Handled With Care Childcare Facility LLC

At approximately 1:15 PM, there were 22 children (18 young schoolagers and 4 older schoolagers) recieving care in the Wizard room, which has an established maximum measured capacity of 17 children.

The documentation of smoke detector testing on file at the facility indicates the most recent the date the program's detectors were tested was 6/18/25. Smoke detectors are required to be tested at least every 30 days, and testing documented.

At approximately 2:45 PM, Facility Person #1 was observed caring for 7 young toddlers in the Baby Bear room.

The NSOR clearances on file for Facility Person #1, #3, #4, #6, #7, and #9 were more than 60 months old. Facility Person #3 was observed caring for children unsupervised. The current criminal history, child abuse and FBI clearance on file for Facility Person #4 were completed more than 60 months after the previous respective clearance on file. The current FBI clearance on file for Facility Person #5 was completed after their hire date. There was no application for an FBI clearance on file for Facility Person #5.

At approximately 2:30 PM in the Zebra room, Facility Person #3 was supervising 11 preschoolers resting on mats. Facility Person #3 was seated at a table where they were unable to see two of the preschoolers in the room due to their positioning and the placement of the rest equipment and furniture in the classroom.

In the Sunshine room, there were 2 infants observed to be sleeping in swings and one infant observed to be sleeping on the floor, propped up in a boppy pillow.

There was a spray bottle of a cleaning product on a self in reach of children in the Zebra room.

There was a small area of peeling paint on the wall in the Bumblebees room behind a trash can.

There were five rest mats in use in the Baby Bear room that were labeled with #'s corresponding to names of children listed on a chart that were different than the names of the children who were using them.

The health assessment on file for Facility Person #8 was completed more than 12 months prior to their respective start dates.

The current first aid/CPR training documented and on file for Facility Person #4 was completed after the expiration of the previous first aid training completed an documented.

The current mandated reporter training completed and documented on file for Facility Persons # 4 and #9 were completed more than 60 months after their previous respective mandated reporter trainings.

The only verification of previous child care experience located in the file for Facility Person # 2. required for their aide classification, did not indicate the name of the person for which the hours of experience were verified.

The most recent child service reports on file for children #1 and #3 were completed more than 6 months prior.

The emergency contact forms on file for children #2 and #4 did not include the addresses of all release persons listed on each form.

There was no documentation of current emergency plan training on file for Facility Person #1.

There were uncovered outlets on an extension cord near the floor in the Bumblebees room.

In the Zebra room, there were cleaning supplies on the floor in an unlocked closet. In the Wizard room there was a disinfectant spray bottle on a shelf in reach of children. In the Sunshine room, there was diaper cream in an unlocked cabinet under the changing table.

There were no tweezers in the first aid kit in the Stars room.

There was a small area of damaged plaster on a wall in the Wizard room.

There was a cracked plastic toy bin in the Wizard room, creating a sharp edge/potential pinch point.

There was less than 2 feet of space on three sides of a rest mat in use the Zebra room and two rest mats in use the Rockets room.

There was Flovent in the medication box in the Bumblebee room not labeled with the name of the child for whom it was intended.

There was no written parental consent to administer a particular child's epipen at the facility.

The documentation of smoke detector testing on file indicates that smoke detectors were tested on 3/4/24 then again on 4/4/24, more than 30 days apart.

There was no documentation of firesafety training completed and on file for Facility Person #1 from the previous 12 months.

There was no evaluation completed and on file for Facility Person #1 from the previous 12 months.

There was documentation of 8 hours of child care training on file for the most recent review year on file for Facility Person #1.

Facility Person #2 was observed walking a child down the hallway, unsupervised. There was no documentation on file indicating that Facility Person #2 had completed the required pre-service health & safety training.

The facility's letter to the families explaining their emergency plan did not include information on planned accommodations in the event of an emergency.

There were Clorox wipes in a cabinet in the Wizards room in reach of school-age children in care in the classroom.

The trash can at a sink in the Bumblebees room was not lidded.

There was a low shelving unit in the Lions room (not currently in use) with several sharp screws protruding from the back of the unit.

The documentation of the health & safety training completed and on file for Facility Person #1 indicates the training was completed more than 90 days after their start date.

There were no assessments for children #1, #2, and #3 completed and on file and a copy given to the parents, in the previous 6 months.

There were no emergency contact forms in the gym present for children receiving care in that space. There was no emergency contact form in the Rocket room for one of the children receiving care in that space.

The medical emergency transportation plan was not posted in the Wizards room.

On 4/25/23, child #1 received emergency room treatment after the child suffered a medical event at the facility. The incident was not reported to the regional certification office within 24 hours.

There was no NSOR clearance on file for Facility Person #1. The application for an NSOR clearance on file for Facility Person #1 was dated after their start date. (See IS Code Sheet.) There were no clearances on file from the other state in which Facility Person #9 lived within the previous 5 years. The criminal history, child abuse and FBI clearances on file for Facility Person #10 were each updated more than 60 months after the previous respective clearance on file.

An infant was observed to be asleep in a swing, not in the position recommended b y the AAP.

The emergency plan did not include a plan for continuity of operations in the event of an emergency, which is required under federal regulation.

Reviews of the emergency plan were documented as follows: 1/4/21, then again on 10/1/22, more than 12 months apart.

There was no letter to provide to the parents of enrolled children explaining the facility's emergency plan.

There were two cribs in the infant room each labeled with the names of two children, all of whom were present, receiving care at the facility at the same time.

According to documentation of diaper changes/checks and staff statements, one of the children receiving care in the Stars room was changed at 7:53 AM, and then not checked again until they were changed at 10:43 AM. In the Baby Bears room, there were two children whose diapers were changed around 8:00 AM, then checked again at 10:40 AM. None of these children were asleep when diaper changes/checks were due, as per documentation and staff statements.

The initial health assessment on file for Facility Person #2 was completed on 10/7/22, after their start date. (See IS Code Sheet.)

The health assessment on file for Facility Person #3 indicated that Facility Person 3 has a communicable disease, but did not provide further information regarding the communicable disease.

The facility's emergency plan did not specify accommodations for infants, toddlers in an emergency.

There most recent emergency drill documented was conducted on 1/14/22, more than 12 months prior.

There was no proof of purchase for the facility's interconnected fire alarm system on file at the facility.

The facility's emergency plan did not include a plan for shelter in place in the event of an emergency,

Documentation of the update to the health and safety training on file for Facility Person #4 indicates the training was completed after the required due date of 12/30/22

There was no documentation of acceptable pediatric first aid and CPR training on file for Facility Person #8, who has been employed at the facility more than 90 days.

There was no documentation on file of the education required for the respective staff classifications for Facility Persons #6 & #7.

The agreement on file for child #1 did not specify the admission date.

Children's files were not stored in a locked cabinet.

Facility persons' records were not stored in a locked cabinet.

Fire drills were recorded as occurring on 8/8/22 and then 10/8/22, more than 60 days apart.

The fire drill log did not include the names of the facility persons who participated in each fire drill.

The current mandated reporter training on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training.

The file for Staff #1, contained a disclosure statement that wasn't dated..

The file for Staff #1 also contained an NSOR certificate dated 12/13/21, which is more than the 45 days the provisional hire allows.

Upon arrival to the facility during ratio and supervision checks when Certification Rep stopped at the Sunshine Room and asked Staff #2 which children she was responsible for Staff #2 named 4 infant aged children. Staff #3 named 2 infant aged children. Certification Rep counted 7 infant children. Certification Rep then gave another chance telling staff that she counted 7 infants and only 6 were named. Staff #3 told Certification Rep. that Staff #2 was supposed to have 5 and that she was only supposed to have 2. At that point Certification Rep, had to explain to Staff #3 that she would need to take the unnamed child because Staff #2 already had 4 and taking another would put her over ratio.

In the Sunshine Room, emergency phone numbers were not posted by the telephone.

The first aid kit in the Zebra Room was lacking soap.

The file for Child #3 contained a health assessment that was lacking the statement signed off by the medical provider that states that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for Child #2 contained an immunization record that was lacking one dose of the Hepatitis A immunization.

The file for Child #3 contained an emergency contact form that was lacking the name of the child's health insurance company.