Pinky Toes Childcare & DVPT CTR

The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 9/10/24 which was conducted more than 12 months from the previously dated 9/9/22 health report on file. The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 6/13/24 which was conducted more than 12 months from the previously dated 5/30/23 health report on file.

The staff file for Staff person #2, contained a current health assessment dated 8/1/24 which was conducted more than 24 months from the previously dated 7/15/22 health assessment on file.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 4/26/24 to 5/31/24 (35 days).

Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expiration date of 4/2024; the certificate on file dated 8/16/23 is an instructor training certificate.

The child file for Child #2 contained a current child service report dated 9/13/24 that was not completed every 6 months from the previous report dated 1/26/24.

At approximately 3:50pm a young school age child was brought into the facility by Staff person #1 and given a snack and child began consuming the snack without having their hands washed.

Child files #2 lacked documentation of influenza vaccination in accordance with the schedule recommended by the ACIP or an exemption from the influenza vaccination in the child's file.

Staff file #1 contained a health assessment dated 2/25/23 that lacked the results of the communicable disease examination.

The operator lacked a section addressing the prevention and identification of Child Maltreatment in their Shaken Baby syndrome, abusive head trauma and child maltreatment policy and procedure to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03.

Child file #2 lacked the fee amount for childcare services on the agreement form.

Child file #1 and #2 lacked the designated release persons on the agreement form.

Child file #1 contained health assessments dated 11/1/21 and 12/7/22 which exceeds the 12 months as required for a preschool age child.

The file for Staff #4 lacked FBI fingerprinting request prior to their first day caring for children and therefore was incorrectly provisionally hired.

At approximately 11:00 am, there were two staff present in the Upstairs classroom with 18 preschool aged children. Staff stated there were two groups of children. The first group of 10 preschool children were all named. The second group of 8 were in the assigned group of Staff #5. Staff #5 stated that she did have 8 children in her assigned group, but was only able to name 7 children, leaving one children unnamed.

The file for Staff #1 contained a health assessment that was conducted more than 24 months after the previous assessment; 5/3/18 and 6/19/20.

Observed the documented smoke detection log revealed that the facility has not been testing the system regularly every 30 days. There were gaps in testing including 12/2/20-1/4/21, 5/20/21-6/21/21, and 7/2/21-8/17/21.

The file for Staff #3 contained Health and Safety training that was not completed within 90 days of hire.

The file for Staff #2 contained mandated reporter training that was not completed within 60 months of the previous training; 6/3/15 and 7/16/20.