Project Destiny Early LRNG CTR at Ccac/Byers Hall

The file of staff #1 contained NSOR verification certificates which were dated more than 60 months apart (1/3/2020 and 5/7/2025).

In the preschool classroom, the surge protector on the shelf, accessible to children under the age of 5 years, did not have a protective cover on one of the electrical outlets.

The first aid kit in the preschool classroom did not contain soap.

In the outdoor play space, plastic lattice creating a barrier from a metal unit was cracked in one area exposing the children to sharp rough edges.

The vinyl on the teacher chair in the Language Lab, which was accessible to children placing objects in their mouths, was peeling and flaking. The peeling pieces and flakes were less than an inch in diameter.

The file of child #3, a preschool age child (see LIS code sheet) contained a health assessment dated 11/17/2023 and file of child #5, identified as a preschool age child (see LIS code sheet), contained a health assessment dated 4/8/2024, but neither child contained an updated assessment within 12 months of the prior assessment.

The immunization record of child #2 lacked documentation of 1 OF 2 Hep A vaccinations as recommended by the ACIP

The file of child #1, enrolled for more than 60 days (see LIS code sheet), did not contain documentation of administered immunizations.

The first aid kit in the Steam classroom contained a packet of aspirin which was not labeled with the individual for whom it was intended.

In the kitchen, the following medications were observed to be expired: Children's Motrin with an expiration date of 11/2024 and an albuterol inhaler with an expiration date of 8/2024

The file of staff #3 contained a current health assessment dated 5/1/2025, which was updated more than 24 months from the previous assessment dated 10/14/2022.

The current inspection of the fire detection system was dated 9/15/2024, which was more than 12 months from the previous inspection dated 8/29/2023.

The file of child #1, enrolled for more than 60 days (see LIS code sheet), did not contain an initial health assessment. The file of child #4 contained a health assessment dated 5/3/2024, which was more than 60 days from their start at the facility (see LIS code sheet).

Documentation of written evaluations by the director for staff #1, employed for more than 12 months (see LIS code sheet), were not present at the time of the inspection. The annual evaluations of staff #2 were dated more than 12 months apart (11/20/2023 and 12/10/2024).

The emergency contact form of child #3 did not contain the work address and work telephone number of the enrolling parent.

The emergency contact form of child #1 did not contain 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 or documentation this is not applicable to the child.

The emergency contact form of child #3 did not contain the addresses of the persons designated by the parent to whom the child may be released.

The file of staff #1 contained documentation of a name-based search on a national sex offender website but did not contain the required NSOR verification certificate confirming their name search on the National Sex Offender Registry.

Upon arrival at approximately 10:00 am, staff #1 was also arriving at the facility. Staff #1 had rang the doorbell to be let into the facility. Shortly after, staff #4 opened the door and quickly ran back to the classroom where they were caring for 10 children between 3 to 5 years of age. Staff #4 leaving the classroom created a staff to child ratio of 0:10.

Upon arrival at approximately 10:00 am, staff #1 was also arriving at the facility. Staff #1 had rang the doorbell to be let into the facility. Shortly after, staff #4 opened the door and quickly ran back to the classroom where they were caring for 10 children between 3 to 5 years of age. Staff #4 leaving the classroom to answer the door left those 10 children unsupervised. At approximately 10:12 am, staff #4 left the preschool classroom to answer the door. When they left, staff #1 was standing in doorway of the other entrance while 2 children were across the hall in the restroom and 8 children were in the classroom.

Documentation of emergency plan training for staff #2, a contracted staff from Child Care Careers, was dated 2/1/2024, which was more than 90 days from staff #2 starting at the facility.

A handwashing sign was not posted at the portable sink in the toddler classroom.

A cracked and broken blue character figurine, which had rough edges, was on the ground in the outdoor play space.

In the toddler room, two children were coloring with markers and the marker caps were attached to the end of the marker. The removable caps are less than an inch in diameter. Also in the toddler room, foam blocks on the shelf contained teeth marks. The marker caps and foam blocks were accessible to children still placing objects in their mouths.

The current health assessment of child #1, identified as a preschool age child, was dated 5/2/2024 which was more than 12 months from the prior which was dated 3/3/2023.

The file of child #2, enrolled for more than 60 days (see coded LIS sheet) did not include documentation of administered immunizations or Documation of an acceptable exemption.

In a chair in the main classroom, the purse of staff #1 was observed on the chair. When asked if the purse contained medications, staff #1 opened the purse and a bottle of ibuprofen was in the purse. The purse containing medication was accessible to the children on the chair.

The facility emergency plan did not include accommodations for toddlers.

The documentation of the fire drill conducted on 4/29/2024 did not include the number of children who participated in the fire drill.

The file of child #2, enrolled for more than 60 days (see coded LIS sheet) did not contain an initial health assessment.

Documentation of the past 2 evaluations for staff #3 were dated 6/2022 and 11/20/2023 which was more than 12 months apart.

The financial agreement of child #4 did not contain the arrival and departure times of the child.

The file of child #3 contained the original financial agreement.

The emergency contact form of child #2 did not contain the telephone number of the child's physician.

The emergency contact form of child #1 did not include the home or work address and work telephone number of an enrolling parent and the form of child #3 did not contain the work address or telephone number of the enrolling parent.

The emergency contact form of child # 1 did not contain 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 or documentation this is not applicable to the child,

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted int he toddler classroom.

The emergency plan did not include a contingency plan or contingency fund which can help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency strikes the area.

An adult pair of scissors were accessible to children in a craft bin on a shelf in the main classroom.

Documentation of the initial emergency plan training for facility person #1 was dated 2/3/2023, which is more than 90 days from their start date at the facility (see coded LIS sheet).

The first-aid kit in the STEAM classroom did not contain soap.

The toilet in the second stall of the boy's restroom did not contain a posted handwashing sign.

The health assessments of child #1, identified as a preschooler, were dated more than 12 months apart (9/27/2021 and 11/17/2022) and the health assessments of child #4, also a preschooler, were dated 4/16/2021 and 4/26/2023, more than 12 months apart.

An expired EpiPen (expiration date of 1/2023) and expired Triamicinolone Ointment (expiration date of 1/2022) were stored with the children's medication in the kitchen cabinet.

The file of facility person #1 contained an initial health assessment dated 4/23/2021, which was more than 12 months prior to their start date (see coded LIS sheet).

The file of facility person #1 contained a tuberculosis screening dated 4/9/2019, which was more than 12 months prior to working at the facility (see coded LIS sheet).

The health assessment of child #3 was dated 3/29/2023 and the health assessment of child #5 was dated 4/7/2023, both more than 60 days after their start date at the facility (see coded LIS sheet).

The file of child #1, enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided and child #4 contained the documentation, however it exceeded 6 months (2/20/2023 and 2/23/2022).

The emergency contact form of child #4 did not contain the address of the child's physician.

The emergency contact form of child #4 did not contain the work address and work telephone number of the enrolling parent.

The emergency contact information of child #2 did not contain 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 or documentation this is not applicable to the child.

The emergency contact form of child #1 did not contain the address of one of the individuals and child #3 did not contain any addresses for the individuals designated by the parent to whom the child may be released.

An electrical outlet was not covered with a protective receptacle cover by the stove in the play kitchen area.

Suave hand sanitizing spray, labeled "keep out of the reach of children," was on the table accessible to children. Based on conversation with the facility person, their purse on the floor, under the table, contained adult medication and was accessible to children.

In the boy''s and girl's restrooms, toilets used by the children contained protruding bolts from the base of the toilet which could cause injury to a child if stepped on.

The handwashing sign in the boy's and girl's restroom was between the 2 sinks Each sink did not contain its own handwashing sign.

A green lid containing chalk in the main classroom was cracked. The Language Lab classroom had 2 trays, which were stored with the Play-doh, which were cracked. In the outdoor play space, 2 small climbers were cracked on the deck children use to slide down the slide.

The health assessment of child #2 was not current.

Documentation of the influenza vaccination of child #3 was not current.

The first aid kit in the STEAM room and in the Main room contained alcohol pads and burn cream not labeled for the use of an individual child.

The file of child #1 contained the original financial agreement.

The emergency contact information of child #4 did not contain the address of the child's physician.

The emergency contact information of child #1 and 3 did not contain the work address and work telephone number of the enrolling parent.

The emergency contact information of child #2 and 4 did not address 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 or documentation it was not applicable to the child.

The emergency contact information of child #2 did not contain the address of one of the release persons identified by the parent to whom the child may be released.

The file of child #1 did not contain signed parental consent for emergency medical care for the child.

The file of child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.