Successful Beginnings

Observed a loose sheet in the pack n play used by an infant which created an increased risk for SIDS.

Observed staff file #1, who was hired after 2/1/25, contained a previous version of the disclosure statement which was not the correct version to be used after 2/1/25. Observed staff file #2 contained an updated criminal background clearance and updated child abuse clearance which were dated more than 60 months after the previous valid health assessment.

Observed a set of electrical outlets in the eating area which did not have protective receptacle covers.

Observed gorilla glue in the arts and crafts cabinet.

Observed a trash can in the main room which did not have a lid and contained numerous used tissues.

Observed the emergency numbers were not posted by the telephone in the eating area.

Observed the preschool first-aid kit in the main room was on a low table accessible to children.

Observed exposed bolts on multiple areas on the inside of the outdoor play area fence and on both sides of the entrance/exit gate. Observed excess wire with a rough edge by the gate to the play area. Observed several discolored ceiling tiles in the upstairs preschool room. Observed in the infant area loose cords to the lamp and to the swings which were potential strangulation/entrapment hazards.

Observed a dress up cabinet which was not securely anchored to the wall and a torn diaper changing pad in the main room.

Observed a pack n play being used by an infant did not have 2 feet of space on three sides.

Observed child file #2 contained an updated health assessment which did not include an assessment of acute or chronic health problems or a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Observed child file #1 did not contain updated written verification of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Observed staff file #2, #3, and #4 contained updated health assessments which were dated more than 25 months after the previous valid health assessment.

Observed the most recent documented fire alarm test was conducted on 7/28/25 which was more than 30 days prior to the testing conducted on the day of the inspection.

Observed the certificate of compliance which was posted in the facility was expired and not the current certificate of compliance.

Observed facility person #6 file, who was already interacting with children, did not contain a criminal background clearance or a child abuse clearance. The file for facility person #6 contained an application for the NSOR verification letter but did not contain the verification letter. Observed the file for facility person #6 did not contain a signed disclosure statement.

Observed the most recent review of the emergency plan was conducted more than 12 months ago (8/25/23).

Observed derma spray, labeled "keep out of the reach of children", accessible to children in an open diaper bag hanging outside of the children's downstairs bathroom.

Observed a can of shaving cream in the arts and craft supply closet.

Observed the sink in the bathroom by the gross motor room had standing water and did not drain.

Observed the stairway from the gross motor room to the main room was blocked by several cots and a box.

Observed a plastic bag accessible to toddlers in the diaper bag hanging area outside of the bathroom used by toddlers.

Observed the facility refrigerator did not have a working thermometer in the refrigerator used to store potentially hazardous food.

Observed child file #1, a preschool age child, contained a most recent health assessment which was dated more than 14 months ago.

Observed child file #2 did not contain an updated written verification of ongoing vaccines administered in accordance with the schedule recommended by the ACIP.

Observed the facility did not have an established medication log for prescription nyastin cream labeled to be placed on the child several times a day.

Observed staff file #1 and #2 contained most recent health assessments which were dated more than 28 months old.

Observed 2 bottles in the facility refrigerator which were not labeled with the child's name.

Observed the emergency drill log revealed the most recent emergency drill was conducted more than 12 months ago.

Observed the documented fire drill log revealed that 2 times (8/4/23-10/6/23 and 12/6/23-3/4/24) the fire drills were conducted more than 60 days apart.

Observed the fire alarm testing log was not completed in a way which documented the fire alarms were tested every 30 days.

Observed staff files #1, #2, #3, #4, and #5 contained most recent documentation of fire safety training which was completed more than 12 months ago.

Observed staff files #2, #3, #4, and #5 did not contain a written evaluation completed within the previous 12 months.

Observed children's files #1, #3, #4, and #5 did not contain a child service report completed within the previous 6 months.

Observed children;s files #2 and #3 contained incomplete original agreements.

Observed the emergency contact form for child file #2 and #3 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

Observed the emergency contact information for child file #2 did not contain the health insurance coverage and policy number for the child.

Observed the emergency contact information for child file #2 and #3 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed the facility had an expired certificate of compliance posted in the parent information area.

Observed a trash can in the main room which did not have a lid and contained tissues used to wipe children's noses.

Observed a bag of plastic bags accessible to toddlers, on the floor in the main room bathroom.

Observed 2 pieces of infant rest equipment which were not labeled for the use of a specific child.

Observed the most recent health assessment for child #2 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Observed child file #4 contained an immunization record which was not up to date with documentation of ongoing vaccines administered to an infant.

Observed a bottle of children's Tylenol which was accessible to children on a low hook near the bathroom in the main room.

Observed staff file #4 contained an initial health assessment which was obtained and dated after providing initial service in a childcare setting. Observed staff file #3 contained an initial health assessment which was dated more than 12 months prior to providing initial service in a childcare setting.

Observed 2 bottles which were not labeled with the child's name.

Observed child file #3 contained an initial health assessment which was dated more than 60 days after the first day of attendance at the facility.

Observed the facility did not have documentation of submitting an annual traffic letter to the local authorities within the previous 12 months.

Observed staff file #1 and #2 did not contain documentation of completing the one hour update of the required health and safety training which was to be completed prior to 12/30/22.

Observed the comprehensive general liability insurance declarations page showed that medical expenses were excluded from the up current policy.

Observed child file #1, 2, 3, and 5 did not contain a child service report completed within the previous 6 months.

Observed child file #1, 2, 3, and 5 contained documentation of parental review of the emergency contact information and the financial agreement which was completed more than 6 months after the previous documentation of parental review.

Observed staff file #3, contained a volunteer criminal background clearance and a volunteer child abuse clearance which are not acceptable for childcare employment.

Observed staff #2 take a crying infant out of the childcare room and go to the eating area to obtain a bottle for the crying infant. When staff #2 left the childcare room, there was no staff present in the room to visually supervise the other 2 sleeping infants and the room not in compliance with the staff:child ratio regulations.

Observed staff #1, who was responsible for supervising 9 sleeping preschool children, offer to hold a crying infant. Staff #2 handed the crying infant to staff #1 in a different room. Once staff #1 began holding the infant in her room, she was then responsible for 9 preschool children and 1 infant, causing staff #1 to not be in compliance with the mixed age level ratios.

Observed staff #2 take a crying infant out of the childcare room and go to the eating area to obtain a bottle for the crying infant. When staff #2 left the childcare room, there was no staff present in the room to visually supervise the other 2 sleeping infants.

Observed staff #2 take a crying infant out of the childcare room and go to the eating area to obtain a bottle for the crying infant. When staff #2 left the childcare room, there was no staff present in the room to visually supervise the other 2 sleeping infants.

Observed at the time of arrival, child #1 an infant, sleeping in a swing without a medical reason the infant should not sleep in the sleeping position recommended by the American Academy of Pediatrics.

Observed preschool size chairs which had harnesses attached as T straps, which were not secure or safe for use by the toddlers during table activity times.

Observed on the day of the inspection, the most recent documented fire drill, had been conducted on 2/10/23, which was more than 60 days prior to the date of the inspection.

Observed staff file #4, did not contain a new signed disclosure statement when they restarted employment. Observed staff file #4 did not contain a state police criminal background clearance. Observed staff file #2, contained an NSOR verification letter and an FBI fingerprint clearance which were applied for and obtained after their first day working in a child care position. Observed staff file #1, contained an NSOR verification letter which was dated more than 45 days after their first day working in a child care position. Observed staff file #1 contained a volunteer child abuse clearance which is not acceptable for child care employment. Observed staff file #1 did not contain a state police criminal background clearance.

Observed staff file #1, 2, 3, and 4 did not contain documentation of training in the emergency plan at the time of initial employment.

Observed stain remover stored with the utensils which are used by the children or staff.

Observed a loose cord in the quiet area which was a visible hazard for young children. Observed the diaper changing straps needed to be cleaned.

Observed the health report for child file #2 did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed child file #1 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed a bottle of mucus and cold relief accessible to children in an unlocked low cabinet in the eating area. Observed the bottle of mucus and cold relief which was not labeled with the name of the child for whom the medication is intended.

Observed the facility did not have an established medication log for Nystatin cream stored on a high shelf in the facility bathroom.

Observed staff file #1 and #3 contained initial health assessments which were dated after these staff began providing initial service in a child care setting.

Observed the health assessment for staff file #2, did not contain documentation of an examination for communicable diseases and the results of that examination.

Observed Lunchables, yogurt, and milk, which are labeled keep refrigerated, which were stored in lunch boxes with ice packs and were not in the refrigerator.

Observed the fire alarm testing documentation revealed that the fire alarms had not been tested within the previous 30 days.

Observed staff file #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 has not completed 3270.31.(f)(10).

Observed the agreement for child file #1, 2, 3, 4, and 5 did not contain the child's date of admission.

Observed child file #1, 3, and 5 contained original agreements.

Observed the facility did not provide to the parent of each enrolled child a letter explaining the emergency procedures.

Observed an aerosol fragrance spray, labeled keep out of the reach of children, accessible on a low window shelf in the upstairs bathroom.

Observed 3 windows on the second floor of the building which were not restricted to 6 or fewer inches.

Observed the first aid kits for each of the groups of children did not contain soap and contained items which are considered medication which requires labeling.

Observed the bathrooms used by children did not have a lidded waste receptacle and the toilets did not have posted hand washing signs.

Observed a rope climber in the play area which had unsafe knots which could give way causing a child to fall. Observed pack n play rest mats which were not attached to the base and a diaper changing table which was not securely anchored to the wall. Observed a loose cord on an infant swing which are a hazard to crawling children. Observed pool noodles and items which have a diameter of less than one inch accessible to children who are still placing objects in their mouths.

Observed a Bumbo infant seat which did not have the CPSC required safety recall fix which is required for the seat to be allowed to be used in the facility.

Observed the file for staff person #1, the director, did not contain documentation of a bachelor's degree in teaching or human services degree and 1 year of experience with children.

Observed staff file #2 and #3, both listed as assistant group supervisors, did not contain documentation of a high school diploma or a general educational development certificate and 2 years experience with children.