Lifespan Daycare INC

On 9/28/2023 Rep conducted an investigation regarding supervision. Staff #1, #2, #3 were interviewed and admitted to a child being left unattended for approximately 60 seconds on 9/22/2023. It was also observed in the infant room that infants sleeping on cots were not visible due to cribs obstructing the view.

On 9/28/2023, upon arrival to the facility, it was observed that there were 20 pre-k children on the playground with one staff.

On 9/28/23 it was observed that infants were sleeping on their stomachs. Staff #3 was asked how the children are laid down for nap time. Staff 3 stated that it depended on how the child liked to be laid down, either stomach or back.

On 9/28/23 Rep observed toxic cleaning products within reach of a diaper changing station. Cleaning products were assessable to children and not locked away. Staff confirmed that bottles on the changing station were toxics.

On 9/28/23 it was observed that infants were not sleeping on age appropriate rest equipment. Infants were sleeping on cots, not approved for children under 12 months. It was also observed that there were not 2 feet of space on three sides of the cots.

On 9/28/23 staff files were reviewed. Staff #1 & #2 have not completed the following required pre-service training within 90 days of their date of hire - PQAS approved Pediatric 1st aid/CPR. See code sheet for date of hire.

On 6/14/23 during the renewal inspection, staff #6 was alone with 18 older toddlers during nap time. This amount of older toddlers would require 2 staff to satisfy the nap time ratios.

As of the renewal inspection on 6/14/23, the letter sent to parents regarding the emergency procedures did not include information on lockdown or accommodations for infants/toddlers, children with special needs, and children with chronic medical conditions.

On 6/14/23 during the renewal inspection, there was damage to the wall outside of the preschool room from the cots.

During the renewal inspection on 6/14/23, child #1 was asleep on a cot that was placed between two cribs, and did not have two feet of space on three sides, as required.

As of the renewal inspection on 6/14/23, the most recent health assessment on file for child #5 was dated 10/21/21.

As of the renewal inspection on 6/14/23, the most recent influenza vaccine for child #4 was dated 10/5/21. The most recent influenza vaccine on file for child #6 was dated 3/24/21. The most recent influenza vaccine on file for child #7 was dated 10/28/21. There was no influenza vaccine documented for child #5 and child #8. There was no documentation of Hepatitis A vaccine for child #3 and child #8. There were no exemption letters on file for any child. Child #3, #4, #5, #6, #7, and #8 must be removed from care until documentation of all vaccines or exemption letters are on file.

As of the renewal inspection on 6/14/23, the fire drill log had fire drills recorded on 12/3/22, 3/3/23 and then on 6/2/23. The gaps between these fire drills is greater than 60 days.

As of the renewal inspection on 6/14/23, there was no health assessment on file for child #7 (see code sheet for start date).

As of the renewal inspection on 6/14/23, there was no continuity plan as required by 45 CFR 98.41(a)(1)(vii).

Staff person #1 completed the six hour Health and Safety pre-service training on 8/30/16, prior to the acceptable date of 9/30/16.

As of the renewal inspection on 6/14/23, there was insufficient documentation to qualify staff #2 for the identified Group Supervisor position.

As of the renewal inspection on 6/14/23, there was insufficient documentation to qualify staff #3 for the identified Assistant Group Supervisor position.

As of the renewal inspection on 6/14/23, there was insufficient documentation to qualify staff #4 for the identified Aide position.

On 6/14/23 during the renewal inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Nursery room.

As of the renewal inspection on 6/14/23, the most recent update to the emergency contact information for child #2 was dated 3/3/22. Child was in attendance at the facility on this date.

As of the renewal inspection on 6/14/23, there weren't any references on file for staff #5

On 2/21/23, the facility reported that a parent closed the door to the classroom and the fingers of child # 1 were pinched in the hinge side of the door.

During a complaint investigation on 2/15/23, staff person # 1 admitted that on 2/10/23, they held the arms of child # 1 between their elbows and shoulders while the child stood on the chair and squatted up and down. While holding the child's arms, staff person # 1 had their legs over the arms of the chair.

During renewal inspection on 6/23/22 cert rep observed loose/torn rug binding on the alphabet rug by letters WXY and on the vehicle rug on 2 of the corners. Both rugs were in the Walkers/YT room and could be a potential tripping hazard.

During renewal inspection on 6/29/22 cert rep reviewed all staff files. STAFF # 1 completed the health & safety training on 9/2/16. STAFF # 2 completed the health & safety training on 9/13/16. STAFF # 3 completed the health & safety training on 9/14/16. STAFF # 4 completed the health & safety training on 9/8/16. STAFF # 5 completed the health & safety training on 9/238/16. This training is not acceptable for meeting the requirement of completing health & safety training because it was prior to 9/30/16. STAFF # 1, 2, 3, 4, 5 have completed 3270.31(f)(10) and have current & valid dates of completion.

During renewal inspection on 6/23/22 there was no written plan of daily activities in the Older SA room.

During review of several children's files on 6/23/22, CHILD # 1 last financial review update was 12/17/21; CHILD # 2 was 12/16/21; CHILD # 3 was 8/9/21; CHILD # 4 was 12/16/21; CHILD # 5 was 9/8/21; CHILD # 6 was 11/11/21. All of these dates were more than 6 months old.