Kristens Kid Kare

The diaper cans used to discard disposable diapers in the infant room and the toddler room were not hands-free.

The record for staff #3 lacked a health assessment.

The record for staff #2 did not include the results of a TB test.

The operator did not post the menu at least 1 week in advance.

The fire detection system was not tested at least once in a 30-day period between 11/1 and 12/2/2024; and 12/2 to 1/2/2025.

The facility's shaken baby syndrome, abusive head trauma and child maltreatment policy did not include the prevention and identification of child maltreatment. The facility's emergency plan did not include continuity of operations.

The record for staff #1, who was identified as the director, lacked verification of 3 years of experience with children.

The record for staff #2, who was identified as an AGS, lacked verification of a HS diploma.

Based on a conversation with staff, the facility retained the original agreement for all enrolled children.

Emergency contact information for child #1 did not include the work telephone number of the enrolling parent.

The emergency contact information for child #1 and #2 did not include the address of the individual designated by the parent to whom the child may be released.

A parent did not review and update the emergency contact information for child #1 at least once in a 6-month period between 6/18/2024 and 1/2/2025.

The facility persons' records were not stored in a locked cabinet.

The emergency plan did not address continuity of operations.

The parent letter explaining the emergency procedures that the operator provided to the parent of each enrolled child did not include the method to inform parents an emergency has happened, a method to inform parents the emergency has ended and how to safely be reunited with their children, or accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The baseboard in the infant room to the left was peeling away from the wall. Outside in the outdoor play space is a tree stump that is rotting and falling apart causing a visible hazard.

There was damaged plaster to the right of the infant room door.

In the preschool and older toddler room there where cracked magna tiles with sharp edges. On the fence to the outside play space accessible to children were 7 exposed bolts.

In the preschool and older toddler room their where small stampers less than an inch in diameter and foam painters in plastic pull out drawers by the closet accessible to children still placing objects in their mouths.

Child #2 file contained health reports dated 3/14/23 and 4/8/24 more than 12 months apart.

The immunization record on file for Child #2, older toddler age child, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age and 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age(See LIS Code Sheet).

The fire alarm testing log included testing dates 2/7/24-3/12/24(34 days), (3/2/24-4/16/24(35 days), and 4/16/24-5/22/24(36 days) which are more than 30 days apart.

The file for child #1 does not contain a signed health report within 60 days of child's enrollment(See LIS Code Sheet).

The operator did not have written letter to notify local traffic safety authorities.

The legal entity did not have comprehensive general liability insurance to cover the persons who are on the premises.

Child file #1, 3, and 5 did not contain a child service report.(See LIS code sheet) Child #2 file contain services reports date 11/1/22 and 3/31/24 which was more than 6 months apart. Child #4 contain a service report that was dated 3/1/23 more than 6 months ago.

Child #4 file did not have an address for the child's physician or source of medical care.

Child #1 file did not contain a work phone number for the enrolling parent.

Child #1 file did not contain the child's health insurance/MA coverage.

Child #4 file did not contain release person's address. Child #5 file the release person's address did not contain house numbers or street names

Child #3 emergency contact was reviewed 8/28/23 and then again 7/2/24 which was more than 6 months apart.

Child #3 financial agreement was signed and dated 8/28/23 more than 6 months prior.

The child records are not stored in a locked cabinet they stored in a locked closet in the Preschool/Older toddler room.

The file for staff #1 contained a 6-hour Health and Safety training that was taken on 11/4/18 which is not an acceptable Health and Safety training.