Miss Ellies Education Center

Diaper rash ointment, labeled "keep out of reach of children," was observed in a bookbag on a table in the Multipurpose Room. The diaper rash ointment was accessible to the preschool aged children that were present in that room.

The Preschool 2 Room was observed to be missing a first aid kit.

One ceiling tile with a brown stain on it was observed in Preschool Rooms 1 and 3. Preschool Room 1 was also observed to have one cracked ceiling tile. The plastic wall plate for the electrical outlet, that was on the wall next to the television in the Preschool 3 Room, was observed to be cracked.

The documented fire drill logs showed that the hypothetical locations of the fire were at the same location, i.e. "young toddler" room, for two consecutive fire drills, which occurred on 4/18/24 and 6/17/24.

The fire detection system was not tested at least once every 30 days as evidenced by the following fire detection system logs that were on file: 6/14/24 to 7/15/24 and 7/15/24 to 8/16/24.

Staff person #1 had a Health and Safety training on file dated 2/18/19, but it was taken outside of the acceptable timeframe for that training. This training was no longer acceptable to meet this requirement if taken after 6/30/18.

A renewal inspection was conducted on 3/11/24. The first aid kit located in preschool room 1 did not contain tweezers.

A renewal inspection was conducted on 3/11/24. In the infant room, cert observed plastic bags and a box of plastic gloves on the infant changing table. Under the infant changing table, is open, exposed shelves that contained plastic bags of diapers and plastic wipes. All items are accessible to children who are still placing objects in their mouths.

A renewal inspection was conducted on 3/11/24. In the older toddler classroom refrigerator, a baby bottle was not labeled with the child's name.

A renewal inspection was conducted on 3/11/24. The emergency plan did not provide information for accommodations for infants and toddlers.

A renewal inspection was conducted on 3/11/24. Child #1 and #2's emergency contact form did not list the parents work address and phone number. Child #1's emergency contact form did not list the father's home address.

During the Renewal Inspection on 3/24/2023, the current FBI clearance on file for Staff #3 was from the Department of Education. FBI clearances for childcare staff are required to be completed through the Department of Human Services (DHS). See LIS code sheet.

During the Renewal Inspection on 3/24/2023, Staff #3 was observed supervising a mixed age group of 6 children that included older toddlers and preschool children, and 1 young toddler. The required staff to child ratio for this mixed age group is 1 staff to 5 children.

During the Renewal Inspection on 3/24/2023, the updated emergency plan for the facility did not address continuity of operations in the event of an emergency.

During the Renewal Inspection on 3/24/2023, one of the electrical outlets to the right of the sink in young toddler classroom was missing a protective receptacle cover.

During the Renewal Inspection on 3/24/2023, the small childcare space located in the 2nd building (2nd room on the left in the basement) did not have a first-aid kit.

During the Renewal Inspection on 3/24/2023, one of the glass windows in the multi-purpose room located in the 2nd building had a crack in it with sharp edges exposed. There were also stained damaged ceiling tiles in the small childcare space in the basement and the hallway leading to this classroom. Some of these damaged ceiling tiles were hanging down.

On 3/24/2023, Child #1, a young toddler did not have a health report on file that was completed within the previous 6 months. In addition, the most recent health report on file for Child #1 did not have the boxes checked to include an assessment of an acute or chronic health problem health or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

On 3/24/2023, the files for Child #1 and Child #2 did not have documentation of the up-to-date annual influenza immunization as recommended by the ACIP. The files for Child #1 and Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

On 3/24/2023, the hands-free trash cans that were in the infant and toddler classrooms used for discarding soiled diapers were not working properly; thus, they were not consistently hands-free.

On 3/24/2023, the most recent health assessment on file for Staff #4 was dated 2/25/2021. See LIS code sheet.

During the Renewal Inspection on 3/24/2023, the facility did not have a written statement giving the formula and feeding schedule for Child #3, an infant that was obtained from the parent.

During the Renewal Inspection on 3/24/2023, the fire drill was up to date. However, fire drills had not been conducted at least once every 60 days. The most recent fire drills were documented on 9/19/2022, 11/24/2022 and 1/27/2023.

During the Renewal Inspection on 3/24/2023, the updated emergency plan had not been sent to the local municipality.

During the Renewal Inspection on 3/24/2023, the small childcare space located in the 2nd building (2nd room on the left in the basement) did not have a written plan of daily activities posted.

During the Renewal Inspection on 3/24/2023, the emergency contact information forms were not present in the Infant room for the children receiving care in the space at this time. Cert. Rep. was informed that the emergency contact information forms were kept in the Infant/Toddler room next to the Infant room for both groups of children.

During the Renewal Inspection on 3/24/2023, a written plan identifying the means of transporting a child to emergency care and the staffing provisions in the event of an emergency was not posted in any of the childcare spaces in the facility.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR)

During an unannounced visit to facility on 5/9/22 Cert Rep. observed a group of 6 children that included 5 young toddlers and 1 older toddler being supervised by facility person #1. Five of the children were on mats and one child was in a high chair having a snack so nap-time ratios did not apply. Cert rep. also observed one young toddler and 4 infants being supervised by facility person #2 in the infant/toddler room.

The facility emergency plan is not posted in a conspicuous location

There are two outlet covers missing from the outlet located by the sink in the infant room. Outlet covers are missing from the outlet located both under the table and under the stage in the toddler room that is located in Building II.

There is a ceiling tile missing from the ceiling in the lower level Preschool 3 Room. In the toddler room there is a rack that holds metal chairs that is accessible to children. The chairs hang from the rack on two levels and are not secured to the rack. If a child bumps into the rack a chair could fall from the rack creating a potential safety hazard.

There are areas of blue peeling paint located on the walls in the toddler room located in Building II

The trash cans located in the lower level boys and girls bathrooms are not lidded

There is a tube of diaper ointment located in the infant room that is being used for child #1 but is not labeled with child #1's name

The operator states that permission slips with parental written consent have not been signed for the children's diaper ointments

During the renewal inspection the operator placed the fire alarm system in test mode but the smoke detectors located in Building II did not work and the system was not fully operational. The facility fire drill log is up to date but the operator said that they did not test the fire alarm every 30 days because they had an annual fire inspection report. They did not realize that they needed to complete and document testing of the fire alarm system every 30 days.

During the renewal inspection the operator placed the fire alarm system in test mode but the smoke detectors located in Building II did not work and the system was not fully operational.

The child care regulations (3270) are not posted at the facility or way to access them electronically with instructions for contacting the Northeast Regional Child Care Office