Educational Child Care Center LLC

In the main room and the bathroom, there were multiple damaged ceiling tiles that were observed.

The files for child #2 and #3, preschoolers, had a health assessment that exceeded 12 months between assessments.

Documentation of a current emergency drill conducted within the last year was not on file at the facility.

Child #1 had a child service report that exceeded 6 months between reports.

The file for child #3 had an emergency contact form that lacked the address and telephone number of the child's physician.

The file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The file for staff person #2 lacked a current state police clearance updated within the last 60 months and had child abuse and FBI clearances that exceeded 60 months between clearances.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for toddlers.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

The file for child #1, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The files for staff person #1 and #2 had a health assessment that exceeded 24 months between assessments.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 6-2-23 to 7-3-23 and 7-3-23 to 8-8-23.

The file for staff person #1 had state police and child abuse clearances that exceeded 60 months between clearances.

The emergency plan lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

The file for staff person #1 lacked current emergency plan training completed within the last year.

The file for child #4 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #4 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

The files for child #1, a 2 year old, child #2, a 3 year old, and child #3, a 5 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 2 year old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months, the 1st doses of the MMR and Varicella vaccinations by age 15 months, and the 2nd dose of the Hepatitis A vaccination by age 23 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

In the toddler area, there was a diaper observed in a plastic bag inside the plastic-lined hands-free covered can that was not immediately thrown away in the hands-free covered can. Staff stated that soiled diapers are placed in a plastic bag first, and then thrown away in the hands-free diapering can.

The facility's emergency plan lacked a plan that provides for accommodations for toddlers.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

The facility's emergency plan lacked a plan that provides for accommodations for evacuation of children to a location away from the facility premises.

The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file were dated 12/4/18 and 4/7/21.

It was observed that the emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was observed that the smoke detectors were not being checked for operability every 30 days between 1/18/21 and 3/2/21, 3/2/21 and 4/13/21, 4/13/21 and 5/25/21, 5/25/21 and 6/1/21, 6/1/21 and 7/9/21, 7/9/21 and 8/9/21, 8/9/21 and 9/2/21, 9/2/21 and 10/1/21.

It was observed that the emergency plan did not provide for accommodations for shelter of children during an emergency including lock-down.

The files for children #2 and #3 lacked emergency contact information that included a work address and work telephone number of the enrolling parent.

The files for children #1 and #3 lacked emergency contact information that included 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.