Mac Learning Center

The letter provided to the parents explaining emergency procedures did not address 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.

On 9/16/25 observed rust on the steps of the slide in the outdoor play space.

On 9/16/25 observed peeling paint on the steps of the slide in the outdoor play space.

On 9/16/25 observed a chipped green LEGO baseplate with rough edges in the classroom. On 9/16/25 observed wooden blocks with rough edges in the classroom. On 9/16/25 observed a cracked red rectangular magna tile in the classroom. On 9/16/25 observed a red triangular mat with exposed foam in the indoor play space.

The agreement for Child #2 did not specify the persons designated by a parent to whom the child may be released.

The files of Children #1, #2, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parents.

Emergency contact information for Child #1 did not include the complete address of the child's physician or source of medical care.

Emergency contact information for Child #5 did not include the work address of the enrolling parent.

Emergency contact information for Children #3, #4, and #5 did not include the written consent signed by a parent for emergency medical care.

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released.

The files of Children #3, #4, and #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The first-aid kit used for the indoor play space lacked tape.

The files of Volunteers #2 and #3 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The files of Volunteers #2 and #3 contained disclosure statements dated 8/29/24. The file of Volunteer #2 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Volunteer #2 contained a NSOR dated 9/4/24.

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

On 9/23/24 observed Equate Hand Sanitizer and Hello Bello Hand Sanitizer which indicated "keep out of the reach of children" by the telephone on the cubby which were accessible to children. On 9/23/24 observed Handy Solutions Hand Sanitizer which indicated "keep out of the reach of children" in a blue caddy on the cubby which was accessible to children.

On 9/23/24 a first-aid kit was not present in the indoor play space.

On 9/23/24 observed 6 wooden blocks with rough edges and splinters. On 9/23/24 observed a red tray in the dress up area with approximately a 2-inch crack creating rough edges and pinch points and a 3-inch piece missing creating rough edges.

On 9/23/24 observed embedded equipment in the outdoor play space with approximately 3 to 5 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of mulch as protective surface covering.

On 9/23/24 observed foam shapes with bite marks.

The file of Child #2 contained a health report which did not include a list of the child's current medication and the reason for the medication and which did not include if a special diet is prescribed for the child.

The file of Child #1, a 3-year-old, lacked MMR and Varicella immunizations according to the recommendations of the ACIP. Child #1 had no documentation of MMR and Varicella immunizations.

The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 1/6/23.

The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #1 had a Mantoux test read date of 1/9/23.

The file of Volunteer #2 contained a health assessment which did not include an examination for communicable diseases and the results of that examination.

The file of Volunteer #2 contained a health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The facility was unable to provide documentation that the fire detection system was inspected by a fire safety professional annually. The facility provided documentation the fire detection system was inspected by a fire safety professional on 3/13/23 and 6/11/24.

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

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

The agreements for Children #3, #4, and #5 did not specify the date of the child's admission.

Emergency contact information for Child #4 did not include the telephone number of the child's physician or source of medical care.

Emergency contact information for Child #2 did not include the work telephone number of the enrolling parent. Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address and work telephone number of the enrolling parent.

Emergency contact information for Child #4 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

On 9/23/24 emergency contact information was not present when children were receiving care in the indoor play space.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the indoor play space.

The file for Staff person #1 did not contain documentation of annual training in 2023. This was evidenced by the only documentation of emergency plan training was dated 08/08/2022.

The facility was observed to have a first aid kit in the Main room that did not contain soap.

The facility was observed to have a play kitchen with a facet that was loose creating a pinch point.

The files for children #2, #3, and #5 were observed to contain immunization records that were not in accordance to the ACIP recommendations. This was evidenced by no documentation of a flu immunization in 2022. The file for child #4 did not contain an immunization reccord.

The file for child #3 (see LIS Code sheet) contained an initial immunization record dated 08/02/23 which is beyond 60 days following the first day of attendance at the facility. The file for child #4 did not contain an immunization record.

The facility did not possess proof of purchase of the interconnected fire detection system.

The file for child #4 did not contain an initial health report. The file for child #2 was observed to contain a health report that was not signed by a physician, physician's assistant or a CRNP, therefore child #2 did not have a valid health report on file.

The File for staff person #1, who has been employed for more than one year, did not contain documentation that staff person #1 has completed fire safety training.

The facility's Gym and outdoor play space failed to have a written plan of daily activities and routines posted.

The file for child #5 contained an agreement that was not signed by the operator. The file for child #2 contained an agreement that the parent signed as the operator and the operator did not sign the agreement.

The files for children #1, #2, #4 and #5 contained agreements that did not specify the date of the child's admission.

The files for children #1, #2, #3, #4, and #5 all contained original agreements.

The files for children #2, #4, and #5 contained emergency contact forms that did not include the address of the individual designated to whom the child may be released.

During the inspection, an emergency plan posted in a conspicuous location was not observed.

During the inspection 2 containers of Shaving Cream with a warning label to keep out of reach of children were observed to be present in the arts and crafts cabinet.

During the inspection, the glass exit door to the outdoor play area was observed to be without any visual identification or strip on the glass.

During the inspection, there were 5 wooden chairs present that were loose and unstable. 3 of the loose chairs were placed around tables in the imaginative play area and did not have arms or backs on them. The other 2 chairs, that were loose and unstable were at the front of the room, to the left of circle space, and had a rounded back pieces on the chairs.

During the inspection, a menu at least 1 week in advance posted in a conspicuous location was not observed, nor was there documentation confirming that each family had been provided a menu at least 1 week in advance.

During the inspection, the child file for Child #1, #2, #3, #4, & #5 was observed to lack an agreement form that was signed by the operator and the parent.

During the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not observed to be displayed conspicuously in the indoor gross motor room.