The Learning Lamp B/A School Program Forest Hills

On 2/18/25 observed PS Clean Beauty Hydrating Deodorant which indicated "keep out of the reach of children" in the bottom drawer of the left bin in the handicap stall of the boys' bathroom which was accessible to children. On 2/18/25 observed Equate Petroleum Jelly which indicated "keep out of the reach of children" on top of the right bin in the handicap stall of the boys' bathroom which was accessible to children. On 2/18/25 observed Equate Petroleum Jelly, Lysol Air Sanitizer, A&D Ointment, and Equate Hydrocortisone Cream which indicated "keep out of the reach of children" in the bottom drawer of the right bin in the handicap stall of the boys' bathroom which were accessible to children. On 2/18/25 observed Isagel No-rinse Antiseptic Hand Cleansing Gel with Added Moisturizers which indicated "keep out of the reach of children" on the bench in the handicap stall of the girls' bathroom which was accessible to children.

Based on lack of documentation at the facility and a conversation with the director, Staff #1 has not received training regarding the emergency plan for this facility.

On 2/18/25 the operator did not post the emergency plan in the facility at a conspicuous location.

On 2/18/25 observed a cracked Magna tile.

On 2/18/25 observed a doll house approximately 5 feet tall which was not anchored creating a potential tipping hazard.

The health report of Child #4 did not include a review of the child's health history.

The health report for Child #4 did not include a list of the child's allergies.

The health report for Child #4 did not include a list of the child's current medication and the reason for the medication and any special diet the child receives and the reason for the special diet.

The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 10/11/13.

The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #1 had a Mantoux test read date of 1/29/15.

On 2/18/25 the operator did not conspicuously post the menu at least 1 week in advance.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 1/18/24, 2/23/24, 3/6/24, and 1/15/25.

The files of Children #1, #2, and #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #1, who had an admission date of 7/30/24, did not have a health report. Child #2, who had an admission date of 8/22/24, did not have a health report. Child #5, who had an admission date of 8/15/24, had a health report dated 1/31/25.

The file of Staff #1 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing health and safety training on 1/31/24.

The agreement for Child #1 did not specify the child's departure time.

The agreement for Child #2 did not specify the persons designated by a parent to whom the child may be released.

Emergency contact information for Child #2 did not include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #2 did not include information 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.

Emergency contact information for Child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Child #3 did not include the complete address of the individual designated by the parent to whom the child may be released.

The emergency contact and agreement for Child #1 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were signed on 7/30/24 with no reviews. The emergency contact for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was reviewed on 2/1/23, 2/1/24, and 8/21/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact and agreement were signed on 7/31/24 with no reviews.

Based on a lack of documentation at the facility and conversation with staff #1, staff #1 had not received training regarding the emergency plan for this facility.

Based on documentation, an emergency drill was not conducted annually due to the fact the last date was 1-30-23.

The files of children #1, #2, and #3 lacked health assessments.

The file of child #4 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

The file of child #4 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file of child #1 lacked the child's immunized status according to recommendations of the ACIP.

The file of child #1, with an enrollment date of 8-24-22 lacked a health assessment.

The file of staff #1 lacked documentation of education due to the fact there was no transcript on file.

Staff #1 lacked a State sex offender registry check from a State in which Staff #1 resided in the previous 5 years. Staff #2 lacked a NSOR dated prior to or on the date of providing initial care to children. Staff #2, with a start date of 2/11/20, had a NSOR request date of 2/12/20 and a NSOR dated 2/12/20.

On 2/3/22 observed 2 pair of adult scissors on staff's desk and 2 pair of adult scissors in the orange cabinet labeled "first-aid" which were accessible to children.

On 2/3/22 the emergency plan in the facility was not posted at a conspicuous location.

On 2/3/22 observed a mat with approximately a 1 inch hole with exposed foam located under the fire extinguisher.

The files of Children #1, #2, #3 and #5 lacked an initial health report no later than 90 days following the first day of attendance at the facility. Child #1 had a start date of 8/2/20 with no health report signed by a physician, physician's assistant, or a CRNP on file. Child #2 had a start date of 8/26/21 with no health report signed by a physician, physician's assistant, or a CRNP on file. Child #3 had a start date of 8/25/21 with no health report signed by a physician, physician's assistant, or a CRNP on file. Child #5 had a start date of 2/8/21 with no health report on file.

The file of Staff #2 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months completed by the director. The file of Staff #2 contained a written evaluation dated 1/11/21 but did not contain one for 2022.

The file of Child #4 lacked an agreement signed by the parent.

The file of Child #1 lacked the child's arrival and departure times on the agreement. The file of Child #3 lacked the child's departure time on the agreement.

The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

The files of Children #1 and #5 lacked the complete address of the child's physician or source of medical care on the emergency contact form. The file of Child #4 lacked the address of the child's physician or source of medical care on the emergency contact form.

The file of Child #1 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #2 lacked the work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the complete home and work addresses of the enrolling parent on the emergency contact form.

The files of Children #1 and #5 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

The file of Child #4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #5 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The emergency contact and agreement for Children #4 and #5 were not updated by 1/6/22 when the regulation was reinstated. Children #4 and #5's emergency contact form and agreement were not reviewed during the time period when the regulation was suspended. Child #4's emergency contact form and agreement were signed on 11/6/19 and then reviewed on 2/1/22. Child #5's emergency contact form and agreement were signed on 2/2/21 and then reviewed on 2/1/22.

On 2/3/22 observed the child records were not stored in a locked cabinet.