Each One Teach One Family Center

There were 2 uncovered electrical outlets accessible to children 5 years of age or younger in the fellowship hall room.

There was a bag of disinfectant wipes in the hallway stat drawer, Claire disinfectant spray and Force disinfecting wipes on top of a lo cabinet in the YT room, Super skinny Serum in a backpack hanging on the hallway, and a Boogie diaper rash spray in a cubie in the OT room label " Keep out of reach of children" accessible to children.

There was an unlidded garbage can that has trash that has been contaminated by human secretions in the boy's bathroom in the school age area.

There are cracks on the floor along the wall in the girls and boy's bathroom in the childcare area. Theres a lose tyle in boy's bathroom in the childcare area. There were 3 missing ceiling tyles exposing pipes and wood in the entrance hallway. There was a damaged blind in the followship room. There is a damage sink cabinet exposing splinters in the OT room. There was a cracked switch plate cover in the OT room. There was a brown cabinet with a detached cover board in the fellowship room.

There was a metal paper towels holder with peeling paint and exposed rust in the boy's bathroom in the school age area. There was peeling paint in the boys ceiling bathroom in the boy's room in the school age area. There was peeling paint on the bottom of the green wall in the YT room. There was peeling paint on the door frame by the sink in the infant room. There was peeling paint on the door frame in the girl's bathroom.

There is a broken toilet in the girl's bathroom in the childcare area.

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.

The operator was unable to provider a fire drill log to verify that fire drills have been conducted at least every 60 days.

The operator was unable to provider a fire alarm test log or annual fire system inspection report to verify the fire system meets required operability.

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 and Pediatric CPR training. Staff person # 3 was observed to be caring for children unsupervised. Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 12/19/22. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 1/14/23. Staff person #5 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 1/14/23. Documentation of updated Pediatric first aid and CPR training is not on file. Staff person #-6 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is…

The facility emergency plan was not review annually. The last review was on 1/2024.

The files for staff # 2,3 and 4 lacked annual emergency plan training.

There was a power strip with 5 uncovered electrical outlets accessible to children 5 years of age or younger by the signing station on the hallway. There was an uncovered electrical outlet accessible to children 5 years of age or younger in the fellowship play pace room.

The double doors on the Youth hallway were open. There was Floor stripper, Clorox and other cleaning bottles label " Keep out of reach of children" accessible to children.

The temperature in the Fellowship playroom was 47 ° F.

There was a hole on the outside of the OT room door. There were two exposed screws on the wall above the toilet in the SA bathroom. There was damaged drywall inside the closet in the play space. The closet door was unlocked and ajar, allowing the space to be accessible to children.

The sink fosit in the SA bathroom is not turning on.

There was a broken table on the floor in the fellowship PlaySpace room.

There was damaged foam covering pipes in the fellowship play space.

The file for child # 3 a preschooler contained an updated health report dated 2/8/24 that was not obtained within 12 months of the previous health report dated 6/7/22.

The facility emergency plan lacked accommodations for infants and toddlers.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 5/10 /24 to 6/12/24,8/3/24to 9/3/24 and 12/6/24 to 1/5/25.

The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.

The file for child #2 agreement form lacked the parent signature. The file for child #5 lacked an agreement form.

The file for child # 4 lacked the child's arrival and departure times on the agreement form.

The file for child #3 lacked the persons designated by a parent to whom the child may be released on the agreement form.

The file for child # lacked the date of the child's date of admission on the agreement form.

The files for child #1 and 2 contained an original agreement form.

The file for child # 5 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

The files for child # 4 and 5 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 files for children #3 and 4 lacked the health insurance policy number on the emergency contact form.

The file for child # 2lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 4 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child# 5 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The file for staff # 3 lacked 3 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24. The file for staff # 4 lacked 3 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

The Child Abuse and FBI Clearances on file for Staff Person #2 exceeded 60 months between update. This is evidenced by Child Abuse Clearances dated 5.15.18 and 1.12.24 and FBI Clearances dated 5.17.18 and 1.16.24. The file for Staff Person #2 also lacked a current State Police Clearance at the time of the inspection. The most recent State Police Clearance on file was dated 5.8.18. The current State Police Clearance dated 1.12.24 was not on file until 2.12.24.

One electrical outlet was missing a protective receptable cover in the hallway outside the Fellowship Hall.

A spray bottle containing Odorban was observed on a shelf in Classroom 1. The shelf was accessible to at least one of the children receiving care in the space. A bottle of Boogie Diaper Rash Spray was observed in a bin under the changing table and four diaper creams were observed on the changing table in Classroom 2. The diaper rash spray and the creams were accessible to young and older toddlers receiving care in the space. A bin containing a Glade Refill Spray was observed on a low shelf making it accessible in Classroom 5. Four bottles of hand sanitizer were observed in an unlocked cabinet in the Fellowship Hall. A bottle of Disinfecting Spray was observed on the changing table and a container of toilet wand pads were observed in a bin under the changing table in the downstairs restroom. The restroom is used by School Age Children making the items accessible. All items were labeled Keep Out of Reach of Children.

The hot water temperature at the sink in Classroom 1 was observed to measure at 114.2° F. The hot water in Classroom 2 was observed to measure at 112.7° F. The hot water in the downstairs restroom was measured at 123.5° F.

In the Fellowship Hall, one window located next to the steps leading to the stage area was observed to be missing a window restriction. This missing restriction allowed the window to open more than 6 inches.

The first aid kit in Classroom 1 was missing gloves. The first aid kit in Classroom 3 was missing tweezers.

An area of damaged plaster was observed on a wall downstairs, in the hallway after exiting the stairs. In the outdoor play space exposed bolts were observed along the fence.

A handwashing sign was missing from the diaper changing areas in Classrooms 4 and 5. Handwashing signs were also missing from the toilets and the diaper changing area in the upstairs women's restrooms, one toilet and one urinal in the upstairs men's restroom, and two toilets in the downstairs restroom.

The garbage can at the sink in the downstairs restroom was observed to be missing a lid.

A low bin was observed to contain plastic bags in Classroom 5. The placement of the bin would allow accessibility to toddlers who receive care in the space.

Styrofoam cups were observed in Classroom 6. The cups were reported to have been used for school age children during summer camp.

The file for Child #2, a young toddler, exceeded 6 months between health reports dated 10.8.22 and 12.20.23.

The updates to the health reports on file for Child #1, a preschool age child, exceeded 12 months between examinations on 10.12.22 and 1.8.24. The file for Child #4, a preschool age child, lacked a current health report for the child. The most recent health report on file for Child #4 was dated 12.6.22.

In the medication bin located in the office, two expired bottles of Tylenol and one expired Cold and Cough medication were observed.

Written parental consents were missing for an Acetaminophen and a Tylenol medication located in the medication bin in the office.

The area that was reported to be used for diapering in the upstairs restroom was missing a hands-free lidded waste receptacle.

The health assessment and tuberculosis screening on file for Staff Person #1 were not completed within 12 months of starting at the child care facility.

Two lunchboxes, one containing cheese and yogurt and another containing pasta salad, were observed on a shelf and not in the refrigerator in Classroom 1. Four lunchboxes containing meat and cheese sandwiches were observed on a shelf and not in the refrigerator in Classroom 3.

The agreements on file for Children #1, #2, #3 and #5 lacked the designated release person information.

The files for Children #4 and #5 were observed to contain the original financial agreements forms.

The emergency contact forms for Children #1 and #4 lacked the name, address, and telephone number of the persons to who the child may be released. The emergency contact form for Child #2 lacked the address for one of the release persons listed.

In Classroom 2, four emergency contact forms were missing for children receiving care in the space.

The written emergency transportation plan was not posted in Classroom 4 or Classroom 6.

The most recent emergency contact form on file for Child #2 lacked a date of review to verify it has been reviewed within the last 6 months. The updates to the financial agreement forms on file for Child #3 exceeded 6 months between review and update. This is evidenced by financial agreement forms dated 3.28.23 and 2.7.24. The file for Child #4 lacked verification of review of the child's emergency contact form and financial agreement within the last 6 months. The most recent emergency contact from is dated 10.17.22 and the most recent agreement is dated 3.27.23.

The emergency contact form for Child #3 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.

Staff persons #1 and #2 were observed to be caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised:31(f((1-10). Staff person #2 has also not completed mandated reporter training.

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: 3270.31(f)(1-10).

The file for Staff Person #3 lacked a current FBI Clearance within the last 60 months. The FBI Clearance on file was dated 9.27.17. The disclosure statement on file for Staff Person #5 lacked a witness signature.

The emergency plan lacked information related to the method for notifying parents an emergency had occurred and ended and how they can be safely reunited with their children.

In classroom #5 four electrical outlets were observed to be missing protective receptacle covers.

In Classroom #3 one window was observed to be unrestricted.

The first aid kit in the fellowship hall, that is also utilized as a napping area, was observed to be missing gloves. The first aid in Classroom #2 was observed to be missing tape.

An area of peeling paint was observed on the wall in the fellowship hall.

The potty chair in the restroom in Classroom #3 was observed to have dried urine in it.

A hand washing sign was missing from a sink in Classroom #1, #2 and #5. A hand washing sign was also missing from a potty chair in Classroom #3. Hand washing signs were missing from 1 toilet, 1 urinal and 2 sinks in the Men's Restroom and 2 toilets and 2 sinks in the Women's Restroom.

An infant was observed to be placed in a high chair without a safety strap present. A young toddler was observed to be placed in a separate high chair and the safety strap was not engaged.

The file for Child #4 lacked documentation that the child had received an influenza vaccination in 2022. The last documented influenza vaccination on file was 12.2.21. A written exemption was not on file at the time of the inspection. The file for Child #2 lacked 1 of the 4 recommended doses of DTAP. The last immunization record on file only showed 3 of the 4 recommended DTAP vaccinations. A written exemption was not on file at the time of the inspection.

The file for Child #4 lacked documentation that the child had received an influenza vaccination in 2022. The last documented influenza vaccination on file was 12.2.21. A written exemption was not on file at the time of the inspection. The file for Child #2 lacked 1 of the 4 recommended doses of DTAP. The last immunization record on file only showed 3 of the 4 recommended DTAP vaccinations. A written exemption was not on file at the time of the inspection.

Documentation that the facility had participated in an annual emergency drill in the last 12 months was not on file at the time of the inspection.

The facility exceeded 60 days between fire drills occurring on 6.9.22 and 8.10.22 and on 10.6.22 and 12.13.22.

The facility exceeded 30 days between testing of the fire alarms on 6.9.22 and 7.13.22 and on 11.7.22 and 12.13.22

The emergency plan lacked information related to sheltering in place at the facility.

The emergency plan lacked information related to evacuation in the event of an emergency.

Documentation that the facility has submitted the emergency plan to the local municipality and the county emergency management agency was not available at the time of the inspection.

The emergency plan lacked continuity of operations as required by Federal regulations. The facility lacked a plan related to the Prevention of Shaken Baby and Abusive Head Trauma. This is also required by Federal regulation.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(10). The Pediatric First Aid and CPR on file was not completed with a PQAS instructor.

Staff person #3 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 1.17.18.

The written plan of daily activities was not posted in Classroom #7 downstairs.

The agreements on file for Children #2, #4 and #5 lacked the Operator's signature.

The agreement form on file for Child #3 lacked the fee amount and the date fee is to be paid.

The files for Children #1, #2 and #4 lacked child service reports that had been completed within the last 6 months.

The agreement form for Child #4 lacked the arrival and departure times. The agreement also lacked the designated release persons to whom the child may be released.

The original agreements were observed on file for Children #1, #2, #3, #4 and #5.

The emergency contact form for Child #5 lacked the address and telephone number of the child's physician or source of medical care.

The emergency contact form for Child #5 lacked the policy number for the child's health insurance coverage.

The emergency contact form for Child #5 lacked the addresses of the release persons listed.

The written emergency transportation plan was not posted in Classroom #1.

The updates to the emergency contact form and financial agreements on file for Children #1 and #4 exceeded 6 months between updates. The updates to the agreement forms for Children #1 and #4 occurred in February 2022 and September 2022. The last update to the emergency contact form for Child #1 was dated 12.17.21 and the update for Child #4 was dated 6.10.22. The updates to the emergency contact form for Child #2 exceeded 6 months since last update. The last update was dated 12.5.19.

The child records were not being maintained in a locked cabinet.

The file for Staff Person #1 lacked one of their two written, nonfamily references.

The file for Staff Person #4 lacked completion of Pediatric First Aid and CPR with a PQAS instructor by 4.29.22. The Pediatric First Aid and CPR on file prior to 1.14.23 was not completed with a PQAS instructor.

The two most recent state police clearances and FBI clearances on file for staff person #3 were updated in an interval greater than 5 years or 60 months as required by the current CPSL. The two most recent FBI clearance on file for staff person #6 were updated in an interval greater than 5 years or 60 months as required by the current CPSL. The current disclosure statement on file for staff person #7 is undated, making it invalid.

The most recent documented review of the emergency plan is dated more than 12 months ago.

At the time of inspection, the emergency plan was not posted in a conspicuous location.

Observed accessible shaving cream on a low bookshelf and odor eliminator under the sink in the preschool classroom which are both labeled 'keep out of the reach of children.' The janitor's closet in the main hallway was observed to be unlocked. The closet contained paint and cleaning products and chemicals labeled 'keep out of the reach of children.'

Observed that the radiator pipes in the multi-purpose room and in the school age room are exposed, accessible, and measure in excess of 110° F.

Observed one water damaged ceiling tile in the right rear corner of the preschool room. Observed several water damaged and missing ceiling tiles at the entrance to the facility, along the main hallway, and in the Pre-K room closet area. Observed water damaged ceiling tiles in the infant 2 room. Observed damaged ceramic baseboard at the entrance to the girls' bathroom located in the main hallway.

Observed the toilets in the downstairs bathrooms that are adjacent to and used by the school aged children are out of order and in disrepair.

Observed moldy water beads in the water table in the preschool classroom.

At the time of the inspection, a 2-year-old child was observed to be in care in the preschool room. Glass discs with a diameter of less than 1 inch were accessible in the room.

The refrigerator in the young toddler room lacks a thermometer.

The file for child #1 lacks verification of a current DTAP, HIB, Pneumococcal, Polio, and Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current Rotavirus, DTAP, HIB, Pneumococcal, and Polio vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #5 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Observed a bottle of children's acetaminophen in the infant room with an expiration date of 12/2021.

Observed a bottle of infant acetaminophen and a bottle of infant's Tylenol in the young toddler room which lacks written parental consent for administration. Observed a medication log for infant's ibuprofen in the young toddler room which lacks a parental signature.

The two most recent health assessments on file for staff person #2, staff person #3 and staff person #5 are dated in an interval greater than 24 months. The file for staff persons #4 and #8 lacks a current health assessment.

At the time of inspection, the facility lacked a posting of safe pick-up and drop-off routes.

The facility lacks a documented emergency drill conducted between 12/19/20-12/19/21.

During the interval of 12/02/21-02/21/22, fire drills were held more than 60 days apart.

The facility lacks a proof of purchase for the hardwired, interconnected fire detection system currently installed and in use at the facility. Documentation of fire detection system testing every 30 days or a letter of inspection from a fire safety professional is not on file at the facility.

Documentation of annual notification to local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility is not on file.

The file for staff person #3 lacks a current evaluation. The most recent evaluation on file for staff person #5 is dated more than 12 months ago.

The file for staff person #7 lacks verification of education to qualify for the position of group supervisor.

The school age room lacks a posted written daily activity plan.

The file for child #2 and child #4 contain agreements which lack the child's arrival and departure times.

The file for child #2 and child #3 contains an agreement which lacks the name(s) of the parent-designated release person.

The file for child #2 and child #5 contains an agreement which lacks the date of the child's admission.

The file for child #2 and child #4 contains emergency contact information which lacks the work name, address, and phone number of the enrolling parent.

The file for child #2 contains emergency contact information which lacks the parent-designated release person's address.

The agreement on file for child #1 and child #2 was updated in an interval greater than 6 months and the most recent documented review of the emergency contact information is dated more than 6 months ago. The most recent update to the emergency contact information on file for child #4 is dated more than 6 months ago. The most recent updates to the emergency contact information on file for child #5 are dated more than 6 months ago. The agreement on file for child #5 was updated in an interval greater than 6 months.

The file for staff person #7 lacks two written, non-family references.

The file for staff person #8 contains verification of Health and Safety training completed after 06/17/21, the date it was required to be completed.

At the time of the inspection, contact information for the regional child care office was not posted in a conspicuous location.

The file for staff person #3 and staff person #4 lacks verification of 12 hours of child care training completed within the previous service year.