child service reports completed within the last 6 months on file for children #1, #2 and #4.

There were no emergency contact forms in Room 136 for the children receiving care in that room.

There was documentation of 7.5 approved hours of child care training completed during the most recent review period (2/2024-2/2025) on file for Facility Person #3.

In the Goldfish Room, at approximately 10:35am, two staff and 6 children of mixed ages (infant and young toddler) were observed. During the onset of supervision and ratio, when both staff were asked to identify and name the children whom they were responsible for, Staff person #1 identified and named 3 children and Staff person #2 responded that they were a floater and were just filling in thus leaving 3 children unaccounted for. When staff were asked again to identify and name the children they were responsible for, Staff person #2 required assistance from Staff person #1 to identify the children in their supervision group. Therefore, it was determined that Staff person #2 did not know the names of the children in their respective supervision groups

As a result of a complaint investigation conducted on 2/10/25, based on interviews with staff, it was determined that the facility did not notify all parents of enrolled children during separate suspected outbreaks of COVID and/or RSV; only the parents of the children in the affected rooms were notified of the suspected outbreaks.

As a result of a complaint investigation conducted on 2/10/25, based on interviews with staff, the doctor notes for those children who were suspected to have a communicable disease were discarded after receiving them and not retained in the child's file.

As a result of a complaint investigation conducted on 2/10/25 the doctor excuses provided by staff who were suspected to have a communicable disease, did not indicate that they were no longer contagious and no longer a threat to the health and safety of others.

In the Goldfish Room, at approximately 10:35am, an infant was observed to be asleep in a crib that was up against the wall and directly up against another crib therefore not allowing for 2ft on three sides of space while the crib was in use.

A plan of supervision for Staff #1 was put in place on 1/10/2025. The legal entity was not compliant with the Child Protective Services Law when staff #1 was permitted to return to work on 1/21/2025 which was prior to receiving all the proper approvals from the involved agencies.

The FBI clearance on file for Facility Person #1 was not completed in the previous 60 months. The disclosure statement signed and on file for Facility Person #3 was not signed by a witness. There was no signed disclosure statement on file for Facility Person #4.

The most recent emergency plan training documented and on file for Facility Person #2 was completed more than 12 months after the previous emergency plan training documented and on file.

There were diaper creams hanging in a storage unit in reach of children in a bathroom stall in the Boxers room. There was bleach water in an unlocked cabinet, on a low shelf in reach of children, in the Beagles Room. There was a can of air freshener labeled "keep out of reach of children," in the restroom in the large gym, on a metal bar low enough to be in reach of children.

The first aid kit in the Boxers room was in a backpack hanging low enough to be within in reach of children in the space.

There were small areas of peeling paint behind trash cans in the Hamsters room.

There was a crib located partially in front of an exit from the Hamster room to the outdoor playspace.

The current health assessment on file for child #4, a preschooler, was completed more than 12 months prior.

The health assessment on file for child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

In the Goldfish and Hamsters rooms, there were bottle warmers and feeding supplies, including cans of formula and bibs located next to and behind the sinks at the changing areas, used for handwashing after diapering.

There was no documentation of an emergency drill conducted in the previous 12 months.

The initial health assessment on file for child #5 was completed more than 60 days after the child's first date of attendance.

The most recent letter on file notifying 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 child care facility was dated more than 12 months prior.

The most recent fire safety training documented and on file for Facility Person #2 was completed more than 12 months after the previous fire safety training documented and on file.

There was not documentation of sufficient child care experience on file for Facility Person #1, for their classification of an assistant group supervisor.

The daily schedule posted in the Beagles and Kittens rooms did not include a schedule for DHS child care that occurs at the ends of the days.

There was no child service report completed and on file with a copy given to the parent for child #6.

The release persons were not specified on the agreement on file for child #3.

The admission date was not specified on the agreements on file for children #1 and #7.

The emergency contact form on file for child #3 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

There were no written nonfamily references on file for Facility Person #1.

There was documentation of only 3 hours of child care training completed during the most recent review period on file for Facility Person #1.

According to staff statements, the facility has exceeded the 1:5 ratio for mixed age groups including young toddler age children in the morning.

The facility did not provide notification by telephone or email to the regional office within 24 hours of a child receiving emergency room treatment resulting from an injury at the facility. The facility also did not provide a written report to the regional office within 72 hours of a child receiving emergency room treatment resulting from an injury at the facility.

The facility exceeded 30 days between alarm testing on 11.3.2023 and 12.4.2023 and then again between 12.4.2023 and 1.24.2024.

The files for Staff Person's #1 and #2 lacked current Pediatric First Aid and CPR training. The Pediatric First Aid and CPR training for Staff Person #1 expired on 7.28.24 and the Pediatric First Aid and CPR training for Staff Person #2 expired on 5.17.24.

According to statements from staff at the facility, Facility Person #1 has been observed handling children in a rough, aggressive manner on multiple occasions.

According to statements from staff at the facility, Facility Person #1 has been observed using a harsh tone of voice with children on multiple occasions.

According to statements of staff who witnessed the incident, on 2/15/24, Facility Persons #1 and #2 were supervising a mixed group of preschoolers and older toddlers. When Facility Person #1 directed the children to sit on the floor in order to be called to the table for lunch, and Child #1 refused to sit on the floor, Facility Person #1 did not permit the child to come to the table to eat. After approximately 3 minutes of the child standing and crying, Facility Person #3 came into the classroom and assisted Child #1 to sit on the floor, at which point Child #1 was then permitted to come to the table for lunch.

Facility Person #1 was observed caring for 4 preschoolers in Room 136 (Poodles Room) with no other staff persons in the classroom. There was no documentation on file indicating that Facility Person #1 had completed the required pre-service health and safety training.

The NSOR clearance on file for Facility Person #3 was completed more than 45 days after their start date.

The emergency plan was not posted.

The following toxics were accessible to children: -in Room 133, sanitizing solution in an unlocked low cabinet -in Room 140, bleach water in an unlocked cabinet on a shelf in reach of children -in Room 136 glass cleaner in an unlocked cabinet on a shelf in reach of children

The first aid kit in Room 109 was in a backpack on a shelf in reach of children.

There was an area of peeling paint on the wall behind the trash can used for diaper disposal in Room 133. There was an area of peeling paint on the wall near the exterior exit and on a wall under the window in Room 109. There was an area of damaged plaster on the wall near the interior exit in Room 140.

Climbing equipment in Room 133 was not fully installed over a protective surface covering.

A cot in use in Room 130 did not have at least 2 feet of space on three sides.

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

The immunization record on file for child #1 did not indicate the child had sufficient doses of the Hepatits B, DTAP, pneumococcal, polio and Hepatitis A vaccines.

There was an infant's bottle in Room 121 not labeled with the child's name.

The documentation of the emergency drill conducted on 6/21/23 did not include all required components.

Facility Person #2 was classified as the Facility's director based on completion of an associates degree in a human services field and at least 3 years of child care experience. Review of documentation on file indicates that Facility Person #2 has not yet completed an associates degree.

There is no staff person qualified to be and designated as the facility's director employed and present at the facility a minimum of 30 hours per week.

There was no documentation of the education and experience on file for Facility Person #3 required for their classification as an assistant group supervisor.

The daily activity schedule was not posted in Room 136.

There was no child service report on file for child #2, enrolled at the facility for more than 6 months.

The emergency contact form on file for child #2 did not include the phone number of the physician.

The medical emergency transportation plan was not posted in Room 136.

There was documentation of a total of 5.5 hours of child care training on file for the most recent review year for Facility Person #1.

At approximately 2:05 PM Facility Person #1 was observed to be the sole staff person in Room 127. There were 5 preschoolers and 4 older toddlers in the room, and eight of these children were resting on rest equipment. Facility Person #1 was observed in a toilet stall in the classroom, with the door closed, assisting the remaining child in the stall, unable to see the other children in the classroom.

**At approximately 3:30 in Room 109, Facility Persons #1 and #2 were supervising a total of 9 preschoolers. When asked to identify which children each staff person was supervising, Facility Person #1 identified 4 children, and Facility Person identified 3 children. One of the children was not claimed by either staff person as a part of their assigned supervision group.

At approximately 3:30 in Room 109, Facility Persons #1 and #2 were supervising a total of 9 preschoolers. When asked to identify which children each staff person was supervising, Facility Person #1 identified 4 children, and Facility Person #2 identified 3 children. One of the children was not claimed by either staff person as a part of their assigned supervision group.

According to staff statements, the diaper changing surface is not always sanitized after each diaper change. After some diaper changes, the surface is cleaned with soapy water.

According to staff statements, the facility did not notify parents of enrolled children, at times, when children in care were confirmed to have a communicable disease or had symptoms of a communicable disease that represents a public health emergency in the opinion of the Department of Health.

According to staff statements, there have been instances where a child was confirmed to have a communicable disease or had symptoms of a communicable disease and was permitted to return to care without written notification from a physician or a CRNP that the child is no longer considered a threat to the health of others.

The facility's emergency plan does not include a plan for continuity of operations in the event of an emergency.

The hot water temperature, at a low sink used by children in the Kittens room, was measured to be 120° F.

Toothbrushes used by children in the goldfish room were stored in a closed cabinet.

There was no written feeding schedule from the parent at the facility for one of the enrolled infants.

The emergency plan did not provide for accommodations for toddlers.

The fire drill log on file did not include the number of children participating in the fire drill conducted on 7/27/22.

Facility Person #1 was classified as an assistant group supervisor based on completion of high school and at least 2 years of previous child care experience. The two years of child care experience documented and on file for Facility Person #1 included hours of experience obtained while fulfilling the requirements of a secondary child care training or educational curriculum.

There was only one nonfamily written reference on file for Facility Person #2.

At approximately 11:20 AM in room 109, Facility Persons #1 and #2 were supervising a total of 19 preschoolers. Facility Person #1 identified the children they were supervising (nine preschoolers). Facility Person #2 stated they were new and knew the names of only three of the ten children assigned to their supervision group. At approximately 11:30 AM, Facility Persons #3, #4 and #5 were exiting the gross motor room with 2 older toddlers and 9 preschoolers when they stopped to identify their supervision groups. After each staff person named their children, it was discovered one of the preschoolers was not identified by any of the staff as a part of their supervision group. In total 10 of the 11 children were claimed by a staff person as being supervised by them.

The letter to the parents explaining the emergency plan did not include the program's planned procedures for shelter in place or lock-down situations.

There was a can of glass cleaner and a bottle of aloe gel each in a in low, unlocked cabinet in Room 127.Both items were labeled "keep out of reach of children."

There was a small area of damaged plaster on the wall in Room 140, near the exterior door.

There was a piece of climbing equipment in Room 133 not installed over a protective surface covering.

There was no thermometer in the refrigerator in Room 140.

The operator states a copy of the emergency plan was sent to the municipality and the county emergency management agency. There was no documentation of the submission to the municipality, and documentation of submission to the county did not include all the information in the Emergency Plan Delivery Documentation form.