ST Vincent Child Care Center

The file for staff person #4 contains current NSOR verification that was received after the previous NSOR expired as evidenced by NSOR verifications dated 3/13/2020 and 3/18/2025. The file for staff person #5 contains a current child abuse clearance that was received after the previous child abuse clearance expired as evidenced by child abuse clearances dated 3/16/2020 and 3/19/2025. The file for staff person #6 contains current NSOR verification that was received after the previous NSOR expired as evidenced by NSOR verifications dated 2/5/2020 and 3/5/2025 and contains an updated criminal history clearance that is in 'pending' status and is therefore not valid and a previous criminal history clearance that expired 5/28/2025.

Observed a shamrock plant accessible to children on a shelf in the preschool room. The shamrock plant is identified as toxic to humans.

The bathroom in the Toddler classroom was missing a handwashing sign posted by the toilet.

The file for staff person #9 contains a current health assessment but is lacking a health assessment at the time of initial service. The files for staff persons #3,4,7 and 8 contain current health assessments that were completed greater than 24 months after the previous health assessment.

The file for facility person #7 contains a current health assessment that is lacking statements from the physician regarding communicable disease and suitability to provide child care.

The files for staff persons #1,2,3,4, 6,10,11,12, 13 and 14 contain current PFA/PCPR training completed after the previous training expired as evidenced by trainings dated 2/15/23 and 3/7/25.

Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PFA/PCPR through a PQAS approved curriculum and trainer.

The file for staff person #9, hire date (see IS code sheet) contains Health & Safety training completed greater than 90 days after hire as evidenced by the training certificate dated 12/30/2024.

The file for staff person #5 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 12/18/2019 and 12/23/2024.

The file for staff person #2 contains only 8 of the required 12 annual child care training hours completed during the year 12/2023 to 12/2024.

The file for staff person #1, hire date (see IS code sheet) contains an NSOR verification that expired 1/27/2025 and is lacking a current NSOR verification.

The file for staff person #1, hire date (see IS code sheet) is lacking a health assessment at initial hire as evidenced by the only health assessment on file dated 2/19/2025. The file for staff person #2, hire date (see IS code sheet) is lacking an initial health assessment.

The file for staff person #1, provisionally hired (see IS code sheet), is lacking documentation of a request for the NSOR prior to caring for children as required by CPSL for provisional hire in a child care facility. The file does contain a completed NSOR verification.

The file for child #1, preschool aged, contains only 3 of the required 4 DTAP and pneumococcal vaccinations as required by the ACIP immunization schedule. Child #1 must be removed from care until updated vaccinations, or an exemption letter is obtained.

The file for staff person #2 contains a current health assessment that was obtained greater than 24 months after the previous health assessment. The file is now current. The file for staff person #3 is lacking a current health assessment completed during the previous 24-month period.

There was no documentation of the updated health and safety training on file for Facility Person #1. Facility Person #4 was observed supervising a child in the preschool room. The only other facility person in the room with her was a volunteer. Facility Person #4 has not yet completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and CPR.

The NSOR clearance completed and on file for Facility Person #3, was dated more than 45 days after their start date. (See IS code sheet). The current FBI clearance on file for a Facility Person #5 was completed more than 60 months after the prior FBI clearance on file. The most recent mandated reporter training on file for Facility Person #5 was completed more than 60 months prior.

Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

An infant was observed asleep a boppy pillow on the floor in the Infant 1 room, not in rest equipment.

Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

An infant was observed asleep a boppy pillow in the Infant 1 room, not in the position recommended by the AAP

The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency.

There was no letter explaining the emergency plan to the parents.

There were toxics -- a disinfectant spray and disinfectant wipes - accessible to children in the Toddler 1 room in an unlocked cabinet under the sink, due to a faulty lock.

There was no gauze in the first aid kit in the Toddler 2 room.

There was no documentation of a current influenza vaccine, or a required written exemption on file for child #2.

There was no health assessment on file for Facility Person #4.

Documentation of fire alarm testing indicates testing occurred on 12/13/22, then next again on 1/17/23, and also on 5/9/23 then next again on 6/9/23. Smoke detector testing, under Act 62 is required at least every 30 days.

The agreement on file for child number one did not specify the child 's arrival and departure times.

The emergency contact forms on file for children #3 and #4 did not list the addresses for all release persons.

The most recent parent update of emergency contact forms on file for children #1-#5 were reviewed and updated by the parent more than 6 months after the previous review.

Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

Based on interviews with facility director and staff, it was verified that on 8/5/22 at approximately 12:00 PM, Staff Person #1 used harsh abusive language in the presence of children when Staff Person #1 made the statement "I'm going to body slam Child #1", who was pushing on the screen of an open window in the Todd 2 Room. This was directed toward Staff #2 who was working in the Todd 2 Room, and this statement could be heard by children whom Staff Person #1 was supervising in the play space directly outside the Todd 2 Room.

Based on interviews with staff, it was verified that Staff Person #1 has restrained Child #2 by holding the child in Staff Person's lap with Staff Person's arms around the child's waist to restrict movement when the child was lashing out. This happened on more than one occasion between June 1 and August 5, 2022. Based on conversations with Staff and Director, other behavioral strategies were in place for this child, and if these strategies were not effective, child was to be brought to the office.

Based on interviews with facility director and staff, it was verified that on 8/5/22 at approximately 12:00 PM, Staff Person #1 used harsh abusive language in the presence of children when Staff Person #1 made the statement "I'm going to body slam Child #1", who was pushing on the screen of an open window in the Todd 2 Room. This was directed toward Staff #2 who was working in the Todd 2 Room, and this statement could be heard by children whom Staff Person #1 was supervising in the play space directly outside the Todd 2 Room.

The criminal history clearance on file for Facility Person #3 was completed more than 60 months after the previous criminal history clearance on file. The most recent child abuse clearance on file for Facility Person #3 was completed more than 60 months prior. The criminal history, child abuse, and FBI clearances on file for Facility Person #4 were each completed more than 60 months after the respective previous clearance on file. The NSOR clearance on file for Facility Person #5 was completed more than 90 days after their start date (see IS code sheet). The NSOR clearance on file was dated 3/14/22.

There were knives and sharp scissors in a drawer in the preschool room, unlocked and in reach of children.

There was no documentation of an emergency plan update after December 2020.

There were cleaning supplies including a disinfectant, spray and Clorox wipes accessible to children in the Toddler 2 room in a cabinet under the sink due to a faulty lock.

There was mulch in the older toddler outdoor playspace,.

The most recent health assessment on file for child #1, an infant, was completed more than 6 months prior.

The most recent health assessment on file for child #3 was completed more than 12 months after the previous health assessment on file.

The immunization record on file for child #1 did not indicate the child had the sufficient number of doses of the pneumococcal and DTAP vaccines as recommended by the ACIP for a child of their age.

In the medication box in the office, there was a bottle of acetaminophen labeled "extra," rather than with a particular child's name.

The TB test on file at hire for Facility Person #1 was completed more than 12 months prior to their start date There was no TB test documented and on file for Facility Person #2.

There was no written feeding schedule form the parent for one of the enrolled infants.

The fire drills documented on the facility's fire drill log indicate fire drills were conducted on 10/11/21, and then not again until 12/16/21; and also on 4/12/22 and again on 6/23/22. More than 60 days passed between fire drills on these two occurrences.

The fire drill log on file at the facility did not specify the hypothetical location of the fire. for all drills.

Facility Person #5 has not completed the following required pre-service training within 90 days of their date of hire (see iS code sheet): acceptable pediatric first aid and CPR

Facility Person #2 was classified as an assistant group supervisor without the required education and/or experience required under 3270.36(b).

Original agreements were on file for children #1-#4.

There was only one written, nonfamily reference on file for Facility Person #2.

Information on how to access the regulations in this chapter electronically was not posted, and according to the operator, not yet shared with all parents.

There was documentation of 10 hours of child care training completed and on file for Facility Person #3 during their most recent review year. There was no documentation of any child care training hours completed during the most recent review year on file for Facility Person #4.