Elcam INC

Observed in the toddler space the cabinet under the changing table was not locked and there were 5 various brands of diaper cream all labeled, "keep out of the reach of children." The cabinet was accessible to the children present in the childcare space. Observed in the girls' restroom near the gross motor space, Aquaphor lotion labeled for child #4 accessible to children due to the fact it was stored in top, opening space of the diaper changing table.

There was not a handwashing sign posted at the toilet in the last stall of the girls' and boys' restrooms located near the gross motor room and the restroom located near the infant room.

Observed 4 broken Magna tiles in the preschool space.

Observed an epi pen not labeled for child #3.

There was not a medication log for infants' Tylenol labeled for child #5.

Observed in the infant room, a bottle not labeled which belonged to child #1.

At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality.

The file of child #4 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

The file of child #4 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The file of child #5 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file of child #4 lacked an emergency contact form with the complete address of the individual designated by the parent to whom the child may be released.

The file of child #2 lacked an emergency contact form with the signed parental consent for transportation, walking excursions, swimming and wading.

The bathrooms in the gym lacked handwashing signs by the 2 urinals and by the diaper changing area.

Observed in the first aid kit in the gym a tube of Neosporin lacking the name of the individual for whom it was intended.

The file for staff person #4 contains Health & Safety training completed greater than 90 days after their hire date. The training is now current.

Staff persons #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/ pediatric CPR conducted by a PQAS certified instructor.

The files for staff persons #1, #2 and #3 contain current written evaluations that were completed greater than 12 months after the previous evaluation.

According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. As there were no Staff in the storage shed ratio was not maintained. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. As there were no Staff in the utility closet ratio was not maintained.

According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. Staff #1, #2 and #3 were not able to supervise Child #1 as they were not able to see, hear, direct and assess the child while locked in the storage shed. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. Staff #1 was not able to supervise child #2 as they could not see, hear, direct or assess the child while alone in the utility closet.

According to staff interviews, on 8/31/2023 staff persons #1, #2 and #3 did not know that child #1 was locked in the playground storage shed until the children were called to line up to go inside. Staff #1, #2 and #3 were not able to supervise Child #1 as they were not able to see, hear, direct and assess the child while locked in the storage shed. According to staff interviews, on 9/21/2023 staff person #1 left child #2 alone in the utility closet while staff #1 went to obtain a towel. Staff #1 was not able to supervise child #2 as they could not see, hear, direct or assess the child while alone in the utility closet.

On 9/21/2023 while left unsupervised in a utility closet, child #2 had access to various toxic cleaning supplies that were stored in the utility closet.

The file for staff person #10, hire date (see LIS code sheet) contains a disclosure statement lacking a witness signature. The file for staff person #11, hire date (see LIS code sheet) contains a criminal history status check however is lacking the valid criminal history clearance prior to start date. The file is also lacking verification of request for the NSOR prior to start date. The file now contains completed clearances. The file for staff person #12 is lacking documentation of request for the NSOR verification prior to start date. The file does contain the completed verification letter.

Observed an infant in the infant room to be sleeping in a crib with a blankie that had an attached stuffed Minnie Mouse head.

The files for staff persons #6 and #7 contain current emergency plan training completed greater than 12 months after the previous training. The files are now current.

The hot water temperature at the sinks in the two restrooms in the gym exceeded 110 degrees. The children use the sinks to wash hands.

The first aid kit in the gym lacks tweezers. The first aid kit in the school age room lacks scissors.

Observed in the infant room that the sink used for handwashing after diapering is also used for preparing infant's bottles.

The files for staff persons #3, #8 and #11 contain current health assessments that were completed greater than 24 months after the previous health assessments. The files are now current.

The files for staff persons #1-#8 contain verification of completion of the Health and Safety update completed after the required date of 12/30/2022. The trainings are now current. The file for staff person #9 is lacking documentation of completion of the health and safety update.

The file for staff person #5 contains current mandated reporter training competed greater than 60 months after the previous mandated reporter training. The file is now current.

There was not an emergency medical transportation posting in the gym.

The file for staff person #3 contains no hours of child care training completed during the previous year. The file for staff person #7 contains only 1 hour of child care training completed during the previous year.

Observed staff file #1 contained updated criminal background, child abuse, FBI fingerprint clearances and the CPSL required mandated reporter training which were all completed more than 60 months after the date of the previous valid clearance or training. Observed staff file #4 contained a child abuse clearance which was dated after their first day working in a child care position and the file did not contain child abuse clearance request form. Observed staff file #5 contained an FBI fingerprint clearance which was dated after their first day working in a child care position and the file did not contain a fingerprint submitted receipt.

Observed staff file #2 and #5 did not contain documentation of training in the emergency plan at the time of initial employment.

Observed a detached screw by the entrance door in the outdoor toddler play area.

Observed multiple spots of peeling/damaged paint on the lower portion of the metal siding in the toddler play area. Observed peeling/damaged paint by the exit door and the bar in the indoor gross motor room.

Observed in the large play yard swings with damaged and peeling covers and the bottom of the slide was damaged and had rough edges. Observed in the indoor gross motor area a see saw with torn fabric.

Observed in the toddler outdoor play area, small rubber particles with a diameter of less than 1 inch, all over parts of the poured protective surface and accessible to children who are still placing objects in their mouths.

Observed child file #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 did not contain written verification of MMR and Varicella vaccines administered in accordance with the schedule recommended by the ACIP.

Observed there were no medication logs for medications stored and administered in the older toddler, young toddler, and infant areas.

Observed staff file #3, 5, and 6 contained updated health assessments which were dated more than 24 months after the previous valid health assessment.

Observed staff file #2 and 4 contained documentation of the health and safety training which was completed more than 90 days after the date of hire. Observed staff file #7 did not contain documentation of health and safety training for child care centers.

Observed staff file #2 contained documentation of training in pediatric first aid and pediatric cardiopulmonary resuscitation which was dated more than 90 days after hire.

Observed staff file #3 and #5 did not contain documentation of 2 years experience with children.

Observed the emergency contact information for child #3 did not contain the address of the individual designated by the parent to whom the child may be released.

Observed there was no emergency contact information available for children receiving care when they were outside in the toddler play area.