Elevating Horizons Learning Academy

At the time of the inspection, the file of staff person #1 included a health assessment dated 5/13/22.

At the time of the inspection, child service reports were not included in the files of child #1, #2, #3 and #4.

At the time of the inspection, the files of child #3 included an emergency contact dated 4/4/25 and child #4 included an emergency contact dated 2/1/25.

At the time of the inspection, the files of child #1 included an agreement dated 3/20/24, child #2 included an agreement dated 9/10/24, child #3 included an agreement dated 4/4/25 and child #4 included an agreement dated 2/1/25.

Ongoing non-compliance, staff person #2 did not have a signed Disclosure Statement on file.

At the time of inspection, an infant was observed sleeping in an infant rocking chair.

Ongoing non-compliance, staff persons #1 and #2 most recent Emergency Plan training on file was dated 1.5.2023.

Ongoing non-compliance, the 1st floor rear bathroom water temperature reached 128 degrees.

Ongoing non-compliance, the carpet in the OT classroom on the first floor was ripped causing a potential tripping hazard.

Ongoing non-compliance, there were multiple areas of peeled, damaged paint on the 1st floor in both the Older Toddler classroom and small Infant area. There was also damaged plaster on the door frame connecting the Older Toddler classroom and Infant area on the first floor.

Ongoing non-compliance, the children cots in both the Older and Younger Toddler childcare spaces were not labeled for the use of a specific child.

Ongoing non-compliance, health assessment on file for staff person #1 was more than 24 months old; health assessment on file for staff person #1 was dated 01/12/2023.

Ongoing non-compliance, staff persons #1 and #2 did not have documentation of fire safety training on file.

Ongoing non-compliance, staff persons #1 and #2 did not have written staff evaluations on file.

Ongoing non-compliance, children #1 and #2 did not have a signed Financial Agreement on file.

Ongoing non-compliance, child #3 Financial Agreement Form did not specify any services that were considered extra at the facility.

Ongoing non-compliance, children #1 through #3 Emergency Contact Forms did not include parents work addresses or work telephone numbers.

Ongoing non-compliance, children #1 through #3 Emergency Contact Forms did not contain written parental consent for emergency medical care.

Ongoing non-compliance, children #1 through #3 Emergency Contact Forms did not contain written parental consent for administration of minor first-aid procedures by staff.

At the time of inspection, staff person #2 did not have a signed Disclosure Statement on file.

At the time of inspection, staff persons #1 and #2 most recent Emergency Plan training on file was dated 1.5.2023.

At the time of inspection, there were uncovered electrical outlets in the front entrance area near the children cubbies and on the 2nd level near the water cooler in the YT classroom.

At the time of inspection, there was a Clorox wipe container sitting on the changing table in the 2nd floor bathroom attached to the YT classroom that was accessible to children.

At the time of inspection, the 1st floor rear bathroom water temperature reached 125 degrees.

At the time of inspection, the carpet in the OT classroom on the first floor was ripped causing a potential tripping hazard.

At the time of inspection, there were multiple areas of peeled, damaged paint on the 1st floor in both the Older Toddler classroom and small Infant area. There was also damaged plaster on the door frame connecting the Older Toddler classroom and Infant area on the first floor.

At the time of inspection, the children cots in both the Older and Younger Toddler childcare spaces were not labeled for the use of a specific child.

At time of inspection, health assessment on file for staff person #1 was more than 24 months old; health assessment on file for staff person #1 was dated 01/12/2023.

At the time of inspection, staff person #1 Pediatric CPR Certification expired 3.21.2025. Staff person #1 was observed caring for children alone.

At the time of inspection, staff persons #1 and #2 did not have documentation of fire safety training on file.

At the time of inspection, staff persons #1 and #2 did not have written staff evaluations on file.

At the time of inspection, children #1 and #2 did not have a signed Financial Agreement on file.

At the time of inspection, child #3 Financial Agreement Form did not specify any services that were considered extra at the facility.

At the time of inspection, children #1 through #3 Emergency Contact Forms did not include parents work addresses or work telephone numbers.

At the time of inspection, children #1 through #3 Emergency Contact Forms did not contain written parental consent for emergency medical care.

At the time of inspection, children #1 through #3 Emergency Contact Forms did not contain written parental consent for administration of minor first-aid procedures by staff.

At the time of inspection, the posted Certificate of Compliance was dated 11.5.2023 to 11.5.2024.

During the renewal inspection on 9/19/24 the file reviewed for staff person #1, staff person #2, and staff person #3 did not contain annual emergency plan training.

During the renewal inspection on 9/19/24 there was peeling paint observed on the wall in both classrooms.

During the renewal inspection on 9/19/24 the health assessment reviewed for staff person #2 was more than 24 months old. Health assessment was dated 7/6/22.

During the renewal inspection on 9/19/24 the file reviewed for staff person #1, staff person #2, and staff person #3 did not contain annual fire safety training.

During the renewal inspection on 9/19/24 the fee agreement reviewed for child #2 did not contain date of admission.

During the renewal inspection on 9/19/24 the emergency contact form reviewed for child #1 did not contain health insurance policy number.

While conducting an unannounced visit on 10/19/23 it was observed downstairs classroom# 1 was out of ration having total of 7 children present to 1 staff person: youngest child under the age of 1yrs old. Downstairs classroom #2 had a total of 3 children present and the staff person#3 stepped out of the room to prepare lunch leaving one child sitting in a motion chair unstrapped. In the upstairs classroom #3 staff person#4 walked in and out of the classroom leaving the children unattended several times during the visit.

Ongoing noncompliance observed during an unannounced visit on 10/19/23 the outside play area was not safe for children to play, toys needed to be cleaned, and the yard needed to be cleaned swept.

While conducting an unannounced visit it was observed in the outside play area floor waxing chemical in the reach of children. Fabuluos cleaning disinfectant was also observed on the floor next to the toilet in the children's bathroom in the reach of children.

Ongoing noncompliance was observed during an unannounced inspection conducted on 10/19/23 in the upstairs classroom#2 ceiling light in the napping area needs to be replaced.

While conducting an unannounced visit on 10/19/23 it was observed that child #1-3 did not have age-appropriate rest equipment in their classroom.

Ongoing noncompliance observed during an unannounced visited conducted on 10/19/23 the rest equipment was not labeled for child# 1- 3 specific use.

Ongoing noncompliance observed during an unannounced visit conducted on 10/19/23 staff person# 2 file did not include a health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

On going noncompliance observed during an unannounced visit on 10/19/23 it was observed staff person #2 file included current pediatric first aid CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expired 4/2023.

While conducting the renewal inspection on 9/14/23 it was observed staff persons#1 through 4 file did not include a completed disclosure statement. Staff person# 4 file did not include verification of FBI clearances.

While conducting the renewal inspection on 9/14/23 it was observed staff persons# 4 file did not include emergency plan training.

While conducting the renewal inspection on 9/14/23 it was observed the outside play area was not safe for children to play, rolled up carpet posed as tripping hazard, toxic cleaning material placed in the reach of children, and the toys needed to be cleaned, and the yard needed to be cleaned swept.

While conducting the renewal inspection on 9/14/23 it was observed the upstairs classroom# 1 electrical outlets were missing covers in the play area, and classroom#2 was missing electrical outlet covers in the sleeping area.

While conducting the renewal inspection on 9/14/23 it was observed in the upstairs classroom#1 had cleaning materials and toxic stored in a large open box accessible to children.

While conducting the renewal inspection on 9/14/23 it was observed in the upstairs classroom#1 first aid kit was missing tweezers.

While conducted the renewal inspection on 9/14/23 it was observed in the upstairs classroom#2 light in the napping area needs to be replaced.

While conducting the renewal inspection on 9/14/23 it was observed that 4 children present with only 1 crib labeled with child's name

While conducting the renewal inspection on 9/14/23 it was observed staff person #2 file included current pediatric first aid CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expired 4/2023.

While conducting the renewal inspection it was observed that child# 1-3 emergency contact did not include address of individual designated by the parent to whom the child may be released.

While conducting the renewal inspection on 9/14/23 it was observed staff person#1 file did not include initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Staff persons# 2-3 Health assessment expired.

During the inspection on 4/14/2023 child #1 was observed in the playpen at 11:29 am in classroom #2 did not have at least 2 feet of space on three sides while in use. Three playpens were touching one another.

Ongoing noncompliance- During the inspection on 3/13/2023 an apple wedge and the stick of butter was observed uncovered/uncontained. During the inspection on 4/14/2023 pizza was observed uncovered/uncontained.

During the inspection on 4/14/2023 the file record for #child 1 did not include a written statement giving the formula and feeding schedule for an infant obtained from the parent.

Ongoing noncompliance-During the inspection 3/13/2023 classroom # 1 was over capacity. The capacity for the classroom is 8 and the classroom was observed having 10 children. During the inspection on 4/14/2023 at 11:10 am classroom #1 was observed having 9 children. From 11:11am until 11:16 am 16 children were observed in classroom #1. Classroom #3 was observed having 8 children from 11:16 am the capacity for classroom #3 is 6.

During the inspection on 4/14/2023 the file record for child #1 did not include a financial agreement form signed by the operator and parent.

During the inspection summary on 4/14/2023 child #1 did not have an emergency contact form with emergency contact information.

Ongoing noncompliance- During the inspection on 3/13/2023 classroom #1 did not have emergency contact information present in a child care space for 6 of the children receiving care in the space. During the inspection on 4/14/2023 classroom 1 and 2 did not have all of the emergency contact information for the 16 children in classroom #1 and the 3 children in classroom #2.

During the inspection on 3/13/2023 the facility had an emergency plan that did not address volunteer emergency preparedness training, practice drills, and continuity of operations. Also, Staff person #3,4 and 5 working unsupervised without having completed the pre-service training: Pediatric first Aid/CPR

During the inspection on 3/13/2023 the file record for staff person #4 included a state police clearance for volunteer purposes not for employment purposes. Staff person #4--- may not work in a child care position at the facility.

During the inspection on 3/13/2023 the hot water temperature measured 131.4° F.

During the inspection on 3/13/2023 an apple wedge and the stick of butter was observed uncovered/uncontained.

During the inspection 3/13/2023 classroom # 1 was over capacity. The capacity for the classroom is 8 and the classroom was observed having 10 children.

During the inspection on 3/13/2023 the file records for child #4 did not include an initial health assessment. The file record for child #7 did not include an updated health assessment.

Staff person #3,4, 5--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):

During the inspection on 3/13/2013 the file record for staff #2 did not include a written evaluation.

During the inspection on 3/13/2023 the file records for child #6 did not include a financial agreement form signed by the operator and parent.

During the inspection on 3/13/2023 the file records for child # 1,2,3,4,5,7 and 8 did not include an agreement that specified the persons designated by a parent to whom the child may be released.

During the inspection on 3/13/2023 the file record for child #6 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

During the inspection on 3/13/2023 the file records for child # 4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, on the emergency contact form.

During the inspection on 3/13/2023 the file records for child # 4,5,6 and 7 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

During the inspection on 3/13/2023 classroom #1 did not have emergency contact information present in a child care space for 6 of the children receiving care in the space.

During the inspection on 3/13/2023 the file records for child # 6 and 8 did not include signed parental consent for emergency medical care for the child.

During the inspection 3/13/2023 the file records child 6 and 8 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

During the inspection on 3/13/2023 the file record for child # 8 did not include signed parental consent for transportation, walking excursions, swimming and wading.

During the inspection 3/13/2023 the file record for staff person # 1 did not include annual minimum of 12 clock hours of child care training.

During the inspection on 5/11/2022 the cots in the infant room did not have at least 2 feet of space on three sides while in use.

Ongoing noncompliance- During the inspection on 5/11/2022 one bottle in the kitchen was observed not labeled.

During the inspection on 4/18/2022 the file record for staff person #2 did not include a NSOR. Facility Person #2--- may not work in a child care position at the facility.

During the inspection on 4/18/2022 staff person #2 was observed with 10 children alone, the youngest child was a young toddler (one years old).

During the inspection on 4/18/2022 child#4 was observed unsupervised alone from 11:04am until 11:06am in a swing.

During the inspection on 4/18/2022 young toddlers were observed in high chairs for long periods of time without food or an activity.

During the inspection on 4/18/2022 cleaning materials were observed accessible to children

During the inspection on 4/18/2022 the hot water temperature measured 132.8° F.

During the inspection on 4/18/2022 the outdoor play space that is used by all ages was observed having rubber mulch in the area. Rubber mulch is less than 1 inch in a diameter, and young and older toddlers receive care in the outdoor play space.

During the inspection on 4/18/2022 the playpens in the infant room were not labeled.

During the inspection on 4/18/2022 young toddlers were observed crying and siting in high chairs without food or activity for long periods of time.

During the inspection on 4/18/2022 the file records for child #2 did not include an updated health assessment.

During the inspection on 4/18/2022 the file records for child # 3 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the inspection on 4/18/2022 the file records for child #3did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During the inspection on 4/18/2022 6 preschool children were observed having snack and did not wash their hands prior to receiving snack.

During the inspection on 4/18/2022 2 sippy cups in the refrigerator were observed not labeled.

During the inspection on 4/18/2022 the last fire drill observed on file was 2/9/2022.

During the inspection on 4/18/2022 the preschool and infant/toddler room did not have emergency contact information present in a child care space for children receiving care in the space.

During the inspection on 4/18/2022 the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space.

During the inspection on 4/18/2022 the file records for child # 1 did not include signed parental consent for emergency medical care for the child.

During the inspection 4/18/2022 the file records child # 1did not include signed parental consent for administration of minor first-aid procedures by facility staff.

During the inspection on 4/18/2022 the file records for staff persons # 1 and 2 did not include completed verification of child care experience. The file record for staff person #2 did not include verification of education.

During the inspection on 4/18/2022 the file record for staff person #1 included a fraudulent health assessment. The department confirmed the illegitimacy of the health assessment on 4/21/2022.

During the electronic inspection on 10/13/2021 the file record for staff person #1 did not include a FBI rap sheet. Facility Person #1--- may not work in a child care position at the facility.

During the inspection on 10/18/2021 the outdoor play space was observed not having fencing to restrict children from unsafe conditions. Cinder blocks, glass and debris was observed in the area. An individual not employed by the facility was observed walking through the play space area from the egress of the second floor that was not blocked to restrict unsafe conditions.

During the inspection on 10/18/2021 a hot water pipe was observed exposed in classroom #4 posing a tripping hazard and threat to the safety of children.

During the inspection on 10/18/2021 the facility did not have safe routes posted.

During the electronic inspection on 10/13/2021 the facility had an emergency plan that did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the electronic inspection on 10/13/2021 the facility did not have proof of installation for the smoke detection system.

During the inspection on 10/18/2021 the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in classroom 2, 3 and 4.

During the electronic inspection on 10/13/2021 the file records for staff persons # 2 did not include verification of child care experience prior to service at the facility.

During the electronic inspection on 10/13/2021 the file records for staff person #2 did not include two written, non family references from individuals attesting to the person's suitability to serve as a facility person.