Little Blessings Day Care

The health assessment for staff #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

A pair of sharp, adult scissors were observed in an unlocked drawer in the main room, accessible and posing a potential threat to the health and safety of children in care.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include strategies for coping with a crying, fussing, or distraught child, as per Announcement C-22-03.

Staff #1 completed mandated reporter training on 1/7/2022, which was more than 60 months following the completion of their previous training on 1/11/2015.

Emergency contact information was not present in the rear right infant room for a child receiving care in the space.

The record for staff #1 included a current and valid child abuse clearance dated 1/7/2023, which was following their first day working at facility (see staff individual codes) and a child abuse clearance for volunteer purposes dated 10/15/2021, which is not a valid child abuse clearance.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as per Announcement C-22-03.

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

The record for child #1, a young toddler, did not contain a current health report.

The operator did not manually test fire detection system at least once every 30 days and maintain written documentation of testing with facility's fire drill logs.

Based on documentation at the facility, staff #1, #2, #3, #4 and #7 did not receive emergency plan training on an annual basis. Staff completed training on 12/23/20 and again on 1/11/22. Staff #5 and #6 did not receive emergency plan training at initial hire. Staff #5 was hired on 9/13/21 and received training on 10/27/21. Staff #6 was hired on 12/06/21 and received training on 1/11/22. All staff now have current emergency plan training on file.

A cigarette butt was observed on the cement pad outside the door to the play area.

Two areas of broken siding, accessible to children, were observed on the exterior wall connected to the toddler play area. The broken areas created sharp edges and pinch points.

A broken plastic door with sharp edges was observed on a play kitchen in the pavilion area of the outdoor play space.

An embedded t-post with 2 swings attached was observed in the outdoor toddler play space. The equipment lacked a protective surface covering.

The files for children #1 and #2 contained immunization records which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

The files for staff #3 and #4 contained health assessments which were conducted more than 24 months apart. The most recent health assessments on file for both staff are now current.

The file for staff #6 contained a health assessment which did not include the results of an examination for communicable diseases or the physician's assessment of the person's suitability to provide child care.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities or children with chronic medical conditions.

The facility's emergency plan did not include details for sheltering in place.

Based on documentation at the facility, staff #1, #2, #3, #4 and #7 did not receive fire safety training on an annual basis. Staff completed training on 12/23/20 and again on 1/11/22. All staff now have current fire safety training on file.