Rainbow Learning Center

When asked about hand washing in the Older Infant Room, Staff Person #2 said that uses wipes in lieu of washing the children's hands after diapering.

The file for Staff Person #1 did not include documentation of 12 clock hours of annual childcare training. Documentation of 3 more hours of training is needed to meet the annual requirement.

Both indoor play spaces (Right Porch and Left Porch), had not been measured, inspected, and added to capacity details as licensed play spaces before using them as such.

Hand Sanitizer, lotion marked "keep out of reach of children", and white out were accessible to children in the front basement (corrected on-site). The cabinet under the sink in the Rainbow Bathroom was not locked and it contained cleaning chemicals that were accessible to the children (corrected on-site).

A spray bottle containing soap and water in the front basement was not labeled with its contents (corrected on-site).

Windows of the 2nd floor child care spaces were able to be opened more than 6 inches (corrected on-site).

Peeling paint was observed on the wall above the sink in the ABC Bathroom.

An Epi-pen for Child #1 located in the front basement, did not include the parent's written instructions and consent to administer the medication.

The fire drill log did not include documentation that the fire system was tested at least once every 30 days. The Director was not able to test the alarm during the inspection.

The Emergency Transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency, was not posted in either of the Gross Motor Rooms (Right and Left Porches).

The file for Staff Person #2 did not include documentation of Emergency Plan training at the time of initial employment at the facility.

Diaper creams and cleaning spray were accessible to children in Room 109 (Young Toddlers). The items were observed in an unlocked cabinet under the changing table.

The files for Child #1 and Child #3 did not include an updated health report within 12 months of the last documented health report. Child #1's physicals were dated 5/13/21 and 8/31/22, which was more than 12 months between them. Child #3's most recent physical was dated 9/20/22, but the one prior did not have a date, so it is unknown if the updated physical was completed within 12 months from the last one.

There was no documentation of the influenza vaccine having been administered in the past year according to the schedule recommended by the ACIP for Child #1.

The files for Staff Person #1 and #3 did not include a health assessment conducted within 12 months prior to their start date.

The file for Child #2 included a health report (8/3/22) that was completed and provided after the initial 60 days of the child's first day of attendance at the facility.

The file for Staff Person #8 did not include the NSOR Clearance Results, which is required prior to the start of employment according to Act 12 of 2022 on Provisional Hiring Practices, which went into effect on 2/17/22. Additionally, the file for Staff Person #8 did not include the FBI Clearance results, which is then required to work alone with children. There was no receipt for either clearance having been sent/processed in the file for Staff Person #8 at the time of the inspection.

The files of Staff Persons #2, #4 and #6 did not include completed (with the date signed) disclosure statements on or before their hire dates.

The files for Staff Persons #4 and #8 did not include documentation of emergency plan training at the time of initial employment. The files for Staff Persons #1, #3, #5 and #6 did not include documentation of annual emergency plan training in the past year.

The Emergency Plan was not posted in a conspicuous location at the facility.

Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted in the 3's Room.

There was no first aid kit located in the 3's Room.

The first aid kit in the Older Toddler Room did not contain soap.

There was no thermometer in the refrigerators located in the kitchen and in the Immobile Infant Room.

The health report documented for Child #1 did not include the date that the health assessment was completed on.

The files for Child #3, #4 and #5 did not include documentation of the influenza vaccine within the past year, according to recommendations of the ACIP.

Staff Person #6 was not ensuring that the children's hands are washed before meals and snacks, after toileting and after being diapered in the Mobile Infants Room. She indicated that she uses wash cloths to clean hands.

The file for Staff Person #2 did not include a health assessment conducted within 12 months prior to her start date.

The file for Child #2 did not include an initial health report within 60 days following the first day of attendance at the facility.

The files for Staff Persons #1, #3, #5 and #6 did not include documentation of Fire Safety training conducted by a fire protection professional within the past year.

The files of Staff Persons #2 and #7 did not include the required Health and Safety training within 90 days of hire. They do not have any documentation of this completed training in their files.

The files for Staff Persons #1, #3, #5 and #6 did not include written evaluations in the past 12 months.

There were no Emergency Contact Forms located in the 3's Room.

The Emergency Transportation and staffing provisions plan was not posted in the 3's Room.

The file for Staff Person #6 did not include an initial health assessment with documented TB results.

The file for Staff Person #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

There was no information provided to parents regarding how to access the child care center regulations or how to contact the regional child care office.

The files of Staff Persons #1 and #6 did not include documentation of 12 hours of annual training.