Jubilee Daycare/Preschool

In room 8 two protective outlet covers were missing by the rocking chair and one was missing by the large wooden cube.

In room 4 the cabinet under the diaper table was not locked and accessible to children. The cabinet contained Window cleaner, Aquaphor Diaper Rash Paste, and Boudreaux's Butt Paste which state keep out of reach of children.

The trash in rooms 6 and 7 were not removed daily per discussion with operator.

The first aid kit in room 6 was missing tape. The first aid kit in room 4 was missing gloves.

Handwashing signs were missing in the women's bathroom near 2 toilets and the men's bathroom near the urinal.

In room 6 the block bin was cracked causing a pinching hazard.

In Room 6 there was a tall brown cabinet that was unstable when touched that was not attached to the wall. Outside room 6 was tall children's cubbies that were not attached to the wall. In room 8 the cubbies were not attached to the wall.

The thermometer in refrigerator in room 3 was not working properly.

The two most recent health assessments on file for Child #2, who is an infant age child(See LIS Code Sheet), are dated 5/14/24 and 1/29/25, more than 6 months apart.

The initial health assessment on file for staff #1 is dated 2/12/25 which is after staff #1's date of hire(See LIS Code Sheet). The initial health assessment on file for staff #3 is dated 11/18/24 which is after staff #3's date of hire(See LIS Code Sheet). The initial health assessment on file for staff #5 is dated 10/2/24 which is after staff #5's date of hire(See LIS Code Sheet).

Staff #1 initial TB test was dated 2/14/25 which is after staff # 1's date of hire(See LIS Code Sheet). Staff #3's initial TB test was dated 11/18/24 which is after staff #3's date of hire(See LIS Code Sheet). Staff #5's initial TB test was dated 10/2/24 which is after staff #5's date of hire(See LIS Code Sheet). Staff #6's file did not contain a TB test.

The health assessment on file for Staff person #2 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Staff person #3, 5 and 7 that were classified as aides were not 18 years of age or older, nor have they completed or are enrolled in an approved training curriculum.

Staff #1 and 6's files did not contain verification of child care experience.

Staff person #4's file did not have proof of at least a minimum of an 8th grade education and 2 years of experience with children.

In room 7 there was no written daily schedule posted.

Child #1's file did not contain a signed financial agreement.

Child #3's file did not contain the telephone number of the child's physician or source of medical care.

Child #3's file did not contain the work address and telephone number of the enrolling parent.

Child #3's file did not contain 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.

Child #2's file did not contain the health insurance policy number for a child under a family policy or Medical Assistance benefits.

Child #3's file did not contain the telephone numbers for 2 individuals designated by the parent to whom the child may be released.

The two most recent 6-month review signatures for the emergency contact form on file for child #1 are 7/1/24 and 2/14/25 which are more than 6 months apart.

The file for staff person #3, was observed not to have completed pre-service training: Pediatric CPR/First Aid within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person #3 was dated 2/6/25. The file for staff person #7, was observed not to have completed pre-service training: Pediatric First Aid/CPR within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person #7 was dated 12/17/24.

The clearances on file for Staff #1 are dated: 6/21/23 (State Police); 6/29/23 (Child Abuse); 7/13/23 (DHS FBI); 6/23/23 (NSOR). All of the dates are after the date of hire/first date of caring for children. (See IS code sheet) The FBI clearance on file for staff #2 was for Department of Education, not DHS and the NSOR certificate for Staff #2 is dated 2/14/23, which is after their first day of caring for children. (See IS code sheet) The NSOR certificate for Staff #3 is dated 1/17/24, which is after their first day of caring for children. (See IS code sheet)

At nap time on 3/27/24, observed staff #4 with four toddlers. Three of the toddlers were on one side of the room and one toddler was on the other side of them lying beside a toy shelf. The area where the three toddlers were laying had enough light coming in through a window and could be appropriately supervised. The area where the one toddler was lying was too dark and the child's face could not be seen from where staff was sitting in the room. Additionally, based on a conversation with staff #4, this child has a hard time sleeping so she usually goes over to the child and can see her because she sits directly beside her while she rubs her back to put her to sleep. Based on the review of the room set-up, staff #4 would not then be able to appropriately supervise the other three children.

The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

The facility lacked a parent letter which explained shelter and lockdown, evacuation, method to contact parents when it is reasonably possible when an emergency situation arises, method to inform parents that the emergency has ended and instruction for how to safely be reunited with their children, accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The first aid kit in the Room 8 lacked sterile gauze pads.

In Room 4, observed an unlabeled pack n play for child #6.

The health assessment on file for Staff #1 is dated 2/3/24, which is after their start date. SEE IS CODE SHEET>

Observed that the Pre-K children bring ice packs in their lunches but they are not refrigerated. Observed six lunch bags which included yogurts and cottage cheese.

In the Infant Room, observed bottles for children #7 and 8 which lack the child's name.

There were more than 30 days between manual checks of the fire detection system; Dates are as follows: 5/14/23 and 6/28/23, 7/18/23 and 8/22/23, 10/19/23, 11/21/23, 12/22/23 and 1/31/24.

In the outside toddler/PS play space, observed an area of standing water in the back corner of the play space which was approximately 10 ft x 5 ft and approximately 2-3 inches deep posing a threat to the health and safety of the children.

The agreement on file for Child #1 does not include release persons.

The agreements on file for Children #2, #3, and #5 do not include the child's date of admission.

The emergency contact forms on file for Children #1, #2, and #4 do not include enrolling parent's work address or phone number.

The emergency contact forms on file for Children #1, #2, and #5 do not include information on disability.

There was no agreement on file for Child #3.

The file for Staff #3 did not include two written nonfamily references.

Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: 6 hour health and safety training dated 8/30/16 thru 6/30 18. 6 hour training on file is dated 8/20/16.

The file for staff #7, who was a provisional hire, contained applications for an FBI and NSOR clearance on or before start date in a child care position. However, a State Police clearance was not on file on or before start date in a child care position. SEE LIS CODE SHEET. There is now a State Police clearance on file and dated 3/2/23. There are no FBI or NSOR clearances on file. The file for staff #12 lacked a Child Abuse clearance on or before initial start date in a child care position. There is now a Child Abuse clearance on file and dated 10/11/22. SEE LIS CODE SHEET.

On 3/16/23, during nap time in the toddler room, observed that staff #11 was unable to see and assess two of the children from where staff was sitting and where the children were positioned for nap.

The file for staff #2 lacked initial emergency plan training within 90 days of hire. SEE LIS CODE SHEET. There is now training on file and dated 10/18/22. There was more than 12 months between the previous and most current emergency plan trainings on file for staff #4. Dates are as follows; 2/13/20 and 10/18/22.

At the hallway entrance of the facility, observed a portable space heater

In the outside play space, which is located directly outside the door of the facility, observed exposed bolts on the fence which were facing the inside of the play space. In the new outside play space, observed exposed bolts which were facing the inside of the play space. In the new outside play space, observed a children's play house with a cracked green roof causing a pinch point. In Room 6 observed a gray toy bin which had a crack on the right side.

In room 5, observed a bin of foam blocks. One of the green foam blocks had teeth marks.

The files for children #2, 5 and 8, al who are young toddlers, lack verification of a health assessment which was completed within the past six months. There was more than six months between health assessments on file for child #4, who was a young toddler when the health assessment was due. There is now a current health assessment on file for child #4.

The file for child #3, who is of preschool age, lacks a health assessment which has been completed within the past 12 months.

The files for children #1, 3, 7 and 8 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #5 contains 3 of the 4 DTAP and Pneumococcal immunizations and lacks a flu shot within the past 12 months as in accordance with the schedule recommended by the ACIP.

Observed All Day Allergy medication for child #9 which expired 2/2023 and Benadryl for child #6 which expired 3/2023.

There was more than 24 months between the previous and the most current and updated health assessments on file for staff #1. The files for staff #7 and 12 lacked a health assessment that was completed 12 months prior to providing initial service in a child care setting. There are now a current health assessments on file on file for staff #7 and 12.

The file for staff #7 lacks a TB test at initial hire. The file for staff #12 lacked a TB test at initial hire. There is now a TB test on file for staff #12.

There was more than 30 days between checks of the fire detection system which are dated 1/18/23 and 2/24/23. The facility file lacked documentation of the proof of purchase of the fire detection system. There is a proof of purchase on file of the pull station. However, a pull down station was replaced in 2020 and proof of puchase is not on file.

The files for staff #1, 2, 3, 4, 5, 8, 11 and 12 lacked the one hour health and safety update that was to be completed by 12/30/22. The one hour health and safety update is now on file for staff #1, 2, 3, 4, 5, 8, 11 and 12. Dates are as follows; Staff #1 - 3/18/23, #2 - 3/22/23, #3 - 3/20/23, #4 - 4/2/23, #5 - 3/20/23, #8 - 3/13/23, #11 - 3/20/23, #12 - 3/20/23.

There was more than 12 months between the previous and most current fire safety training on file for staff #4. Dates are as follows; 2/13/20 and 10/18/22.

The files for staff #1, 3, 4, 5, 6, 8, 9, 10 and 11 lacked documentation of Pediatric CPR/FA from a PQUA certified instructor by 4/29/22. There are now current CPR/FA training from a PQUA certified instructor and all dated 5/9/22.

The most current fee agreements on file for children #2, 3, 5, 7 and 8 were not signed by the operator. The most current fee agreements on file for children #1, 2, 4, 7 and 8 lacked the child's date of admission.

The most current fee agreements on file for children #1, 3, 4, 5, 7 and 8 were the originals. Therefore, the parent did not receive the original agreements.

The most current emergency contact information on file for child #2 lacks the phone number of the child's physician or source of medical care. The most current emergency contact information on file for child #6 lacks a health insurance policy number.

The most current emergency contact information on file for child #1 lacks the enrolling parents work address and work phone and the address of all individuals to whom the child may be released. The most current emergency contact information on file for child #8 lacks the address of all individuals to whom the child may be released.

The most current emergency contact information on file for child #6 lacks written consent signed by a parent for emergency medical care.

There was more than six months between the most current six month reviews/updates of the fee agreements and emergency contact information on file for children #1, 2, 3, 4, 5, 6 and 7. There are now current reviews/updates on file.

The file for child #6 lacks signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Staff #2 contained a DHS Child Abuse Clearance that was completed more than 60 months ago. Staff #2 cannot work at the child care facility until an updated clearance is obtained and placed on file.

Although the file for Staff #1 contained documentation of the completion of emergency plan training in the past 12 months, the previously complete emergency plan training was more than 12 months prior to the completion date of her current training.

A roughly 12"x2" area of peeling paint was observed in an area accessible to children in care in the child care space on the right side of the hallway at the end of building farthest from the office.

The file for Child #1, an infant, contained a health assessment that was completed more than six months ago.

The file for Child #3, a Preschool-aged child, contained a health assessment that was completed more than 12 months ago.

The file for Child #1 contained an immunization record that, based upon the recommendations of the ACIP, did not include documentation of the following immunizations: * Second Dtap * Second HIB * Second IPV * Second PCV 13

Although the file for Staff #3 contained a current health assessment, the previously administered health assessment was dated as conducted more than 24 months prior. The file for Staff #4 contained a health assessment that was completed after her first date in a child care position.

The file for Staff #5, who has been employed in a child care position for more than 90 days, did not include documentation of the completion of Health and Safety Basics training. The file for Staff #4 contained documentation of the completion of Health and Safety Basics training; however, said training was completed more than 90 days after first date in a child care position.

Although the file for Staff #2 contained documentation of the current completion of mandated reporter training, the previous training was complete more than 60 months prior.

Although the file for Staff #1 contained a staff evaluation completed in the past 12 months, the evaluation prior to the current evaluation was completed more than 12 months prior.

The files for Child #4 and #5 contained emergency contact forms that did not include written parental consent for emergency medical care.

The files for Child #2, #4, and #5 contained emergency contact forms that did not include written parental consent for the administration of minor first-aid procedures by facility staff members.