The Little Learning Lamp Preschool at Bedford

On 2/5/25 observed the child files in the purple room were in a cabinet which was not locked at the time of the inspection.

Observed staff file #1, a provisional hire, contained an NSOR verification letter which was dated more than 45 days after staff #1began working in a child care position. Staff #1 file did not contain documentation of removal from a child care position when they had been a provisional hire for 45 days and the NSOR clearance was not in the staff file.

Observed the first-aid kit in room 134 was accessible to children when it was sitting on a low counter.

Observed the hallway bathrooms used by the children did not contain handwashing signs by the toilets and many of the sinks.

Observed the refrigerator in room 134 measured 50 degrees at the time the temperature was checked.

Observed several packets of Bacitracin and burn cream, in the first-aid kit in room 134, which were not labeled with the name for whom the medication was intended. The first-aid kit was accessible to children on a low counter in the room.

Observed the documentation for the required annual emergency drill did not contain all of the required information listed on the OCDEL emergency drill log. The log in the purple room did not contain the type of emergency drill and there was no documentation of room 134 participating in the emergency drill.

Observed child file #2, who had been in attendance for more than 60 days, contained an incomplete initial health assessment.

Observed there was no documentation of notifying the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility within the previous 12 months.

Observed the emergency contact form for child file #1 did not contain the health insurance policy number.

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

Observed the facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Observed hand sanitizer in room 134, labeled keep out of the reach of children, accessible to children on a low shelf and in several children's cubbies. Observed an instant ice pack, labeled keep out of the reach of children, accessible to children in a bag on a low shelf in the purple room.

Observed the ceiling vent in the bathroom of room 134 needed to be cleaned.

Observed the bathrooms used by the children in the purple room did not have a lidded waste receptacle.

Observed cubby dividers in room 134 which had peeling covers and exposed foam. Observed in the purple room, two wooden shelving units which had exposed metal edges creating pinch points.

Observed child file #1, 2, 3, and 4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed triple antibiotic ointment in the first aid kit in room 134, which was not labeled with the name of the child for whom the medication is intended.

Observed there was no established medication log for an albuterol inhaler in room 134.

Observed in the purple room, a child returning from lunch placed a packet of string cheese, labeled keep refrigerated, into a bin of non-perishable food in her cubby.

Observed staff file #1 contained updated certification in pediatric first aid and cpr which was dated after the expiration of the previous valid pediatric first aid and cpr certification.

The file of staff #1 had health assessments that were more than 24 months apart due to the fact the health assessments were dated 11-27-19 and 12-28-21.

Upon review of documents on site and after conversation with staff, it was determined an emergency drill was not conducted by 12-19-21 nor has a drill been conducted since 12-19-21.

Based on documentation on the fire drill log, fire drills did not occur every 60 days due to the fact the dates documented were 10-6-21 and 2-2-22.

The file of child #3 lacked an agreement with the persons designated by a parent to whom the child may be released.

The files of children #2, #4, and #5 lacked agreements with the date of the child's admission.

The files of children #1 and #2 lacked emergency contact forms with the work addresses and telephone numbers of the parents.

The file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.