Learning Ladder

Observed a small pokeweed plant by the front corner in the outdoor play area.

Observed multiple spots of peeling paint on the beige doors on the building in the outdoor play area.

Observed child file #2, who was a young toddler when the updated health assessment was due, contained an updated health report which was obtained 11 months after the previous valid health assessment.

Observed child file #1 did not contain updated written verification of the MMR or varicella immunizations from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Observed the facility did not have documentation of conducting an emergency drill within the previous 12 months.

Observed the facility did not have documentation of submitting the annual written traffic letter to local traffic safety authorities.

Observed staff file #2 did not contain documentation of 2 years of experience with children.

Observed electrical outlets on a power strip in the front room which did not have protective receptacle covers.

Observed in the outdoor toddler play area, trash and a torn and damaged rubber mat.

Observed a spot of damaged plaster accessible to children in a storage area of the middle room.

Observed a sand table which contained standing water in the toddler outdoor play area.

Observed the documented fire drills revealed that one time (11/5/24-1/7/25) the fire drill was conducted more than 60 days apart.

Observed staff file #1, contained an updated criminal background clearance and updated child abuse clearance which were dated more than 60 months after the two previous valid clearances.

Observed hand sanitizer, labeled "Keep out of the reach of children", accessible to children on a low shelf in the school-age room.

Observed one window in the upstairs school-age room which was not restricted to 6 or fewer inches.

Observed the first-aid kit in the school-age room did not contain sterile gauze.

Observed three rest mats with peeling covers and exposed foam in the preschool room. Observed in the toddler play area, a broken green plastic tote and rough edge on the side of a mobile slide.

Observed child file #1, an older toddler, contained a most recent health assessment which is dated more than 18 months ago (1/2/23).

Observed staff file #4, contained a child abuse clearance dated after staff #4 first day working in a childcare position. Observed staff file #4 contained a NSOR verification letter dated after staff #4 first day working in a childcare position. Observed staff file #4, did not contain copies of the applications for the child abuse clearance or the NSOR verification letter. Observed staff file #4 contained a disclosure statement which was not signed by a witness.

Observed electrical outlets which did not have protective receptacle covers, on a power cord in the upstairs school age room which is used by preschool children.

Observed hand sanitizer labeled keep out of the reach of children, on a table in the upstairs school age room.

Observed the hot air hand dryer in the children's bathroom, was providing heated air which exceeded 110 degrees.

Observed a piece of detached/loose trim on the drawers in the front room. Observed in the preschool play area a gutter pipe which was not connected and had sharp edges. Observed a wooden plywood board attached to the building had splintering edges.

Observed a wooden plywood board attached to the building which had peeling paint. Observed a spot of peeling paint on the metal fence.

Observed a green big block with a peeling cover in the toddler area of the preschool room. Observed in the toddler play area, two broken plastic toy shovels. Observed on the porch leading to the preschool play area a blue and green broken plastic bucket and a toy shelf which had detached trim. Observed in the preschool play area, the blue roof plastic playhouse which had a detached side.

Observed two drawers in the front room which had objects smaller than 1 inch in a diameter, due to failed child safety locks these items were accessible to older toddlers receiving care in that room.

Observed the documentation for the fire alarm testing revealed that 4 times in the previous 12 months the alarm testing was completed more than 30 days apart.

Observed staff file #1, 2, and 3 contained written evaluations which were completed more than 12 months after the previous valid written evaluation.

Observed child file #1, 2, and 3 did not contain a child service report written within the previous 6 months.

On 9/26/22 the director informed the certification representative of an incident in which a child went to the emergency room. The facility immediately notified the parent, but did not notify the department within 24 hours and did not submit the written report to the department within 72 hours.

Observed staff file #2, did not contain a CPSL required signed disclosure statement to be in the file prior to the first day interacting with children.

Observed staff file #1, 3, 4, 5, and 6 contained documentation of annual training in the emergency plan which was conducted more than 12 months after the previous emergency plan training.

Observed an electrical outlet in the art room which did not have a protective receptacle cover.

Observed the emergency telephone numbers were not posted by the telephone in the middle room and the art room.

Observed the first aid kit in the art room did not have nonporous gloves.

Observed a detached ceiling tile in the art room.

Observed an accessible unlocked low drawer in the front room, where toddlers receive care, had multiple small objects less than 1 inch in diameter.

Observed a heavy shelf in the upstairs hallway which was not securely anchored to the wall.

Observed the updated health assessment 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 child file #4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed staff file #4 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

Observed staff file #1, 3, 4, 5, and 6 contained documentation of fire safety training which was conducted more than 12 months after the previous fire safety training.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire(see LIS code sheet): 3270.31.(f)(10)

Observed staff file #2 did not contain documentation of 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Observed the agreement for child file #2 and #3 did not specify the date of the child's admission.

Observed the emergency contact information for child #4 did not contain written consent signed by a parent for emergency medical care and did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Observed the emergency contact information for child file #1 and #4 did not contain the complete address of the individual designated by the parent to whom the child may be released. Observed child file #4 did not contain the telephone number of the individual designated by the parent to whom the child may be released.

Observed staff file #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.