Smartkids Child Care and Learning Center

The file for facility person #1, a volunteer, lacked an NSOR clearance.

The file for staff #1 contained a disclosure statement which was not dated.

Two first aid kits were accessible to children. In the gym, a first aid kit was in a backpack observed sitting on the floor. In the outdoor play space, a first aid kit was in a backpack observed sitting on a storage box. In both instances, children were present in the play space.

Two separate cribs in use in the infant room lacked 2 feet of space on three sides. Both were blocked on one side by empty cribs. One of the two also had equipment, including a Bumbo seat, blocking an additional side of the crib.

Expired epi pens, labeled for child #1, were observed in the preschool room. The box label stated expiration 11-2024.

Staff #2 did not complete training in topics 1-9 within 90 days of hire. Prior to hire, Staff #2 completed health and safety training on 12/13/21, however, the required 1-hour update (or equivalent) was not completed within 90 days of hire at the facility. The revised version was completed on 12/09/24. Staff #2 now has complete health and safety training on file. (SEE LIS code sheet)

Upon arrival at the facility, at approximately 9:25AM, staff #1 was observed walking down the hall to the gym. Upon entering the gym, the certification representative observed staff #1 and staff #2 with 7 children; 2 older toddlers and 5 young toddlers. When asked, staff #1 stated she had left the gym to retrieve supplies from the classroom which resulted in staff #2 being over ratio with all 7 children under their supervision in the gym.

The file for staff #1 contained a state police clearance applied for on 8/29/24 which is after their date of hire. (SEE LIS CODE SHEET).The file for staff #6, observed caring for children unsupervised, lacked a completed NSOR clearance and lacked a copy of the application for the NSOR clearance.

The facility's letter to parents explaining the emergency procedures did not include details regarding accommodations for infants and toddlers, lockdown procedures, and communication with parents during and after the emergency.

Stained ceiling tiles were observed in the following rooms; 1 in Toddler 2, 1 in the restroom of toddler 3, and 4 in the gym.

Visible feces smears were observed on a toilet and toilet seat in the boy's restroom.

Dried food and other soiling was observed on the mirror in the infant room. The mirror is mounted on the wall, low to the floor, and accessible to children. Two pieces of broken Lincoln logs, with sharp ends, were observed in the school age room.

The file for child #1 contained consecutive health reports dated more than 12 months apart; 11/14/22 and 10/31/24. A current health report is now on file.

The file for staff #2 contained consecutive health assessments dated more than 24 months apart; 7/21/22 and 10/24/24. The file for staff #5 did not contain a current health assessment. The most recent health assessment on file for staff #5 was dated 9/26/22.

Staff #2 and #5 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Both staff previously completed the training in 9/2022 and renewed the training in 10/2024.

The file for staff #3, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the hours of experience required for the position.

Written plans of daily activities were not posted in the school age and older toddler rooms.

The emergency contact form for child #1 lacked the address for the child's physician or source of medical care.

The emergency contact form for child #3 did not include the health insurance policy number for the child.

The emergency contact form for children #1 and #2 lacked phone numbers of the individuals designated by the parent to whom the child may be released.

Staff #4 did not complete training in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training was dated 3/13/24. (SEE LIS CODE SHEET)

The file for staff #2 contained an expired FBI clearance dated 9/11/18. The file contained an application for a new FBI clearance, however the completed clearance was not present.

Two outlets on a power strip in the preschool room lacked protective covers. The outlets were accessible to children 5 years of age or younger.

Purell hand sanitizing wipes were accessible to children in a low bin near the supply cabinets of the preschool room. Lysol wipes were accessible to children in the Toddler 3 room under the restroom sink in an unlocked cabinet.

A cordless phone observed in the preschool room lacked emergency phone numbers.

A detached binding was observed on a floor covering under the table in toddler 3. The detached binding created a loop resulting in a tripping hazard.

A broken red plastic bin was observed in the preschool room. A wood framed tambourine with cracked and splintering wood was observed in toddler 3.

An inhaler, which was not labeled for use by a specific child, was observed in the medication cabinet in the preschool room. The medication was intended for child #3.

An expired Epi Pen was observed in the medication cabinet in the school age room. The medication expired Sept 2023 and was labeled for child #4.

An inhaler, which lacked written parental consent for administration, was observed in the medication cabinet in the school age room. The inhaler was labeled for child #4.

Two lunches, containing yogurt, cheese sticks and a yogurt smoothie, were observed on the counter in the preschool room.

The facility lacked a written statement from the parent giving the formula and feeding schedule for an infant observed in care, child #5.

The file for staff #3 contained documentation of consecutive fire safety trainings dated more than 12 months apart. The trainings were dated 9/27/22 and 11/08/23.

The file for staff #1, designated as the director, lacked documentation of experience with children.

A written plan of daily activities was not posted in the infant room.

The files for child #1 and #2 lacked documentation of sharing the child service reports with the parents.

The agreement for child #1 did not specify the date of the child's admission.

The emergency contact form for child #2 did not include the telephone number of the child's physician or source of medical care.

Emergency contact forms were not present in the infant room for the two children observed in care.

On 3/30/23 at approximately 9:45AM, child #1 was not supervised when the child was able to obtain a pair of scissors from the craft area and take them to the block area. Due to the positioning of Staff #1 and the placement of the equipment in the preschool room, Staff #1 was unable to supervise Child #1. Child #1 used the scissors to accidentally cut their tongue and required 3 stitches.

On 3/30/23, blue blunt-tip Colorations brand scissors, which based on the manufacturer's instruction are intended for use by children 5 and up, were accessible to children in the preschool room.

The file for staff #1 contained an FBI clearance dated after their first day in a child care position (SEE LIS CODE SHEET). The certificate was dated 4/29/22. The file did not contain the application for the FBI clearance. The file for staff #2 contained a DOE FBI clearance dated 8/16/2020 instead of the required DHS FBI, therefore the clearance is invalid. The file for staff #3 contained a DOE FBI clearance dated 8/27/21 instead of the required DHS FBI, therefore the clearance is invalid.

Rust was observed on the door to The girls restroom. The rust was located around the door handle and on the base of the door. A sharp pointed metal clip was observed on the fence of the outdoor play space.

Split seams, which left the inner foam padding accessible to children, were observed on the changing pad in the older toddler room.

Cracks which created sharp edges and pinch points were observed on a blue plastic sink basin and a plastic storage drawer in the preschool room. A protruding nail head was observed on the front of the wooden play sink in the preschool room.

Cracks were observed on the seat of red adult chair in the infant room. The cracks exposed the inner foam padding of the seat leaving it accessible to children.

Based on the facility's fire drill log, consecutive drills documented on 1/10/22 and 3/30/22 were conducted 79 days apart.

The file for staff #1, designated on the staff data sheet as an assistant group supervisor, did not contain documentation of the qualifications required to perform the position.

The file for child #1 contained emergency contact information which did not include the work address and telephone number of the enrolling parent.

The file for child #1 contained emergency contact information which did not include health insurance coverage and policy number for the child.

The emergency contact information for child #3 was not present in the infant room where the child was observed in care.

The file for child #2 contained emergency contact information and a financial agreement which have not been updated by the parent in over 6 months. The last documented update occurred in January 2022.

The file for Staff #1 contained State Police Clearances dated 5.20.16 and 6.1.21, and FBI clearances dated 5.31.16 and 6.7.21, which exceeded the 60 month renewal requirement.

The file for Staff #2, with a date of hire of 9.20.21, contained documentation of emergency plan training on 10.2020, which exceeded the 1 week requirement.

The file for Staff #3 contained Health Assessments dated 5.22.17 and 6.20.19, which exceeded the 24 month requirement.

A large, wooden, unanchored, playhouse structure was located on a wooden shelf, accessible to children, and posed a falling hazard.

The lock on the kitchen, half-door was broken, permitting access to children in care, where the following toxics were located in an unlocked cabinet: Clorox bleach, SaniDate Surface Sanitizer, and First Force Degreaser.

The water temperature, from the restroom sink used by children, in the Toddler #2 room, measured 115° F.

The desk and wall area behind the computer center, in the School-Age room, was not clean, as it was dusty, and was accessible to children in care. In the outdoor space, standing water was present on the blue chair, on the cover of the plastic sand table, and on the blue plastic table, creating an illness hazard. One (1) ceiling tile in the gym was unsecured, which created a falling hazard for children in care.

The toilet in the Toddler #2 room, which is currently not being used by children, was unclean as evidenced by black particles in the water.

The urinal in the boys', hall restroom, was not working properly, as it required two (2) flushes after each use.

No handwashing sign was present at one (1) toilet and one (1) sink in the Toddler #1 room. No handwashing sign was present at one (1) toilet in the girls', hall restroom.

Several pieces of the "star peg" building toy were cracked, creating a scraping/cutting hazard, in the School-Age room, and was accessible to children in care. A pink, toy crib, was broken, as it was missing one (1) of the four (4) legs, in the School-Age room, and was accessible to children in care. A green, cacti-looking plastic structure was broken, creating a scraping hazard in the outdoor space, and was accessible to children in care. A broken, large, plastic puzzle piece, in the outdoor space, created a pinching hazard, and was accessible to children in care.

Seven (7) animal gel, window clings, located on the door window of the Toddler #2 room, were able to be torn, and had a diameter less than 1", creating a choking hazard.

Two (2) refrigerators, in the kitchen, had thermometers which were not operating properly, as demonstrated by a recheck with a different thermometer.

A bottle of Tylenol, located in a locked medicine box in the Toddler #1 room, was not labeled with a name.

Following a diaper change, Staff #1 did not wash the infant's hands in the Infant room.

In the Infant room, following a diaper change, Staff #1 used the same sink to wash her hands as is used to make infant formula.

The Health Assessment in the file for Staff #1, signed by the CRNP/physician, indicated that this staff member is not suitable to provide child care.

Following a diaper change in the Infant Room, Staff #1 entered the diaper change on the computer app and moved a toy, prior to washing her hands.

Bartlett pears, which were purchased the previous day, were located on the counter by the sink in the Early Head Start room, and they were not refrigerated.

The Agreement in the file for Child #1 did not contain the release person(s)' information.

The Agreement in the file for Child #1 was the original, which was not provided to the parent.

An emergency transportation plan was not located in the Toddler #1 room, which is currently not occupied by children.