Little Highlanders Child Care LLC

The file for Child #3 does not include written parental permission for the facility to obtain emergency medical care.

There was no emergency transportation plan posted in a conspicuous location in Room #1, #2, #3, and #4.

The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 2.11.25, more than 6 months after the previous 6-month review signature, 7.2.24.

The file for Child #3 does not include written parental permission for the facility to administer minor first aid procedures.

The file for Staff person #1 and #2 does not include a signed disclosure statement. The signed disclosure statement on file for Staff person #3 is not dated, making it invalid.

There was an outlet behind the counter in the preschool classroom that was missing an outlet cover and was accessible to children.

There was a hole in the wall with exposed plaster/drywall in the Pre-K room.

A training chair in the Preschool room was observed to still have urine in the bowl, having not been emptied and sanitized after use.

There were Magna Tiles in the preschool room that had cracked and broken edges with missing pieces of plastic on the edges.

The file for Staff person #1 and #2 did not include 2 written nonfamily references.

The files for staff #6, #9, #10 and #12 contained Dept of Education FBI clearances and did not contain applications for or the results of DHS FBI checks. The file for staff #10 contained a disclosure statement which lacked a witness signature.

Staff #11, an aide, was observed alone with children in the older toddler classroom while staff #10 stepped into the hallway.

The facility did not have a letter for parents explaining the emergency procedures.

A first aid kit was accessible to children in an emergency bag that was observed on the floor on the landing on the route used by children to access the outdoor play space.

An empty plastic grocery bag was accessible to children in a low drawer on a storage unit in the hall.

Based on the crib assignment chart posted in the infant room, two children were observed using cribs not assigned to them.

An infant was observed in a crib which lacked 2 feet of space on 3 sides. One side was blocked by two crib/rest pads.

Children's Tylenol in the infant room was not labeled with the name of the child for whom the medication was intended.

During a diaper change, staff in the infant room was observed placing the soiled diaper on the counter instead of immediately placing it into a lined, hands-free can.

The file for staff #5 did not include a current health assessment conducted in the past 24 months. The file for staff #6 did not include results of a TB screening that were less than 12 months old at initial employment and contained an initial health assessment dated after their first day in a child care position. The file for staff #1 contained consecutive health assessments dated more than 24 months apart, but are now current.

The operator did not have documentation of submitting the emergency plan to the local and county EMA. Changes were made to the plan in 2023.

A crib with loose fitting sheets was observed in use by an infant in the infant room.

The file for staff #6, designated as a group supervisor of the staff data sheet, did not contain documentation of the qualification required for the position. The file for staff #7, designated as an aide on the staff data sheet, did not contain documentation of the qualification required for the position.

The files for staff #1, #2, #3, and #4 contained consecutive evaluations dated more than 12 months apart. Current evaluations are now on file.

The emergency contact form for child #2 did not include complete work contact information for the enrolling parent.

The emergency contact form for child #1 was not signed by the parent after review.

Staff #7, #8, #10, and #12 did not complete professional development in approved pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Current training is now on file.

The files for staff #2 and #3 contained FBI clearances which were not renewed within 60 months. The previous FBI clearance for staff #2 was obtained on 11/02/17 and was renewed on 11/04/22. The previous FBI clearance for staff #3 was obtained on 9/18/17 and was renewed on 11/03/22. Current FBI clearances are now on file for both staff.

The facility's emergency plan lacked details regarding continuity of operations as required by Announcement C-22-04.

The file for staff #5 lacked documentation of receiving training regarding the emergency plan within 90 days of hire. The training was dated 4/26/23. (SEE LIS CODE SHEET) Current trainng is now on file.

Three electrical outlets in the infant room, accessible to children 5 years of age or younger, lacked protective covers. One was observed on an extension cord in the space between the counter and the refrigerator. Two were observed on a power strip on the floor at the front of the room.

Two cans of shaving cream, labeled keep out of reach of children, were observed in a locker. Based on statements made by staff, the shaving cream was intended for use in art projects.

The following damaged equipment was observed; a cracked plastic sandbox lid and water table on the playground and a blue nylon laundry basket with a wire protruding from the frame in the infant room.

A crib in use by an infant lacked 2 feet of space on 3 sides.

Two medications were observed at the facility which were not labeled for a specific child: Hydrocortisone observed in the infant room and a bottle of Children's Elberberry Immune Gummies observed in a child's locker in the hall.

Two medications were observed at the facility which lacked written parental consent for administration.: Hydrocortisone observed in the infant room and a bottle of Children's Elberberry Immune Gummies observed in a child's locker in the hall.

The file for staff #5 does not contain a valid health assessment. The health assessment on file was conducted more than 12 months prior to their rehire start date. The files for staff #2 and #4 contained consecutive health assessments conducted more than 24 months apart, but are now current.

The facility's emergency plan lacked details regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The file for staff #1 contained mandated reporter training which was not updated within 60 months. The trainings on file were dated 2/28/18 and 3/19/23. Current mandated reporter training is now on file.

The files for children #2, #3, and #4 contained the original agreements.

The file for child #1 contained emergency contact information which did not include the work address and telephone number of the enrolling parent.

The emergency contact binder was not present in the toddler room at the time of the inspection.

The file for child #2 contained emergency contact information and an agreement which were not updated at least every 6 months. The last documented updates occurred on 5/2/22 and 1/2/23. The documents are now current.

The file for staff #2 did not contain a valid state police clearance. The file contained only the proof of applying for the clearance dated 9/03/20.

Based on documentation, facility staff did not receive emergency plan training on an annual basis. The training was conducted on 3/02/21 and again on 4/27/22. All staff now have documentation of current training on file.

A metal radiator cover which was not secured in place was observed in the preschool room. The loose cover created pinch points at either end.

Peeling paint was observed on the right side of the storage shed in the outdoor play space.

Tears, which exposed the inner foam filing, were observed on the changing pad in the infant room.

A cracked plastic bin was observed in the preschool room. A broken plastic sandbox lid was observed in the outdoor play space.

A recalled Bumbo seat, which lacked the straps needed to repair it, was observed in the infant room.

The following medications, which were not labeled for use by a specific child, were observed at the facility; Orajel intended for child #4, and 2 bottles of Benadryl and 1 bottle of Motrin labeled as "Extra".

An expired Epi Pen, labeled for use by child #5, was observed at the facility. The medication expired Nov.2021.

The following medications which lacked written parental consent were observed at the facility; Mylacon intended for child #3, Acetaminophen intended for child #6, and Motrin intended for child #7.

The file for staff #3 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

The facility's emergency drill was not conducted by the deadline of 12/19/21. The drill was conducted on 1/04/22.

Approximately 3 inches of standing water with leaf debris was observed in a green lidded sandbox in the outdoor play space.

The file for staff #2 did not contain valid documentation of training in health and safety topics 1-9 as referenced in 3270.31(f). The file contained a training certificate titled "New Jersey Subsidy Health and Safety Training" and was therefore unacceptable.

Based on documentation, staff #2 did not update the mandated reporter training within 60 months. The training was previously completed on 1/04/17 and was updated on 3/21/22.

The file for child #2 contained an agreement which did not specify the amount of the fee to be charged

The file for child #2 contained an agreement which did not specify the date on which the fee is to be paid.

The file for child #2 contained an agreement which did not specify the child's arrival and departure times.

The file for child #1 contained an agreement which did not specify the date of the child's admission.

The files for staff #1, #2, and #3 contained training hours completed for this requirement done after 12/19/21. Their files are now up to date. Staff #4 has completed 8 of the required 12 annual hours of training.