Gibsons Brighter Futures Learning CTR & Child Care

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #8 contained an FBI clearance with an incomplete rap sheet, which is required for CPSL compliance and is beyond the original correction date of 2/14/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The most recent emergency plan training on file for Staff #8 is dated 3/10/22, more than 12 months prior and is beyond the original correction date of 2/14/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The first aid kit in the Infant room lacked gloves. The first aid kit in the Young Toddlers room lacked tape and is beyond the original correction date of 2/3/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: In the upstairs Younger Toddler room, a baseboard was observed broken with rough edges and exposed wood which could cause injury to children and is beyond the original correction date of 2/11/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: A handwashing sign was missing at the pedal sink in the Infant Room and is beyond the original correction date of 2/3/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: A metal cabinet in the Preschool Room containing medications was observed unlocked and accessible to children and is beyond the original correction date of 1/24/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The lined and lidded garbage can used for diapering on the first floor was observed to not be hands-free and is beyond the original correction date of 2/7/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Child #1 lacked an initial health assessment and has been enrolled for more than 60 days (SEE IS CODE SHEET) and is beyond the original correction date of 2/14/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: Staff #3 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center Based Care. It is beyond the original correction date of 2/21/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #8 lacked documentation of mandated reporter training and is beyond the original correction date of 2/21/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #5, classified as an Aide, does not include verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience and is beyond the original correction date of 2/28/25.

SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #5 and Staff #8 does not contain two written, nonfamily references and is beyond the original correction date of 2/11/25.

The file for Staff #3 contained a state police clearance which lacked a dissemination date, making it invalid. The file for Staff #6 lacked a Child Abuse clearance. The file for Staff #8 contained an FBI clearance with an incomplete rap sheet, which is required for CPSL compliance.

The most recent emergency plan training on file for Staff #8 is dated 3/10/22, more than 12 months prior.

The facility's Emergency Plan lacked a letter to parents explaining the following emergency procedures: shelter in place, lockdown, evacuation, method to contact parents during an emergency, method to inform parents that the emergency has ended, instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Clorox toilet bowl cleaner was observed in an unlocked cabinet under the sink in the back bathroom on the main floor and was accessible to children.

On the main floor, toxics were observed over food in the kitchen area and next to loose diapers in the diaper changing area, which could cause contamination if leaking occurred.

Trash cans in the Preschool and Older Toddler areas of the main floor were observed without lids and contained trash contaminated by human secretions or excrement.

The first aid kit in the Infant room lacked gloves. The first aid kit in the Young Toddlers room lacked tape.

Ripped carpeting with pieces less than one inch in diameter was observed in the Older Toddler area of the main floor and was accessible to children who are still placing objects in their mouths.

A seam cover on the pole in the Older Toddler area was observed with cracked plastic. A broken outlet plate with sharp edges was observed in the reading center in the Preschool area. Protruding screws were observed under the TV in the Preschool area and in the side of the cabinet in the front bathroom, which could cause injury to children. A ceiling tile was missing in the back bathroom on the main floor, which could be hazardous to children. In the upstairs Younger Toddler room, a baseboard was observed broken with rough edges and exposed wood which could cause injury to children.

In the back bathroom on the main floor, a training seat on the toilet was observed with exposed foam and was not in good repair.

A handwashing sign was missing at the pedal sink in the Infant Room. A handwashing sign was missing at the toilet in the front bathroom on the main floor.

The diaper changing area on the first floor lacked a garbage can. The garbage can used for diapering was located in the bathroom next to the diaper changing area.

Broken magnatiles and foam blocks with teeth marks were observed in the Preschool area, which could be hazardous to children. A plastic bin containing play-doh was observed with cracked edged, which could cause injury.

A metal cabinet in the Preschool Room containing medications was observed unlocked and accessible to children.

An Epi Pen for Child #6 with an expiration date of 11/2024 was observed in the Preschool Room cabinet.

The lined and lidded garbage can used for diapering on the first floor was observed to not be hands-free.

The most recent health assessment on file for Staff #1 (dated 10/24/22) and Staff #2 (dated 5/18/21) are dated more than 24 months prior. The initial health assessment (dated 8/13/24) and Tuberculosis test (dated 8/16/24) on file for Staff #3 are dated after Staff #3's date of hire (SEE IS CODE SHEET).

The health assessment on file for Staff #7 lacks the physician or health care professional's assessment of the person's suitability to provide child care.

The most recent Emergency Drill on file at the facility is dated 8/23/23, more than 12 months prior.

The fire alarm 30-day test log includes test dates 3/14/24-4/16/24 & 7/8/24-8/9/24, more than 30 days apart.

The facility lacked documentation stating that the Emergency Plan and subsequent plan updates have been sent to the local municipality and the county emergency management agency.

The file for Child #1 lacked an initial health assessment and has been enrolled for more than 60 days (SEE IS CODE SHEET). The file for Child #3 does not contain an initial health assessment or subsequent updated health assessments and has been enrolled for more than 60 days (SEE IS CODE SHEET).

The facility lacked a Shaken Baby Syndrome/Child Maltreatment policy at the time of inspection. The facility's Emergency Plan lacks a Continuity of Operations policy and a section stating that volunteers will be trained on the Emergency Plan.

The facility lacked acceptable documentation of liability insurance at the time of inspection.

The file for Staff #2 lacked documentation of annual fire safety training.

Staff #3 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center Based Care.

The file for Staff #8 lacked documentation of mandated reporter training.

The file for Staff #5, classified as an Aide, does not include verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience.

The file for Staff #2, classified as an Assistant Group Supervisor, lacked documentation of 2 years of child care experience.

The Financial Agreement form on file for Child #4 lacked the operator's signature.

The Financial Agreement form on file for Child #4 lacked the date the fee is to be paid.

The files for Child #1 and Child #3 lacked Child Service Reports every 6 months from the child's date of enrollment (SEE IS CODE SHEET).

The Emergency Contact form for Child #3 lacked a complete address for the child's physician or source of medical care.

The Emergency Contact form for Child #1 lacked the enrolling parent's work address and telephone number.

The Emergency Contact form for Child #1 lacked parental consent for the facility to obtain emergency medical care.

The Emergency Contact forms for Child #1 lacked addresses for the listed release persons. The Emergency Contact form for Child #3 contained complete addresses for all listed release persons.

An Emergency Contact form was missing for Child #5 in the younger toddler area of the main floor, where the child was observed receiving care.

The most recent parent review and update for the Emergency Contact and Financial Agreement forms on file for Child #1 is dated 6/25/24, more than 6 months prior. The most recent parent review and update on file for Child #3's Emergency Contact (dated 6/12/24) and Financial Agreement (dated 7/2/2) are dated more than 6 months prior.

The Emergency Contact form for Child #1 lacked parental consent for the facility to administer minor first aid procedures.

The files for Staff #3, Staff #6, Staff 7, and Staff #8 lacks two written nonfamily reference letters attesting to the staff person's suitability to work in child care. The file for Staff #4 contained 1of 2 written nonfamily reference letters.

The facility did not have the current certificate of compliance posted in the facility.

The file for Staff #2 contained 11 of 12 annual child care training hours within the training period of 11/22/23-11/22/24.

Per staff statements, there have been several times in the morning that one staff is responsible for 7 to 10 children of various age levels including a young toddler, for up to 30 minutes.

**Per staff statements, on at least one occasion a child in care was permitted to be in the workshop with individual #1. Individual #1 is not a staff person.

*Per staff statements, on at least one occasion a child in care was permitted to be in the workshop with individual #1. Individual #1 is not a staff person.

Per staff statements, staff #1 recorded a video of child #2 displaying behaviors identified as challenging by staff #1. The video was recorded while child #2's peers and other staff were present.

Per staff statements, staff person #1 cared for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety, and Mandated Reporter training.

The file for staff person #2 lacked a valid State Police criminal history clearance. The clearance on file was marked "under review." Staff #2 was removed from a child care position on 7/31/24 due to not having a valid criminal history clearance. Staff #2 was observed working as a staff in the Young Toddler room on 8/6/24, without a valid criminal history clearance.

Per staff statements, there have been occasions that child care children have been allowed to spend time in a workshop space that has not been measured as a child care space.

Per staff statements the diaper of child #2 was not consistently checked at least every 2 hours.

The files for Staff #3, #4, and #5 lacked disclosure statements.

The Child Abuse clearance on file for Staff #1 is dated 12/26/23, which is beyond their date of hire (SEE IS CODE SHEET). The file for Staff #2 contained a State Police clearance with an 'Under Review' status and lacked a completed criminal history clearance. The files for Staff #3 and Staff #4 contained NSOR requests but lacked the NSOR certificates. Staff #3 and #4 have exceeded the 45-day provisional hire window from their date of hire (SEE IS CODE SHEET). The file for Facility Person #5 lacked documentation of request for the State Police, FBI, or NSOR clearances. The file for Facility Person #5 lacked the State Police clearance or FBI clearance required by date of hire for provisional hire under the CPSL.

The file for Staff #3 lacked Emergency Plan training within 90 days of their date of hire.

A spray bottle in the Infant Room containing cleaning products was observed to be unlabeled.

In the Outdoor Play Area, a metal pipe was observed protruding out from the side of the garage, which could be hazardous to children. A raised tree stump was observed embedded in the ground of the Outdoor Play Area, which could cause a tripping hazard.

A riding toy in the Outdoor Play Area contained a broken plastic handle with rough edges, which could be hazardous to children.

The file for Facility Person #5 lacked an initial health assessment and TB test.

Staff #1 completed the following required pre-service training on 2/28/24, which was beyond 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Staff #3 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care -- Revised 2022.

The file for Staff #3, serving as an Assistant Group Supervisor, lacked documentation of 2500 hours of child care experience prior to service at the facility in order to qualify for the position in which they are serving. The file for Staff #4, serving as an Assistant Group Supervisor, lacked documentation of education and experience required prior to service at the facility in order to qualify for the position in which they are serving.

The files for Staff #3 and Facility Person #5 lacked 2 written nonfamily reference letters. The file for Staff #4 lacked 1 written nonfamily reference letter.

At approximately 11:51AM on 5/30/24, it was observed that Staff Person #1 was in the bathroom with two preschool aged children leaving Staff Person #2 alone with 11 other preschool age children in the lunchroom.

The file for Staff Person #1 contains a Pediatric First Aid/CPR certificate with the expiration date of 4/30/24.

2nd CITATION. Previously cited 1/17/2024. Observed staff person #4, who is aide qualified, to be alone caring for 3 infants and not supervised by a staff person qualified at minimum as an assistant group supervisor.

2nd CITATION. Previously cited 1/17/2024. The file for staff person #4, serving as an assistant group supervisor, is lacking documentation of 2500 hours of child care experience prior to service at the facility in order to qualify for the position in which they are serving.

2nd CITATION. Previously cited 1/17/2024. The file for staff person #2 is lacking 2 written non-family references. The file for staff person #3 is lacing 1 of the required 2 written non-family references.

2nd CITATION. Previously cited 1/17/2024. The file for staff person #5 is lacking documentation of 12 hours of child care training during the year 12/19/2022-12/19/2023.

Staff persons #2 and #3 were observed to be caring for children in the toddler area unsupervised. Staff persons #2 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, Health & Safety training, PFA/PCPR training.

The file for staff person #1, hire date (see IS code sheet) contains a criminal history request in the 'under review' status and is lacking a completed criminal history clearance. Staff #1 has exceeded 45 days since hire. Staff #1 was also observed working unsupervised in the preschool area. The file for staff person #2, hire date (see IS code sheet) is lacking documentation of FBI fingerprinting prior to start date. The file does contain a completed FBI clearance. The file for staff person #4, hire date (see IS code sheet) contains a criminal history request in the 'pending' status and is lacking a completed criminal history clearance. The file is lacking verification of FBI fingerprinting prior to start date and is lacking a completed FBI clearance. Staff person #4 was observed working unsupervised in the infant room. Facility lacked any documentation of disclosure statements, criminal history, child abuse, FBI fingerprinting and NSOR clearances for facility persons #6 and #7, start date unknown, observed serving as cleaning help and lunch help and having contact with the children,

Staff persons #1,2,3 all currently with aide qualifications, were observed working unsupervised at various times through the observation. Staff #4 who is lacking staff qualifications was also observed working unsupervised.

Observed at ~1:55pm staff person #3 to be supervising 8 older toddlers. Three of the toddlers were still sleeping on their cots in the nap area which is separated from the play area by a low ~24 inch tall wall. Staff #3 was positioned in the toddler play area with the 5 toddlers that were awake. Staff #3 was not able to see the children still sleeping on their cots due to the low wall. In addition, since 5 children were awake, naptime ratios no longer applied and staff #3 exceeded the older toddler staff:child ratio of 1:6.

Observed at ~1:55pm staff person #3 to be supervising 8 older toddlers. Three of the toddlers were still sleeping on their cots in the nap area which is separated from the play area by a low ~24 inch tall wall. Staff #3 was positioned in the toddler play area with the 5 toddlers that were awake. Staff #3 was not able to see the children still sleeping on their cots due to the low wall. In addition, since 5 children were awake, naptime ratios no longer applied and staff #3 exceeded the older toddler staff:child ratio of 1:5.

Observed a 6-month old infant to be propped up on a Boppy pillow, sleeping in a pack n play. A physician statement identifying a medical reason was not available.

Observed in the infant room an extension cord and cords to a white noise machine and to a CD player to be hanging loose and accessible to children who could become tangled or pull down the equipment onto themselves.

The facility emergency plan is lacking method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Facility person #6, who has served in the facility for greater than 90 days, has not received training regarding the facility emergency plan.

The information provided to parents regarding the facility emergency procedures is lacking a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The first-aid kit in the infant room is lacking scissors, tweezers and tape.

In the downstairs bathrooms handwashing signs were missing at the boy's toilet and urinal and at the girl's toilet. In the upstairs bathroom handwashing signs were missing at the toilet and sink.

Observed the door at the top of the stairs that leads from the infant room down to the preschool room to be unlocked and have no restriction preventing it from opening. The door opens directly into the stairwell with no landing beyond the door.

The file for child #1, school age, is lacking a health report conducted at the time of admission into kindergarten.

The files for child #2, older toddler, and child #5, preschooler, are lacking updated health reports conducted during the previous 12-month period.

The file for child #2, older toddler is lacking an updated immunization report. The report on files shows the following missing immunizations: DTAP,HIB,MMR,Varcella and Hepatitis A. Child #2 must be removed from care until a current immunization report and / or exemption letter is received.

Observed in the school age first aid kit sting relief pads and medicated swabs not labeled with the name of the child for whom they were intended.

The trash container in the infant diapering area was not operable as a hands-free can.

The files for staff persons #2,3 and 4 are lacking health assessments at the time of initial employment. Staff #2 does have a current health assessment. Facility persons #6 and #7 who work with food preparation are lacking health assessments. The file for staff person #5 is lacking a health assessment conducted during the previous 24-month period.

Files for staff #2,#3and #4 and facility persons #6 and #7 are lacking documentation of TB tests at the time of initial employment. Staff #2 does have current TB test results.

A letter was not sent to local traffic safety authorities in the past 12 months in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Facility is lacking a policy on shaken baby syndrome, abusive head trauma and child maltreatment as required in announcement C-22-03

The file for staff person #5 is lacking the PA Health & Safety Update 2022 that was required to be completed by 12/30/2022.

The file for staff person #5 is lacking documentation of fire safety training during the previous 12 month period.

The file for facility person #6 who has served in the facility for greater than 90 days is lacking mandated reporter training.

The files for staff persons #1, #2 and #3, all serving as assistant group supervisors, are lacking verification of experience to serve as an assistant group supervisor. Staff 1,2 and 3 may serve as aides until verification of experience is obtained. The file for staff person # 4, serving as assistant group supervisor, is lacking documentation of education and experience to serve as assistant group supervisor. Staff 4 may not serve as a staff person until documentation of education and experience is obtained.

The file for staff person #1 is lacking a employee evaluation during the previous 12 month period.

The file for child #3 contains an agreement that is not signed by the operator.

The files for children #2,#4 and #5 are lacking child service reports completed during the previous 6-month period.

The file for child #3 contains an emergency contact form that is lacking signed parental consent for emergency medical care for the child.

The files for children #1, #4 and #5 have not been reviewed or updated during the previous 6-month period.

The files for children #1,#2 and #5 are lacking current health reports.

The file for child #3 contains an emergency contact form that is lacking signed parental consent for administration of minor first-aid procedures by facility staff.

An individual record is not available for Facility persons #6 and #7 serving as cleaning help and lunch help.

The files for staff persons #2,#3 and #5 and facility persons #6 and #7 are lacking 2 written references attesting to the person's suitability to serve as a facility person.

The file for staff person #5 is lacking documentation of 12 hours of annual child care training during the year 12/19/2022 to 12/19/2023.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.

Staff stated that the diaper changing surface is wiped with a baby wipe between each child and then sprayed with a beach/water solution once all children have been changed.

A pack n play was observed to have a quarter size hole on the side.

It was observed that 13 children, 7 older toddlers, 4 younger toddlers, and 2 infants, were in the upstairs social room with a capacity of 12.

The fire drill log had the hypothetical location of the fire listed as the lunch from for the drill on 4/15/23 and 5/20/23.

The fire alarms were tested on 1/15/23 and not again until 2/20/23, which is more than 30 days in between testing. The fire alarms were tested on 3/7/23 and not again until 4/15/23, which is more than 30 days in between testing. The fire alarms were tested on 4/15/23 and not again until 5/20/23, which is more than 30 days in between testing.

Staff person #1 has not completed the following required pre-service trainings within 90 days of their hire date (see LIS code sheet: First Aid and CPR training and Health and safety training.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The facility's water source has been identified as a PWS and has been identified as not being compliant with DEP.

The file for Staff #6 did not include the rap sheet associated with the PA State Police Criminal History Clearance that was on file at the facility. Staff #6 cannot return to work at the facility until she obtains said documentation.

In the rear upstairs childcare space, in an area accessible to children in care, an eight-to-10-foot electrical wire was observed to present the risk of strangulation if a child were to get it entangled around their neck.

An unused, unprotected electrical outlet was observed in the main childcare space in an area accessible to children under the age of six.

An unlabeled spray bottle containing a disinfectant solution was observed in the main childcare space.

The facility's water source has been identified as a PWS and has been identified as not being compliant with DEP.

A first-aid kit in downstairs childcare space was observed to be accessible to children in care.

Metal brackets used to support shelving in both the front and rear upstairs childcare spaces, in areas accessible to children in care, were observed to have sharp edges.

A plastic bucket and bin in the main childcare space, in areas accessible to children in care, were observed to have cracked jagged edges that could cause laceration and/or pinch point injuries.

The file for Child #5, an older toddler, contained a health assessment that was completed more than 12 months ago.

The file for Child #4 did not contain an immunization record. The file for Child #2 contained an immunization record that did not include an influenza vaccine in the past year.

In the rear upstairs childcare space, a trash can used to dispose of diapers was observed to have an inoperable hands-free mechanism.

The file for Staff #2 contained a health assessment that was administered more than 24 months ago.

The file for Staff #1 contained a health assessment that did not include the results of an examination for communicable diseases.

Two unlabeled bottles that were to be used by children in care were observed in the refrigerator in the kitchen.

The file for Child #4, who has been in care for more than 60 days, did not contain a health assessment.

The files for Staff #2, #3, and #4 did not contain documentation of the completion of fire safety training in the past 12 months.

The files for Staff #2 and #3 did not contain documentation of a staff evaluation completed in the past 12 months.

The files for Child #1, #2, and #3 contained emergency contact forms that did not include parental written consent for the administration of minor first-aid procedures or for emergency medical care.

The file for Child #1 contained an emergency contact form that did not include the policy number of the child's health insurance provider.

The file for Child #3 included three persons listed as persons to whom the child can be released. Addresses for said persons were not included on the document.

The file for Staff #5 did not contain two written, non-family references.

2nd citation, originally cited 1/31/2022; The file for staff person #2, observed caring for children, is lacking a health assessment and results of a TB test.

2nd citation; originally cited 1/31/2022, The file for staff person #2, who has been employed for greater than 90 days, is lacking verification of training in the first 9 health and safety topics.

2nd citation, originally cited 1/31/2022; The file for staff person #2, hire date in a child care position (see IS code sheet), is lacking verification of mandated reporter within 90 days of hire as required under CPSL.

2nd citation, originally cited 1/31/2022; The file for staff person #2, observed serving as an AGS, is lacking verification of education and experience to qualify as an AGS.

2nd citation, originally cited 1/31/2022; The file for staff person #1 is lacking one of the required two written reference letters.

2nd citation, originally cited 1/31/2022; The file for staff person #1, who has been employed for greater than 90 days, is lacking verification of professional development in pediatric first aid and pediatric CPR.

On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Staff person #1 was the only facility person in the facility.

On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Staff person #1 was the only facility person in the facility.

***On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Two of the preschoolers were observed to be on the other side of the partial wall in the theater area where they could not be seen by staff person #1 who was positioned by the front tables.

**On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Two of the preschoolers were observed to be on the other side of the partial wall in the theater area where they could not be seen by staff person #1 who was positioned by the front tables.

*On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Two of the preschoolers were observed to be on the other side of the partial wall in the theater area where they could not be seen by staff person #1 who was positioned by the front tables.

It was observed that children arriving at the facility immediately sat at the table and ate breakfast without first washing their hands.

The facility does not have a provisional hire waiver. The file for staff person #1, hire date 7/1/2021, is lacking a completed criminal history clearance and completed NSOR verification. The file for staff person #2, hire date 12/8/2021, is lacking a signed disclosure statement, a state police clearance, FBI fingerprinting and NSOR verification. The file for staff person #3, hire date 1/10/2022, is lacking a signed disclosure statement, criminal history clearance and NSOR verification. The file for staff person #4, hire date 8/16/2021, is lacking criminal history, FBI fingerprinting, and NSOR verification at the time of hire. The file does contain current completed clearances. The file for staff person #6, hire date 11/30/2021, is lacking a completed NSOR verification. The file for staff person #7, hire date 11/10/2021, is lacking a completed NSOR verification.

The files for staff persons #1,2,3,4,6,7 and 8 are lacking verification of training regarding the emergency plan at the time of initial employment.

There was not a first aid kit in the upstairs infant child care room.

In the toddler child care area there are 10 metal shelf brackets in reach of the children and protruding out beyond the edge of the shelf causing a hazard.

4 toddler aged children were observed sleeping in pack and plays that did not have at least 2 feet of open space on three sides.

The refrigerator in the upstairs infant room was lacking a thermometer.

The file for child #5, preschool aged, is lacking a health report conducted in the past 12 months.

The files for children #3, 4 and 5 contain immunization reports that lack a flu vaccine in the previous year as required by the ACIP immunization schedule.

The files for staff persons #7 and #8 are lacking health assessments and TB tests and were observed caring for children.

The file for staff person #2 contains a health assessment with a physician statement that the individual has been examined for a communicable disease.

The provider has not conducted and documented an emergency drill during the 12/19/2020 to 12/19/2021 time period.

The file for child #3, preschool aged, is lacking a health report and has been enrolled for greater than 60 days.

Staff person #3, serving as an assistant group supervisor, has a birth date of 6/2/2004, and therefore is 17 years old.

The file for staff person #5 is lacking fire safety training completed during the previous 12 month period.

The files for staff persons #5 and #8 are lacking verification of training in the Health and Safety topics and have been employed for greater than 90 days. The files for staff persons #1 and #4 contain health and safety training that was completed greater than 90 days after hire.

The file for staff person #8 is lacking mandated reporter training and has exceeded 90 days of employment. The file for staff person #4 contains mandated reporter training that was completed greater than 90 days after hire.

The file for staff person #1, serving as an assistant group supervisor contains verification of education but is lacking verification of experience to qualify as an assistant group supervisor. Staff person #1 may serve as an aide. The files for staff persons #2 and #3, serving as aides, lack verification of education and experience to serve as an aide. The file for staff person #4, serving as an assistant group supervisor, lacks verification of experience to serve as an assistant group supervisor. Staff #4 may serve as an aide. The file for staff person #6, serving as an assistant group supervisor, is lacking verification of education and experience to serve as a staff person. The file for staff person #7, serving as an assistant group supervisor, lacks verification of experience and education to serve as a staff person. The file for staff person #8, serving as an AGS, lacks verification of experience and education to serve as a staff person.

The files for child #2 and child #3 contain agreements that were not signed by the operator.

The file for child #3 contains an agreement that does not include a fee amount.

The file for child #1 contains emergency contact information that is lacking health insurance information.

Emergency contact information was not available in the upstairs infant room for the young toddler observed receiving care in the space.

The files for children #1 - 5 contain emergency contact and financial agreements that have not been updated in the past 6 months.

The files for staff persons #1,2,3,4,6,7 and 8 were each lacking 2 written reference letters.

The files for staff persons #1 and #4 are lacking pediatric first aid and pediatric CPR and have exceeded 90 days since hire.