MT Ararat Community Activity Center

Observed four electric outlets on a surge strip and one behind the butterflies in Room #109 that lacked protective receptacle covers.

Observed toxics, which were accessible to children, in the following areas: a bottle of weedkiller in the outdoor grassy field. Cleaning products in the staff lounge and laundry room, which were not locked, and it was confirmed that children walk by these rooms during transitions to bathrooms and playgrounds.

Observed cleaning products stored next to Capris Suns in the cupboard in Room #222.

The first aid kits in Room #308 and 309 lacked scissors, tweezers and soap. The first aid kit in Room #224 lacked tweezers and soap.

Observed stakes protruding from the framework, which create a potential trip hazard, in the preschool playground. Observed ceiling tiles, discolored from water damage, near the second light from the entrance in Room #109 and in the middle of Room #108. The baseboard was separating from the wall on the left side of the room in Room #109. Observed cracked outlet plates, which creates sharp edges, near the entrances to Room #108 and #109. Observed holes in the ceiling tile between two toilets in the downstairs girls restroom. Observed flaking rust, which creates a sharp edge, on the partitions between the toilets in the main floor men's restroom.

A handwashing sign was not posted at one of the toilets in the downstairs boys restroom.

The waste receptacle in the main floor men's restroom was not lidded.

Observed two wobbly toy shelves, which create a potential toppling hazard, near the entrance of Room #108.

The most recent health reports in the file for Child #4, an older toddler, exceeded 12 months between reports. The file for Child #6, a preschool child, lacks an updated health report conducted within the past 12 months.

The file for Child #3 did not include an immunization record.

The most current health report in the file for Child #2 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed antibiotic ointments and aspirin, which were not labeled with the name of the child for whom the medication was intended, in the first aid kits in Room #222 and #223.

Observed teacher's medications in an unlocked diaper changing table in Room #221.

The files for Staff #2, 3, 5, 6, 10, 22, 23, 24, 25 and 26 did not include an initial health assessment. The file for Staff Person #8 does not include an updated health assessment conducted within the past 24 months. The most recent health assessments in the files for Staff Person #4, exceeded 24 months between assessments. The initial health assessments in the files for Staff Person #14, 27 and 30 were conducted after the staff person's first day working in childcare. (See LIS Code Sheet).

The files for Child #3, 7 and 8, who have been enrolled for more than 60 days, lacked an initial health report.

The most recent Pediatric First Aid/CPR Certificate in the file for Staff Person #11 was acquired after the previous certificate had expired. Staff person #4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 6/9/25. Documentation of updated Pediatric first aid and CPR training is not on file.

The files for Staff Person #4, 8, 12, 13, 16, 17, 18, 19, 20 and 21 did not include documentation of annual fire safety training conducted within the past 12 months.

Staff person #15 has not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR in an approved curriculum from a licensed PQAS instructor.

The Mandated Reporter Training in the file for Facility Person #27, a volunteer, was conducted more than 90 days after the facility person's first day working in childcare. The file for Facility Person #30, a volunteer who has been working in childcare for more than 90 days, did not include documentation on Mandated Reporter Training. (See LIS Code Sheet).

The files for Staff Person #1, 2, 3, 5, 6, 10, 11 did not include documentation of education and experience.

Daily activity schedules were not posted in the computer lab or School Age Room #1.

The fee agreements in the files for Child #3, 7, 8 and 9 were not signed by the operator.

The fee agreements in the files for Child #3 and 9 did not specify the amount of the fee to be charged per day or per week.

The fee agreements in the files for Child #3, 7, 8 and 9 did not specify the date on which the fee is to be paid.

The fee agreements in the files for Child #3, 7 and 9 did not specify the date of the child's admission.

The emergency contact forms in the files for Child #7 and 8 did not include the name, address and telephone number of the child's physician or source of medical care. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for physician's information.

The emergency contact forms in the files for Child #4, 6 and 9 did not include the enrolling parents work address and telephone number.

The emergency contact form in the file for Child #9 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.

The emergency contact forms in the files for Child #5, 6, 8 and 9 did not include health insurance coverage or policy numbers. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for health insurance information.

The emergency contact forms in the files for Child #3, 5, 6, 8 and 10 did not include the release persons addresses. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for release persons' addresses.

The emergency transportation plan was not posted in School Age Room #1 or Room #225.

The most recent parent updates for the emergency contact forms in the files for Child #4, 5, 6 and 9 exceeded 6 months between updates. The fee agreements in the files for Child #4, 5, 6 and 9 have not been updated by the parents in the past 6 months. The emergency contact forms and fee agreements in the files for Child #1, 2, 3, 7 and 10 have not been updated by the parents in the past 6 months.

The emergency contact form in the file for Child #1 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

The files for Staff Person #1, 2, 3, 5, 6, 7, 10, 11, 22, 23, 24, 25 and 26 did not include two written letters of reference.

Continued Non-Compliance: On 2/10/25 a complaint investigation was conducted at the facility. Staff person #2 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 3/7/25. On 6/2/25 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre- service training: Pediatric First Aid and CPR

Per staff statements and personal observation on 2/26/25 at approximately 5:15pm, Staff persons #2 and 3, classified as aides, were observed caring for child unsupervised.

Per staff statements, Staff person #2 has been on her phone while caring for children yelling and using curse words.

Per staff statements and personal observation on 2/26/25 at approximately 515pm, Staff person #2 and 4 were observed to be caring for children unsupervised. Staff person #2 and 4 have not completed the following pre- service training required prior to caring for children unsupervised: required health and safety training and pediatric first aid and CPR

The file for staff person #2 contained a Department of Justice FBI fingerprint clearance dated 9/11/24 which is not an acceptable DHS FBI clearance. The file for staff #4, who is past 45 day provisional hire date(See LIS Code Sheet), did not contain a State Police Clearance or a signed, dated, and witnessed disclosure statement. The file for staff person #1 did not contain a signed, dated, and witnessed disclosure statement.

Staff person #2 and #4's files did not have proof of emergency plan training within 90 days of their date of hire(See LIS Code Sheet).

The file for staff person #1 contained an initial health assessment dated 3/27/23 which is more than 12 months prior to their date of hire(See LIS Code Sheet).

The file for staff person #1 contained an initial TB test dated3/24/23 which is more than 12 months prior to their date of hire(See LIS Code Sheet).

The fire drill log contained the following dates 9/5/24-11/12/24, which is more than 60 days apart.

The file for Staff person #4, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.

Staff person #2 and 4 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR and Health and Safety Training.

Staff person #4's file only contained 1 written nonfamily reference letter.

Staff person #1 had no documentation of mandated reporter training on file. Staff person #9 had no documentation of mandated reporter training on file. Staff person #13 had no documentation of mandated reporter training on file. Staff person #6 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was competed on 7/31/24. The state police clearance on file for staff person #6 is dated 8/2/24, more than 45 days after hire (SEE LIS CODE SHEET) required for provisional hiring under the CPSL. The only State police Clearance (3/22/22), Child abuse clearance (3/28/22), and FBI clearance (2/9/24) on file for Staff person #4 are dated more than 45 days after hire (SEE LIS CODE SHEET) required for provisional hiring under the CPSL. The disclosure statement on file for staff person #10 was dated 8/14/2024, after their start date (SEE LIS CODE SHEE) required for provisional hiring under the CPSL. The FBI clearance on file for staff person #12 was for the department of education and not DHS.

Staff person #9 did not have documentation of emergency plan training on file.

The facility's emergency plan was not posted in a conspicuous location.

Uncovered outlets were observed accessible to children ages 5 and younger in the following locations: In Room 320 on a power strip on the floor; in Room 321 on the wall below and to the left of the window; in room 310 on a power strip on the wall; in Room 324 on the wall below the telephone; on an extension cord on the floor, and on a power strip on the floor.

The following toxics were observed accessible to children: In an unlocked janitor's closet in the hallway outside of the Toddler 1 room, various cleaning products including disinfectant, glass cleaner, and floor cleaner; in Room 320 hand sanitizer and a bottle of Dayquil in an unlocked desk drawer; in Room 322 glass cleaner in an unlocked desk drawer and hand sanitizer in the first aid kit in a bag on the floor; in the STEM room, "Mineral Blend" labeled "keep out of reach of children." and in room 224 dawn ultra was observed on the children's hand washing sink labeled "keep out of reach of children."

There was a bottle of a disinfectant in the closet in the Pre-K room not labeled with the contents. There was a bottle of a cleaning supply in the unlocked janitor's closet not labeled with the contents.

Multiple disinfectants were observed above the diapers, which could cause a hazard to the diapers and therefore the children if a leak occurred.

There was no first aid kit in Room 321.

The first aid kit in Room 322 was in a drawstring bag on the floor in the classroom.

The first aid kit in Room 322 did not include tweezers, scissors or soap. The first aid kit in Room 307 did not include tweezers, scissors or soap. The first aid kit in room 108 did not include band aids. The first aid kit in room 310 did not include scissors. The first aid kit in Room 224 did not include scissors, gauze pads or soap.

There was a sharp edge on the bottom of a shed in the Preschool outdoor play space where part of the door had broken off.

There were spots of peeling paint on the ceiling in the hallway outside of the Preschool room. There were spots of peeling paint behind the door in room 323.

There was a base to a child-size basketball hoop in the Toddler outdoor play space, where the hoop was removed, the edges around the top of the base were rough with some sharper points. There was a broken blue bin in room 323 with sharp edges.

There was a toy mini vacuum in the Young Toddler room (222) with a piece that was removed that was less than an inch in diameter accessible to toddlers in care.

There was a shelf from a shelving unit propped up next to the dart game in Room 322 with a splintered edge.

The cots used by the children in the Toddler 1 room (221) were not labeled with the names of children who used them.

There was no thermometer in the fridge in the Preschool room (108).

There was no health assessment from the previous 6 months on file for child #4, a young toddler.

There were no health assessments from the previous 12 months on file for children #1, #2, #3, and #5.

The immunization record on file for child #3 did not indicate the child had sufficient doses of the following immunizations, as per ACIP recommendations based on the child's age: DTAP, HIB, pneumococcal, MMR, and varicella. The immunization record on file for child #5 did not indicate the child had sufficient doses of the following immunizations, as per ACIP recommendations based on the child's age: DTAP, HIB, pneumococcal, MMR, and varicella.

There was an albuterol inhaler in a desk drawer in Room 321 not labeled with the name of the child for whom it was intended.

There was an albuterol inhaler in a desk drawer in Room 321 that was expired

The toothbrushes used by the children in the Toddler 1 room (221) were not labeled with the children's names.

The trash can used for diaper disposal in the Toddler 1 room (221) was not hands-free.

The most recent health assessment on file for staff person #2 is dated 3/7/24 with no previous health assessment on file (SEE LIS CODE SHEET) making it over 24 months since their last health assessment. The health assessment on file for staff person #5 is dated 8/12/24, after their current start date (SEE LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #8 were dated 3/2/22 and 8/8/24, more than 24 months apart. Staff person #12 has no health assessment on file.

The health assessment on file for staff person #9 had a note of receiving a chest x-ray without documentation of a Tuberculosis screening and the box was not checked on whether or not they tested negative for TB. The file for staff person #11 had no box checked for whether or not they tested negative for TB and there was no documentation on file for proof of a TB test.

Written notification of safe routes around the facility was not posted in a conspicuous location.

The second vehicle was missing a transportation first aid kit.

The parent letter portion of the emergency plan on site was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

There were no health assessments on file for children #7 and #9, in attendance for more than 60 days.

The facility lacked proof of notifying local traffic authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

The two most recent fire safety trainings on file for staff person #11 were dated 3/22/22 and 3/22/23, with no annual updated fire safety training on file.

Staff person #7 did not have the following required pre-service training on file, which was required to be completed by 6/17/21, as per the updates to Chapter 3270 Child Care Center regulations, effective 12/19/20: Get Started with Center-Based Care; Building Blocks for Quality. Only the one-hour update was on file dated 12/29/22. Staff person #12 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality, the training was completed 10/2/24.

The most recent staff evaluation on file for staff person #2 is dated 12/23, with no previous staff evaluation 12 months prior. (SEE LIS CODE SHEET).

Staff person #10 does not have the required qualifications including a human services degree, to qualify them as a director.

The education and experience on file for staff person #2 does not qualify them as a group supervisor. The education and experience on file for staff person #3 does not qualify them as a group supervisor. The education and experience on file for staff person #6 does not qualify them as a group supervisor. The education and experience on file for staff person #8 does not qualify them as a group supervisor. The education and experience on file for staff person #11 does not qualify them as a group supervisor. The file for staff person #12 did not have any verification of experience or education to qualify them as a GS.

There was no agreement on file for child #6. The agreements on file for children #7, #8 and #9 were not signed by the operator.

The fee amount was not specified on the agreement on file for child #7.

There were no child service reports completed, or a copy given to parents on file for children #1-#5.

The admission date was not specified on the agreements on file for children #7, #8, and #9.

The agreements on file for children #3, #4, #7, #8, and #9 were the originals

The health insurance information was not included on the emergency contact form on file for child #4.

The addresses for all releasee persons were not included on the emergency contact forms on file for children #6 and #7. There was no release person information listed on the agreement on file for child #8.

There was no medical emergency transportation plan posted in the STEM room.

The emergency contact forms on file for children #2-#5 were not reviewed and updated by a parent in writing in the previous 6 months. The agreements on file for children #1-#5 were not reviewed and updated by a parent in writing in the previous 6 months. The current emergency contact form on file for child #1 was reviewed and updated by a parent in writing more than 6 months after the previous review.

There was no signed parental consent for emergency medical care on file for children #1 and #6.

There was no signed parental consent for minor first aid administration by facility staff on file for children #1, #5 and #6

The file for staff person #6 did not contain two appropriate written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #8 did not have the required 12 hours of PD training on file.

The file of staff #1, who was observed working with children, contained a Department of Justice fingerprint clearance and did not contain the acceptable DHS FBI fingerprint clearance or documentation of having been fingerprinted for the DHS FBI clearance. The file of facility person #2, who has been volunteering at the facility for over 30 days (see LIS code sheet), did not contain documentation of mandated reporter training.

FOURTH CITATION; PREVIOUSLY CITED ON 12/12/23, 3/13/24, AND 6/5/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM, child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room. The documentation of ratio/supervision monitoring checks required after the 3/13/24 inspection, and submitted by the operator, did not include all children in care at the time of the ratio/supervision check and the number and age levels of the children supervised by every staff person. The requirement to complete and document the ratio/supervision checks was extended an additional 8 weeks. The documentation of ratio/supervision monitoring checks submitted by the operator on 9/20/24 for the school-age groups did not indicate the…

SECOND CITATION; PREVIOUSLY CITED ON 3/13/24:There was no documentation of emergency plan training for Facility Person #1

SECOND CITATION;PREVIOUSLY CITED ON 3/13/24:The initial health assessment/TB test on file for Facility Person #3 was completed more than 12 months prior to their start date.

SECOND CITATION; PREVIOUSLY CITED ON 3/13/2024: There was no documentation of an emergency drill, in the required format, conducted at the facility in the previous 12 months.

SECOND CITATION; CITED PREVIOUSLY ON 3/13/24: Facility Persons #2 and #3 were classified as group supervisors. There was no documentation on file of the staff persons' education and/or child care experience, required for their respective classifications, on file.

SECOND CITATION; PREVIOUSLY CITED ON 3/13/24: There was no staff evaluation completed by the director in the previous 12 months and on file for Facility Persons #4.

SECOND CITATION; PREVIOUSLY CITED ON 3/13/24: There were no written nonfamily references on file for Facility Persons #1.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/19/19.

Staff #1 and #2 were observed to be caring for children unsupervised. Both staff were observed supervising a group of school age children in the hall. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics 1-10 including Pediatric CPR and First Aid.

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/19/19.

THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM, child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.

THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM, child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.

THIRD CITATION; PREVIOUSLY CITED ON 12/12/23 AND 3/13/24: According to staff statements, on an undetermined date in late April / early May 2024, at approximately 9:35 AM, child #1 was found in the Preschool room by Facility Person #1 unsupervised. There were no staff present in the classroom. Staff state Facility Person #2 left the Preschool room with the group of children they were supervising to visit the restroom and then the gym at approximately 9:25. According to staff statements and attendance records, it is possible the child was dropped off at the facility and left with an undetermined staff person after the group left the Preschool room.

Facility person #3 was observed to be caring for children unsupervised. There was no documentation on file indicating facility person #3 has completed mandated reporter training within the last 60 months. The previously documented mandated reporter training was dated 2/19/19. Facility person #4 was observed to be caring for children unsupervised. There was no documentation on file indicating Facility person #4 has completed the following pre-service training required prior to caring for children unsupervised: health & safety training, mandated reporter training.

A copy of the inspection summary dated 3/13/24 - 4/2/24 which included regulatory noncompliance items not yet corrected was not posted in a conspicuous location used by parents.

The first aid training completed and on file for Facility Person #2 was expired - dated 4/1/22.

There was no documentation Facility Persons #1 and #3 completed mandated reporter training within the last 60 months. There was no documentation of completion of mandated reporter training on file for Facility Person #1. The previously documented mandated reporter training on file for Facility Person #3 was dated 2/19/19.

The following training documentation was observed at a previous inspection, but not located in the staff file when reviewed on 6/5/24:- pediatric first aid and CPR training for Facility Persons #1 and #5; mandated reporter training for Facility Persons #5 and #6; health & safety training for Facility Person #6. -

There was no documentation of completion of required preservice trainings on file for Facility Person #1 (pediatric first aid & CPR) and Facility Person #14 (pediatric first aid & CPR) and pediatric first aid & CPR). Both facility persons #1 and #14 were observed caring for children unsupervised.

There was no signed disclosure statement on file for Facility Person #1. There was no NSOR clearance on file for Facility Person #2. Facility Person #2 was observed caring for children unsupervised. The criminal history clearance on file for Facility Person #3 was incomplete, and the disclosure statement on file was not signed by a witness. The clearance and disclosure statements on file for Facility Person #3 were invalid. The only NSOR clearance on file for Facility Person #4 was completed more than 45 days after their start date. The disclosure statement on file signed by Facility Person #4 was not dated. The most recent child abuse clearance on file for Facility Person #5 was completed more than 60 months prior. The most recent child abuse clearance on file for Facility Person #6 was completed more than 60 months prior. The current FBI clearance on file for Facility Person #6 was completed more than 60 months after the previous FBI clearance. The disclosure statement signed and on file for Facility Person #14 was signed after their start date. The current FBI clearance and NSOR clearance on file for Facility Person #14 were completed after their start date. There was no proof…

SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.

SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the hall and was observed to be supervising 2 preschoolers in the restroom. There was no staff person present in the hallway to supervise the children in that space.

SECOND CITATION; PREVIOUSLY CITED ON 12/12/23: At approximately 12:40 PM on 3/13/24 in the Older Toddler Room, Facility Persons #8 and #11 were supervising a total of 7 children (3 older toddlers and 4 preschoolers). When asked to identify which children they were each supervising, each staff named 3 children, resulting in one child not claimed by either staff. At approximately 12:55 PM on 3/13/24 in the Preschool Room Facility Person #1 and Facility Person #2 were supervising a total of 11 preschoolers. When asked to identify which children they were each supervising, Facility Person #1 claimed 5 children and Facility Person #2 claimed 4 children, resulting in 2 children not claimed by either staff person. At approximately 12:50 PM on 3/13/24, Facility Person #1 was observed in the Preschool Room supervising 6 preschoolers. Facility Person #1 stated they were supervising those 6 children while the rest of the group was in the restroom with Facility Person #2. It was then observed that there were 3 children in the hallway outside of the classroom, retrieving items from cubbies. The children then joined the group in the classroom. Facility Person #2 was in the restroom down the…

The emergency plan was documented as having last been reviewed in February 2023.

There was no documentation of emergency plan training for facility persons #4, #12, #13 and #14, all employed/volunteering at least than 90 days at the facility.

The facility's emergency plan was not posted.

The letter to the parents explaining the emergency plan did not include information on the accommodations or annual drills as required under 3270.27(a).

There were six uncovered outlets on a power strip on the floor in the Toddler 1 room. There was an uncovered outlet on the wall in the Pre-K room.

The following toxics were observed accessible to children: hand sanitizer in a backpack pocket on the floor in the Music room; cleaning products in an unlocked desk drawer in room 308; hand sanitizer and disinfectant wipes in an unlocked desk drawer in room 320; disinfectant wipes in an unlocked drawer in room 323

There was a cleaner in an unlabeled spray bottle on a shelf above the sink in the STEM room, and another in a cabinet in the Pre-K room.

There was no first aid kit in the STEM room, where a group of children were receiving care.

First aid kits were accessible to children in the following locations: in a backpack on the floor in the Music room; next to the sink in the Art room; in an unlocked drawer in Room 320

The following required items were missing from the indicated first aid kits: tweezers and soap in Toddler 1; tweezers in Pre-K; bandaids, gloves, scissors and tweezers in room 308; scissors, tweezers and soap in room 322

There was no lidded trash can near the sink in the STEM room.

There was equipment on the floor in front of an exterior exit from the infant room.

There was a crack in a plastic toy bin in the Pre-K room, resulting in a sharp edge/ potential pinch point.

Climbing equipment installed in the Toddler 1 room was not installed over a protective surface covering.

In the infant room, three cribs were in use with less than 2 feet of space on three sides of each crib. In the Preschool room, three cots were in use with less than 2 feet of space on three sides of each cot.

The most recent health assessment on file for child #3, a preschooler, was completed more than 12 months after the previous health assessment.

There was burn cream - not labeled with a child's name to be used by that child - in first aid kits in rooms 322 and 323.

There were throat drops and Advil in an unlocked desk drawer in room 323.

There was no written parental consent for administration of a child's inhaler in the preschool room.

According to documentation and staff statements, more than 2 hours passed between several diaper checks/changes in the Toddler 1 room - children were changed between 9:10-9:45, and not yet checked/ changed again as of 12:15.

The initial health assessment/TB tests on file for Facility Persons #1 and #3 were each completed more than 12 months prior to their respective start dates. There were no health assessment/TB tests on file for Facility Persons #2 #11, #12, #14. The most recent health assessments on file for Facility Person #7, #9 and #15 were completed more than 24 months prior. The current health assessments on file for Facility Persons #10 and #17 was completed more than 24 months after the prior health assessments on file.

The menu was not posted or provided to parents at least a week in advance.

There was one unlabeled bottle in the infant room.

There was no documentation of an emergency drill, in the required format, conducted at the facility in the previous 12 months.

The fire drill log indicates that a fire drill was conducted on 11/16/23, then again on 1/16/24, more than 60 days later.

There were no health assessments on file for children #2, #4. #6, #7, and #9, all enrolled more than 60 days.

Current first aid training documentation on file for Facility Person #16 indicates the training was completed more than 24 months after the previous training.

There was no documentation of firesafety training completed in the previous 12 months on file for Facility Persons #4 and #16 Documentation of firesafety training on file for Facility Persons #5, #6 and #7 indicate the most recent training was conducted more than 12 months after the previous training and/or staff start date.

There was no documentation of current health and safety training on file for Facility Persons #14, employed at the facility more than 90 days.

Facility Persons #1 and #14 were classified as group supervisors. Facility Persons #2 and #3 were classified as assistant group supervisors. There was no documentation on file of the staff persons' education and/or child care experience, required for their respective classifications, on file.

There were no staff evaluations completed in the previous 12 months and on file for Facility Persons #4, #5, #6, and #16.

The daily schedule was not posted in the Pre-K room and room 310.

The agreements on file for children #4 - #9 were not signed by the operator.

The agreements on file for children #5, #6, #8 and #9 did not specify the fee amount

Copies of the assessments completed in the last 6 months and on file for children # 2, #3 and #4 were not given to the parents, as per staff statement.

The agreements on file for children #4-#9 did not specify the admission date.

The agreements on file for children #4-#9 were the originals.

The birthdate on the emergency contact form on file for child #7 was incorrect.

The emergency contact forms on file for children #2, #5, #6, #7, and #9 did not include the health insurance information.

The emergency contact forms on file for children #6 and #7 did not include the addresses of all release persons listed.

There were no emergency contact forms in the STEM room for children receiving care in that room. There was no emergency contact form in the Toddler 2 room for one of the children receiving care in that room. There was no emergency contact form in the preschool room for one of the children receiving care in that room.

The medical emergency transportation plan was not posted in rooms 308 and 223.

The emergency contact forms and agreements on file for children #1, #2, #3, #4, #5, #8 and #9 were not reviewed and updated by a parent in writing in the previous 6 months.

There was no signed parental consent for emergency medical care for the child on file for children #2 and #7.

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #2 and #7.

There was no signed parental consent for transportation and walks for child #7, who is transported by the facility and takes walks with the program.

There was no verification of age on file for Facility Person #12.

There were no written nonfamily references on file for Facility Persons #1, #2, #12 and #14. There was one written nonfamily reference on file for Facility Person #3.

There was no documentation of current pediatric first aid & CPR training on file for Facility Persons #14, employed at the facility more than 90 days.

Information on how to access the regulations in this chapter electronically was not posted at the facility and the operator was unaware if or how it had been shared with parents of all enrolled children.

There was documentation of 6 of the required 12 hours of trainings for the most recent annual review period on file for Facility Person #7.

The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.

The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.

The operator self-reported that on 11/29/23 at approximately 11:00 AM, Facility Persons #1 and #2 were supervising 10 preschoolers in the Older Toddler room. Staff statements indicate that both staff left the classroom with all of the children except for child #1, who remain in the classroom unsupervised, unknown to Facility Persons #1 and #2. Facility Person #1 stopped with 3 children at the restroom in the hallway, while Facility Person #2 continued with the rest of the group to the gym. Facility Person #1 and the children they were supervising, joined the group in the gym after the children used the restroom. According to staff statements, at approximately 11:30 AM, child #1 was discovered by Facility Person #3 in the classroom unsupervised and was returned to the group.

Facility Person #2 was observed caring for children unsupervised. There was no documentation of completion of pediatric first aid/CPR training on file for Facility Person #2.

There was no record of any fire drills conducted between 7/31/23 and 10/20/23.

The current documentation of pediatric first aid/CPR training on file for Facility Person #1 (12/9/23) was completed after the expiration of the previous pediatric first aid/CPR training documented and on file (5/31/23).

There was no documentation on file indicating that Facility Person #3, employed at the facility more than 90 days, has completed the required preservice health and safety training.

The documentation of pediatric first/CPR on file for Facility Person #3 indicates the training was completed more than 90 days after their start date.

Facility Person #16 was observed to be caring for children unsupervised. Facility Person #16 has not completed the following pre-service training required prior to caring for children unsupervised: approved pediatric first aid and CPR

The current criminal history, child abuse and FBI clearances on file for Facility Person #4 were completed more than 60 months after the previous respective clearances. The current criminal history, child abuse and FBI clearances on file for Facility Person #11 were completed more than 60 months after the previous respective clearances. The current FBI clearances on file for Facility Person #14 was completed more than 60 months after the previous respective clearances. There was no NSOR clearance on file for Facility Person #13, employed at the facility more than 45 days. There was no criminal history clearance on file for Facility Person #15, employed at the facility for more than 45 days.

At approximately 10:35 AM, Facility Person #2 was supervising 11 preschoolers in the hallway.

The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency, as required by federal regulation.

There was no documentation on file of initial emergency plan training on file for Facility Persons #1. #7, #8, and #14. The current emergency plan training documented and on file for Facility Person # 12 was completed more than 12 months after the previously documented emergency plan training.

There was an uncovered outlet on a wall in reach of children in Room 225.In the Library (2) and Younger School Age Room (5), rooms in which care is provided for children under the age of six, uncovered electrical outlets were observed. Additionally, in the Library, five uncovered surge protector outlets were observed. Each of the aforementioned noted areas of concern were located in an area accessible to children in care.

There was a bottle of hand sanitizer at the sink in Room 225, in reach of children.

There was a cleaner in a spray bottle in a cabinet in Room 223, not labeled with the contents.

Emergency phone numbers were not posted in Room 225, the music room, the dance room, the library and the game room.

There was an area of splintered wood on the wall outside of the door to the music room. Cracked, plastic electrical outlet faceplates were observed in the Library (1) and the Gameroom (2). An electrical outlet in the Younger School Age Room was lacking a faceplate, which allowed access to the receptacle terminals. In the Older School Age Room, Stem Lab, and Younger School Age Room, sharp edges were observed on the ends of the metal trays of wall mounted chalkboards. All aforementioned concerns were located in areas accessible to children in care.

There was peeling paint/damaged plaster on the wall beneath the window in Room 221 and on the wall behind a trash can in Room 223, and on a wall behind a chair on Room 226 and on the wall in the Computer Lab.

Several jagged metal pieces of a swingset were observed in an area accessible to children in the outdoor playspace.

There was no protective surface covering under the climbing play equipment in Room 222.

There were four cots used by children in Room 221 not labeled with their names.

The health assessment on file for child #8, a young toddler, was completed more than 6 months prior.

The health assessments on file for children #6 and #7 were completed more than 12 months prior.

There was no immunization record on file for children #5 and #9. The immunization record on file for child #6 did not indicate the child had sufficient doses of the HIB or Hepatitis A vaccines and did not have a current annual flu vaccine. The immunization record on file for child #7 did not indicate the child had sufficient doses of the Hepatitis B or Hepatitis A vaccines and did not have a current annual flu vaccine. The immunization record on file for child #8 did not indicate the child had sufficient doses of the Hepatitis B, DTAP, HIB or Hepatitis A vaccines.

There was an albuterol inhaler and diazepam in a backpack on a table, in reach of children, in the music room.

The current health assessment on file for Facility Person #4 was completed more than 24 months after the previous health assessment on file. The most recent health assessment on file for Facility Person #14 was completed more than 24 months prior. The initial health assessment and TB test on file for Facility Person #6 and the TB test for Facility Person #9 was completed after their start date. There were no initial health assessments on file for Facility Person #9, #13, #15 and #16. There was no documentation of a negative TB test on file for Facility Person #7, #13, #15 and #16.

There was no record of an emergency drill.

A review of the facility's fire drill log indicates that fire drills were recorded as conducted on 5/12/22 and then again on 7/28/22, more than 60 days apart. The information recorded on the log for fire drills conducted on 2/20/23 and 3/24/23 did not include the names of all facility persons participating in the fire drill.

There were no health assessments on file for children #1, #4, #5 and #9, all enrolled more than 60 days.

Documentation on file of the completed updated health and safety training, required to be completed by staff by 12/30/22 was completed after this date by Facility Persons #3. #8, #10, #12, #13, and #17.

The current annual firesafety training documented and on file for Facility Persons #2, #3, #4, and #14, was completed more than 12 months after the previous firesafety training. There was no documentation of current firesafety training on file for Facility Person #12.

Facility Persons #8, #13, and #15 have not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR.

The current mandated reporter training on file for Facility Person #4 was completed more than 60 months after the previous mandated reporter training. There was no documentation that Facility Person #15, employed more than 90 days, has completed mandated reporter training.

There was no documentation on file of the education and/or experience required for the staff classifications for Facility Persons #1, #4, #7, #8, #9, #13, #15, and #16.

The staff evaluation on file for Facility Person #5 was competed more than 12 months after their start date.

The emergency contact form on file for child #4 did not include the physician's name, address and phone number.

The emergency contact forms on file for child #1 did not include the health insurance information.

The emergency contact forms on file for children #1, #3 and #4 do not include the addresses of all release persons.

There were no emergency contact forms present in Room 221 for three of the children receiving care in that room.

The medical emergency transportation plan was not posted in Room 225, the music room, the dance room, the library and the game room.

Emergency contact forms and agreements on file for children #1, #3, #4, #5, #6. #7, and #8 were not reviewed and updated by a parent in writing in the previous 6 months.

There was no signed consent for emergency medical care on file for children #1 and #4,

There was no signed consent for minor first-aid procedures by facility staff on file for children #1 and #4.

There was only one one written reference on file for Facility Person #7. There were no written nonfamily references on file for Facility Persons #9, #13, #15, and #16.

Facility Person #3 was observed to be caring for children unsupervised. Facility Persons #1 and #2 were observed caring for children together in one room unsupervised by any other staff person. Facility Persons #1, #2 and #3 have not completed approved pediatric first aid and CPR training prior to caring for children unsupervised. Facility Person #3 has not completed required health and safety training prior to caring for children unsupervised.

Facility Person #1 has not completed the following required pre-service training within 90 days of their date of hire (see IS Code Sheet):approved pediatric first aid and CPR training.

The FBI clearance on file or Facility Person #1 was completed through the Dept of Education and therefore invalid. The criminal history and child abuse clearances on file for Facility Person #2 were completed more than 60 months after the previous respective clearances on file. The NSOR clearance on file for Facility Person #4 was requested on 12/22/21 and completed on 12/29/21, both documented dates after her start date (See IS Code Sheet). The most recent FBI clearance on file for Facility Person #7 was more than 60 months old. There were no NSOR clearances on file for Facility Person #11 or #13. The child abuse clearance on file for Facility Person #12 was a volunteer clearance and therefore invalid for a childcare position. The NSOR clearance on file for Facility Person #15 was completed on 10/13/21, after her start date. (See IS Code sheet.) The signed disclosures on file for Facility Persons #5 and #8 were not dated. There was no signed disclosure on file for Facility Person #11.

The letter to the parents to explain the emergency plan did not include the plan for a lockdown.

There were two uncovered outlets in the cafeteria.

Emergency phone numbers were not posted in the music room or the dance room near the phones.

There were no tweezers in the first aid kit in Room 108.

There was an area of damaged plaster on the wall above the mirror.

There was no lid on the trash can in the mens's ECDC restroom.

There was a desk in Room 322 with a broken metal handle, creating sharp points/edges. There was a bookshelf in Room 310 with a detached shelf, creating a potential pinch point.

There were 3 thermometers in the refrigerator in Room 225. Two of the three thermometers read 50° F.

The most recent health assessment on file for child #1, a young toddler, was completed more than 6 months prior.

The health assessment on file for child #8 was not signed by a physician, physician's assistant or a CRNP.

The immunization record on file for child #1 did not indicate the child had sufficient doses of the pneumococcal vaccine as recommended by the ACIP for a child of that age. There was no documentation of an annual flu vaccine - recommended by the ACIP - on file for child #4.

There were sample packets of medications including triple antibiotic ointment, aspirin, non-aspirin, not labeled for use by specific children in first aid kids in Rooms 108, 323, and the Art room.

The initial health assessment on file for Facility Person #3, dated 1/15/20 was not completed in the 12 months prior to the facility person's start date. (See IS Code Sheet.) The updated health assessment on file for Facility Person 3 was completed more than 24 months after the prior health assessment on file.The initial health assessment on file for Facility Person #4, dated 8/30/18 was not completed in the 12 months prior to the facility person's start date. (See IS Code Sheet.) There was no health assessment completed in the last 24 months on file for Facility Person #4. There were no health assessment/TB test on file for Facility Persons #6, #11 and #14. The TB test on file for Facility Person #8, completed on 3/7/22, was completed after Facility Person #8's start date. (See IS Code Sheet.)There was no health assessment on file for Facility Person #13.

The health assessment on file for Facility Person #10 did not include an examination for communicable diseases and the results of that examination.

The health assessments on file for Facility Persons # 1 and #10 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

There were no feeding schedules from the parents of an infant in Room 225 and two infants in Room 226.

There were two infant's bottles in Room 225 not labeled with the children's names.

There was no emergency drill conducted and documented until 2/16/22, more than 12 months after the regulation took effect in 12/19/20.

There was no health assessment on file for child #6, enrolled at the facility for more than 60 days.

The current pediatric first aid/CPR trainings completed and on file for Facility Persons #7 and #9 were not completed prior to the expiration of the previous first aid training. The most recent in-person pediatric first aid/CPR training completed and on file for Facility Person #10 was from 2/11/19 and had expired.

There was no documentation of completion of the required health and safety trainings on file for Facility Persons #6 and #11, both employed at the facility more than 90 days. (See IS Code sheet.)

The files for Facility Persons #5, #8, #11, #12, #15 did not include documentation of the education and/or child care experience required for their respective staff classification.

The current and sole evaluation on file for Facility Person #9 was completed more than 12 months after her start date. The staff evaluation was completed on 1/22/22. (See IS Code sheet.)

There were no agreements on file for children #5 and #7. The agreement on file for child #1 was not signed by the parent. The agreements on file for children #6 and #8 were not signed by the operator.

The agreement on file for child #8 did not specify the amount of the fee to be charged per day or per week.

The agreement on file for child #6 did not include the arrival and departure times.

The agreement on file for child #8 did not specify persons designated by a parent to whom the child may be released.

The agreements on file for children #6 and #8 did not include the admission dates.

The agreement on file for child #6 was the original.

The emergency contact forms on file for children #7 and #8 did not include the health insurance information.

The emergency contact forms on file for children #3 and #8 did not include the addresses of all release persons. The emergency contact form on file for child #6 did not include the last names of all release persons.

The medical emergency transportation plan was not posted in the music room, the dance room, or the cafeteria.

The emergency contact and agreement forms on file for children #1, #6, and #8,and the emergency contact form on file for child #5 were not reviewed and updated by a parent in writing within the previous 6 months. The current agreement on file for child # 3 was reviewed and updated by the parent in writing more than 6 months after the prior review and after 1/6/22, when the suspension of this regulation was lifted.

There was no signed parental consent for emergency medical care for the child on file for children #7 and #8.

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #7 and #8.

There were no nonfamily written references on file for Facility Persons #11, #12, and #13. There was only one written nonfamily reference on file for Facility Person #15.

There was no documentation of in-person pediatric first aid/CPR training on file for Facility Person #6, employed at the facility more than 90 days. (SEE IS Code Sheet). The pediatric first aid training completed and on file for Facility Persons #3, #5, #11, #14 and #15 were completed on 3/16/22, more than 90 days after their respective start dates. (See IS Code sheet.)

There was documentation of only 3 hours of completed child care training on file for Facility Person # 2 during the most recent review year. There were no child care training hours documented an on file for Facility Person #7 for the most recent review year. There was documentation of only 11 hours of completed child care training on file for Facility Person #9 during the most recent review year. There was documentation of only 5 hours of completed child care training on file for Facility Person #10 during the most recent review year. There was documentation of only 7.5 hours of completed child care training on file for Facility Person #11 during the most recent review year.