Its All About Kids

The file of staff #3 contained a volunteer child abuse clearance and a disclosure statement which was dated 8/27/2024, after their start date at the facility (see LIS code sheet). The file of staff #6 contained a disclosure statement which was not dated.

Documentation of the recent consecutive emergency plan trainings for staff #1 and #2 exceeded 12 months.

A container of disinfecting wipes, which did not have its original label, was not labeled with its contents.

The first aid kit in the toddler classroom (with the windowed wall) did not contain soap.

The thermometer in the preschool classroom refrigerator displayed a temperature of 70 degrees Fahrenheit.

The file of staff #6 did not contain a completed health assessment prior to working with children at the facility (see LIS code sheet).

The file of staff #6 did not contain a completed tuberculosis screening prior to working with children at the facility (see LIS code sheet).

Staff person #3 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 pediatric CPR

The file of staff # 5, identified as an assistant group supervisor, did not have documentation to support their qualifications for the position.

On the outdoor play space, there were 2 metal stakes in the ground near the back fence with each stake inside of a fence around a tree. The stakes each had sharp edges on the top of the stakes that were accessible to children.

On the outdoor preschool play space, the top wooden step and railing near the door had multiple areas of peeling paint. In the infant room, there was one area of peeling paint on the front left wall.

In the young toddler room with young toddlers present in the room, there was a green fabric turtle play climber mat that had multiple areas with holes and small pieces of fabric coming apart with a diameter of less than 1 inch that were accessible to children who are still placing objects in their mouths.

The file for child #1, a young toddler, lacked a current health assessment updated within the last 6 months.

On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child resulting in a 0:1 staff to child ratio. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

* * * On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

* * On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

* On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

On 8-9-23 at approximately 2:30 p.m., it was observed from the front door of the facility through the window of the door that a child was alone in the lunch room setting out plates at a table without a staff person physically present in the room with the child. When the child observed the certification representative at the front door, the child appeared to talk to someone through the wall cutout in the room to the kitchen, and then staff person #1 walked into the lunch room and opened the front door. The young school-age child was observed alone for approximately 10-15 seconds.

The file for staff person #5 lacked a state police clearance or proof of application at their start date to be a provisional hire and requires a current state police clearance. The file for staff person #1 had FBI clearances that were dated over 60 months between clearances.

On 7-21-23 at approximately 10:50 a.m., staff person #2 had identified 6 children in their group, including 4 preschoolers and 2 older toddlers. Five children were present in the room while staff person #2 stood at the doorway so they could see the preschooler in the bathroom directly across the hallway. The bathroom door was open and there were no stalls, however, the staff person was not physically present in the bathroom with the preschool child resulting in a 0:1 staff to child ratio.

On 7-21-23 at approximately 1:35 p.m. during naptime with a total of 9 children in the room, the 3 staff persons in the room were sitting on the floor next to preschool children and were on the one side of the room that was divided by a gate with 8 preschool children on rest equipment on that side of the room. There was 1 young toddler that was sleeping in a pack 'n play on the other side of the gate and room from staff person #3, #5, and #6. The staff persons could not see the young toddler in the pack 'n play from where they were sitting in the room. It was dark in the area where the young toddler was sleeping, and the certification representative could not see or assess the child from the side of the room where the staff were located. Upon a closer observation by the certification representative, the young toddler had a blanket over their head while sleeping.

On 7-21-23 at approximately 10:50 a.m., staff person #2 had identified 6 children in their group, including 4 preschoolers and 2 older toddlers. Five children were present in the room while staff person #2 stood at the doorway so they could see the preschooler in the bathroom directly across the hallway. The bathroom door was open and there were no stalls, however, the staff person was not physically present in the bathroom with the preschool child.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

On the outdoor toddler play space, there was a seam on the turf surface near the back fence that was overlapping and uneven in multiple areas causing a potential tripping hazard.

In the multi-purpose room during naptime, there was one child sleeping on a cot that had 2 feet of space on two sides and lacked 2 feet of space on the other two sides.

The file for child #3, a preschooler, had a health assessment that exceeded 12 months between assessments.

The file for child #1, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

In the kitchen, there were 2 EpiPens and Equate Children's Allergy Relief for child #4, Motrin Infants' Drops and Infants' Mylicon for child #5, Up & Up Infants' Acetaminophen and Little Remedies Gas Relief Drops for child #6, and Perrigo Infants' Ibuprofen for child #7 that were expired.

In the kitchen, there was Perrigo Infants' Ibuprofen for child #7 that lacked written parental consent for administration of the medication.

The file for staff person #2 had fire safety training that exceeded a year between trainings.

Staff person #4 completed the following required pre-service training on 1-19-23 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6-3-18.

The file for child #1 had an emergency contact form that lacked the work address and telephone number of the enrolling parent. The file for child #3 had an emergency contact form that lacked the work address of the enrolling parent.

The file for child #3 lacked a current agreement updated by the parent within the last 6 months.

The file for staff person #14, hired provisionally, lacked verification of being fingerprinted for the FBI clearance at their start date to be a provisional hire and requires a current FBI clearance. The file for staff person #1 had current state police and child abuse clearances that exceeded 60 months between updated clearances. The file for staff person #5, hired provisionally, had a child abuse clearance dated 9-1-22 that was after their start date to be a provisional hire. The files for staff person #7 and #9 had a disclosure statement that lacked the date. The file for staff person #7, hired provisionally, had a child abuse clearance dated 10-5-21 and lacked verification of application for the child abuse clearance at their start date to be a provisional hire.

The emergency plan lacked requirements for volunteer emergency preparedness training, practice drills, and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

The first-aid kit in the multi-purpose room lacked scissors.

In the upstairs preschool room, there was peeling paint in a couple areas on the back wall under the left window near the shelf and in 1 area in the back corner between the windows.

In the young preschool room with 2 year olds present in the room, there was a cushion near the sink that had multiple areas with small pieces of fabric less than 1 inch in diameter that were coming apart and were accessible to children who are still placing objects in their mouths.

The file for child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The files for staff person #13 and #14 lacked an initial health assessment prior to the staff person providing initial service in a child care setting at the facility and require a current health assessment. The files for staff person #2 and #3 had a health assessment that exceeded 24 months between assessments. The files for staff person #8 and #11 had an initial health assessment that was dated after their start date providing initial service in a child care setting at the facility.

The files for staff person #13 and #14 lacked a tuberculosis screening by the Mantoux method at initial employment and require a current tuberculosis screening by the Mantoux method. The files for staff person #6, #7, and #8 had a tuberculosis screening by the Mantoux method that was dated after initial employment.

The file for staff person #7 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care. The file for staff person #6 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 9-23-21 to 10-26-21 and 6-3-22 to 7-18-22.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #4, #6, #7, #11, and #12 had pediatric first-aid and CPR training that was dated over 90 days after their start date. Staff person #6, #11, and #12 had health and safety training in the topics of 3270.31(f)(1-9) that was dated over 90 days after their start date.

Staff person #10 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The file for child #1 lacked a current agreement updated within the last 6 months. The file for child #2 lacked a current emergency contact form updated within the last 6 months.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.