Little Hands Curious Minds Childcare LLC

Continued Non-compliance: During a renewal inspection on 3/14/25 cert rep observed the following cleaners and toxics in accessible locations at the facility: Sanitizing cleaners and diaper creams (labeled keep out of reach of children) in an unlocked cabinet under the changing table in the infant side of the Upper level 1, and Clorox cleaning wipes on an accessible shelf next to the bathrooms of Upper level 2. The facility's acceptable plan of correction indicated the correction would be implemented by 3/14/25. On 5/2/25 an unannounced inspection was conducted. Cert rep observed Sanitizing cleaners and diaper creams (labeled keep out of reach of children) in an unlocked accessible cabinet under the changing table in the infant side of the Upper level 1

Continued Non-compliance: During a renewal inspection on 3/19/25 Cert rep noted parents were not being provided with information regarding hours for which care is provided, and night care policies at the time of enrollment. The facility's acceptable plan of correction indicated the correction would be implemented by 4/30/25. On 5/2/25 an unannounced inspection was conducted. Cert rep noted parents were not being provided with information regarding night care policies at the time of enrollment. Parents are now being given information regarding the hours for which care is provided.

During a renewal inspection on 3/14/25-3/19/25 Cert rep noted Staff 5, 6, and 7 did not recieve emergency plan training within 90 days of their date of hire(See LIS code sheet). This is evidenced by initial emergency plan trainings dated 10/20/24, 1/2/25, and 1/10/25 respectively.

During a renewal inspection on 3/14/25 Cert rep observed a potted Peace Lilly on the floor of the school aged area of Upper level 1. This plant is toxic to humans and would be accessible to children in this childcare space.

During a renewal inspection on 3/14/25 cert rep observed the following cleaners and toxics in accessible locations at the facility: Sanitizing cleaners and diaper creams (labeled keep out of reach of children) in an unlocked cabinet under the changing table in the infant side of the Upper level 1, and Clorox cleaning wipes on an accessible shelf next to the bathrooms of Upper level 2.

During a renewal inspection on 3/14/25 Cert rep observed the carpeting in the outdoor PlaySpace was loose and raised, creating a tripping hazard. Cert rep observed tears in the children's seats of the white Ford E250, and a cracked mirror with sharp edges in the toddler section of Upper level 2.

During renewal inspection on 3/14/25 Cert rep observed the door to an area where children are receiving care to be locked. This door was the only exit from this space and this lock obstructed this exit

During a renewal inspection on 3/14/25 cert rep observed a plastic bag in a child's cubie in the toddler section of the Upper level 1. The cubie was accessible to children and children in this room may still be placing objects in their mouths.

During a renewal inspection on 3/19/25 Child 4's immunization record showed the Child did not have the 2nd of the following vaccines in accordance with the ACIP schedule: Rotavirus, DTaP, Hib, Pneumococcal, and polio. Child 6's immunization record showed the Child did not have the first dose of the following vaccines in accordance with the ACIP schedule: MMR, Hepatitis A, and Varicella. Neither Child 4 nor Child 6 had an exemption letter on file(see LIS code sheet for DOBs).

During renewal inspection 3/19/25 Cert rep noted Child 8 had a school physical which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease or statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted. Child 8 is not a school aged child(see LIS code sheet).

During a renewal inspection 3/14/25-3/19/25 Cert rep noted Staff 4 had an initial Health assessment and TB test dated 2/6/24, and Staff 2 had an initial TB test dated 10/17/24. These are after their dates of hire(See LIS code sheet). Staff 1 had health assessments dated 12/3/22 and 2/18/25, and Staff 3 had health assessments dated 10/19/22 and 12/11/24. This is more than 24 months between health assessments.

During a renewal inspection on 3/14/25 Cert rep observed the White Ford E250 which is used to transport children did not have a first aid kit in it.

During a renewal inspection on 3/14/25 Cert rep noted the hypothetical location of the fire was "Rooms 1, 2, 3, 4, 5" for consecutive fire drills 5/20/24, and 6/20/24 and hypothetical location of fire was "Rooms 1, 2, 3, 4, 5" for consecutive fire drills 12/26/24, 1/26/25, and 2/26/25."

During a renewal inspection on 3/14/25 Cert Rep noted 7 incidents where the fire detection testing was more than 30 days: 2/28/24-3/30/24, 5/20/24-6/20/24, 6/20/24-7/22/24, 8/20/24-9/36/24, 10/25/24-11/26/24, 12/26/24-1/26/25, and 1/26/25-2/26/25.

During renewal inspection 3/19/25 Cert rep noted Child 2's health assessment (dated 5/1/24) was not received within 60 days of the child's date of enrollment (see LIS code sheet). Child 6's Health assessment (dated 7/19/24) has not been updated within the past 6 months. Child 6 is a young toddler (see LIS code sheet).

During a renewal inspection on 3/14/25-3/19/25 Cert rep noted Staff 4 had one Staff evaluation for review dated 2/18/25. This is more than 12 months since her date of hire(See LIS code sheet).

During a renewal inspection 3/14/25-3/19/25 Cert rep noted Staff 8 does not meet the qualifications for a group supervisor. Staff 8 has 12 years of childcare experience, a high school diploma, and CDA on file. Staff reported not having an associate degree or bachelor's degree. Staff 8 has been working as a group supervisor.

During a renewal inspection 3/14/25-3/19/25 Cert rep noted Staff 2 had 7 years of child care experience and a transcript for a school in Mexico on file that was not translated with the U.S Equivalence. It's unclear if this education would be equivalent to completion of 8th grade education. Staff 7 had 1.246 years (1558 hours) of childcare experience and no proof of education on file. Staff 7 reported having graduated from high school. Staff 2 and 7 have been working has Aides.

During a Renewal inspection on 3/14/25 Cert rep observed the Lower Level Room 1 did not have a daily schedule posted.

During a renewal inspection on 3/19/25 Cert rep noted parents were not being provided with information regarding hours for which care is provided, and night care policies at the time of enrollment.

During renewal inspection 3/19/25 Cert rep noted Child 2's fee agreement was not signed by the operator.Child 2's fee agreement did not have the child's date of admission.

During renewal inspection 3/19/25 Children 2, 3 and 4 did not have the date which the fee is to be paid on the fee agreement.

During renewal inspection 3/19/25 Cert rep noted Children 1-10 did not have the services to be provided listed on the fee agreements. Child 10 had one Child service report in the file which was not dated. Staff reported child service reports were being completed once annually.

During renewal inspection 3/19/25 Cert rep noted Children 1, 2, 5, 6, and 7's emergency contact forms did not have the parent's home and work phone numbers and addresses. Child 3's emergency contact form did not have the parent's work address.

During a renewal inspection 3/19/25 Cert rep noted more than 6 months between emergency contact reviews for the following Children: Child 2 (1/19/24, and 10/30/24), Child 6 (1/29/24 and 10/28/24), Child 9 (12/19/23 and 11/12/24), and Child 10 (2/12/24 and 11/14/24). Cert rep noted more than 6 months between financial agreement reviews for the following Children: Child 2 (most recent 1/19/24), Child 6 (8/21/23 and 10/25/24), Child 9 (12/19/23 and 11/12/24), and Child 10 (2/12/24 and 11/14/24).

On 3/20/2024, it was discovered that Staff #8 has resided in New Jersey during the previous five years. Staff #8 did not have the completed request for the required New Jersey child abuse clearance on file. See LIS code sheet.

On 3/20/2024, several areas of the fence on the outdoor playground had cracked wood with sharp edges exposed.

On 3/27/2024, the initial health report on file for Child #3 was not signed by a physician, physician's assistant or a CRNP. The report also did not include the individual's professional title. See LIS code sheet.

On 3/20/2024, the diaper changing pad used for diapering in the infant area was ripped with foam exposed. The diaper changing pad could not be completely sanitized properly.

On 3/20/2024, Staff #6 had a current health assessment on file dated 3/8/2024. However, the previous health assessment on file for Staff #6 was dated 2/10/2022.

On 3/27/2024, Child #1 and Child #2 had current health reports with verification that the child was administered immunizations in accordance with the recommendations of the ACIP. However, the current health reports and current immunizations reports were not provided within 60 days of the child's first day of attendance. The health and immunization reports were received on 2/21/2024 for Child #1 and 1/9/2024 for Child #2. See LIS code sheet.

On 3/20/2024, the following staff all had current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file. However, Staff #1, Staff #2 and Staff #3 renewed their certification on 9/22/2023. The previous certification on file for Staff #1, #2 and #3 expired on 7/31/2023. Staff #4, #5, #6, #7 all renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 2/24/2024. The previous certification on file for Staff #4, #5, #6 and #7 expired on 1/31/2024.

On 3/27/2024, the emergency contact information and financial agreement for Child #2 had not been signed by the parent to review and update during the previous 6 months.

During the Renewal Inspection on 3/28/2023, one of the wooden fence posts on the outdoor playground had a piece hanging off of it causing sharp edges to be exposed.

During the review of child files on 3/28/2023 and 3/31/2023, the following was observed: The most recent health report on file for Child #1, a young toddler was dated 5/10/2022, The most recent health report on file for Child #2, a young toddler was dated 6/14/2022, and the most recent health report on file for Child #3, a preschool child was dated 1/27/2022.

On 3/28/2023 and 3/31/2023, the files for Child #3, Child #4, Child #5 and Child #6 did not have documentation of the up-to-date annual influenza immunization as recommended by the ACIP. The files for Child#3, Child #4, Child #5 and Child #6 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

On 3/28/2023, the most recent health assessment on file for Staff #2 was dated 3/15/2021. The most recent health assessment on file for Staff #4 was dated 3/8/2021.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Staff persons #1 and #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter trainings on file being dated as follows: 10/25/2017 for Staff #1 and 6/21/2017 for Staff #2.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

During the Renewal Inspection on 3/23/2022, the files that were reviewed all had up to date clearances on file and up to date mandated training on file, but they went more than 60 months in between being renewed in some cases. Staff #1 was hired on 3/18/2021. Staff #1 completed mandated reporter training on 3/18/2022. The previous mandated reporter on file for Staff #1 was dated 3/28/2016. Staff #4 updated the child abuse clearance on 1/24/2022. The previous child abuse clearance on file for Staff #4 was dated 9/30/2016. Staff #7 has been employed at the facility since 5/18/2015. The National Sex Offender Registry (NSOR) clearance on file for Staff #7 is dated 3/4/2021. The CPSL required that all staff that had already been working in child care complete the NSOR clearance by 7/1/2020.

During the Renewal Inspection on 3/23/2022, Staff #8 was observed working alone with a group of 4 infants. Staff #8 qualifies as an aide.

The operator reported that Child #2 was being released to a transportation service at the verbal request of the parent when Child #2 previously attended the facility. The file for Child #2 did not contain anything in writing to designate that the child was to be released to any individual from the transportation service.

During the Renewal Inspection on 3/23/2022, the hot water temperature for the sinks in both bathrooms in the downstairs of the building measured 117° F.

During the Renewal Inspection on 3/23/2022, peeling paint was seen on the wall near the window behind one of the cribs in the infant room. Peeling paint along with cracked and rotting wood, which poses a risk of splinters was also seen on the fence outside on the playground.

On 3/23/2022, the most recent health report on file for Child #1, a young toddler was dated 8/20/2021.

During the Renewal Inspection on 3/23/2022, the inhaler for Child #3 had a listed expiration date of January 2022.

During the Renewal Inspection on 3/23/2022, Staff #2 and Staff #3 both had updated health assessments on file. However, the file indicated that Staff #2 began working on 1/25/2022, but did not have an initial health assessment conducted until 3/17/2022. The file indicated that Staff #3 began working on 1/17/2022, but did not have an initial health assessment conducted until 2/2/2022.

Staff #1 was hired on 3/18/2021. Staff #1 has not yet completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). The operator reported that Staff #1 has this training scheduled for 3/29/2022. Staff #5 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 1/20/2022. Staff #1 was hired on 9/1/2021.

On 12/13/2021, Staff #1, the owner notified this Certification Representative that Staff #2 and Staff #3 had previously tested positive for COVID-19. Staff #1 admitted that these positive cases at the facility had not been reported to the Department of Health.