Retikis Open Arms Childcare 2

Staff fire safety training was not conducted annually. The file for facility person #1 included documentation of fire safety training on 5.6.24 with an update on 7.22.25. The file for facility person #2 included documentation of fire safety training on 5.17.24 with an update on 7.23.25.

In the small room across from kitchen (Toddler rm), the written plan of activities did not include times for various activities and routines.

At the time of complaint investigation, cert rep observed 3 young toddlers and 3 older toddlers in the first childcare space. Facility persons #1 and #2 did not correctly identify the children in their primary care groups.

Cert rep observed a visible hole about 2 inches in diameter on the left wall in the front room childcare space. There was also peeling paint by a green table on walls just below the window. There was also a broken floor tile observed to the right of entrance of the facility.

It was observed that food stored in the refrigerator was outdated. Jars of Peanut butter had best buy dates of 3/12/24 & 7/6/2022 and cottage cheese with a best by date of 6/21/23. There was also a BBQ sauce that had spilled all over the outside of the container. It was also observed that baked mac and cheese that was left out on the kitchen counter and left uncovered for more than 45 minutes.

It was also observed that a toaster oven and oil in an original container located on a table which was accessible to children. (CORRECTED ON-SITE)

The file for facility person #3 contained a State Police Clearances dated 6.5.19 with an update on 8.14.24. The State Police clearance for staff person #3 was not updated within the 60 months timeframe required under CPLS.

The facility's parent letter explaining the emergency procedures did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was observed at the time of inspection that the facility did not test the fire detection system every 30 days. The provider (staff #1) tested the smoke detectors on 12.3.23 and again on 1.4.24 (32 DAYS) AND 3.1.24 and again on 4.2.24 (32DAYS) which is greater than the allowable 30 days between testing.

The facility's emergency plan did not contain a Continuity Of Operations plan.

It was observed that emergency telephone numbers were not available in the Infant, Toddler, and School Aged rooms.

Dirt buildup and dead insects observed in the corridor leading to the main bathroom. There were also water-stained ceiling tiles in the Preschool Room. A bag of cement was observed on the floor by the front entrance of the building.

It was observed that facility person #4 did not wash their hands after diaper changing and no hand washing signage was posted at the diapering area.

It was observed that there was no source of running water for handwashing present in the large room by the infant and toddler diapering area.

The file for child #3 did not contain an updated health assessment. The last health assessment on file was dated 3.17.22.

The health assessment on file for child #5 was missing immunization information.

It was observed that the smoke detector in the entrance way by the bathroom area had a 9V battery instead of the required 10 year lithium battery (corrected during inspection).

Staff person #2 completed the mandated reporter training after 90 days of their date of hire (see LIS code sheet). This was evidenced as the date of the mandated reporter training was 7.17.2023.

It was observed that the agreement form on file for child # 5 was not signed by the operator.

It was observed that the fee agreement form on file for child #5 did not contain a fee amount.

According to documentation on file at the time of inspection, a child service report had not been completed every six months during the previous year for child #4. The child service report on file for child #4 was dated July 1, 2022.

It was observed that the agreement form on file for child #5 did not contain arrival & departure times.

It was observed that the agreement form on file for child #5 did not contain an admission date.

It was observed that parents did not receive original agreements. Original agreements were in files for child # 3, child #4, child #5, child #6, child #7, child #8, child #9, and child #10.

The Emergency contact form on file for child #4 and child #6 did not contain health insurance / medical assistance policy numbers.

The Emergency contact form on file for child #3 did not contain the release person's full address.

It was observed that emergency contact forms for school age children were not available in the school age classroom.

The file for staff person # 2 contained State Police Clearances dated 8/9/2017 with an update on 8/12//2022. Clearances for staff person #2 were not updated within the 60 months timeframe required under CPLS. Provider corrected violation on-site.

It was observed that water marks were visible in the toddler bathroom that 1 ceiling tile and another ceiling tile was missing.

It was observed that the operator did not have documentation to support that an emergency drill was conducted annually.

Provider did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The missing policy did not include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health & Safety