Grandma Marys Day Care Center INC

The file for staff #3 contained clearances dated after their first day in a child care position. The clearances were date as follows; state police 6/20/25, child abuse 6/27/25, FBI 9/08/25, NSOR 6/26/25. The disclosure statement on file for staff #3 did not include a dated witness signature. The file for staff #5 contained a child abuse clearance dated 9/05/25 which is after their first day in a child care position.(See LIS code sheet)

Two stained ceiling tiles were observed in the boys restroom.

Peeling paint was observed on the wall behind the trash can in the infant/toddler section of the main room. Damaged plaster was observed near the floor on a wall corner in the rear room.

Exposed foam was observed at floor level in the infant room on the frame of a wall mounted mirror.

Broken areas were observed on a blue plastic storage basket in the preschool area.

The file for child #3 contained an initial health report dated more than 60 days after their first day of attendance. The initial vaccination records were attached to that health assessment. The child was not dismissed from care after 60 days.

A bottle of Children's Allergy Medicine stored in the facility's office expired 12/2023. The medication was labeled for child #4.

While completing a diaper change, staff #1 was observed using their hand to open the trash can when throwing away the soiled diaper.

The file for staff #1 did not contain a current health assessment. The most recent health assessment on file was dated 7/31/23. The file for staff #3 contained and initial health assessment and TB test conducted after their first day in a child care position but are now current.

Fire drills conducted on 10/04/24, 11/04/24, and 12/04/24 did not include the names of the staff persons who participated in the drills. Subsequent drills include all required information.

The file for child #3 contained an initial health report dated more than 60 days after their first day of attendance.

A stapler was observed to be accessible to preschool age children in the rear room while the children were eating lunch.

Staff persons #2 and #4 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/02/20 for both staff #2 and #4.

The files for staff #1 and #2 did not include written evaluations completed within the last 12 months. The most recent evaluations on file were dated July 2024.

The file for child #2 contained an initial child service report shared with the parents more than 6 months after their first day in attendance at the facility. A current report is now on file.

The agreement for child #3 did not specify the child's arrival and departure times.

The emergency contact information for child #1 did not include information on the child's special needs. The boxes were left blank.

The emergency contact information and agreement for child #2 have not been reviewed, signed and dated by the parent in over 6 months. The last documented review for the emergency contact form was dated 9/28/24 and the agreement 11/13/24.

The file for staff #1 did not include documentation of completing 12 annual hours of training between 7/26/24 and 7/26/25.

While changing a diaper, staff in the YT area did not immediately place the soiled diaper into the hands free can. The soiled diaper was first placed on the floor and was thrown away after the diaper change was complete.

The facility's fire alarm test log indicated consecutive tests done more than 30 days apart; 1/05/24 to 2/05/24 31 days, 3/04/24 to 4/04/24 31 days, 5/03/24 to 6/03/24 31 days. Tests documented since 6/03/24 are 30 days apart or less.

Staff #1-6 did not renew their Pediatric CPR/First Aid certification on or before the expiration. The expiration date was recorded on the certification cards as 8/09/24 and certification was renewed on 8/28/24. All six staff now have current certification on file.

The agreement for child #1 did not specify the child's arrival and departure times.

The emergency contact forms for children #2 and #3 did not include the name of the child's physician or source of medical care.

The emergency contact form for child #1 did not include the address of the individual designated by the parent to whom the child may be released

The operator provided a letter explaining the emergency procedures to the parent of each enrolled child that did not include the following subsequent update: accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

A handwashing sign was not posted at (3) potty chairs in the girls bathroom and (2) potty chairs in the boys bathroom.

The record for child #2, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

The record for staff #1 and #2 included a current health assessment dated more that 24 months following the date of their previous health assessment.

The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as required per Announcement C-22-03.

A parent did not review the emergency contact information for child #1 at least once in a 6-month period between 10/17/2022 to 5/16/2023.

A parent did not review the financial agreement for child #1 at least once in a 6-month period between 10/17/2022 to 5/16/2023.

Loose fitting sheets, which pose a suffocation hazard, were observed being in a crib being used by an infant in care. Sharp adult scissors were observed on a desk in the back room, accessible and posing a threat to the health and safety of children in care.

(2) bottles of white out labeled keep out of the reach of children were observed in an unlocked desk drawer in the back room, accessible to children in care.

Gravel with a diameter of less than 1 inch spread from the parking area into the fenced outdoor play space where infants and toddlers receive care.

The health report for child #1 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The record for staff #4 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Staff #1 completed mandated reporter training on 9/2/2020, more than 60 months following the completion of their previous training on 2/25/2015.

Staff #2 and #3 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 8/9/2022, more than 90 days following their date of hire. Staff #4 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 8/9/2022, more than 180 days following the implementation of the current regulations.

Staff persons #1 and #2 were observed to be caring for children unsupervised. Staff persons #1 and #2 had not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid/CPR training.

The record for facility person #1 and #2 lacked an FBI clearance.

The record for facility persons #1 and #2 lacked a health assessment.

The record for facility person #1 who was identified as an AGS lacked verification of 2 years experience working with children.

The record for facility persons #1 and #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #1 and #2 were the only facility persons present at the facility when one or more children were in care and they were not competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques.

The Health Assessments for Staff #1 were dated 6.26.19 and 8.26.21, which exceeded the 24 month renewal requirement.