Precious Tots Daycare

Staff persons #3 and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Staff person #5 has current mandated reporter training dated 6/24/25, which is more than 60 months after the previous mandated reporter training dated 6/14/20. Staff person #1 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 7/3/20. Staff person #2 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 4/20/20.

The file for staff person #1 did not include a disclosure statement. The file for staff person #3 did not include updated Child Abuse and DHS FBI clearances. The date on both clearances included in the file is 6/20/19.

Staff person #1 did not receive training regarding the emergency plan at the time of initial employment. (See LIS code sheet)

The most recent health assessment for child #3, a young toddler, is dated 7/29/24.

The initial health assessment for child #1 is dated 8/6/2024, which is more than 60 days after the date of enrollment (see LIS code sheet).

The emergency contact information for child #2 and child #3 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 file for child #3 did not include documentation that a parent reviewed and updated the emergency contact information and financial agreement at least once in a 6-month period.

The file for staff person #2 did not include documentation showing the annual completion of 12 clock hours of child care training.

2nd CITATION: Staff person #3's health assessment dated 3/15/24, which was provided as part of a citation correction, had question #2 marked off as 'Yes' to having a communicable disease and additional information describing the condition and the risk it might pose was not provided. PREVIOUSLY CITED ON 2/14/24.

The facility's emergency plan was observed to have not been reviewed annually; the last two reviews were dated 1/28/23 and 2/1/24.

The staff file for Staff person #3 lacked documentation of having received emergency plan training in 2023; training for 2024 is on file.

In the Preschool/School Age room disinfectant wipes labeled 'Keep Out of Reach of Children' were observed on the top shelf of a children's small wooden dress up unit accessible to the preschool age children in care.

The left window in Classroom #2, which is located on the second floor of the facility, was observed to contain modifications to limit the window from opening 6 or fewer inches, however at time of inspection those modifications were positioned to allow the window to open up more than 6 inches.

The first-aid kit in the Infant room lacked soap. The first-aid kit in Classroom #1 lacked soap and gloves.

In Classroom #2 a blue vinyl toddler couch was observed to have part of the fabric on the front left armrest become detached from couch causing it to not be in good repair.

The child file for Child #2, who was a young toddler at the time, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 6/22/22 and 9/8/21.

The child file for Child #1 lacked an updated health report; two health reports are on file, one is dated 12/8/22 and the other lacked a date therefore it cannot be determined if the health report was obtained timely. The child file for Child #3 lacked an updated health report, the most recent health report on file is dated 11/14/22 which is more than 12 months old.

The hands-free covered can that staff self-reported was used for disposing of soiled diapers was observed to lack a plastic lining inside.

The staff file for Staff person #1, contained a current health assessment dated 3/3/22 which was conducted more than 24 months from the previously dated 2/3/20 health assessment on file. The staff file for Staff person #3 lacked an updated health assessment; the most recent health assessment on file is dated 3/11/21 which is more than 24 months old. The staff file for Staff person #7 lacked an updated health assessment; the most recent health assessment on file is dated 2/4/21 which is more than 24 months old.

The staff file for Staff person #1 contained a current health assessment that lacked examination for communicable diseases and the results of that examination.

In the Infant room, one bottle used by an infant in care, was observed to not be labeled with the child's name.

The facility had not participated in an annual emergency drill for 2023; the last documented emergency drill on file was dated 6/15/22.

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: 3/10/23 - 4/10/23 (31 days), 6/9/23 - 7/10/23 (31 days), and 9/8/23 - 10/10/23 (32 days).

The child file for Child #1 and Child #3 contained an initial health report that is dated more than 60 days after initial enrollment. The child file for Child #4 lacked a valid initial health report on file.

Staff person #1 through Staff person #8 contained current fire safety training that was not completed annually; the two most recent fire safety trainings were completed in January 2023 and February 2024.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour Health and Safety training.

The child file for Child #5 contained a financial agreement form that lacked the operator's signature.

The child file for Child #5 contained a financial agreement form that lacked the fee amount.

The child file for Child #5 contained a financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released.

The child file for Child #1 and Child #5 contained a financial agreement form that lacked the child's admission date.

The child file for Child #1 and Child #3 contained an emergency contact information form that lacked the health insurance policy name and/or number.

The child file for Child #1 and Child #3 contained an emergency contact information form that lacked the address and/or phone numbers for the designated release persons listed.

The child file for Child #5 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the date of the last review was on 7/31/23.

The child file for Child #5 contained an emergency contact information form that lacked signed parental consent for emergency medical care.

The child file for Child #1 and Child #5 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

2nd CITATION: The child file for Child #2, Child #3, and Child #4 contained a current health report that lacked a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. PREVIOUSLY CITED ON 2/9/23

The first aid kit located in the infant room was observed to lack scissors.

The child file for Child #1 lacked a flu shot for 2022. The child file for Child #3 lacked an immunization record.

The child file for Child #2 and Child #4 contained a current health report that lacked a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

In the preschool room, a prescription bottle of ADHD medication for Child #5 was observed to be expired as of March 2022.

The staff file for Staff person #1 lacked an updated health assessment; the last health assessment on file is dated 12/29/20 and is more than 24 months old. The staff file for Staff person #2, contained a current health assessment dated 3/10/22 which was conducted more than 24 months from the previously dated 3/9/20 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: 2/11/22 - 3/16/22 (33 days), 5/13/22 - 6/15/22 (33 days), 8/12/22 - 9/14/22 (33 days), 10/14/22 - 11/14/22 (31 days).

The child file for Child #3, was observed to not contain documentation of an initial health report within 60 days of enrollment (See IS CODE SHEET).

The child file for Child #1 and Child #3 contained an emergency contact information form that lacked the health insurance name and policy number. The child file for Child #4 contained an emergency contact information form that lacked the health insurance policy number.

The child file for Child #1 contained an emergency contact information form that lacked addresses for two of the designated release persons listed. The child file for Child #3 contained an emergency contact information form that lacked addresses for five of the designated release persons listed and lacked two phone numbers for the designated release persons listed.

The child file for Child #1 contained an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the date of the most recent review was 2/23/22.

The file for staff #3 had an FBI Clearance date of 1-19-2017 and 2-11-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #2 had a State police Clearance date of 12-19-2016 and 1-21-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #11 hired on 6-1-2019 had a Child Abuse Clearance date of 6-10-2019. Staff #11 was hired without all their clearances and the facility did not have the approved waiver.

The file for staff #3 had an FBI Clearance date of 1-19-2017 and 2-11-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #2 had a State police Clearance date of 12-19-2016 and 1-21-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #5 had a Child Abuse Clearance date of 2-20-2015 and 1-28-2021 which exceeded the allowable 60 months to renew the clearance. The file for staff #11 hired on 6-1-2019 had a Child Abuse Clearance date of 6-10-2019. Staff #11 was hired without all their clearances and the facility did not have the approved waiver.

The file for staff #5 contained a disclosure statement that was not signed by a witness. Therefore, it was not a valid document at the time of hire.

In Classroom #3, a spray bottle labeled " bleach and water" was observed on a low shelf in an unlocked closet and was accessible to children.

In the Toddler and Preschool Room, the first aid kit did not contain gloves.

In the infant room diapering area a sink was observed, but there was no running water.

In Classroom #1 the backing on the top and bottom right side of the white cubby was coming apart and could cause a pinch point.

The file for child #2 whose enrollment date was 8-31-2020 contained a health assessment date of 9-14-2020 and an updated health assessment was not observed in the file.

The file for child #2 whose enrollment date was 8-31-2020 contained a review of the child's immunized status, but has not been updated since 9-14-2020.

The file for child #3 contained a Influenza Vaccine date of 11-20-2020 and has not been updated since.

The file for staff #1 had a health assessment date of 1-31-2019 and 2-4-2021 which exceeded the allowable 24 months for a health assessment. The file for staff #2 had a health assessment date of 2-21-2020 and has not had an updated health assessment since 2-21-2020 which exceeds the allowable 24 months between health assessments. The file for staff#4 had a health assessment date of 2-3-2020 and has not had an updated health assessment since 2-3-2020 which exceeds the allowable 24 months between health assessments. The file for staff #5 had a health assessment date 1-9-2019 and 2-21-2022 which exceeded the allowable 24 months between health assessments.

There was no proof of purchase for the interconnected fire detection system.

The file for staff #3 and staff #7 contained a fire safety training date of 1-18-2021 and 1-29-2022 which exceeded the annual fire safety training date of 1-18-2021. The file for staff #4 and staff #6 contained a fire safety training date of 1-15-2021 and 1-29-2022 which exceeded the annual fire safety training date of 1-15-2021. The file for staff #8 had a fire safety training date of 1-13-2021 and 1-29-2022 which exceeded the annual training date of 1-13--2021.

In the Preschool Room, there was no emergency contact form for child #1 who was being cared for in the room.

All staff listed below have a date of hire prior to 10/19/2020. The file for staff #1, staff#2, staff #5, staff #6, staff #9, staff#10 and staff #11 did not have any of the required 12 clock hours of annual training hours completed by the mandatory training date of 12-19-2021.The file for staff#3 had 2 hours of the required 12 clock hours of annual training completed by the mandatory training date of 12-19-2021. The file for staff #7 had 7 hours of the required 12 clock hours of annual training completed by the mandatory training date of 12-19-2021. The file for staff #4 had 2 hours of the required 12 clock hours of annual training completed by the mandatory training date of 12-19-2021.