Miss Julies Childcare

Observed three tiles missing at the bottom of the walls, which causes flaking plaster, in the Young Preschool bathroom. Observed peeling, flaking paint on the back of the building, which is located in the Outdoor Play Space.

Observed cracks, which create rough edges, in the Lego bin in the PS/SA Room and the nap bin in the Young Preschool Room.

Observed teeth marks in the foam blocks in the Young Preschool Room. Observed in unlocked drawers in the Young Preschool Room: Small rubber hair bands for Child #1, plastic bags and art supplies less than one inch in diameter. This creates a potential choking hazard for children who may still be placing objects in their mouths.

The most recent updated health reports in the file for Child #3, a preschool child, exceeded 12 months between reports.

The most recent health assessments in the file for Staff Person #1 exceeded 24 months between assessments.

The fire drill/fire system check log documents one time when fire system checks exceeded 30 days between checks: 9/2/23-10/3/23.

The fee agreements in the files for Child #1 and #2 were the original documents.

The emergency contact form in the file for Child #1 did not include the work address and telephone number of the enrolling parent.

The most recent State Police and Child Abuse Clearances in the file for Staff Person #4 exceeded 60 months between clearances: State Police: 2/29/16-8/5/22. Child Abuse: 3/3/16-3/4/21. The most recent State Police Clearances in the file for Staff Person #8 exceeded 60 months between clearances: 9/18/17-3/20/23.

On 3/20/23 at approximately 9:00 AM Staff Person #7 was supervising a mixed group (Older Toddler, Preschool, School Age) of 8 children in the Preschool Room.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii).

Observed two bottles of spray bleach, which were accessible to children, in the school age room.

Observed a ceiling tile stained from water damage above the bulletin board in the Toddler Room. Observed splintering wood in two bottom sections of the fence in the outdoor play space.

Observed storage bins and a stack of floor tile in the hallway which serves as a fire exit.

Observed in the outdoor play space: A crack in the plastic window of the sliding board set, and roof separating from the blue playhouse, which creates a potential pinch hazard.

Observed a broken toy less than one inch in diameter in the barn animal storage shelf of the toddler room. This creates a potential choking hazard for children who may still be placing items in their mouths.

The trash receptacles at the facility which were used for disposing diapers were Diaper Genies which are not approved as hands-free cans.

The fire drill/fire system check log documents five times when fire system checks exceeded thirty days between checks: 4/20-5/16, 7/13-8/19, 8/19-9/20, 9/20-10/31 and 12/15-1/19.

The one-hour health and safety updates in the files for Staff Person #1 through #10 were conducted between 1/1/23 and 1/11/23. This was after the prescribed timeframe of 12/30/22.

The current Pediatric First Aid/CPR certificate in the file for Staff Person #1 was conducted on 2/5/22. This was after the previous certification expired on 8/22/21.

The files for Staff Persons #2, 3, 4, 5, 6, 7, 9 and 10 did not include documentation of fire safety training conducted within the past 12 months: 2/18/22.

The 6-hour Health and Safety Training in the file for Staff Person #7 was not valid (4/29/19). The 10-hour Building Blocks Health and Safety Training in the file for Staff Person #7 was dated 7/28/22, which was more than 90 days after the staff person's start date: (See LIS Code Sheet).

The most recent Mandated Reporter Trainings in the files for Staff Person #4 and #6 were conducted more than 60 months after the previous Mandated Reporter Trainings. Staff Person #4: 1/29/15-3/3/20. Staff Person #6: 2/19/18-2/21/23.

The most recent parent updates for the emergency contact form in the file for Child #1 exceeded 6 months between updates: 5/31/22-2/24/23. The most recent parent updates for the emergency plan and fee agreement in the file for Child #2 exceeded 6 months between updates: 6/6/22-2/21/23.

Based on conversation with the Director, a third copy of accidents, injuries and illnesses at the facility is not being retained in the child files.

The provider self-reported that parents of enrolled children are not given a letter explaining the facility emergency procedures.

Observed in the toddler room a spray bottle containing bleach water in a basket on a low shelf accessible to children.

Observed on the outdoor play space a fence post that was cracked and splintered. Observed in the toddler room carpeting that was visibly dirty including dried-on food and playdough.

Observed the "Gentlemen" bathroom was lacking a covered trash container.

Observed in the extra room a child's black vinyl couch with torn fabric exposing the interior foam.

Observed on the outdoor play space metal rods that connect the slide and slide support to the base are missing the end caps that keep the rod secure. Without the end caps the rod could slip out and the sliding board could detach and fall.

Observed in the toddler room the hands-free trash container being used for the disposal of soiled diapers is broken and not functioning as hands-free.

The file for staff person #3 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current.

The provider does not have the proof of purchase for the fire detection system.

The file for staff person #3 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training. The file is now current.

The file for staff person #1 contains current pediatric first aid and pediatric CPR training that was competed greater than 90 days after hire. The file is current.

The file for staff person #2 contains only 3 of the required 12 hours of child care training during the period from 12/18/2020 to 12/18/2021. Staff #2 has since completed additional training and is now current.