Start Smart Learning Center

The hot water temperature was 116 degrees at the bathroom sink located in the Toddler Room.

Observed 2 wooden blocks with rough edges in the Preschool Room. Observed a Little Tykes slide with rough edges where a piece had broken off at the top in the outdoor play space.

Observed a changing table in the Infant Room which was not anchored creating a potential tipping hazard.

The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 8/22/24 with a previous one dated 7/26/23.

Staff did not ensure a child's hands were washed before snack in the Infant Room.

The file of Staff #6 lacked a health assessment conducted every 24 months. The file of Staff #6 contained a current health assessment dated 12/2/24 with a previous one dated 2/22/22.

Staff #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 1/27/24 with previous training completed on 1/26/19.

The file of Staff #5, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Emergency contact information was not present in the Preschool Room for children receiving care in the space. Emergency contact information for children in the Preschool Room was in the office.

Staff #4 lacked 2 hours of annual child care training required from December of 2023 through December of 2024. Staff #4 had 1.5 hours of child care training completed on 1/17/25 and 1 hour of child care training completed on 2/6/25 used for correction.

The baseboard heating cover in the corner of the toddler room was observed to be broken, allowing the protective cover to slide and expose the hot pipe.

The facility was observed to have a play kitchen with a loose spigot in the pre-school room, and a blue playhouse in the outdoor play area with a hole broken into the sink exposing a sharp edge.

The file for child #1 was observed to contain an emergency contact form that failed to provide information, if any on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The facility's outdoor play space was observed to lack a posting of the facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Staff persons #1 and #2 admitted that they failed to utilize the T-shaped safety strap, as a result the child fell from the highchair.

Staff person's #10 and #15 were observed to be caring for 9 children in the infant room. Staff person #10 identified being assigned the specific responsibility to supervise 4 younger toddler aged children and one infant aged child. Staff person #15 identified being assigned the specific responsibility to supervise 1 younger toddler aged child and 3 infant aged children. The group assignment as presented by staff person's #10 and #15 places staff person #10 over ratio.

Staff person's #7 and #11 were observed to be caring for 15 Pre-school aged children in the pre-school room. Staff person's #7 and #11 both named and identified 7 pre-school aged children. Each staff person failed to identify being assigned the specific responsibility to supervise one pre-school aged child.

The facility was observed to have 2 plastic bins one containing a doctor kit and one containing Dominos in their Pre-school room that were cracked and broken.

The facility was observed to have medication designated for child #2, however lacked to have a completed medication log for the administration of this medication, as evidenced by an incomplete medication log with only the child's name written on the log accompanying the medication.

The files for staff #1, #2, #3, $4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #15 were observed to lack documentation that the one-hour health and safety training update was completed by December 30, 2002. As evidenced by a certificate of completion dated 01/05/2023 present in the files.

The file for Child #1 was observed to contain an Agreement that lacked to provide details of the services that would be provided to the family and the child.

The file for child #1 was observed to contain and Agreement that lacked to specify the persons designated by a parent to whom the child may be released.

Staff #1, whose start date was 2/28/22, was observed not to have all required provisional hire documents on file at that time. Staff #1 had a NSOR dated 3/1/22.

The file of Child #2 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

The facility was unable to provide a written record that the fire detection system was manually tested every 30 days. The facility provided a written record that the fire detection system was manually tested on 3/1/21, 4/1/21, 5/3/21, 6/1/21, 7/1/21, 7/9/21, 8/1/21, 9/1/21, 10/1/21, 11/1/21, 12/1/21, 1/1/22, 2/1/22, and 3/1/22.

The file of Child #1 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.

The file of Child #3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.