Early Connections/Harbor Homes Early LRNG CTR

The first parent update for the emergency contact form in the file for Child #3 was greater than 6 months after the child's first day in attendance. The emergency contact form in the file for Child #2 has not been updated by the parent in the past 6 months.

Based on video footage, Child #1 was observed running out the PS Room and into the internal lobby to open the door for their parent. At the time of the incident, Staff #1 was responsible for Child #1 and was not present with the child in the internal lobby. Staff #1 stood in the doorway of the PS Room watching Child #1 in the lobby but remained in the room with the remaining children in their supervision group.

Based on interviews, when bathroom breaks are needed 1 staff member will stand in the middle of the Toddler/PS room to supervise both the toddlers and the preschoolers, even if that puts the classroom out of ratio.

Based on video footage, Child #1 was observed running out the PS Room and into the internal lobby to open the door for their parent. At the time of the incident, Staff #1 was responsible for Child #1 and was not present with the child in the internal lobby. Staff #1 stood in the doorway of the PS Room watching Child #1 in the lobby but remained in the room with the remaining children in their supervision group.

Staff #1 was observed to be caring for children unsupervised. Staff #1 has not completed the following pre-service training required prior to caring for children unsupervised: Get Started with Center-Based Care - Revised 2022.

The fire alarm 30-day test log included test dates 12/13/25-1/13/25, more than 30 days apart.

Staff #1 has not completed the required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care - Revised 2022. Staff #1 completed the 10 hour training on 7/14/22, but did not complete the 1 hour update.

Observed cleaning products (bleach, soapy water, detergent), which were accessible to children, in the lower cabinet next to the dryer in the Preschool Room. The child-proof lock on the door of the cabinet was not secure.

Observed two pothos plants in on a ledge in the Preschool Room.

Observed flaking rust on the bottoms of both of the exit doors and door frames in the Preschool Room. Observed a wall panel, which was peeling away from the wall, beside the exit door on the right side of the Preschool Room.

The file for Child #1, a Preschool Child, did not include an updated health report conducted within the past 12 months.

The most recent updated health assessments in the file for Staff Person #1 exceeded 24 months between assessments.

The fire drill/fire system test log documented one time when fire system checks exceeded 30 days between checks. 5/3/24-6/28/24.

The emergency transportation plan was not posted in the gym.

Observed two pair of adult scissors, which were accessible to children, on a shelf in the Preschool Room.

Observed peeling paint on the outlet cover near the block center in the Toddler Area of Preschool Room.

Observed dirt and debris under the mats of the diaper changing tables. The basketball set in the gross motor room was not secure, which creates a potential toppling hazard.

The most recent updated health reports in the file for Child #1, a Young Toddler, exceeded 6 months between reports.

The most recent updated health reports in the file for Child #3, a Preschool Child, exceeded 12 months between reports.

The most recent immunization record in the file for Child #1, Young Toddler, 21 months old, lacked documentation of 4th DTAP, 1st Hep A, and a flu shot administered within the past year and a letter of exemption from the parent or physician. The most recent immunization record in the file for Child #2 lacked documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

The lid of the hands-free can in the Infant Room was not functioning properly.

The fire drill/fire system test log documents three times when system checks were performed more than 30 days apart: 3/17/23-4/17/23, 4/17/23-5/25/23, 5/25/23-6/29/23.

The one-hour Health and Safety Updates in the files for Staff Person #1 and #2 were conducted after the prescribed timeframe of 12/30/22.

The most recent fire safety trainings in the file for Staff Person #2 exceeded 12 months between trainings: 2/21/22-4/10/23.

The file for Staff Person #3, a Director, lacked verification of one year experience with children.

The Emergency Contact Form in the file for Child #4 did not include the address of the physician.

The file for staff person #1 lacked documentation of reviewing the emergency plan annually. The two most recent reviews for staff person #1 are dated more than 12 months apart: 3/26/21 and 9/20/22.

In the child's bathroom, a handwashing sign was not posted above the toilet.

The diaper changing pad was observed to be torn on the left side exposing the foam interior exposing the children to a choking hazard in the Infant room.

In the Infant room, one high chair was observed to lack a T-shaped safety strap.

In the Infant room, rest equipment was observed to lack labels with the names for specific children.

The file for child #1 lacked an updated health report within the last 12 months of previous health report. The file for child #3 lacked an updated health report within the last 6 months of previous health report.

The first aid bag in the Toddler room was observed to contain an Epinephrine Injection medication that was not in the original container.

In the Toddler room, the locked medication box contained two boxes of the medication Albuterol Sulfate Inhalation Solution that was observed to have an expiration to discard on 2/26/22.

The file for staff person #1 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #1 are dated 1/9/19 and 2/12/21.

The refrigerator in the Infant room was observed to contain an infant's bottle that lacked the label of the child's name.

The facility had documentation of fire drills being conducted that exceeded 60 days from 1/25/22 - 4/12/22 and 7/7/22 - 9/23/22.

The facility had documentation of fire testing that exceeded 30 days from 7/7/22 and 9/23/22.

The two most recent fire safety trainings in the file for staff person #1 are dated more than one year apart: 8/10/20 and 9/26/22.

The agreement form on file for child #5 lacked the amount of the fee to be paid for services.

The agreement form on file for child #1, #2, #4, and #5 was observed to contain the initial agreement form, in which the facility should contain a copy of the initial agreement form and the parent should receive the original agreement.

The emergency form on file for child #2, #4 and #5 lacked information on the enrolling parent's work address. The emergency form on file for child #2, #3 and #4 lacked information on the enrolling parent's work telephone number.

The emergency form on file for child #4 lacked parental consent for emergency medical care on the emergency contact form.

The file for child #3 lacked information on the emergency form of the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed for an emergency.

The emergency form on file for child #4 and #5 lacked the policy number for health insurance coverage.

The emergency form on file for child #5 lacked the address of in the individuals designated by the parent to whom the child may be released.

The file for child #3 and #4 contained an emergency contact form that was not updated within 6 months of the previous update.

The file for child #3 and #4 contained a financial agreement form that was not updated within 6 months of the previous update.

The emergency forms on file for child #4 observed to be lacking parental consent for administration of minor first-aid procedures by facility staff