Nursery Rhymes Child Care Center

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 7/19/24 and 10/24/24.

The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained health reports dated 9/22/23 and 10/4/24.

The file of Child #3 contained a health report dated 10/24/24 which was not signed by a physician, physician's assistant or CRNP.

The file of Child #3, a 13-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #3 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.

Staff did not ensure that a child's hands were washed after being diapered in the Infant/Young Toddler Room. After diapering the child, staff applied hand sanitizer to the child's hands.

Staff did not wash his hands after diapering a child in the Infant/Young Toddler Room. After diapering the child, staff used hand sanitizer.

Observed that a written statement giving the formula and feeding schedule for an infant was not obtained from the parents of some infants in the Infant/Young Toddler Room.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation that local traffic safety authorities were notified on 5/1/24 and 6/2/25.

The file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #1 contained a written evaluation dated 7/30/24 but did not contain one for 2023.

The file of Staff #2, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children.

Child #2 lacked child service reports completed at least every 6 months. Child #2 had service reports completed on 2/26/24, 9/1/24, and 2/12/25.

The emergency contact for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was signed on 8/13/24 and reviewed on 12/3/24.

2nd citation. Previously cited on 7/24/24. On 8/28/24 observed embedded equipment in the preschool/school-age outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

The file of Staff #3 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #3 was not the one updated in 2020. The file of Staff #4 lacked a State Police Clearance and lacked application for the DHS FBI Clearance and National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #4 contained a State Police Clearance dated 11/16/24. The file of Staff #4 contained a fingerprint receipt for the FBI Clearance dated 11/16/23 with an FBI Clearance dated 11/20/23. The file of Staff #4 contained a NSOR request date of 11/16/24 with a NSOR dated 11/20/23. The file of Staff #4 lacked a dated disclosure statement. The file of Staff #6 lacked a dated disclosure statement. The file of Staff #7 lacked a dated disclosure statement. The file of Staff #8 lacked a valid State Police Clearance because it did not have a "disseminated on" date. The file of Staff #10 lacked a dated disclosure statement. The file of Staff #11 lacked a valid Child Abuse Clearance. The file of Staff #11 contained a volunteer Child Abuse Clearance dated 11/12/23. The file of Staff #11 lacked a witnessed and dated…

The files of Staff #4, #6, and #7 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The files of Staff #4, #6, #7 contained no documentation of emergency plan training.

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

On 7/24/24 the hot water temperature at the first sink in the girls' bathroom was 111 degrees. On 7/24/24 the hot water temperature at the 2nd sink in the girls' bathroom was 113 degrees.

On 7/24/24 observed a splintering/cracked board on the 2nd step of the climber in the preschool/school-age outdoor play space. On 7/24/24 observed rust on the handle of the boat on the climber in the preschool/school-age outdoor play space. On 7/24/24 observed approximately a 4 inch tear on the divider wall in the Toddler 2 Room.

On 7/24/24 observed peeling paint on the handle of the boat on the climber in the preschool/school-age outdoor play space.

On 7/24/24 the sink in the Toddler 1 Room did not have platforms or steps to be easily approached.

The 2nd sink in the bathroom located by the kitchen area lacked a handwashing sign. The 2nd sink in the girls' bathroom lacked a handwashing sign. The sink in the boys' bathroom lacked a handwashing sign.

On 7/24/24 observed 3 torn rest mats with exposed foam in the Preschool Room.

On 7/24/24 observed embedded equipment in the preschool/school-age outdoor play space with approximately 1 inch of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

On 7/24/24 observed 2 foam blocks with bite marks in the Preschool Room.

On 7/24/24 observed a dramatic play cabinet which was not anchored creating a potential tipping hazard in the Preschool Room.

The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a health report dated 9/22/23 with a previous one dated 8/18/22.

Staff indicated they are not washing mobile children's hands until the age of 2 with running water before meals and snacks, after toileting, and after being diapered.

The facility created an emergency drill log, but it did not address the names of facility persons, special accommodations the facility used for any category of children, and the total number of adults and children participating in the drill

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

Staff #3 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification on file was dated 9/15/21.

The file of Staff #9 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #9 contained documentation of fire safety training being conducted on 6/12/24 with previous training conducted on 8/17/22.

Staff persons #2, #5, #7, #9, #10, #11, and #12 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The files of Staff #8 and #9 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The files of Staff #8 and #9 did not contain evaluations.

The file of Staff #1 contained a Bachelor of Arts degree, but the file did not contain documentation if the degree was in early childhood education, child development, special education, elementary education or the human services field.

The files of Staff #4 and #11, who were designated as an assistant group supervisors, lacked documentation of 2 years experience with children.

The files of Children #1, #2, #3, and #4 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission. Child #1 had an admission date of 9/5/23 with an emergency contact form signed on 9/8/23.

The agreement for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's agreement was signed on 5/24/23 and reviewed on 12/7/23 and 6/17/24. The emergency contact and agreement for Child #4 were not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed on 5/24/23, 12/7/23, and 6/6/24. Child #4's agreement was reviewed on 5/24/23, 12/7/23, and 6/3/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact t was reviewed on 5/23/23, 12/7/23, and 6/4/24. Child #5's agreement was reviewed on 5/23/23 and 12/7/23.

The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. Child #1 had an admission date of 9/5/23 with an emergency contact form signed on 9/8/23.

It was observed that an agreement was not on file at the date of enrollment. Child #3's date of admission was 1/8/24 with an agreement dated 1/10/24.

Tape was observed to be missing from the facility First Aid Kit in Nursery 1.

It was observed in the bathrooms located by the kitchen the left stall and right stall toilets had exposed bolts.

The red shed in the outdoor play area was observed to be infested with bees on the left side door.

The agreement on file for Child #1 was observed not to specify the date of the child's admission.

It was observed on the day of inspection that the office door was not locked containing the child's files.

It was observed that the outdoor shed had exposed nails on the left corner of the double doors.

The toilet in the back bathrooms near the kitchen area lacked a hand washing sign. It was also observed that the boys bathroom in the hallway lacked a hand washing sign.

It was observed a cracked compost bin located in the outdoor play area, exposing children in care to rough edges, sharp corners and pinch and crush points.

The health report on file for children #2, #3, #4 did not contain documentation of an influenza shot being administered within the last year in accordance with the recommendations of the ACIP.

The facility fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more than 60 days from 9/14/21 to 12/21/21.

The Emergency Contact form on file for Child #1 was observed not to contain release person's street address number.