Helping Hands Childcare

The facility's emergency plan did not contain a policy on Continuity of Operations required as of 7/1/22, as per announcement C-22-04.

The two most recent health reports on file for Child #3 were dated 9/14/22 and 10/6/23, more than 12 months apart. (SEE LIS CODE SHEET)

In the facility's medication bin, an Epi-Pen for Child #1 and a tube of Nystatin for Child #2 lacked written instructions from the individual who prescribed the medication.

The facility's annual written notification to local traffic authorities was dated 11/18/22, exceeding the annual update.

The mandated reporter training on file for Staff Person #2 was dated 6/14/19, more than 60 months prior.

The emergency contact form for Child #4 lacked the enrolling parent's work address.

The file for Staff Person #1 only contained 11 clock hours of childcare training. The file for Staff Person #3 only contained 10 clock hours of childcare training.

The parent letter explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The record for child #6, who was a preschool child at the time, included a current health assessment dated more than 12 months following the date of their previous health assessment.

The record for child #1 lacked documentation of the influenza vaccine being administered in accordance with the recommendations of the ACIP.

Written notification of safe routes was not posted at a conspicuous location in the child care facility.

The emergency contact information for child #4 and #5 lacked the enrolling parent's work address and telephone number.

The emergency contact information for child #4 lacked the release person's address.

The emergency contact information in the record for child #2, #3 and #5 was not reviewed at least once in the last 6 months.

The record for staff #1 included a current state police, child abuse and FBI clearance dated more than 60 months following the dates of their previous clearances.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations to maintain compliance with 45 CFR § 98.41(a)(1)(vii).

The operator did not post the emergency plan in the facility.

A bottle of ketchup was observed on a shelf with cleaning materials in the staff bathroom.

Trash that had been possibly contaminated by human secretions (nasal tissues) or excrement was contained in a receptacle that was not closed and plastic-lined.

The temperature of the water from the faucet at the sink in the preschool room was 120° F.

A visual strip or other visual identification was not placed on the glass doors used by children to enter the building.

Handwashing signs were not posted at the (2) sinks in the PS/SA classroom.

The record for staff #2 and #3 included a current health assessment dated more than 24 months following the date of their previous health assessment.

A bottle intended for the use of a child in the infant room was not labeled with the child's name.

The facility did not maintain documentation of the submission of emergency plan updates to the appropriate local and county emergency management agencies.

The record for child #1 contained a current health report dated more than 60 days following their first day of attendance at the facility.

The operator did not notify the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The emergency contact information for child #1 was not reviewed by a parent within a 6-month period between 7/6/2021 and 8/3/2022.

The financial agreement for child #1 was not reviewed by a parent within a 6-month period between 7/6/2021 and 8/3/2022.

Staff person #3 who was hired prior to the implementation of the current regulations did not obtain an annual minimum of 12 clock hours of child care training during the period between 12/19/2020 - 12/19/2021.

There was sitting water observed inside two tires and a large container that were located on the ground outside the entrance to the back outdoor play space, which would be accessible and pose a potential hazard for children accessing the space.

The facility's existing outdoor play space was temporarily unable to be used by children in care during its renovation and the facility did not have an alternate outdoor or indoor play space designated to be used for large muscle activity which includes running, jumping, climbing and riding.

There was a wooden pallet with broken pieces of wood that had sharp edges observed in the walkway to the back outdoor play space, which posed a potential hazard to children in care.

In the back outdoor play space, there was black edging on the ground in an area that was exposed to direct sunlight and it measured to be 159° F, which posed a potential hazard for children using the play space.

There were visible potential hazards accessible to children on the following outdoor play surfaces: there was a rooted remnant of a woody plant that appeared to have been broken in half with a sharp pointed edge sticking straight up from the ground leftover from the recent removal of overgrowth in the back outdoor play space and there was a low-growing prickly weed in the grass outside the gated entrance to the back outdoor play space.

The record for staff #2 who began working in child care on 6/16/2021 included a current NSOR verification certificate dated 10/20/2021, which was more than the 45 days they were permitted to work on a provisional basis.

The first-aid kit in the PS/SA room was observed sitting on a box in the entryway, accessible to children in care.

A climbing cube in the outdoor play space had a slide that was broken off and laying on the ground beside it; and the vinyl on a red chair in the PS/SA room was cracked, creating rough edges and potential pinch points.

The operator did not have the proof of purchase for the interconnected fire detection system. The operator did not test the fire detection system at least once every 30 days from the last test date documented on 9/2/2021.

The emergency contact information for child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The records for staff #1, #2, #4, #5 and #6, who were hired on or after the implementation of the current regulations on 12/19/2020, included documentation of current pediatric first and pediatric CPR training completed on 9/29/2021, which was more than 90 days following their first day working in child care.