Itsy Bitsy Learning Academy

The health report on file for Child #2 was not signed or dated by a physician, physician's assistant, or CRNP.

The health report of file for Child #3 lacked immunizations.

The facility's emergency plan parent letter lacked accommodations for infants, toddlers. children with disabilities, and children with chronic medical conditions.

The file for Child #1, enrolled for more than 60 days, lacked an initial health report.

The facility's emergency plan documentation was last reviewed on 3/28/23, exceeding the annual 12-month update.

The initial health assessment on file for Staff Person #1 was dated 9/25/24, after the date of hire.

The initial health assessment on file for Staff Person #1 does not include the results of a Tuberculosis screening, due at hire.

The current health assessment on file for Staff Person #1 does not indicate that the staff person was examined for communicable diseases.

The current health assessment on file for Staff Person #1 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The current health assessment on file for Staff Person #1 did not include a physician or CRNP's assessment of the person's suitability to provide childcare.

The facility's fire drill log documented the most recent drill was completed on 4/16/24, more than 60 days prior.

The file for staff #1, employed for over 90 days, does not include documentation of receiving training on the emergency plan.

Based on the facility's fire drill log, multiple consecutive drills were conducted with the same hypothetical location. The two most recent drills are now compliant.

A wheeled bucket containing used mop water was observed in the cafeteria while children were in care in the room.

The emergency contact forms for children #1, #2, and #5 do not include complete information for the child's physician or source of medical care.

The emergency contact forms for children #2, #3, and #4 did not include written consent signed by a parent for emergency medical care.

The emergency contact form for children #1 and #2 do not include complete contact information for the individuals designated by the parent to whom the child may be released.

The emergency contact form and agreement for child #4 have not been reviewed and dated by the parent since 9/18/23.

The emergency contact forms for children #2, #3, and #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

The agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

The emergency contact information for child #1 and child #2 did not include written consent signed by a parent for emergency medical care.

The emergency contact information for child #1 did not include the health insurance policy number for the child.

The emergency contact information for child #2 did not include the address of the individual designated by the parent to whom the child may be released.

The emergency contact information for child #1 and child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

The file for staff #1 did not contain a valid FBI clearance. The clearance, dated 3/15/18, was expired.

The letter to parents explaining the emergency plan was observed to be a template and lacked details specific to the program.

An exit from the gym was blocked by a wooden bench.

The facility's emergency plan did not include details regarding the procedure for evacuation. The plan also lacked the address of the relocation site.

The file for staff #2, designated as an aide, did not contain documentation of obtaining a high school diploma.

The file for staff #1, designated as the director, did not include verification of 1 year of child care experience.