Start Smart Learning Center Sankertown

Observed approximately a 4-foot doll house in the School-Age Room which was not anchored creating a potential tipping hazard. Observed a chipped green LEGO base plate and chipped LEGOS in the Preschool Room.

Observed plastic bags in the top drawer labeled "grocery bags" in the Older Toddler Room which were accessible to children who are still placing objects in their mouths. Observed garbage bags in the bottom drawer labeled "garbage bags" in the Older Toddler Room which were accessible to children who are still placing objects in their mouths.

Observed a bottle not labeled with the child's name in the Infant Room.

Observed an electrical outlet which lacked a protective receptacle cover in the 2nd cabinet to the left of the kitchen door in the School-Age Classroom.

Observed Hosta in the fenced outdoor play space.

The Sunroom lacked a first-aid kit.

Observed a dollhouse approximately 4 feet high in the School-Age Classroom which was not anchored creating a potential tipping hazard.

The operator did not post the emergency plan in the facility at a conspicuous location.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed Clorox Bleach and Members Mark Disinfecting Wipes which Indicated "keep out of the reach of children" under the sink in the Preschool Room which were accessible to children. Observed Family Wellness Hand Sanitizer which indicated "keep out of the reach of children" on the cabinet beside the microwave which was accessible to children in the Preschool Room. Observed Purell Hand Sanitizer which indicated "keep out of the reach of children" on the cabinet to the right of the refrigerator which was accessible to children in the Preschool Room.

Observed peeling paint on the deck and posts of the outdoor play space. Observed approximately a 1-inch hole in the drywall to the right of the door leading from the Preschool Room to the 2-year-old Room.

The sink in the Infant Room lacked platforms or steps to be easily approached by children using them

Observed cracked BINGO buttons creating rough edges in the Preschool Room. Observed a cracked bin containing coloring books in the Preschool Room. Observed a wooden block with rough edges and splinters in the 2-year-old Room.

Observed 2 foam letters with bite marks in the Preschool Room. Observed 3 blocks with exposed foam in the 2-year-old Room. Observed 2 blocks with exposed foam in the 1-year-old Room.

Observed two cubbies which were not anchored by the dress up area in the Preschool Room creating a potential tipping hazard. Observed a small cubby in the corner which was not anchored in the Preschool Room creating a potential tipping hazard.

The file of Staff #1 contained an adult health assessment dated 2/23/24 which did not include documentation of a physical examination.

The file of Staff #1 contained an adult health assessment dated 2/23/24 which did not include an examination for communicable diseases and the results of that examination.

The file of Staff #1 contained an adult health assessment dated 2/23/24 which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The Director provided documentation that the hypothetical location for the fire on 12/15/23 and 1/2/24 was the utility closet.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/1/23, 11/4/23, 12/1/23, 12/15/23, 1/1/24, 1/2/24, 2/1/24, 2/16/24, 3/1/24, 3/18/24, 4/1/24, 4/30/24, 5/1/24, 5/11/24, 6/1/24, 6/4/24, 7/1/24, 7/29/24, 8/1/24, 8/14/24, 9/1/24, 9/27/24, 10/1/24, and 11/1/24.

Emergency contact information for Child #2 did not include the complete work address of the enrolling parent.

It was observed that an agreement was not on file at the date of enrollment for Children #1. Child #1's date of admission was 6/10/24 with an agreement dated 8/14/24.

The first-aid kit in the facility's Pre-School room was observed to contain all required items except sterile gauze pads.

Staff person #1 was observed diapering an infant and failed to wash the infant's hands once the diapering was completed.

The file for child #1 was observed to contain an agreement that did not specify the person designated by a parent to whom the child may be released.

The facility was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space (Infant room, 1 year old room, 2-year-old room, Pre-school room).