Little Appleseed Learning Center · Mars

The mandated reporter training completed and documented on file for Facility Person #1 was expired. Facility Person #1 was observed caring for children along with a staff person (Facility Person #2) who was classified as an aide.

The mandated reporter training documented and on file for Facility Person #1 was expired. as it was completed more than 60 months prior.

The documentation of pediatric first aid & CPR training on file for Facility Person #2 was completed more than 90 days after their start date.

The certificate of compliance posted at the facility was expired.

The current child abuse clearance on file for Facility Person #1 was completed more than 60 months after the prior child abuse clearance on file. The current FBI clearance on file for Facility Person #4 was completed more than 60 months after the prior FBI clearance on file. The child abuse clearance on file for Facility Person #5 was completed after their start date. There was no NSOR clearance on file for Facility Person #5.

The letter to the families explaining the emergency plan did not include information on the plan for accommodations in an emergency.

There were exposed bolts at the gates in the fencing in the Toddler and Preschool outdoor playspaces.

There were two small areas of damaged plaster on a wall in the gym near the restroom, one near the floor and one about 2 feet up from the floor.

There was a loose handle on a kitchen playset in the older toddler room, creating potential pinch points,

There is embedded equipment in each outdoor playspace mounted over unitary playground protective surfacing. The documentation of the ASTM approval of the surfacing does not indicate the maximum fall height to which it protects, to indicate it meets the requirements of the Consumer Product Safety Commission to protect to the maximum fall height of the equipment.

There were styrofoam plates used for serving food at the facility.

The most recent health assessment on file for child #1, a young toddler, was completed more than 6 months prior.

The immunization record on file for child #1 did not indicate the child had a sufficient number of doses of the Hepatitis B, HIB and pneumococcal vaccines according the ACIP recommendations for a child of their age.

The health assessment on file for Facility Person #5 was completed after their start date.

Documentation of emergency drills on file indicate drills were conducted on 11/16/22 and again on 9/12/24 - more than 12 months apart.

There was no documentation that the operator has tested the fire alarm system. Testing is required to be conducted, and documented, at least every 30 days.

The current pediatric first & CPR aid training documented and on file for Facility Person #2 was completed after the expiration of the previous pediatric first aid & CPR training.

The current mandated reporter training completed and on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training documented and on file.

The documentation of a bachelors degree on file for Facility Person #3, serving as one of the facility directors, does not indicate the degree is in a human services field.

Not all release persons listed on the emergency contact forms for children #1, #2, and #3 were also listed on their agreements.

There were no written, nonfamily references on file for Facility Person #5.

The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 2/16/23, more than 6 months ago.

The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 5/11/22 and 8/23/23, more than 12 months apart. The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 10/5/20 and 2/16/23, more than 12 months apart.

The most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 12/21/20, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #4, who is 4 years old, is dated 11/22/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #2, who is 2 years old, includes 1 of 3 Hepatitis B vaccines recommended by the ACIP for a child this age; 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age; and 0 influenza vaccinations recommended annually by the ACIP for a child this age. The immunization record on file for Child #3, who is 12 months old, includes 2 of 3 DTAP vaccines recommended by the ACIP for a child this age; 2 of 3 HIB vaccines recommended by the ACIP for a child this age; and 2 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age.

The current health assessment on file for Child #3 does not indicate if the child is free from contagious disease and may participate in child care.

Infant Tylenol, in the Young Toddler room had expired on12/31/21 and was therefore not in accordance with the manufacturer's original label.

The 2 most recent health assessments on file for Staff person #2 were dated 8/17/21 and 9/27/23, more than 24 months apart. The file for staff person #3 did not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment on file for staff person #3 is dated 10/5/23. The 2 most recent health assessments on file for Staff person #4 were dated 8/22/21 and 9/29/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 3/3/21 and 8/29/23, more than 24 months apart.

The file for staff person #3 did not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET); the Tuberculosis test result on file for staff person #3 is dated 10/5/23.

The emergency drill on file is dated 11/16/22, more than 1 year after the issuance date of the initial certificate of compliance, dated 9/17/21.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

The Health and Safety professional development training update on file for Staff person #2 is dated 1/9/23, after the deadline of 9/25/23, as per Announcement C-22-06

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 9/23/23.

Staff person #1 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was completed on 9/27/23.

The 2 most recent child service reports on file for Child #1 are dated 7/20/22 and 2/13/23, more than 6 months apart and more than 6 months ago. The file for Child #3, with an enrollment date of 2/23/23, more than 6 months ago, does not include a child service report. The most recent child service report on file for Child #4 is dated 2/23/23, more than 6 months ago; and the most recent child service report on file for Child #5 is dated 2/15/23, more than 6 months ago.

The emergency contact form on file for Child #1 and #3 does not include a complete address for all listed release persons.

The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 1/2/23, more than 6 months after the previous 6-month review signature, dated 4/29/22; and more than 6 months ago.

The Certificate of Compliance posted at the facility expired on 3/7/23; the current COC was not posted.

The file for Staff person #9 has an invalid FBI clearance obtained through the Department of Education and does not include an NSOR certificate within 45 days of hire (See IS CODE SHEET).

The toilet paper roll in the preschool bathroom was loose, falling off the wall.

There was a hole in the wall in the Cozy Corner in the Preschool room.

The most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 8/25/20, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #4, who is 8 months old, includes 2 of 3 DTAP vaccinations, 2 of 3 HIB vaccinations, and 2 of 3 Pneumococcal vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 17 months old, includes 3 of 4 Pneumococcal vaccinations recommended by the ACIP for a child this age.

The Infant room included Poly-vi-sol drops for Child #7 and Zyrtek for Child #8 were not labeled for use by an individual child.

There were Sulfate Drops in the Infant Room for Child #9 that did not include parental permission to administer.

The file for Staff person #2 does not include verification of fire safety training within 12 months of hire (See LIS Code Sheet).

Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR. The training was completed on 2/19/22. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR. The training was completed on 2/19/22.

Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR.

The file for Staff person #10 who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

The two most recent staff evaluations on file for Staff person #1 are dated 2/25/21 and 9/22/22, more than 1 year apart. The two most recent staff evaluations on file for Staff person #6 are dated 2/26/21 and 9/19/22, more than 1 year apart. The file for Staff person #2, #3, #4, #7, #8 does not include a staff evaluation dated within 1 year of hire (See LIS Code Sheet).

The agreement on file for Child #4, #5 does not include the child's date of admission.

The file for Child #2 does not include written parental permission to obtain emergency medical care.

There was a child observed receiving care in the Young Toddler room without his emergency contact form being in the space where he was receiving care.

The file for Child #1, who has been enrolled for more than 6 months, includes an emergency contact form and agreement 6 month review signature dated 12/5/22, which was required, effective 1/6/22, as per Announcement C-21-09, which was updated on 12/6/21. The file for Child #2 and #3, who have been enrolled for more than 6 months, does not include an emergency contact form and agreement 6 month review signature. The file for Child #6, who has been enrolled for more than 6 months, includes an emergency contact form 6 month review signature dated 4/4/22, more than 6 months ago; and an agreement 6 month review signature dated 1/3/22, more than 6 months ago.

The file for Child #2 does not include written parental permission to administer minor first aid procedures.

The file for Staff person #8 includes only 1 written non-family references attesting to the staff person's suitability to work in child care.

The file for Staff person #2 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #4 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #5 includes 8 of 12 required annual training hours completed between 12/19/20-12/19/21, with an additional 4 hours completed in 2022, as per Announcement C-21-09. The file for Staff person #8, was observed not to have completed 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET).

The files for staff person #5, with a start date of 9-9-21, and staff person #6, with a start date of 9-17-21, lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and require current out of state Sex Offender and Child Abuse & Neglect registry checks. The files for staff person #5, with a start date of 9-9-21, and staff person #6, with a start date of 9-17-21, had NSOR verification certificates dated 12-21-21 that were after their start date.

In the older toddler room, there was peeling paint in one area on the right wall near the door.

In the older toddler and young toddler rooms with 1 and 2 year olds that are walking and able to wash their hands, the sink in each room next to the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

The file for child #1, a 4 year old, and child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #6, with a start date of 9-17-21, had a tuberculosis screening by the Mantoux method dated 1-30-19 that was over 12 months prior to initial employment and requires a current tuberculosis screening by the Mantoux method.

The file for staff person #2 had a health assessment that lacked a physical examination.

The files for staff person #1 and #4 lacked current fire safety training completed within the last year.

The files for staff person #1 and #4 had staff evaluations that exceeded 12 months between evaluations.

The file for staff person #3 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The files for staff person #3, with a start date of 9-17-21, and staff person #5, with a start date of 9-9-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training.

The refrigerator in the Infant Room was observed to lack a thermometer.

The file for Staff #1 contained documentation of certification in pediatric first-aid and CPR which lapsed between 3/3/21 and 4/21/21.

The file for Staff #2, designated as an AGS, contained documentation of a high school diploma yet lacked documentation of at least 2 years of experience with children.