Faith and Grace Learning Center Roaring Spring

The file for child #3 was observed to contain an agreement that did not specify the persons designated by a parent to whom the child may be released

The file for child #1 was observed to contain agreement that did not specify the services which are to be considered as extra.

The file for child #2 was observed to contain an emergency contact form that did not include information on the child's special needs (if any), as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation

Observed during an unannounced verification visit, child #1, an infant sleeping in a swing rather than a flat firm surface; and child #2 was sleeping in a bouncer rather than a flat firm surface.

Based on information gathered in interviews during an unannounced investigation, staff #1 smacked child #1.

On 3-18-24 during an unannounced visit, at approximately 9:45 a.m., CR observed staff #1 with 6 2-year-old children and 3 3-year-old children in the preschool room while staff #2 had 3 3-year-old children at the restroom down the hall. Therefore, staff #1 was over ratio in the preschool room.

Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised:3270.31(f)(1-10).

Observed staff file #3, a provisional hire, contained a disclosure statement which was not dated to document the form was signed prior to starting in a childcare position, there was no application documenting the criminal background clearance was applied for prior to starting in a childcare position, and there was not a valid child abuse clearance which is required prior to starting as a provisional hire.

Observed a damaged leg on a small wooden table in the preschool room.

Observed an infant in a pack n play which did not have 2 feet of space on three sides.

Observed the operator did not have an established individual record for a staff's child receiving care at the facility on the day of the inspection.

Staff person #1 had not completed the mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter trainings on file being dated 10-7-16 and 12-11-21 (see LIS code sheet). At the time of the inspection, the Emergency Plan lacked continuity of operations.

Observed in room 201, adult scissors stored on the third shelf of an unlocked cabinet accessible to the children receiving care in the room.

Observed in room 201, 4 Bingo dabbers and Barbasol brand shaving cream all labeled, "keep out of the reach of children" stored on the third shelf of an unlocked cabinet accessible to the children receiving care in the room.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted in room 204 at the time of the inspection.

The sinks in the following rooms lacked hand washing signs: 1 in room 201, 2 in room 202, and 1 in room 205.

At the time of the inspection, there were not lidded waste receptacles being used in the men's and women's restrooms in the child care space and women's restroom in the indoor gross motor space.

Observed in room 204 a rug with frayed edges approximately 2 feet long.

Observed cribs in use with child #1 and child #2 sleeping that were less than 2 feet apart from each other.

There were not written statements for the formula and feeding schedules of children #1, #2, and #3 at the time of the inspection.

Based on documentation, fire drills were held more than 60 days apart due to the fact they were tested 4-14-23 and 6-14-23 which is 61 days.

There was no documentation of testing the smoke detectors every 30 days. The only documentation on file was from an outside company who tested the non-childcare space in September 2022. During the renewal inspection, there were not operable inter-connected smoke detectors in the child care spaces. Furthermore, operable inter-connected smoke detectors could only be heard in the upstairs church space, not audible when the doors of the child care rooms are closed.

At the time of the inspection, there was no documentation the Emergency Plan was sent to the local municipality.

There was not emergency contact information for child #3 in the child care space at the time of the inspection.

Staff person(s) #2 and #3 had not completed the following required pre-service training within 90 days of their dates of hire (see LIS code sheet): first aid/CPR.

**Second citation previously cited on 9-29-22, at approximately 1:40 p.m. during naptime, cert rep observed in the preschool room staff #1 sitting at the front of the room near the door while 6 preschool aged children napped. One child was resting in the far back of the room with tables and chairs obscuring the staff's view in order to properly supervise the child. In addition, lighting was insufficient to properly supervise the children.

***Second citation previously cited on 9-29-22, at approximately 1:40 p.m. during naptime, cert rep observed in the preschool room staff #1 sitting at the front of the room near the door while 6 preschool aged children napped. One child was resting in the far back of the room with tables and chairs obscuring the staff's view in order to properly supervise the child. In addition, lighting was insufficient to properly supervise the children.

*Second citation previously cited on 9-29-22, at approximately 1:40 p.m. during naptime, cert rep observed in the preschool room staff #1 sitting at the front of the room near the door while 6 preschool aged children napped. One child was resting in the far back of the room with tables and chairs obscuring the staff's view in order to properly supervise the child. In addition, lighting was insufficient to properly supervise the children.

At approximately 2:20 p.m. during naptime, cert rep observed in the preschool room staff #1 and staff #2 sitting at the front of the room near the door while 13 preschool aged children napped. 4 children were resting in the far back of the room with tables and chairs obscuring the staff's view in order to properly supervise the children.

Observed staff #2 and #7 take the infants on a walk in strollers off the facility address without taking the first-aid kit and copies of the emergency contact forms for the group of infants.

Observed in room 201 2 broken Magntiles.

Observed a damaged rest mat with exposed foam labeled for child #2, a toddler and a damaged rest mat with exposed foam labeled for child #5, a toddler.

Observed in room 202 a small white table with tan legs; three of the legs were loose.

The file of child #1 was observed to have an initial health assessment that lacked a signature by a physician, physician's assistant or a CRNP.

Observed in room 205 Desitin labeled for child #3 with an expiration date of 5/22. Observed in room 202 Desitin labeled for child #4 with an expiration date of 12/2021.

The file of staff #6 had an initial health assessment with a tuberculosis screening more than 12 months prior to initial employment due to the fact the test read date was dated 2-7-20. (see LIS code sheet for hire date)

Observed in the refrigerator located in room 202 a Nuk brand Minnie Mouse bottle not labeled for the use of a specific child.

An emergency plan drill was not conducted by 12-19-21 due to the fact the only drill documented was dated 5-20-22.

At the time of reviewing the fire drill log during the renewal inspection, the last date documented of completion of a drill was 6-7-22 which was more than 60 days.

At the time of the inspection, there was not documentation to prove the plan was delivered to the local municipality and to the county emergency management agency.

Staff persons #1, #2, and #4, have not completed the following required pre-service training within 90 days of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved and a PQAS approved curriculum. Staff person #5 has not completed the 10 hour health and safety training course due to the fact the health and safety course on file was 6 hours and dated 7-31-16 (see LIS code sheet).

The file of staff #3 did not complete the Mandated Reporter Training within 90 of their hire date due to the fact the date of completion was dated 2-16-22 (see LIS code sheet for hire date).

On 10/12/21 it was found that the facility failed to obtain initial and subsequent child health assessments when the parent of a child in care neglected to turn the required assessment into the facility.