HMC Academy

Observed electrical outlets in the DPS (young preschoolers) room which did not have protective receptacle covers and were accessible to children 5 years of age and younger.

Observed a Glade "Small Spaces" air freshener labeled "Keep out of Reach of Children" on top of a dispenser on the wall which was accessible to toddlers in the older toddler classroom. Observed a bottle of Wite-Out labeled "Keep out of Reach of Children on a table in the older toddler classroom which was accessible to toddlers. Observed a Glade "Small Spaces" air freshener on top of the paper towel holder in the school age classroom which was accessible to children. Observed a Glade air freshener and tub of Petroleum Jelly in a basket on top of the cubbies in the school age room which ere accessible to children.

Observed cleaning products used to clean the diaper changing station in the infant classroom were placed on the corner of the table where bottles and food are prepared for infants.

Observed a ceiling tile next to the window in the Wobblers (young toddlers) classroom which was bowed and water stained. Observed a string of Christmas lights on a child size chair located in the preschool classroom which were accessible to the children.

Observed a box of nonporous gloves on the lower shelf of the changing table located in the children's bathroom which were accessible to older toddlers while using the bathroom.

Observed 2 unopened bottles of drinkable yogurts (which require refrigeration) in a plastic bag on top of the cubbies located in the older toddler classroom.

Observed that diaper changes for 2 of the infants exceeded the 2-hour requirement. One infant's diaper was changed at 9:34 am and the next diaper change was completed at 11:45 am. Another infant was changed at 9:23 am and the next diaper change was not documented. Staff stated it was done between 2 other infants diaper changes that were completed between 11:38 - 11:45 am.

A copy of the negative sanction letter and all attachments were not posted in a conspicuous location used by parents.

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: Pediatric first aid and CPR training Staff person #2 had documentation of online National CPR Foundation training dated 01/23/2025 which was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum with a PQAS-certified trainer.

Observed 2 torn rest mats in the older toddler classroom which exposed the foam within the mat.

The file for staff person #1 did not include verification of education prior at the time of initial hire (see LIS code sheet). Continued non-compliance previously cited on 06/13/2025.

Staff persons #1, #2, #3, #4 and #5 did not report to Childline that a firearm was found in child #1's diaper bag until Certification Representative informed them to do so.

The file for staff person #1 did not include the results of the NSOR clearance prior to their first day caring for children (see LIS code sheet). The file included documentation of a request for the NSOR dated 05/12/2025.

Staff person #1 found a firearm in child #1's diaper bag. The owner, director and/or the assistant director did not immediately call law enforcement to come and assess the situation and take possession of the firearm. The firearm was taken to the office by staff person #4 and #5 and left unsecured until it was returned to the parents shortly after the firearm was discovered.

On 06/11/2025 at approximately 9:05 am, staff person #1 found a firearm in child #1's diaper bag.

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days, the most recent test was completed on 06/02/2025 with the previous test completed on 05/01/2025.

The file for staff person #1 did not include verification of child care experience and education prior at the time of initial hire (see LIS code sheet).

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

Continued Non-Compliance: On 03/06/2025 an unannounced monitoring was conducted at the facility. Upon arrival, after ringing the doorbell and waiting for someone to answer the door, Certification Representative observed 2 children (older toddlers) come to the door. Both children were looking at the Certification Representative through the window of the door and 1 of the children grabbed a hold of the crash bar of the door and was hanging from the bar trying to open the door, while saying "someone is at the door". Certification Representative did not see a staff person with the children. Certification Representative rang the doorbell a second time and 2-3 additional children (older toddlers) also came to the door peering out the door to see who was there. Staff person #7 came and opened the door. Upon asking where the staff person was, she stated that she was at the corner. Later staff person #7 stated she was "right there" pointing to the preschool (4 & 5 year old classroom) door talking to another staff person. Staff person #7 was not physically present with their group to provide proper supervision (see, hear, direct, assess) while talking to the staff person in the doorway. The…

On 05/13/2025, child #1 fell and hit their head on the corner of a shelf in the classroom causing a gash in their forehead that required stitches. Staff person #1, #2 and #3 did not immediately call 9-1-1 for emergency medical care for the child to be assessed, instead they chose to transport the child to Urgent Care by staff person #1 and #2 in a personal vehicle owned by staff person #1.

On 05/13/2025 at approximately 10:25 am, staff person #2 and #3 were in the preschool classroom with a group of 13 preschool age children. Staff person #2 left the preschool classroom to find staff person #1, during this time, staff person #3 was alone in the classroom with 13 preschool age children, while providing first aid for child #1. Staff person #1 left the infant room to assist with an emergency in the preschool classroom. During this time, staff person #4 was alone in the classroom with 6 infants. The staff:child ratio for infants is 1:4. The staff:child ratio for preschoolers is 1:10.

Observed staff person #2, an aide, in the toddler classroom caring for a group of 3 toddlers. Staff person #2 was unable to be supervised by staff person #3 who was on the other side of the classroom. Staff person #3 was on the floor actively engaged in playing with a group of 5 toddlers behind a set of shelves and a solid divider / gate and staff person #2 was around the corner helping the children sit at the table.

Observed 3 young toddlers corralled inside a set of freestanding baby gates, creating a confined space within the classroom, while staff person #4 changed a diaper.

On 05/13/2025, child #1 was transported in a backless, belt-positioning booster seat which was not age appropriate for a 3-year-old. The manufacturer's recommended use is for a child 40-100 lbs (18.1- 45.4 kg) and 43-57 in. (110.1-144.8 cm) and at least 4 Years Old.

The manufacturers' instructions for use of safety restraints were not kept in the vehicle for the booster seat used to transport child #1.

A first-aid kit was not in the vehicle used to transport child #1 to urgent care.

Observed a zip lock baggie on the changing table which contained used tissues which were not contained in a closed, plastic-lined receptacle.

Observed an electrical cord dangling down near the changing table into a crib located in the infant classroom.

Observed less than 2 feet of space on three sides of a crib in the infant classroom while the equipment was in use.

Observed staff person #1 change a diaper in the infant classroom. The disposable soiled diaper was placed on top of the changing table and was not immediately discarded into a plastic-lined, hands-free covered can.

The emergency contact information for child #1 did not include written consent by the parent for emergency medical care. The parent listed the name of Child's Physician in the space intended for the parent's signature.

A copy of inspection summary issued in March for an unannounced monitoring inspection was not posted in a conspicuous location used by parents.

Observed in the infant classroom: Staff person #3 placed an infant on the changing table, stepped away from the changing table and stood approximately 3 - 4 feet away (with their back to the table) while leaving the infant unattended on the changing table, creating a fall risk.

Observed staff person #4, an aide, working alone in the younger/older toddler classroom. Staff person #2 left the classroom to help in the infant classroom after staff person #1 left the building for a break at approximately 1:10 pm. At approximately 1:45 pm, staff person #4 was moved to move to the infant classroom to work with staff person #3 and staff person #2 returned to the younger/older toddler classroom. Staff person #4 was left alone in the classroom for a period of approximately 30 minutes. Continued noncompliance previously cited on 03/06/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 03/06/2025. Provider's plan to maintain compliance submitted on 03/21/2025 stated, "Aides will always be supervised by qualified staff persons. We will implement a staffing plan that guarantees proper supervision at all times, including during transitions and naptime."

Upon arrival at approximately 1:20 pm, observed staff person #3 sitting outside at the picnic tables at the front of the building near the infant classroom. During this time, staff person #2 was alone in the classroom with 6 infants. Staff:child ratios for infants is 1:4. Naptime ratios do not apply to infants.

Observed in the younger / older toddler classroom: During naptime, staff person #4 caring for a group of 4 younger toddlers and 6 older toddlers. 4 younger toddlers and 4 older toddlers were resting quietly or sleeping on their cots and 2 older toddlers were awake and running around and playing in the area where children were still napping. During this time, there was one staff person in the classroom and second staff person was needed to meet ratio requirements. Upon returning to the same classroom, staff person #2 was observed caring for the same group of 4 younger toddlers and 6 older toddlers, during this time, 5 of the older toddlers were awake and crawling, jumping and climbing around in the area where children were still napping. During this time, there was one staff person in the classroom and second staff person was needed to meet ratio requirements. When a child is awake and no longer resting on their mat, naptime ratios no longer apply. The staff:child ratio in a mixed group of young toddlers is 1:5.

Observed staff person #4 standing near the cubbies in the younger / older toddler classroom. The cubbies are located in an "L" section of the classroom and staff person #4 was unable to properly see, hear, direct, and assess the children in the classroom from their position in the room. A group of 5 older toddlers were napping on the opposite side of the classroom with a barrier created by shelves blocking their line of sight. During this time, 2 older toddlers were off their cots running around and playing. Staff person #2 was previously in the classroom supervising the group of children on that side of the classroom but had left the to assist the infant classroom. Continued noncompliance previously cited on 03/06/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 03/06/2025. Provider's plan to maintain compliance submitted on 03/21/2025 stated, "Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for…

Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard. The crib sheets were not replaced with properly fitting sheets. Continued noncompliance previously cited on 01/23/2025. Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard.

Observed staff person #7, an aide, with a group of 5 older toddlers in the hallway and taking the children outside for a short walk on the property, staff person #7 was also observed as the only staff person in the older toddler classroom during naptime while staff person #1 was in the kitchen. Staff person #7 was not supervised during these times by a staff person qualified at a minimum as an assistant group supervisor.

Upon arrival, after ringing the doorbell and waiting for someone to answer the door, Certification Representative observed 2 children (older toddlers) come to the door. Both children were looking at the Certification Representative through the window of the door and 1 of the children grabbed a hold of the crash bar of the door and was hanging from the bar trying to open the door, while saying "someone is at the door". Certification Representative did not see a staff person with the children. Certification Representative rang the doorbell a second time and 2-3 additional children (older toddlers) also came to the door peering out the door to see who was there. Staff person #7 came and opened the door. Upon asking where the staff person was, she stated that she was at the corner. Later staff person #7 stated she was "right there" pointing to the preschool (4 & 5 year old classroom) door talking to another staff person. Staff person #7 was not physically present with their group to provide proper supervision (see, hear, direct, assess) while talking to the staff person in the doorway.

The file for child #2 and #5, did not include an updated health report within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The most recent health report on file for child #2 was dated 03/15/2024 with no subsequent health report on file. The most recent health report on file for child #5 was dated 05/21/2024 with no subsequent health report on file. An updated health report was not provided by the parent for child #2 and #5. Continued non-compliance previously cited on 01/23/2025 - The file for child #2 and #5, did not include an updated health report within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The most recent health report on file for child #2 was dated 03/15/2024 with no subsequent health report on file. The most recent health report on file for child #5 was dated 05/21/2024 with no subsequent health report on file.

The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of RV, a 2nd & 3rd dose of DTap, a 2nd dose of HIB, a 2nd & 3rd dose of PCV13, and a 2nd dose Polio immunization. An updated immunization record was not provided by the parent. Continued non-compliance previously cited on 01/23/2025 - The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap and a 3rd dose of PCV13, The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of RV, a 2nd & 3rd dose of DTap, a 2nd dose of HIB, a 2nd & 3rd dose of PCV13, and a 2nd dose Polio immunization.

The file for staff person #4 did not include a health assessment prior to initial service in a child care setting (see LIS code sheet); the file included the results of a Tuberculosis screened dated 08/30/2024 which did not include a health assessment. A current health assessment was not on file for staff person #4. The file for staff person #8 did not include an updated health assessment within 24 months of the previous health report; the most recent health report was dated 05/06/2022 with no subsequent health report on file. A current health assessment was not on file for staff person #8. Continued non-compliance previously cited on 01/23/2025 - The file for staff person #1 and #7 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet). The file for staff person #2 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet); the health report and TB test result were dated 12/23/2024. The file for staff person #4 did not include a health assessment prior to initial service in a child care setting…

Lunch served in the preschool (4- & 5-year-old classroom) did not include at least one dairy product. The children were served Pasta & meatballs with tomato sauce, fresh vegetables, pineapple, wheat bread and water.

Written notification of safe routes (which includes safe pedestrian crossways, pick-up and drop-off points and bike routes) was not posted by the operator in a conspicuous location in the child care facility. Continued non-compliance previously cited on 01/23/2025 - Written notification of safe routes was not posted by the operator in a conspicuous location in the child care facility.

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days; a test was completed on 03/04/2025 with the previous test conducted during the renewal inspection on 01/23/2025 which was not documented. Continued non-compliance previously cited on 01/23/2025. The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests that exceeded 30 days were documented on 10/25/2024 - 12/02/024 - 01/04/2025.

Observed staff person #1, working in the older toddler classroom as an assistant group supervisor with staff person #7, an aide. The file for staff person #1 does not include 2 years of verified experience to qualify as an assistant group supervisor.

The director is failing to ensure that staff files and children's files are complete with all required documentation as indicated in numerous violations cited in the inspection summary, including citations indicating continued non-compliance.

The emergency contact information for child #2, #3 and #5 did not include the work address and telephone number of the enrolling parent. The information was blank on the form. Continued noncompliance previously cited on 01/23/2025. The emergency contact information for child #1 did not include the work address of the enrolling parent. The emergency contact information for child #2, #3 and #5 did not include the work address and telephone number of the enrolling parent.

The emergency contact information for child #1 and #2 did not include a complete address for the individuals designated by the parent to whom the child may be released. Continued non-compliance previously cited on 01/23/2025. The emergency contact information for child #1 and #2 did not include a complete address for the individuals designated by the parent to whom the child may be released. The emergency contact information for child #4 did not include the address for the individuals designated by the parent to whom the child may be released.

The file for staff person #1 did not include verification of child care experience prior to service at the facility as an assistant group supervisor (see LIS code sheet). The file has not been updated to include 2 years of verified child care experience. Staff person #1 was observed working in the older toddler classroom with staff person #7, an aide. The file for staff person #4 did not include verification of child care experience prior to service at the facility. The file has not been updated to include 2 years of verified child care experience. Continued non-compliance previously cited on 01/23/2025 - The file for staff person #1 and #4 did not include verification of child care experience prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #1 was observed working alone in the preschool (4- & 5-year-old) classroom during naptime. Staff person #4 was observed to be working alone in the Wobblers (young toddler) classroom during naptime. Staff person #1 and #4 were observed working together in the Wobblers (young toddler) classroom throughout the day. The file for staff person #2 did not include verification of child care…

The file for staff person #7 did not include verification of education to qualify as an assistant group supervisor. Staff person #7 was observed working alone with a group of older toddlers. The file has not been updated to include verification of education. Continued non-compliance previously cited on 01/23/2025 - The file for staff person #3 did not include verification of 2 years of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma with no hours of experience documented and maintained in the file. Staff person #3 was observed working alone in the Preschool (3-year-ols) classroom. The file for staff person #5 did not include verification of 1 year of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma and a CDA with no hours of experience documented and maintained in the file. Staff person #5 was observed working alone in the Older 2-year-old room. The file for staff person #7 did not include verification of education and experience to qualify as an assistant group supervisor. Staff person #7 was observed working alone in the Younger 2-year-old classroom.

The file for staff person #4 included a foreign degree which was not evaluated for equivalency. The file has not been updated with the evaluation for equivalency documentation. The file for staff person #7 included and incomplete final testing result for a GED; without the final diploma or transcript. The file has not been updated with verification of a minimum of an 8th grade education to qualify as an Aide. Continued noncompliance previously cited on 01/23/2025 - The file for staff person #4 included a foreign degree which was not evaluated for equivalency. The file for staff person #7 included an incomplete final testing result for a GED; without the final diploma or transcript.

The file for staff person #4 did not include any written nonfamily references. The file was not updated to include 2 written references. Continued noncompliance previously cited on 01/23/2025 - The file for staff person #1, #2 #3 and #4 did not include any written, nonfamily references. The file for staff person #5 only included one written, nonfamily reference.

Staff person #1, #2 and #4 were observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training and· Get Started with Center-Based Care-Revised 2022. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training and Pediatric First Aid and CPR. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard.

The file for staff person #1 did not include complete provisional hire documentation including the results of a Child Abuse Clearance prior to their first day caring for children (see LIS code sheet). The file for staff person #1 who resided outside of PA in the previous 5 years, did not include documentation of a request for out of state clearances. The file for staff person #1 did not have the results of the child abuse clearance, NSOR clearance or NY state clearances within 45 days of hire. Staff person #1 was observed to be working alone in the preschool classroom during naptime without a. permanent employee in the vicinity. The file for staff person #2 did not include complete provisional hire documentation including the results of either the criminal history record (which was requested on 12/11/2024) or FBI clearance (a copy of the request was not on file) prior to their first day caring for children (see LIS code sheet). The file included the results of a Child Abuse Clearance dated 12/11/2024. Staff person #2 was observed to being working alone in the preschool classroom throughout the day without a permanent employee in the vicinity. The file for staff person #3 included…

Observed an unlocked cabinet on the changing table located in the younger 2-year-old classroom which contained a can of Lysol spray and was accessible to the older toddlers in care.

The indoor temperature in the Preschool (4- & 5-year-olds) was between 55° - 59° F during naptime. The indoor temperature in the young toddler classroom was between 62° - 64° F during naptime.

The first aid kit in the older 2-year-old classroom did not include gauze pads. The first aid kit in the Preschool (3-year-olds) classroom did not include soap. The first aid kit in the Preschool (4- & 5-year-olds) classroom did not include nonporous gloves.

During naptime, observed the lights in the older two-year-old classroom were turned off. The classroom is an interior room, and the small sting of colored Christmas lights that were on did not create sufficient artificial or light to see all of the children who were napping. During naptime, observed the lights in the younger two-year-old classroom were turned off. The classroom is an interior room and did not have enough artificial or natural light to see all of the children who were napping.

Observed an unlocked cabinet on the changing table located in the younger 2-year-old classroom which contained nonporous gloves and were accessible to the older toddlers in care.

The rest mats located in the Wobblers (young toddler) classroom had less than 2 feet of space on three sides while the children were napping.

The file for child #2 and #5, did not include an updated health report within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The most recent health report on file for child #2 was dated 03/15/2024 with no subsequent health report on file. The most recent health report on file for child #5 was dated 05/21/2024 with no subsequent health report on file.

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap and a 3rd dose of PCV13, The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of RV, a 2nd & 3rd dose of DTap, a 2nd dose of HIB, a 2nd & 3rd dose of PCV13, and a 2nd dose Polio immunization.

Observed staff person #1 place a soiled diaper into a plastic grocery bag after finishing a diaper change in lieu of immediately placing the diaper into a plastic-lines, hands-free covered can. Staff person #4 then instructed staff person #1 to place the diaper into a trash bag and take it outside through the side door of the classroom where the trash bag was placed on top of a storage box. Observed staff person #4 take a soiled diaper outside through the side door of the classroom after finishing a diaper change and place it into the trash bag that was on top of the storage box. The diaper was not placed immediately into a plastic-lined, hands-free covered can.

The file for staff person #1 and #7 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet). The file for staff person #2 did not include a health assessment with the results of a Tuberculosis screening prior to initial service in a child care setting (see LIS code sheet); the health report and TB test result were dated 12/23/2024. The file for staff person #4 did not include a health assessment prior to initial service in a child care setting (see LIS code sheet); the file included the results of a Tuberculosis screened dated 08/30/2024 which did not include a health assessment. The file for staff person #8 did not include an updated health assessment within 24 months of the previous health report; the most recent health report was dated 05/06/2022 with no subsequent health report on file.

Observed children's lunches brought from home which contained potentially hazardous foods were not being refrigerated. The lunches were kept on tables and racks in the kitchen until lunch is served.

Observed bottles in the refrigerator located in the infant classroom which were not labeled with the name of the child to whom it belonged.

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

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests that exceeded 30 days were documented on 10/25/2024 - 12/02/024 - 01/04/2025.

A written plan of daily activities was not posted in the older 2-year-old classroom; a lesson plan was posted in lieu of a daily schedule.

The agreement for child #4 did not specify the date the fee is to be paid.

The fee agreement for child #4 did not include the services to be provided to the family and the child.

The emergency contact information for child #1 did not include the name, address and telephone number of the child's physician or source of medical care. The emergency contact information for child #5 did not include the address and telephone number of the child's physician or source of medical care.

The emergency contact information for child #1 did not include the work address of the enrolling parent. The emergency contact information for child #2, #3 and #5 did not include the work address and telephone number of the enrolling parent.

The emergency contact information for child #1 did not include written consent signed by a parent for emergency medical care.

The emergency contact information for child #1 and #2 did not include health insurance coverage and policy number; the information was left blank on the form.

The emergency contact information for child #1 and #2 did not include a complete address for the individuals designated by the parent to whom the child may be released. The emergency contact information for child #4 did not include the address for the individuals designated by the parent to whom the child may be released.

Emergency contact information was not present in the Younger 2-year-old classroom for child #3 while receiving care. Emergency contact information was not present in the Wobblers (young toddler) classroom for child #2, #6 and #7 while receiving care.

The file for staff person #1 and #4 did not include verification of child care experience prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #1 was observed working alone in the preschool (4- & 5-year-old) classroom during naptime. Staff person #4 was observed to be working alone in the Wobblers (young toddler) classroom during naptime. Staff person #1 and #4 were observed working together in the Wobblers (young toddler) classroom throughout the day. The file for staff person #2 did not include verification of child care experience and education prior to service at the facility as an assistant group supervisor (see LIS code sheet). Staff person #2 was observed working alone in the preschool (4- & 5-year-old) classroom.

The file for staff person #3 did not include verification of 2 years of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma with no hours of experience documented and maintained in the file. Staff person #3 was observed working alone in the Preschool (3-year-ols) classroom. The file for staff person #5 did not include verification of 1 year of experience to qualify as an assistant group supervisor. The file contained a copy of a high school diploma and a CDA with no hours of experience documented and maintained in the file. Staff person #5 was observed working alone in the Older 2-year-old room. The file for staff person #7 did not include verification of education and experience to qualify as an assistant group supervisor. Staff person #7 was observed working alone in the Younger 2-year-old classroom.

The file for staff person #4 included a foreign degree which was not evaluated for equivalency. The file for staff person #7 included and incomplete final testing result for a GED; without the final diploma or transcript.

The file for staff person #7 did not include documentation of initial and subsequent health assessments including the results of initial tuberculin skin tests. A current health assessment was not on file.

The file for staff person #1, #2 #3 and #4 did not include any written, nonfamily references. The file for staff person #5 only included one written, nonfamily reference.

The letter to the parent explaining the emergency plan did not include information regarding accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions or that emergency drills will be conducted annually.

Observed electrical outlets in the bathroom which lacked protective receptacle covers.

Observed automatic hand soap and sanitizer dispensers containing hand sanitizer in the young toddler, older toddler, preschool, discovery preschool and school age which were installed in an area accessible to children.

Observed bolts on the gate and the corners of the fence located in the preschool and toddler playgrounds which were facing into the playground creating a visible hazard.

Observed children's cubbies approximately 4 feet in height in the young toddler, older toddler, preschool, discovery preschool and school age classrooms which were not stable, creating a tip hazard.

The file for staff person #1 included a health assessment which was not updated within 24 months of the previous health assessment. The most recent health assessment on file was completed on 05/05/2022 with no subsequent health assessment on file.