Little Big Thinkers Learning Center LLC

Staff persons #7 and #8 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/8/20.

The agreement on file for Child #4 did not specify the child's arrival and departure times and did not include the persons designated by a parent to whom the child may be released.

The emergency contact information on file for Child #3 did not include the parent's home phone number or the addresses of the individuals designated by the parent to whom the child may be released.

The emergency contact information on file for Child #2 did not include the written consent signed by a parent for emergency medical care.

The Preschool Room had a surge protector that was plugged into the wall by the fish tank. This surge protector was observed to be missing a protective receptacle cover for one electrical outlet. In the same room, one electrical outlet on the wall near the fish tank and two electrical outlets on the wall near the tree were observed to be missing a protective receptacle cover.

The School Age Room Restroom had one toilet with two exposed bolts near its base and a rusted piece of metal attached to its waterline.

The albuterol sulfate inhalation aerosol prescribed for Child #1 was observed in a locked box in the Pre-K Room. This medication had a December 2024 expiration date and should have been appropriately discarded.

Staff persons #2 through #5 had not completed mandated reporter training prior to the previous training expiring. This is evidenced by the documented mandated reporter trainings on file for staff persons #2 and #4 being dated 1/15/20 and 3/3/25 and for staff persons #3 and #5 being dated 3/8/20 and 3/11/25.

The DHS FBI Clearance and NSOR Certificate were previously requested but a copy of the completed clearances was not on file for Staff #11. Also, there was no disclosure statement on file for Staff #11. Staff #11 had State Police Clearances on file dated 10/30/18 and 12/7/23 and Child Abuse Clearances on file dated 11/5/18 and 12/7/23. More than 60 months had lapsed between each clearance. The State Police Clearance should have been updated by 10/30/23 and the Child Abuse Clearance should have been updated by 11/5/23.

The emergency plan on file did not include a continuity of operations.

There was no documentation on file indicating that Staff #11 had completed any emergency plan training.

A peace lily plant was observed, about knee height, on a wooden table in the lobby area of the facility. This toxic plant was accessible to children.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not observed by the telephone in the School Age Room.

Two small and three large HVAC vents in the Pre-Kindergarten Room; two large HVAC vents in the Young and Older Toddler Rooms; one large HVAC vent, in the hallway leading to the Young Toddler Room; and one small and two large HVAC vents in the Preschool Room were observed to be covered with brown colored dust. The carpet, next to the cots in the Pre-Kindergarten Room, was stained. One carpet in the Young Toddler Room, two carpets in the Older Toddler Room, and one Alphabet rug in the School Age Room were observed to have stains on them. Three white floor tiles in the School Age Room were observed to be cracked. The hallway, where the restrooms are located, had two cracked ceiling tiles, one loose ceiling light fixture which posed a potential hazard, and one large HVAC vent with brown colored dust. Two ceiling tiles in the Pre-Kindergarten Room were observed to have a brown colored stain. The wall, next to the cots in the Pre-Kindergarten Room, was observed to have peeling and chipped paint. Chipped paint was also observed, about elbow height, on a pink wall in the Young Toddler Room.

The Outdoor Play Area had a play grill with a torn green canopy. A caterpillar climb-on toy in the Older Toddler Room was observed to have dirty feet. One blue rocking chair in the Older Toddler Room was observed to have torn fabric. One black chair in the School Age Room was observed to have stains, a hole in the fabric, a broken arm rest, and an exposed bolt.

Child #6 (see code sheet for date of birth) had health assessments on file dated 2/16/23 and 7/6/24. More than 12 months had lapsed between health assessments.

The fire detection system was not tested at least once every 30 days as evidenced by the following fire detection system logs that were on file: 3/28/24 to 5/24/24.

The emergency contact information on file for Child #4 did not include a telephone number for the child's physician or source of medical care.

The file for Staff #11 only had an initial health assessment dated 11/17/15 and did not include subsequent health assessments.

The file for Staff #11 was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Staff #10 only had six hours of annual child care training on file, and not the required 12 hours. Staff #5 had fire safety trainings on file dated 6/12/23 and 8/28/24. More than a year had lapsed between the fire safety trainings.

A renewal inspection was conducted on 9/13/23. An uncovered accessible outlet was observed in the lobby power strip and in the infant room near the mini fridge.

A renewal inspection was conducted on 9/13/23. In the girl's bathroom and the hallway outside of the bathrooms have water damaged ceiling tiles.

A renewal inspection was conducted on 9/13/23. The outside gates in the playground area have exposed, sharp bolts and are accessible to children. The indoor climber in the preschool area does not have a protective surface covering on the floor. The indoor climber is accessible to children.

A renewal inspection was conducted on 9/13/23. Child #3 does not have an updated health report in the last six months. The last health report is dated 2.16.23. Please see code sheet for child 3's DOB.

A renewal inspection was conducted on 9/13/23. Child #2 files did not contain an updated health assessment to indicate that the children are able to participate in childcare and appear to be free from contagious or communicable disease. Only a visit summary was on file.

A renewal inspection was completed on 9/13/23. Child #2's immunization record indicates the child does not have the flu vaccine for 2022, and needs Hep A vaccine and no exemption letter is in child's file. The child is over six months of age. Child #3 and #5's immunization record indicates the children do not have the 2022 flu vaccine and no exemption letters is in the children's file. The children are over six months of age. This is not in accordance with the ACIP recommended schedule.

A renewal inspection was conducted on 9/13/23. In the Preschool room child #1 had prescription medication with no label or parent signature on the medication consent form.

A renewal inspection was conducted on 9/13/23. The facility does not have a fire detection test log and the operator reports the alarm is tested when fire drills are conducted every 60 days. The fire detector was tested during the inspection.

A renewal inspection was conducted on 9/13/23. Child #2 has no health assessment on file. Child #2 only has a health summary on file. (See code sheet for DOA). Child #4 has a health assessment that was received after 60 days of admission.

Staff person's #1 and #3 have cards that indicate certification in Heartsaver first aid/CPR for infants and children. The operator reports that she paid for and received pediatric first aid/CPR training.

A renewal inspection was conducted on 9/13/23. Staff person #3 has not completed the health and safety 1 hour update. Staff person's #1 & #2 (see code for date of hire) has a Health and Safety update date of 9/7/23 and 8/30/23. These were required to completed by 12/30/22.

A renewal inspection was conducted on 9/13/23. Staff #1 did not have an annual staff evaluation.

A renewal inspection was conducted on 9/13/23. Children #3 and #4 did not list the parent's work address or work number on the emergency contact form. Children #5 and #6 did not list the release person's address on the emergency contact form.

A renewal inspection was conducted on 9/13/23. Child #5 did not have health insurance or policy number listed on the emergency contact form.

As of 9/27/22 during the renewal inspection, staff #4 (see LIS code sheet for hire date) did not have NSOR on file and must be removed from care.

As of 9/27/22 during the renewal inspection, the emergency plan had not been reviewed in the past year.

On 9/27/22 during the renewal inspection, there was no handwashing sign at the sink in the preschool room.

On 9/27/22 during the renewal inspection, there was no influenza vaccine for child #1, and the most recent influenza vaccine for child #2 was 1/11/21.

On 9/27/22 during the renewal inspection, staff #1 did not clean and sanitize the diaper changing surface after changing a child's diaper.

As of 9/27/22 during the renewal inspection, the facility's emergency plan did not include lock-down procedures, and did not include accommodations for infants, toddlers, and children with special needs which are enrolled at the facility.

As of 9/27/22 during the renewal inspection, the emergency plan had not been submitted to the county and the local municipality.

As of 9/27/22 during the renewal inspection, the operator had not notified the local traffic safety authorities in writing in the previous year of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

As of the renewal inspection on 9/27/22, the facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

As of 9/27/22 during the renewal inspection, staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR.

As of 9/27/22 during the renewal inspection, staff #4 did not have 2 years of experience with children documented to qualify for the stated assistant group supervisor position.

On 9/27/22 during the renewal inspection, there was no written plan of daily activities and routines posted in the preschool or school age rooms.

On 9/27/22 during the renewal inspection, the agreement of child #1 did not specify the amount of the fee to be charged.

On 9/27/22 during the renewal inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed in any of the child care spaces.

On 9/27/22 during the renewal inspection, there were no written, non-family references from individuals attesting to the person's suitability to serve as a facility person for staff #1, #3, #4. There was only one reference on file for staff #5.

As of 9/27/22 during the renewal inspection, the health and safety training taken by staff #6 was dated 9/24/16.

As of the renewal inspection on 9/27/22, Staff #5 and #2 each had 11 hours of annual training.

There is a container of Turtle Water Cleaner and on the container it states "keep out of reach of children" located on the corner shelf in the Preschool Room. Also on the shelf is a container of Turtle Vitamins, Turtle Multi-vitamins and a container of Calcium with Vitamin D that also state "keep out of reach of children" on the containers. There is a bottle of Clorox Bleach and a bottle of Lysol accessible to children in the unlocked cabinet located under the sink in the School-Age Room on the lower level of the facility.

There are areas of peeling paint located on the pink wall located in the infant room and on a black round table located in the school-age on the lower level

The outdoor play equipment and play houses have surface dirt on them and there is a broken toy truck located in the outdoor play space.

Facility person #1 has a health assessment on file dated 8/9/19 and is over 24 months old