Mountain Laurel DC & PS INC

It was observed that cold and flu relief medication was in the unlocked cupboard with no name for whom the medication is intended.

The Albuterol medication for Child #4 was observed to be expired. This is evidenced by expiration date 6/12/24.

The agreement form on file for child #1, child #2 and child #3 were observed not to have documentation of services which are to be considered as extra.

The Emergency Plan lacked continuity of operations.

Observed in the infant/young toddler room, the middle leg of the counter loose and not secure.

At the time of the inspection, there was not documentation of an emergency drill conducted in 2022.

Observed during nap time in the gross motor room, staff #2 unable to properly see and assess 1 preschool age child sleeping in the corner of the room due to the fact there was insufficient lighting.

Observed an infant sleeping in a swing in the infant room. Staff #1 reported they "thought it was ok if the parents did it at home."

Upon reviewing the Emergency Plan during the renewal inspection, the plan did not address the role of the volunteers, nor was there documentation that the 3 volunteers received training on the Emergency Plan.

At the time of the inspection, the numbers for the local fire department and ambulance were not posted.

At the time of the inspection, there was not a first-aid kit in the gross motor room where children were observed in care in the morning and napping in the afternoon.

Observed numerous rest mats damaged with exposed foam that were used by children in care and stored in the closet adjacent to the gross motor room.

Observed in the infant room, a blue and white bouncer with clear tape present around the hinge. The tape was easily removable and less than 1 inch in diameter for children who are still placing objects in their mouths.

Observed 5 Graco brand high chairs with plastic molded slates for straps but missing the shoulder straps that were intended to be used per the manufacturer's guidelines. Observed 2 tables in the toddler space with 8 built in chairs with plastic molded slates for straps but missing the straps that were intended to be used per the manufacturer's guidelines.

Observed and measured in the infant room the crib labeled for child #9 was less than 2 feet from the crib labeled for child #10; the crib for child #10 was less than 2 feet from the crib labeled for child #11; the crib labeled for child #11 was less than 2 feet from the crib labeled for child #12.

Observed the following in the infant room: Johnson and Johnson powder with an unidentifiable label; (2) Parent's Choice diaper rash/ointment not labeled; Aquaphor not labeled; and Dollar General brand A and D ointment not labeled

Observed the following expired creams/ointments in the infant room: Aveeno night balm for child #2 10/19; Desitin for child #1 7/19; Desitin child #3 2/22; Aquaphor child #4 11/19; Desitin child #5 7/22; Desitin child #6 2/18; Desitin child #7 8/20 and Aquaphor child #7 3/22; Balmex complex protection diaper rash child #8 4/20; and expired without labels: Aquaphor 5/20, Dollar General A and D 9/20; Parent's Choice diaper rash 3/20; and Parent's Choice diaper rash 5/20. Also observed a prescription medication for child #1 expired 12/20.

The file of child #1 lacked an emergency contact form with the parent's home and work addresses and telephone numbers.