Frew Mill Campus

In room 133 the toothbrushes were stored above the sink in the cabinet with caps on them.

In room 109 while the staff was diapering a child they used their hand to open the trash can while throw a diaper away.

In room 109 a staff person changed a child's diaper opened the bathroom room door, washed the child's hands, did not wash the staff's hands, then picked up the child, and opened the gate to place the child on the floor in the room.

The emergency drill that was documented for 3/27/25 did not document all the names of the staff involved.

The daily schedule was not posted in the gym.

The file for staff #1 lacked an NSOR on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now an NSOR on file and dated 7/25/23.

On 5/20/24, Room 128 was observed during nap time, There were 7 children present in the room. Child #4, was unable to be properly supervised by staff #4 or 5 from where the staff were located in the room as the child was located behind a shelf. Room 133 was observed during nap time. There were 14 children present in the room with 3 staff. Staff #6 was unable to properly supervise 2 of her 6 children from where she was sitting in the room as her back was turned to one child and the other was behind a shelf. Staff #7 was unable to properly supervise 5 of the 7 children in her supervisory group from where she was sitting in the room as the children were behind shelves or not in her view as her back was turned.

On 5/20/24, observed 7 children with 2 staff in Room 128 during nap. Staff #4 named 4 children in her supervisory group. Staff #5 named 4 children in her supervisory group. Staff #4 and 5 both named two of the same children in their supervisory group and this left 1 child who was not named in any supervisory group. Observed 14 children in Room 133 during nap. Staff #6 named 7 children in her supervisory group. Staff #7 named 8 children in her supervisor group and Staff #1 named 1 child in her supervisory group. All 3 staff named child #5 in their supervisory group.

The facility file lacked documentation for the proof of purchase of the interconnected smoke detectors.

A continuity of operations plan for the aftermath of a disaster was not in the emergency plan.

The file for staff #3, lacked emergency plan training within 90 days of hire. SEE IS CODE SHEET. There is now emergency plan training on file and dated 4/17/24.

The parent letter explaining emergency procedures lacks an update to the plan regarding special accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

In room 132 the first aid kit above the sink did not contain scissors, tweezers, or soap.

In the bathroom of room 128 there was a ceiling tile in the bathroom that was stained with a brown substance and half of the tile was broken off and missing. In room 128 the bottom right corner of the wooden exit door was splintering. In the gym the baseboard at the bottom of the steps on the left was peeling away from the wall.

In room 133, chipping paint was observed around the windows in the dramatic play area and behind the teacher's desk. In the outdoor preschool play space there was chipping paint on the white downspout by the gate between the toddler and preschool play spaces. The ceiling in the gym was observed to have large pieces of peeling paint hanging down.

In room 128, a gray bin with a raccoon picture on it had a cracked lid with sharp edges.

In room 133, teeth marks were observed on the foam number peg boards.

In Room 133, observed that child #6 was not using rest equipment that was labeled for the use of the specific child and the couch that was used as rest equipment for the child was also used by other children for activities not related to napping.

In Room 133, observed that 8 of the 14 children did not have 2 feet of space on three sides of their rest equipment.

The two most recent health assessments on file for Child #1, who is of preschool age, were more than 12 months apart. Dates are as follows: 9/9/22 and 10/5/23.

The immunization record on file for Child #1 includes 3 of 4 Pneumococcal vaccines as recommended by the ACIP for the age of the child. The immunization record on file for Child #3, includes 3 of 4 DTAP vaccines as recommended by the ACIP for the age of the child. The file for Child #2 did not contain an immunization record and a review of immunized status based on the age of the child was unable to be determined.

The health reports in the files for child #2 and #3 did not have 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.

The Pediatric CPR/FA training on file for staff #2 was not renewed on or before the expiration date. Dates are as follows: 8/7/21 and 10/7/23.

The file for staff #3 lacked health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now revised 10 hour health and safety training on file and dated 5/24/24.

The file for staff #1, who holds the title of assistant group supervisor, lacks 1250 hours of childcare training. The file for staff #3, who holds the title of director, lacks 1250 hours of childcare training.

There was no written plan of daily activities posted in room 129.

The file for staff #2 contained a current FBI clearance dated 12/6/22, that was not renewed within 60 months of the prior FBI clearance dated 11/15/17.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

There was a backpack with hand sanitizer, sunscreen lotion, hand cream and toothpaste on top of the cubbies label " keep out of reach of children". accessible to children.

The emergency numbers were not posted by the telephone in the infant room.

There was a cracked gray letter tile toy in the infant /toddler playground.

The file for child # 1 a preschooler contained a current health report dated 11/1/22. The report was obtained after 12 months the prior report was dated 4/26/21. The file for child # 3 a preschooler contained a current health report dated 11/4/22. The report was obtained after 12 months the prior report was dated 8/5/21.

The file for child # 2 is missing a dose of the influenza vaccine.

The file for staff # 1 contained a current health assessment dated 8/5/21. It was not obtained within 24 months of the previous assessment dated 7/24/19. The file for staff #2 contained a current health assessment dated 2/1/22. It was not obtained within 24 months of the previous assessment dated 11/20/19.

The files for child # 4,5 and 6 the infants, lacked a written statement from the child's parent giving the formula and feeding schedule.

The facility lacked the pick-up and drop-off notification of safe routes posted by the operator at a conspicuous location in the childcare facility.

The fire drill log lacked hypothetical locations.

The facility Liability Insurance report lacked the name and address of the facility.

The file for staff # 1 contained a current fire safety training certificate dated 4/26/23 the training pass one year. The Prior certificate was dated. 2/25/22. The file for staff # 2 contained a current fire safety training certificate dated 4/24/23 the training pass one year. The Prior certificate was dated. 2/25/22.

The file for staff # 1 contained a current Health and Safety Updated training dated 4/26/23, that was not completed by 12/30/22.

The file for staff # 3 lacked a current mandated report training certificate. The prior certificate is dated 3/13/18. The file for staff # 4 contained a current mandated reporter training certificate dated 11/3/22 that was not obtained within 60 months of the previous certificate dated 8/22/16.

The file for staff # 2 lacked written evaluation every 12 months. The last evaluation on file is dated 11/20/21.

The information on how to access the regulations electronically was not provided to the parents of each enrolled child.

The file for staff # 1 lacked 8.5 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

In the outdoor play space, a sharply edged metal brace located at the base of the fencing enclosing the outdoor play space and a sharply edged, approximately 8"x8" metal framing around the water spigot installed on the building wall of the outdoor play space were observed to present the potential for laceration injuries.

In the Toddler Room, in an area accessible to children in care, an approximately 3.5' wooden coat tree was observed to have loose bolts near the base causing the potential for pinching points.

Although the files for Staff #1-#6 contained documentation of the completion of Health and Safety Basics training, each noted staff member completed said training prior to 09/30/2016.