Royal Oak Nursery School and Kindergarten

The child abuse clearance (6/10/2020 and 6/20/2025) and NSOR verification certificate (6/10/2020 and 6/18/2025) of staff #1 were updated after the expiration of the prior clearance/certificate.

The disclosure statement of staff #1 was not dated.

The file of staff #1 did not contain an initial health assessment.

Based on conversation with the director, fire drills have been conducted at least every 60 days but have not been documented on the log since 9/5/2024.

Based on conversation with the director, manual testing the fire detection system did occur at least every 30 days but was not documented on the log since 9/5/2024.

The file of staff #3 contained a child abuse clearance dated 7/1/2024 and staff # 4 contained a child abuse clearance and NSOR verification certificated dated 6/13/2024, after their start dates at the facility (see LIS code sheet). An NSOR application was on file for staff #4, but it was not dated.

The facility did not have documentation of emergency plan training for facility person #1, a volunteer, who had been at the facility for more than a year (see LIS code sheet) and facility person #2, also a volunteer, contained documentation of emergency plan training dated 6/27/2024, which was more than 12 months after they started at the facility (see LIS code sheet).

An electrical outlet below the window in the pink Speech Room did not have a protective receptacle cover.

Used plastic cups, contaminated with human secretions, were observed in trash cans without lids in Pre-K B1, L-Shaped Nursery and Kindergarten C1.

Based on conversation with staff, the screen on the floor below a window is used when the window is open. The screen had a hole approximately 2 inches x 3/4 inches and was pulling away from the frame.

The cordless telephone, which was in the L-Shaped Nursery, did not have the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted.

The paint in the lower corner by the exit door in the Gym/Music classroom was peeling.

The sink in the restroom area of the L-Shaped Nursery did not contain a posted handwashing sign.

The file of facility person #2, a volunteer, contained a health assessment dated 9/16/2022 and did not contain documentation of an updated health assessment within the past 24 months. The files of staff #5, #6, #7 and #8 contained health assessments which are dated more than 24 months apart.

The facility did not have documentation of fire safety training for facility person #1, a volunteer, who had been at the facility for more than a year (see LIS code sheet) and facility person #2, also a volunteer, contained documentation of fire safety training dated 6/27/2024, which was more than 12 months after they started at the facility (see LIS code sheet).

The files of facility person #1 and #2 did not contain documentation of completed mandated reporter training and have been volunteering at the facility for more than 90 days (see LIS code sheet).

The first aid kit brought to the pool did not contain scissors or tape.

According to conversations with staff, it was determined in the summer of 2023 that a staff person made statements to a child that singled out the child in the presence of other children.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for children with disabilities and children with chronic medical conditions.

The first-aid kit in the library was in a container on the bookshelf and was accessible to children.

On the wooden fence on the right side of the outdoor play space, there was a loose wooden board with nails protruding out on the front and back sides of the board with sharp edges that were accessible to children.

In the Kindergarten C-2 Room, there were multiple push pins on the wall in multiple areas of the room that had sharp edges and were accessible to children. On the outdoor play space, there was an embedded red car with the back right tire that had a hole with tears that exposed a bolt, and there was a bolt on the left side of the car that was exposed and protruding out. On the outdoor play space, there was a nail protruding out from the bottom of the platform at the back of the bridge on the wooden play structure that had a sharp edge and was a visible hazard. On the outdoor play space on the front slide, the two posts on the right side of the slide each had 3 exposed bolts protruding out from the posts.

The files for child #1, a 3 year old, child #2, a 4 year old, and child #3, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #2, a 4 year old, had an immunization record that lacked documentation of multiple vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

The files for staff person #3 and #5 had a health assessment that exceeded 24 months between assessments.

The file for staff person #2 had a health assessment that lacked an examination for communicable diseases and the results of the examination.

According to the log, the operator did not manually test the smoke detectors in the facility at least once every 30 days on multiple occasions within the last year.

Staff person #4 completed the following required pre-service training on 1-8-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #4 completed the following required pre-service training on 8-26-23 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #1 had mandated reporter trainings dated 2-18-18 and 4-30-23 that were over 60 months between trainings. Staff person #2 had mandated reporter trainings dated 1-25-18 and 6-21-23 that were over 60 months between trainings.

The file for staff person #9, hired provisionally, had an NSOR verification certificate dated 7-1-22 and lacked verification of application for the NSOR verification certificate at their start date to be a provisional hire. The file for staff person #9 had a volunteer child abuse clearance dated 8-17-21 and lacked a child abuse clearance for employment. (See LIS CODE SHEET)

The emergency plan lacked requirements for practice drills and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

In the small room next to the office, there were push pins in a container on the small refrigerator that had sharp edges and were accessible to children.

In the Kindergarten C1 room, the heat lamp on the top of the aquarium was 126° F and was accessible to children.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone on the bottom floor near the main exit.

In the art room next to the office, there was a white cabinet that had the right door that was loose and was coming apart from the hinge. On the large play space, the platform on the play structure next to the wooden bridge had the tops of two nails that were protruding out from the top of the platform near the edge and were a potential hazard.

In the gym, there was peeling paint in one area in the corner near the back door.

The files for staff person #1, #5, and #10 lacked a current health assessment updated within the last 24 months. The files for staff person #3 and #6 had a health assessment that exceeded 24 months between assessments.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

The evacuation routes were not posted on the first and second floors of the facility.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 6-20-22 to 7-22-22.

The file for staff person #4 had pediatric first-aid and CPR training that expired in May 2021 and lacked current training.

Staff person #10 and #11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Staff person #2 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 5-18-15 and 9-10-21. Staff person #3 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 6-18-15 and 9-9-21. Staff person #4 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 6-18-15 and 9-14-20. Staff person #7 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 10-31-16 and 9-3-22. Staff person #8 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 4-9-15 and 6-27-20.

On an excursion swimming at a lake, staff person #1 named 8 children in their group, including both young school-age children and older school-age children, resulting in staff person #1 being out of ratio.

On an excursion swimming at a lake, a first-aid kit was not present with the staff and children at the beach area where they were swimming and their belongings were located.

On an excursion to swim at a lake, the first-aid kit on the bus lacked soap and tweezers.