Little Squirts U

The record for staff #1 lacked a child abuse clearance; and included a current FBI clearance obtained following their first day working in child care position.

The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility's emergency plan did not provide for 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 parent letter did not include their plan for a lockdown; a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises; and 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 temperature of the black edging that was used to keep mulch inside the area with embedded play equipment in the large outdoor play space was 130° F.

The following hazards were observed in areas accessible to children in care: a sharp metal bracket was protruding out from the back building into the walkway used by children to access the outdoor play spaces; and a PVC electrical conduit pipe came loose and was hanging freely on the side of the building in the large outdoor play space.

The sinks in the infant and toddler rooms were not at proper heights for the children using them or easily approached by means of platforms or steps.

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

The facility's emergency plan did not provide for accommodations for shelter in place of children during an emergency.

The facility's emergency plan did not provide for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

The facility's Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment policy did not address the prevention and identification of child maltreatment.

A written plan of daily activities was not posted in the infant room.

Based on a conversation with staff, the facility retained the original agreement for all enrolled children.

The file for staff # 4 contained a current FBI clearance dated 8/11/21, that was not renewed within 60 months of the prior FBI clearance dated 5/25/16.

The facility's emergency plan last review updated documentation was dated 12/5/22.

There was a broken Light cover in the YT room. The light is close to the changing table.

There was a cracked plastic basketball hook in the preschool playground. There were two cracked plastic bins in the preschool room.

The file for staff # 1 contained a current health assessment dated 3/28/23. It was not obtained within 24 months of the previous assessment dated 2/8/21. The file for staff # 3 contained a current health assessment dated 11/15/22. It was not obtained within 24 months of the previous assessment dated 10/28/20.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

The facility's policy to identify the Prevention of Shaken Baby Syndrome lacked the Child Maltreatment statement.

The files for children # 1,2,3,4 and 5 contained the original agreement form.

The file for staff #1 contained a current FBI clearance dated 8/11/21, that was not renewed within 60 months of the prior FBI clearance dated 5/25/16. The file for staff #2 contained a current Child Abuse clearance dated 1/29/21, that was not renewed within 60 months of the prior FBI clearance dated 12/3/15. The file for staff #3 contained a current FBI clearance dated 3/28/22, that was not renewed within 60 months of the prior FBI clearance dated 10/18/16. The file for staff # 3 contained a current Child Abuse clearance dated 3/30/23, that was not renewed within 60 months of the prior FBI clearance dated 11/17/16. The file for staff # 3 contained a current mandated reporter training certificate dated 3/27/22 that was not obtained within 60 months of the previous certificate dated 10/18/16.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

The toddler's playground grass has not been trimmed. There were snack wrappers on the ground. The bottom of the right-side wall siting by the young toddler room on the way out to the playground was chipped and detached creating a sharp edge. The left side of the siding wall frame was cracked and has two holes creating a cutting hazard accessible to children.

There was a cracked red sand toy in the preschool playground.

The facility lacked written parental consent for administration of a nonprescribed medication, Lotrimin, for child #1.

The operator was not maintaining a medication log for a nonprescription medication, Lotrimin for child #1.

The file for staff #1 contained a current health assessment dated 3/14/23. It was not obtained within 24 months of the previous assessment dated 3/11/21. The file for staff #2 contained a current health assessment dated 3/7/23. It was not obtained within 24 months of the previous assessment dated 2/25/21. The file for staff #3 contained a current health assessment dated 4/23/21. It was not obtained within 24 months of the previous assessment dated 12/2/18.

There was a string cheese in a plastic bin on top of the toy shelf.

The file for staff # 2 contained a current Health and Safety Updated training dated 3/7/23, that was not completed by 12/30/22. The file for staff # 3 contained a current Health and Safety Updated training dated 2/26/23, that was not completed by 12/30/22.

Based on staff statements, the children were not taken outdoors daily, weather permitting.

The file for staff # 3 lacked 5 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

There was fencing metal wire pulling from the fence creating poking scraping hazard for the children in care.

The was a green wood frog with peeling paint accessible to the children in care in the young toddler room.

There was 2 cracked bins in the preschool room, one was holding books and the other was holding lasing toy. There was a pink scooter with a crack on the back wheel plastic cover in the preschool playground.

The file for child #3 lacked the date and signature of the physician, physician's assistant or a CRNP on the health report.

The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility lacked an annual emergency drill log.

According to the fire drill log, there has not been a fire drill conducted within the past 60 days. 6/9/21-8/9/21 - 8/9/21-10/11/21 and 10/11/21-12/13/21.

The operator was maintaining a written log for testing the fire detection system that passed 30 days. The provider lacked proof of purchase for the smoke detectors.

The emergency plan lacked lock-down during an emergency at the facility.

The file for child #1 lacked the child's health insurance coverage and policy number on the emergency contact form.

The files for child #1 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The information on how to access the regulations electronically was not provided to the parents of each enrolled child.

The file for staff #1 and 2 lacked 6 training hours from the 12 clock hours of child care training. Staff #1 and # 2 have 6 child care training hours for the year 2021.Staff #1 and #2 have 12 child care training hours for the year 2022.