In God We Trust Our Littles Ones Day Care

The most recent emergency plan trainings in the file for Staff Person #3 exceeded 12 months between trainings.

The most recent updated health reports in the file for Child #1, a preschool child, exceeded 12 months between reports.

Observed antibiotic creams and alcohol wipes, which were not labeled with the name of the child for whom the medication was intended, in the first aid kit in the infant room.

The initial health assessment in the file for Staff Person #4 was not signed by a physician, physician's assistant or CRNP.

Staff person #2 has 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 4/30/25. Documentation of updated Pediatric first aid and CPR training is not on file.

The most recent fire safety trainings in the file for Staff Person #1 exceeded 12 months between trainings.

The emergency contact form in the file for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

On 4/16/23 at 10:30 AM, Staff Person #2 was supervising 8 Preschool and 2 YSA children. Staff Person #2 identified the 8 Preschool children. Staff Person #2 was unable to name the two YSA children. At 1:30 PM, Staff Person #2 was supervising 8 Older Toddlers who were napping. Staff Person #2 identified 7 of the Older Toddlers. Staff Person #2 was unable to name one of the Older Toddlers.

Observed cleaning products and disinfecting wipes, which were accessible to children, in the hallway, which serves as a route to the indoor play space.

Observed torn ceiling panels, which exposed insulation, around the drain pipes in the indoor play space.

Observed peeling tape and a glob of hair on the Velcro patch at the bottom of the chest of drawers in the infant area. This presents a potential choking hazard for children who may still be placing objects in their mouths.

The health assessment in the file for Staff Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for Staff Person #1, a Director, did not include documentation of one year experience with children.

The file for Staff Person #1 did not include two written letters of reference.

The disclosure statements in the files for Staff Person #1 and #2 were on outdate forms. The most recent State Police and Child Abuse Clearances in the file for Staff Person #4 exceeded 60 months between clearances.

The first aid kit in the Preschool Room lacked scissors.

Observed a crack, which creates a sharp edge, in the seat of the smiley chair in the Young Toddler Area of the Infant/Toddler Room.

The most recent health reports in the file for Child #4, a preschool child, exceeded 12 months between reports.

The most recent health report in the file for Child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed alcohol wipes and antiseptic ointments, which did not identify the name of the child for whom the medication is intended, in the first aid kits at the facility.

The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments. The Health assessment in the file for Staff Person #2 did not include a TB Read date.

The health assessment in the file for Staff Person #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Observed a loose-fitted sheet in one of the pack n plays in the Infant/Toddler Room.

The most recent Mandated Reporter Trainings in the file for Staff Person #4 exceeded 60 months between trainings.

The file for Staff Person #2, a Director with a Bachelor's Degree in Psychology, lacked documentation of one year child care experience.

The fee agreements in the files for Child #4 and #5 did not include the services provided.

The emergency contact forms in the files for Child #1 and #5 did not include the health insurance coverage.

The emergency contact form in the file for Child #3 did not include the address of the release person.

The emergency contact binder in the Preschool Room did not include an emergency contact form for Child #6 who was receiving care in that area.

The most recent parent updates to the emergency contact form and fee agreement in the file for Child #4 exceeded 6 months between updates.

The file for Staff Person #3 did not include documentation of 12 annual hours of child care training for the most recent full year of service: 12/19/22-12/19/23.

The file for Staff Person #3 lacked an NSOR certification. Although Staff Person #3 has not been working at the facility for 45 days, the receipt for FBI fingerprinting was dated 6/16/23, which is after Staff Person #3's start date: (See LIS Code Sheet). For this reason, Staff Person #3 does not qualify as a provisional hire and cannot return to work until NSOR is acquired. The file for Staff Person #4, who has been working for more than 45 days, lacked an NSOR Certificate: (See LIS Code Sheet). The file for Staff Person #7 did not contain a State Police Clearance conducted within the past 60 months. For these reasons, Staff Person #4 and #7 cannot work at the facility until the current clearances are acquired. The Child Abuse, FBI Clearances and NSOR certificate in the file for Staff Person #1 and the State Police Clearance in the file for Staff Person #2 were applied/acquired after the staff persons' start date: (See LIS Code Sheet). The disclosure statements in the files for Staff Person's #1, 2, 3, 4 and 5 were on outdated forms.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

The files for Staff Person #6, 7, 8 and 9 did not include documentation of emergency plan training conducted within the past 12 months (6/30/22).

Observed nails and debris on the floor of the Gross Motor Room. Observed rough edges on the concrete surface of the wall in the Gross Motor Room. Observed two protruding nails, which create a potential puncture hazard, at the bottom of the sink cabinet in the Toddler 1 Area. Observed two exposed bolts, which create a potential puncture hazard, on the third toilet in the boy's restroom.

Observed ladders, sheet metal and several storage bins, which were blocking the exit of the gross motor room.

Observed on 8/2/23 at approximately 10:00 am, Staff Person #5 did not wash their own hands or ensure that Child #7 washed their hands after changing the child's diaper.

The file for Staff Person #4 did not include an initial health assessment.

The initial health report in the file for Child #1 was conducted more than 60 days after the child's first day of attendance.

The files for Staff Person #6, 7, 8, 9 and 10 did not include documentation of fire safety training conducted within the past 12 months (6/30/22).

The Pediatric First Aid/CPR Training in the files for Staff Person #1 and #8 were conducted more than 90 days after the staff persons' first day working in child care: (See LIS Code Sheet).

The files for Staff Person #1 and #4, Assistant Group Supervisors, did not contain documentation of two years experience in child care.

On 8/2/23, after review of staff files and conversation with Director/LE, the facility has 52 children enrolled and only one staff who meets the qualifications of a Group Supervisor.

The most recent child service reports in the files for Child #3, 4 and 6 exceeded 6 months between reports.

The file for Child #2 lacked an emergency contact form and fee agreement.

The emergency contact form in the file for Child #1 did not include the work address and telephone number of the enrolling parent.

The most recent parent updates for the emergency contact form and fee agreement in the file for Child #3 exceeded 6 months between updates. The emergency contact forms and fee agreements in the files for Child #4, 5 and 6 have not been updated by the parents in the last 6 months.

The current Certificate of Compliance was not posted at the facility.

Observed PCV cement, which was in an unlocked electrical room, in the S/A Room.

Observed bolts facing upward, which were not capped, on the bases of the toilets in the following areas: Upstairs: one in front bathroom, two in middle, and one in back. Downstairs: One in the boy's bathroom. Observed ceiling tiles stained from possible water damage in the infant area and in the corner between the Infant and Young Toddler areas.

Upstairs: One toilet in the back bathroom and one toilet in the front bathroom lacked handwashing signs.

Observed bite marks on foam peg boards and broken crayons less than one inch in diameter in the Older Toddler Room. This creates a potential hazard for children who are still placing objects in their mouths.

The most recent updated health reports in the files for Child #3 and #4 exceeded 12 months between reports.

The inhaler for Child #2 did not contain written instructions from the physician or instructions for administration on the label.

The most recent health assessments in the files for Staff Person #2 and #3 exceeded 24 months between assessments.

The fire drill log documented two times when fire drills were conducted more than 60 days apart: 10/8/21-2/4/22 and 2/4/22-4/22/22.

The initial Health and Safety training in the file for Staff Person #1 was the 6-hour Health and Safety Basics conducted on 2/6/19, which was not a valid training date. The current 10-hour Health and Safety training in the file for Staff Person #1 was not conducted until 6/29/22.

The binder in the PS/SA Room did not contain an emergency contact form for Child #1 who was receiving care in this room.

On 3/29/22 at approximately 11:15 AM, staff #3 was observed in the toddler room with 6 young toddlers.

On 3/29/22, at approximately 11:15 AM, staff #1 and staff #2 were observed in the eating area with 13 children of mixed ages. When asked to identify the group of children they were responsible for supervising, staff #1 identified 7; 1 preschooler and 6 older toddlers. Staff #2 identified 6; 4 older toddlers and 2 young toddlers.