Little Acorns Learning Center

The trash receptacles in the Great Oaks bathrooms did not contain plastic liners.

The first aid kit in the Great Oaks Room lacked gloves.

Observed frayed, splintering wood, which creates a sharp edge, on the wooden post on the right side of the steps for the Great Oaks outdoor play area.

The fire drill/fire system test log documents two occasions when fire system checks exceeded 30 days: 4/2/25-5/9/25 and 5/9/25-6/26/25.

On 8/28/24 at approximately 9:30 AM, Staff Person #1 and #2 were in the Infant Room with 7 infants in care. When asked to identify the children for whom they were responsible, Staff Person #1 named five infants and Staff Person #2 named two infants.

Observed two loose floorboards, which creates a potential tripping hazard, in the Infant Room.

The most recent updated health reports in the file for Child #1, a young toddler, exceeded six months between reports.

The most recent immunization record in the file for Child #4 did not contain documentation of Hep A, Hep B, or MMR immunizations or a letter of exemption from the parent or physician.

Observed alcohol wipes in the first aid kits in the Saplings and Great Oaks Rooms that did not identify the name of the child for whom the medication was intended.

On the day of the renewal inspection (8/28/24) a fire system check had not been conducted/documented within the previous 30 days (7/7/24).

The most recent Pediatric CPR/First Aid Certification in the file for Staff Person #3 was conducted after the previous certification had expired.

The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #2, 3 and 4 exceeded 6 months between updates. The most recent parent updates for the emergency contact form in the file for Child #5 exceeded 6 months between updates.

The file for Staff Person #1, who has lived out of state during the past five years, did not include the necessary clearances for Arizona, the state in which Staff Person #1 resided.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training and practice drills to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

On 6/12/24 at approximately 9:30 am, observed less than 2 feet of space on three sides of the Pack n Play, where Child #1 was sleeping.

The most recent documented fire drill conducted at the facility was on 3/5/24, which was greater than 60 days before the day of the inspection: 6/12/24.

The most recent documented fire system check was conducted on 3/5/24, which was greater than thirty days before the date of the inspection: 6/12/24.

The file for staff person #2, hire date (see IS code sheet) is lacking an NSOR verification within 45 days of hire as required under CPSL. The file does include a current NSOR verification. The file for staff person #3, hire date (see IS code sheet) is lacking verification of DHS FBI fingerprinting prior to start date in the child care facility. The file does contain a current FBI clearance.

Although the parent handbook does include information regarding the facility emergency plan, a letter is not provided to parents.

Observed that two of the posts on the large wooden climbing unit on the preschool playground are cracked and splintering posing a hazard to the children in play.

The discovery table in the Saplings room where older toddlers are in care contained uncooked rice and rigatoni noodles and yarn pompoms all less than 1inch in diameter and accessible to children still placing objects in their mouths.

The files for child #1 and child #2, both preschool aged, are lacking documentation of an annual flu shot received during the 2022 year as required by the ACIP immunization schedule. Children #1 and #2 must be removed from care until documentation of a flu shot are received or an exemption letter.

Observed in the Saplings classroom Top Care Ibuprofen, Equate Acetaminophen, Mentholatum Vaporizing Rub and Equate Ibuprofen all lacking the name of the child for whom they are intended. Observed in the Sprouts classroom Equate pain reliever lacking the name of the child for whom it is intended.

The file for staff person #1 contains a current health assessment completed greater than 24 months after the previous health assessment. The file is now current.

The fire alarm test log identified that the alarm tests conducted on 6/1/2023 and 7/12/2023 exceeded 30 days between tests.

Staff persons # 1,3,5 and 6 were observed to be caring for children unsupervised. Staff person #1,3,5 and 6 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics #1-9.

The file for child #2, preschool aged, is lacking a health report completed during the previous 12 month period.

The file for child #1,preschool aged, is lacking a valid health report within 60 days of start date at the child care facility. The file does contain a current health assessment.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics #1-9. Staff #1 and #2 completed Health and Safety Basics prior to 9/30/2016 which is not an acceptable training.

The file for child #3 is lacking addresses for 2 of the parent designated release persons.

The NSOR Form in the file for Staff Person #1 was dated 10/19/21. This was after the facility had received a Provisional Hire Waiver: 9/1/21.

Observed adult scissors, which were accessible to children, in an unlocked drawer in the Great Oaks Room.

Observed hand sanitizer, which was accessible to children, in an unlocked drawer in the Great Oaks Room.

The refrigerators in the Sprouts and Saplings Rooms lacked thermometers.

The immunization record in the file for Child #1 did not contain documentation of a flu shot or a letter of exemption from the parent or physician.

The first documented test of the facility's fire detection system was greater than 30 days after facility opened: 8/9/21-9/10/21. The most recent fire system tests exceeded 30 days between tests: 10/7/21-11/8/21.