Little Red School House

The file of Staff #2 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a disclosure statement dated 3/18/23.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 11/4/24 observed Bic Wite-Out which indicated "keep out of the reach of children" in the top drawer of the teacher's desk which was accessible to children. On 11/4/24 observed 4 bottles of Bath and Body Works Concentrated Room Sprays, including 2 Vanilla Bean Noel, 1 Champagne Toast, and 1 Flannel, which indicated "keep out of the reach of children" on the bottom shelf above the changing table in the Toddler Room which were accessible to children.

On 11/4/24 observed rust on the heat register in the bathroom located in the Toddler Room.

On 11/4/24 observed peeling paint on the heat register and to the right of the heat register in the bathroom located in the Toddler Room.

On 11/4/24 observed 2 cracked clear yellow blocks in the Preschool Room.

The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/1/24 with a previous one dated 10/20/23.

The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 5/2/23 with a previous one dated 3/1/21.

On 11/4/24 observed bottles which were not labeled with the child's name in the Infant Room.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/3/23, 12/29/23, 1/26/24, 2/23/24, 3/22/24, 4/19/24, 5/17/24, 6/14/24, 7/12/24, 8/9/24, 9/9/24, 10/4/24, and 11/1/24.

The operator lacked documentation of notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of notifying local traffic safety authorities on 10/6/23 and 11/1/24.

The facility has a policy that addresses the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, or distraught child, but it did not address the prevention and identification of child maltreatment.

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/CPR from a PQAS approved trainer and a PQAS approved curriculum

The file of Staff #1, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

Child #4 lacked child service reports completed at least every 6 months. Child #4, who had an admission date of 3/25/24, did not have a child service report in the file.

The agreements for Children #1, #2, #3, #4, and #5 did not specify the persons designated by a parent to whom the child may be released.

Emergency contact information for Child #4 lacked the complete work address of the enrolling parent. Emergency contact information for Child #5 lacked the home telephone number of the enrolling parent.

The file of Staff #2 lacked documentation of completing professional development in pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 8/28/24.

The facility was observed to have an Emergency Plan that does not provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The heat pipe in the infant room which was covered in a wooden protective cover was missing the end cap and exposing the hot pipe.

The facilities documentation of testing every 30 days indicates that a period of 31 days occurred between the testing on January 3, 2023 and February 3, 2023.

The facility's written policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment does not address the prevention and identification of child maltreatment.

The file for child #1 was observed to contain an emergency contact that was dated 02/01/2021, and not updated until 08/16/22 therefore not updated once in a 6-month period.

The file for child #1 was observed to contain a financial agreement dated 02/01/2022 with no update at least once in a 6-month period.

The facility was observed to have an Emergency Plan that did not include continuity of operations in the event of an emergency at the facility

A clear bag containing toothpaste and other oral health products labeled with warnings to keep out of reach of children were observed to be within reach of children in the toddler space. These products were observed in a red bag, hanging on the bottom row of coat hooks mounted to the interior wall of the bathroom.

A white bottle without an original label or label that specified contents was observed in the locked right-hand cabinet in the pre-school bathroom. Staff person #1 verified that this white bottle contained a "cleaning solution", that was not specified on the label.

The carpet on the 4th street side of the building in the toddler space was observed to be torn and presenting with strings and fringes posing a trip hazard. The corners of 2 metal air conditioning units present with sharp metal corners that protrude into the outdoor play space. The height of the AC unit's sharp metal corners are low enough to pose a hazard.

Two plastic bins in the toddler space, one containing toy cars and one containing toy animals, were observed to have cracks and breaks, creating sharp edges, pinch and crush points.

A pack and play in the infant childcare space, located in the front of the building was observed to be occupied by an infant, who was nursing with a bottle, was without at least 2 feet of space on three sides of the bed. This occupied pack and play was against the sink on one side, and against a cabinet on another side, leaving only 2 sides with the 2 feet of space.

The file for child #1, was observed to lack a health report that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #2 was observed to lack written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of an annual flu vaccine administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #2 was observed to lack a signed and dated statement of exemption from immunization for religious belief or strong personal objection equated to a religious belief from the child's parent or guardian.

Medication Albuterol, and Tylenol was observed to lack a label identifying the name of the child for whom the medication is intended.

Medication Albuterol, was observed to be within the reach of children, specifically located in a Red bag hanging on the bottom row of coat hooks mounted to the interior wall of the bathroom in the toddler space.

The file for child #1 was observed to lack written consent for administration of Albuterol medication

The facility was observed to lack a medication Log for medication(s) Albuterol and Tylenol that was present at the facility

The facility was observed to have an emergency plan that did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The files for staff person(s) #1, and #2 were observed to lack documentation of completion of the following required pre-service training within 90 days of the date of hire (see LIS code sheet): CCDBG health and safety professional development.

The file of Staff #1 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #1 contained a State Police Clearance dated 7/14/21 with a previous one dated 7/13/16. The file of Staff #1 contained a Child Abuse Clearance dated 7/16/21 with a previous one dated 7/13/16. The file of Staff #2 lacked a valid State Police Clearance because it did not contain a disseminated by date. The file of Staff #4 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020. Staff #4 had a start date of 3/5/19 with a NSOR dated 9/17/20.

On 11/9/21 observed a pairing knife in the 2nd drawer from the bathroom door in the Toddler Classroom which was accessible to children.

On 11/9/21 observed Dove deodorant which indicated "keep out of reach of children" in the drawer beside the bathroom door in the Toddler Classroom.

On 11/9/21 observed torn rest mats with exposed foam in the Preschool Classroom.

On 11/9/21 observed paper clips in the drawer beside the bathroom door in the Toddler Classroom which were accessible to children who are still placing objects in their mouths.

The file of Child #1, a 7 month old, lacked documentation of the influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #1 also lacked documentation of the DTAP/DTP/TD and the Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #1 contained documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.

The file of Staff #4 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 4/12/21 with a previous one dated 3/4/19.

The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/24/20, 12/17/20, 1/12/21, 7/1/21, 8/1/21, 9/1/21, 10/1/21, and 11/1/21.

The files of Staff #2 and #3 lacked documentation of valid pediatric first-aid and pediatric cardiopulmonary resuscitation.

The file of Staff #3 lacked documentation of completing the health and safety training within 90 days of hire. Staff #3 had a hire date of 6/21/21 with documentation of completing the health and safety training on 10/6/21.

Staff #4 lacked documentation of mandated reporter training completed every 60 months. Staff #4 had documentation of mandated reporter training completed on 9/10/21 with previous training completed on 8/28/16.

The files of Children #1, #2, #3, #4, and #5 lacked the work telephone number of the enrolling parent on the emergency contact form.