Growing Adventures

At the time of inspection, staff #2 was observed to have exceeded the 60-month requirement for the reissuance of the child abuse clearance, as evidenced by the previous child abuse clearance dated 7/25/19 and a new child abuse clearance dated 8/8/24.

At the time of inspection, plan to address continuity of operations was not available in the program's emergency plan.

A statement detailing accommodations for infants, toddlers, and children with special needs or chronic medical conditions was not available in the emergency plan letter to parents.

During the inspection, water in the bathroom adjacent to the indoor play space was observed to be 120 degrees F. Water in the white, utility sink within the older preschool room was observed to be 118 degrees F.

During the inspection, tape was not available in the first aid kit in the young preschool room. CORRECTED ON SITE.

During the inspection, children were observed to leave the diaper changing table and reenter the classroom play area before their hands were washed in the Toddler 1 and the Older Twos classrooms. Verbal prompts from the CR were provided before the child was called over to the sink.

Staff person #2 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/2024 and the current certificate, which was completed on 12/10/24. Staff person #3 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/2024 and the current certificate, which was completed on 12/10/24.

At the time of inspection, education verification in the form of an evaluation of a foreign degree was not avaialble for staff #1.

At the time of inspection, documentation of child service reports completed every 6 months was not available for child #1.

At the time of inspection, information about a child's disability was not available on the emergency contact form for child #2.

Facility did not have verification of an approved water source on file. Facility is on a well and requires the Public Water System Compliance form be filled out prior to license renewal by the Department of Environmental Protection (DEP). Upon review, the form was not completed or on file.

Staff Person #1 had a state police clearance dated 8/28/18 and updated on 9/8/23, a child abuse clearance dated 9/7/18 and updated on 9/18/23, and an FBI clearance dated 8/31/18 and updated on 9/20/23, all of which were completed greater than 60 months. Staff #3 had a state police clearance dated 8/28/18 and updated 9/8/23, a child abuse clearance dated 9/9/18 and updated 9/18/23, and an FBI clearance dated 8/31/18 and updated on 9/20/23, all of which were completed. greater than 60 months. Staff #4 did not have an NSOR clearance on file. Staff #4 may not be on facility premises until clearance is obtained and on file.

In the young preschool room, staff #6 was in the bathroom with a group of children. Staff #6 could be heard yelling and using harsh language with the children when they were not following directives.

On the preschool playground, multiple "spikey weeds" were observed to be growing in the mulch accessible to children. The plants contained jagged edges that are a hazard to children and staff.

In the Young Toddler room, peeling paint was observed on the wall. In the upstairs preschool room, peeling paint was observed on the door frame of the exit door near the bathroom. Paint was observed to be chipping off, leaving exposed rust. In the young Preschool room, peeling paint was observed near the floor on the door frame of the exit door leading to the playground.

In the young toddler room a plastic shopping bag and a plastic zip lock bag were observed to be accessible to children in the cubby area.

There was no parental consent to administer medication for child #5. Medication for child #5 was observed to be in the classroom.

Child #5 was observed to have medication in the classroom, however there was no medication log on file for child #5 Medication log for child #4 did not list symptoms for use of the medication. Medication log stated to "use with allergic reaction" but did not list symptoms of an allergic reaction.

In the infant room, a hands free diaper pale was observed to be inaccessible to staff after changing diapers. Diaper pale was positioned in a way that did not allow for hands free use. Corrected on site by moving the diaper pale to a different area.

Health assessment for staff #2 and #5 did not list a date in which the TB test was completed.

Child #1 was observed to be sitting in a bouncer while a staff was feeding the child a bottle. Child #1 was under the age of 6 months at the time of observation.

Fire drill was completed on 8/21/23 and again on 10/31/23, which is greater than 60 days.

Staff number 1 completed Pediatric CPR/first aide on 2/9/22 and updated on 4/8/24, which is greater was past the expiration date. Staff person #1 now has approved Pediatric CPR on file.

Emergency contact form for child #2 was missing a complete work address for the father. address on file contained the city but no other information.

Emergency contact form for child #1 and #3 were missing the information on the child's disability.

Staff #1 was made aware of reportable concerns with a child and did not make a report to ChildLine. Staff #1 reported that when they initially heard the concerns Staff #1 did not notify parents or management. After another incident happened staff #1 notified management and management made a report to ChildLine.

During an inspection in the afternoon on 4/8/24, Staff #1 was identified as the designated person in charge. Staff #1 did not have access to staff and child files to provide to the certification representative upon request,

Staff #1 reported that child #1 pulled down their pants and exposed themselves to child #2 and #3. Staff #1 had previously been made aware of concerning behaviors amongst the children but did not notify parents or management about the behaviors when they were initially discovered.

Upon entering the Older Preschool Room, 9 children were observed to be in the child care space with no teacher present for approximately 2 minutes. After review of the room, staff #1 was observed to be located in the bathroom with a child assisting with changing the child's clothing. Staff #1 was not able to supervise the rest of the children while in the bathroom with the child.

Child #1 sustained a scratch above the eye while in care after another child threw a pencil at him. There was no incident report on file for the injury.

First Aid Kit located in the Young Older Toddler room was observed to be missing Gauze. Corrected on Site.

In the Older Toddler 2 classroom, a sensory bottle was observed to be unsecured, allowing children access to items within that were less than an inch in diameter. Corrected on Site by removing the bottle.

Medication was observed for child #1 and there was no prescription label with the medication.

Medication log for child #1 was missing the dates for administration. Child #2 was observed to have a medication and there was no medication log on file for the medication.

Annual Fire Detection Testing report was dated 5/13/22 and was not completed within the past year.

Staff #1 did not have approved Pediatric CPR on file. Staff #1 must be supervised by a qualified staff until training is complete.

A staff person was observed pulling a child away from the table by one arm because the child had sat down for snack before being called to do so. The staff was observed using physical force to move the child.

Staff number 1 and 2 left child #1 unsupervised in the gross motor room for approximately 2 minutes.

Staff number 1 left a child from her primary care group on the playground. The child was supervised by other staff but staff number 1 had not accounted for all of the primary care group before leaving the playground.

On 11/30/22, it was observed that staff person 1 was caring for children alone in a classroom. Staff does not have current pediatric first aid/CPR by a PQAS certified trainer. Corrected during inspection.

On 11/28/22, it was observed that hand sanitizer was accessible to children in the Older Toddler 1 classroom attached to a low hanging child's backpack. CORRECTED ON SITE.

On 11/28/22, it was observed that the vent cover on the heater beside the changing table had a visible and accessible layer of dust in the vents.

On 11/28/22, it was observed that the round foam blocks in the Older Toddler 1 classroom were broken. CORRECTED ON SITE.

On 11/28/22, it was observed that staff health assessments were not updated every 24 months. Staff person 1 had a health assessment on file that expired on 6/29/22 that was not updated until 7/20/22. Staff person 2 had a health assessment on file that expired on 1/30/22 that was not updated until 3/18/22. Staff person 3 had a health assessment on file that expired on 11/30/21 that was not updated until 2/18/22.

On 11/28/22, it was observed that staff persons 3 and 4 did not have a pediatric first aid/CPR course completed with a qualified instructor.

On 11/28/22, it was observed that child 5 did not have an address on file for their physician.

On 11/28/22, it was observed that child 5 did not have a work address on file for their enrolling parent.

On 11/28/22, it was observed that health insurance coverage and policy number were not on file for child 6.

On 11/28/22, it was observed that addresses were not on file for the release persons of child 2, 4, 5, and 6.

On 11/28/22, it was observed that child 5, 6, and 7 were enrolled in the facility and did not have signed, parental consent on file for minor first aid and emergency medical care.

Staff #1 did not realize that child #1 walked out of the PreK classroom and across the hall to the play room unsupervised. Staff person #1 did not know the whereabouts of her assigned primary care group, as child #1 left the classroom without staff's knowledge.