Little Treasures Daycare · New Castle

At approximately 1:35 pm the certification representative arrived at the facility. Facility person #1, who stated they were on bread at the time, let the certification rep into the facility. Facility person #3 was not at the facility, so when the reason for the visit was shared, facility person #1 and the certification representative walked back to the infant classroom where facility person #2 was caring for children. Upon entering the classroom, it was observed facility person #2 was supervising 5 infants exceeding the staff to child ration of 1:4.

The file of facility person #1 and #2, who were working at the facility on the date of the inspection, contained documentation of submission for the NSOR verification certificate but did not contain the completed NSOR within their 45 provisional hire period (see coded LIS sheet) and the disclosure statement of facility person #1 was not dated.

In the toddler classroom, when asked to identify the children in their respective supervisory groups, facility person #4 identified 5 (older toddlers) and facility person #5 identified 6 (older toddler and preschool) of the 12 children receiving care in the classroom. One child, who was said to have arrived shortly before, was not accounted for by facility person #4.

A staple remover with 4 sharp "teeth" to remove the stables was accessible to the children in the craft cart drawer.

A handwashing sign was not posted at the changing table in the young toddler classroom.

The 2 most recent health assessments of child #6 and #7, both identified as preschool age children (see coded LIS sheet), exceeded 12 months.

The health assessment of child #1did not contain documentation of a current influenza vaccination in accordance with the recommendations of the ACIP or documentation of an acceptable exemption.

The health assessment of child #7 did not include a statement the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment of child #7 did not include 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 health assessment of facility person #3 did not contain the complete results from the examination for communicable disease.

The files of child #1, #2 and #6 did not contain documentation of the Department's approved form (child service report) to provide information to the family about the child's growth and development in the context of the services being provided being completed in the past year. The files of child #3, #4 and #7 did not contain documentation of a child service report completed within the past 6 months.

The financial agreement of child #5 did not contain the admission date of the child.

The emergency contact form of child #2 did not include the wok address of the enrolling parent.

The emergency contact form of child #1, #5 and #6 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #6 did not include the insurance policy number for the child.

The emergency contact form of child #5 and #6 did not contain the address of one of the individuals designated by the parent to whom the child may be released.

The completed child abuse clearance of facility person #6 was dated 9/22/2022 which was more than 45 days from their start date with children (see coded LIS sheet).

In the lobby, 2 bottles of hand sanitizer. labeled keep out of the reach of children and 1 spray bottle labeled hand sanitizer, were accessible to children.

The first aid kit in the pre-k classroom contained only one disposable glove.

In the young toddler room, a container, which held play cars and trucks, was cracked and created an area which children could pinch their fingers.

The children in the young toddler classroom were drawing with small crayons which had a diameter of less than one inch, which is a choking hazard, and one child was observed placing the crayon in their mouth.

In the young toddler room, a child's diaper was changed and hands were cleaned with a baby wipe but not washed at the sink with soap and running water.

Testing of the fire detection system exceeded 30 days on the following occasions: 12/17/2021 to 2/1/2022 to 3/4/2022 to 4/4/2022, 5/3/2022 to 6/30/2022 to 8/10/2022 to 9/30/2022.

The facility did not have documentation of a plan for the continuity of services in the event of an emergency. Facility person #2 and #3, who completed the health and safety topics prior to 9/30/2016, were observed to be working alone with children.

In the preschool play space, the roof of a small (approx. 3.5 - 4 feet tall) plastic storage shed was detached from the side wall. A wasp was observed to be walking on the opening where the roof was to be attached. Upon further inspection, another wasp was observed to be inside the wall of the shed and part of a wasp nest could be seen inside the wall which if disturbed could cause a child to be stung.

Facility person #2, 3, 4 and 5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics (all were completed prior to 9/30/2016).

The emergency contact form of child #1 did not contain the work address and work telephone number and the emergency contact form of child #2 and 4 did not contain the work telephone number of the enrolling parent.

The emergency contact form of child #2, 3 and 4 did not contain information on the child's medical needs as specified by the parent, physician, PA or CRNP in the event of an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #4 did not contain addresses of the release persons designated by the parent to whom the child may be released.

Documentation of the updates to the emergency contact form of child #3 were dated more than 6 months apart.

Documentation of the completion of pediatric first aid and pediatric CPR of facility person #1 was dated 9/27/2022, which was more than 90 days from their start date (see coded LIS sheet).

The file Staff #3 contained two FBI clearances that were more than 60 months apart. The file for Staff #4 contained an FBI clearance that was obtained after the staff's date of hire.

The file for Child #1 contained an immunization record that was lacking the annual influenza vaccine.

The files for Staff #1, #2, #4 and #5 all employed longer than 90 days were all lacking Pediatric First Aid.

The File for Staff #2 and #5 both contain Mandated Reporter Training that was completed more than 90 days after hire date.

The file for Child #2 contained an emergency contact form that was lacking the child's health insurance name and policy number.