Hugs Away From Home II

NSOR clearances for three staff persons were obtained more than 60 months after the previous NSOR clearances were obtained. The dates for NSOR clearances for staff person #1 are 1/13/20 and 1/27/25. The dates for NSOR clearances for staff person #2 are 1/15/20 and 1/29/25. The dates for NSOR clearances for staff person #3 are 1/14/20 and 1/27/25.

The file for staff person #1 did not include a disclosure statement. Staff person #1 had DHS FBI clearance dated 5/27/25, which is after their date of hire (see LIS code sheet). They had a Department of Education FBI clearance dated 9/4/24. Staff person #2 had current mandated reporter training dated 1/21/24, which is more than 60 months after the previous training dated 12/7/18.

Written verification of immunizations for child #1 was dated 5/17/23, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

Staff person #1 did not have documentation of a tuberculosis screening at initial employment.

Child #1 had an initial health assessment dated 5/17/23, which is more than 60 days after the child's date of enrollment (see LIS code sheet).

Exposed bolts were observed around the inside of the gate on the fence surrounding the outdoor play space that contains embedded equipment.

The health report for Child #1 is dated more than six months past the initial health report. The records for Child #2 and Child #3 do not include health reports within 6 months of their initial reports.

The initial health assessment for Child #4 is not signed by a physician, physician's assistant, or CRNP.

The health report for Child #2 did not contain updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The health report for Child #4 contains documentation for only one dose of the Hepatitis A vaccine.

Fresh fruit delivered the day prior to inspection was unrefrigerated in pre-k childcare space.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

The file of Child #1 and Child #2, enrolled more than 60 days at the facility, did not contain documentation of the second dose of HepA vaccination, as required based on the child's age as per the ACIP recommended schedule.

2nd citation: The last acceptable first-aid/CPR training in the file for staff person #2 was dated 2/28/21. Previously cited on 6/10/23.

In an unlocked cabinet near the television in the young preschool room, there was a can of Glade air freshener, which inluded instructions to keep out of the reach of children.

In an unlocked cabinet near the television in the young preschool room, there was a spray bottle containing clear liquid mis-labeled "Odor eliminator," as that was not the name of the product.

The first-aid kit in the school-age building did not contain tweezers.

The wall at which the door opens in the older infant room had a small hole from where the doorknob hits the wall, with a small screw protruding out.

The last health report in the file for child #1, a young toddler was dated 8/5/22.

The list of vaccinations in the file for child #1, a 16 month-old, was missing 1 of 2 Hep B, 1 of 2 DTAP, 1 of 2 HIB, 2 of 3 PCV and 1 of 2 polio and did not include a flu shot.

In the plastic toy box in the outdoor infant gross motor space, there was a small bee hive with a live bee in it.

The last first-aid/CPR training in the file for staff person #2 was dated 2/28/21.

The 10-hour health and safety training in the file for staff person #2, hired on (SEE LIS CODE SHEET), was dated 2/25/23, which was beyond the first 90 days working with children.

The last two evaluations in the file for staff person #1 were dated 4/10/22 and 4/26/23.

The photo identification for staff person #3, the direcor, had expired 6/12/23.

At approximately 12:30 pm, one child in the older two's room had a blanket covering their face while they slept and 2 children in the young three's room that had a blanket covering their faces while they slept.

In the older infant room, an empty bottle was lying next to a young toddler who was sleeping. Based on conversation with staff, the child lied down on the mat for nap time with the bottle.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety.

The file for staff person #1, who was working with children more than 45 days, did not include a copy of an NSOR certificate. The last state police clearance in the file for staff person #9 was dated 7/14/16. There was proof of application for a new state police clearance dated 1/11/22, but no results.

2nd citation: At approximately noon on 1/6/23, staff person #6 was observed in the older 2 year-old room with 6 children, who were lying on rest equipment. The staff person was sitting on the floor with their back to the wall and their eyes were closed. This certification representative checked on the staff person 4 more times and their eyes remained closed and the individual hadn't moved at all. The director was in ratio so this certification representative went back to the oldder toddler room and when the room's gate was opened, staff person #6 opened their eyes. Previously cited on 11/10/22.

The facility's emergency plan did not include information regarding continuity of operations.

The following classrooms had flat screen televisions that were not anchored and within reach of the children, posing a potential tipping hazard: Older 1's, older 2's, younger 3's, the front preschool room and schoolage room. There was a pair of adult scissors observed in an unlcoked drawer at the first sink in the older 2's room, making them accessible to the children in the room. There was a pair of adult scissors observed in an unlocked drawer at the middle sink in the younger 3's room, making them accessible to the children in the room.

In the young infant room, there was a spray bottle containing clear liquid that was unlabeled. The staff person stated it was bleach water. In the school-age room, there was a spray bottle containing a blue liquid that was unlabeled.

One of the trash cans in the men's bathroom in the school-age building was unlined and contained discarded paper towels.

There was no handwashing sign at the toilet in the first staff of the men's bathroom in the schoolage building.

There were foam letters on a low shelf in the younger 2's room, making them accessible to the toddlers in the room. There were foam blocks on a low shelf in the older 2's room, making them accessible to the toddlers in the room.

The vaccinations in the file for child #1, a 9 month old, did not include evidence of a flu shot. The last flu shot documented in the file for child #2, a 20 month old, and child #3, a 28 month old, was dated in 2021. None of the files included written exemption statements by a parent.

The health assessment in the file for staff person #2 and #6 was dated after the individual began working with children. The last two health assessments in the file for staff person #3 were dated 6/28/18 and 12/3/21. The most recent health assessment in the file for staff person #7 did not include a date, so timeliness could not be assessed. The previous health assessment was dated 9/18/20. The last 2 health assessments in the file for staff person #8 were 7/3/18 and 1/14/22. The last two health assessments in the file for staff person #10 were dated 1/30/20 and 3/30/22.

The TB screening in the file for staff person #2 was dated after the individual began working with children.

The most recent health assessment in the file for staff person #7 did not include an examination for communicable disease and the results of that examination.

The most recent health assessment in the file for staff person #7 did not include the physician or CRNP's assessment of the person's suitability to provide child care.

The first emergency drill documented at the facility was 11/18/22.

There were current testing reports for building 1 and 2, but there was no testing report for building #3.

The last two fire safety trainings in the file for staff person #9 were dated October 2020 and October 2022. The individual was on leave from 7/1/21 to 1/31/22.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety training. The First-aid/CPR training in the file for staff person #1 was dated 10/4/22, which is more than 90 days after they began working with children. The health and safety training in the file for staff person #6 was date more than 90 days after they began working with children. The only acceptable first-aid/CPR training in the file for staff person #8, hired prior to 12/19/20, was dated 10/4/22.

The mandated reporter training in the file for staff person #1 was dated more than 90 days after they began working with children.

The last two evaluations in the file for staff person #9 were dated July 2020 and July 2022. The individual was on leave from 7/1/21 to 1/31/22.

The emergency contact information in the file for child #1 did not include an address for one of the release persons.

At approximately noon, staff person #1 and #2 were observed in the PreK classroom with 16 preschoolers, all lying on rest equipment. Because one child was partially lying behind furniture, neither staff person could see the child's face from where they were sitting. A few minutes later in the young 3's room, staff person #3 was present with 7 preschoolers who were all lying on their rest equipment. The staff person was standing at the front of the room, while at the same time, two children were lying on their rest equipment behind furniture at the back of the room and the staff person could not see either child's face.

In the PreK classroom, in which 16 children were napping, there was a child sleeping in front of each of the two classroom doors.

Staff person #1 through #12 were observed to be caring for children unsupervised. Staff person #1 through #12 have not completed the following pre-service training required prior to caring for children unsupervised: FA/CPR.

At approximately noon in the infant room, where staff person #4 was present with 3 infants, a 2 month-old was sleeping in a bouncy seat and a 4 month old was sleeping in a swing. The staff person stated that the 2 month old was asleep for appeoximately 2 minutes and the 4 month-old was asleep for approximately 10 minutes.

Staff person #1 through #12 has not completed the following required pre-service training within 90 days of their date of hire: FA/CPR training.

The updates to their State Police and Child Abuse Clearance for Facility Person #1 exceeded 60 months.

In Classroom #9 an unlabeled spray bottle containing a cleaning solution was observed.

On the gate doors on the outdoor fenced in play spaces exposed bolts going into the play space were observed.

The cots that were reported be used for the children in classroom #7 were observed to be unlabeled.

The file for Facility Person #2 lacked an updated health assessment that had been completed within the past 24 months.

The children in classrooms #3 and #4 were not offered or provided a dairy with their lunch.

The facility lacked proof of purchase of the interconnected fire detection system.

The emergency plan on file lacked information related to lock down procedures and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The updates to the Mandated Reporter Training for Facility Person #1 exceeded 60 months.

The original agreements were observed to be on file for Children #1, #2, #3, #4 and #5.

The emergency contact form for Child #3 lacked the address of the child's physician.

The file for Facility Person #3 lacked verification of child care experience completed by the experiential entity.

The first aid and CPR on file for Facility Person #2 lacked verification that they had completed Pediatric first aid and CPR with an in-person training entity.