The River School Age Program

Observed a container of Clorox wipes on the counter in the school age classroom which were accessible to children receiving care. Observed a container of Clorox wipes on the top shelf in the kitchen which was stored next to and above food items. *Corrected at the time of the inspection.

The operator did not ensure staff person #3 was trained in the emergency plan at the time of rehire (see LIS code sheet). Staff person #3 was trained in the emergency plan on 03/25/2025 and had training from previous employment dated 04/13/2023.

Observed bolts on the gate of the fence in the outdoor play space with a missing plastic safety cover, exposing the bolt facing into the play space.

An annual emergency drill was not conducted within 12 months of the previous drill. The most recent drill was documented on 01/27/2024 with no subsequent drill documented.

The director or designated staff person did not ensure fire drills were conducted at least once every 60 days; the fire drills conducted on 01/06/2025 - 03/25/2025 exceeded 60 days.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days; the tests conducted on 11/11/2024 - 01/06/2025 - 02/07/2025 - 03/25/2025 exceeded 30 days.

The file for child #1, #2, and #4 did not include a health assessment within 60 days following the first day of attendance (see LIS code sheet) in accordance with the requirements for school attendance. The files for child #1, #2, and #4 did not include an initial health assessment.

The emergency contact information for child #2 did not include written consent signed by the parent for emergency medical care prior to admission.

The emergency contact information for child #4 did not include the health insurance policy number.

The emergency contact information and financial agreement for child #3, and #5 was not reviewed at least once every 6 months or as soon as there is a change in the information. Reviews are completed annually in lieu of every 6 months. The emergency contact and agreement for child #3 was reviewed by a parent on 01/15/2025 with the previous review of the emergency contact dated 01/29/2024 and the financial agreement dated 01/03/2024. The emergency contact and agreement for child #5 was reviewed by a parent on 01/15/2025 with the previous review of the emergency contact dated 01/14/2025 and the financial agreement dated 12/04/2023.

The file for child #2 did not include signed parental consent for the administration of minor first-aid procedures at the time of initial enrollment (see LIS code sheet).

The file for child #1, #2 and #3 did not include a copy of the initial agreement signed at the time of enrollment (see LIS code sheet). The financial agreement on file for child #1 was signed and dated on 01/16/2025. The financial agreement on file for child #2 was signed and dated on 01/15/2025. The financial agreement on file for child #4 was signed and dated on 01/15/2025.

The file for staff person #1 included one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

The file for staff person #2 did not include an annual minimum of 12 clock hours of child care training between 12/2023 - 12/2024. The file included 1 hour of training during that time period.

The file for staff person #1 did not include the results of an NSOR clearance within 45 days of hire. A request for the NSOR clearance on file was dated 07/18/2023 without the final clearance result.

The operator did not ensure staff person #1 received training regarding the emergency play at the time of initial hire (see LIS code sheet). The training was documented on 03/22/2024.

A handwashing sign was not posted at each toilet in the girls and boys restrooms located in the front & back hallway of the facility.

The health report for child #3 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The most recent health report on file was dated 04/13/2022 with no subsequent health reports on file. The health report for child #4 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file was dated 12/26/2023 with the previous health report dated 11/29/2021.

The director or designated staff person did not ensure a fire drill was conducted at least once every 60 days. Fire drills exceeded 60 days on the following dates: 11/15/2023 - 01/15/2024 - 03/22/2024.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days. The manual tests exceeded 30 days on the following dates: 05/16/2023 - 06/26/2023, 07/18/2023 - 08/22/2023, 10/11/2023 - 11/15/2023 - 01/05/2024 - 03/22/2024.

The initial health report for child #1 and #2 were not completed within 60 days of enrollment (see LIS code sheet). The initial health report for child #1 was completed on 03/19/2024. The initial health report on file for child #2 was completed on 01/29/2024.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR. The training was completed on 03/13/2024.

The emergency contact information for child #2 did not include the name, address and telephone number of the child's physician or source of medical care. The emergency contact information for child #3 did not include the complete address and the telephone number of the child's physician or source of medical care. The emergency contact information for child #2 and #3 did not include the health insurance policy number. The emergency contact information for child #4 did not include the health insurance and policy number.

The emergency contact information for child #2 and #3 did not include the enrolling parent's work address. The emergency contact information for child #3 did not include the enrolling parent's work phone number. The emergency contact information for child #4 did not include the enrolling parent's home phone number. The emergency contact information for child #1, #2, #3, #4 and #5 did not include the address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #3 did not include the phone number of the individuals designated by the parent to whom the child may be released.

The emergency contact and financial agreement for child #2, #3, #4 and #5 was not reviewed by a parent at least once every 6 months. The forms for child #2, #4 and #5 were reviewed in 02/2023 and 01/2024. The forms for child #3 were reviewed in 03/2022 and 01/2024.

The file for staff person #1 did not have a Child Abuse Clearance for employment purposes at the time of initial hire (see LIS code sheet); the file contained a volunteer Child Abuse Clearance dated 10/22/2018. The file for staff person #3 did not include a signed disclosure statement at the time of initial hire (see LIS code sheet). The file for staff person #3 did not include the results of the State Police Clearance or FBI clearance prior to their first day caring for children (see LIS code sheet); the State Police Clearance on file was dated 02/16/2023 and the FBI clearance was dated 02/22/2023. The file for staff person #5 included a State Police Clearance which was not updated at least every 60 months; the State Police Clearance of file was dated 09/01/2017. A current Child Abuse Clearance was not on file at the time of initial hire for staff person #5 (see LIS code sheet); the Child Abuse Clearance accepted at the time of initial hire was dated 06/03/2017 and had already exceeded 60 months. Mandated Reporter Training was not completed within 90 days of hire; the training on file was completed on 10/19/2016 and had already exceeded 60 months.

The first aid kit located in Room 102/103 did not include tape.

Observed a large gap at the bottom of the fence located on the left side of the school-age playground. Observed a gap at the top of the fence located between the right and left back portions of the playground.

Observed a brown/blue/red slide in the back right playground with a crack at the top of the slide and a blue/yellow/green triangle shaped slide with a crack on the step. Observed a tan and green playhouse with red shutters with bird debris and visible dirt in the back right playground. Observed a yellow frisbee on the school-age playground with a crack and plastic jump ropes tied to the dome climber which formed loops inside the dome. Observed a see-saw gator in the back left playground with broken emblems, creating sharp edge and a Little Tykes playhouse with visible dirt and debris.

The rest equipment located in Room 115 / 116 / 117 was not labeled for the use by specific children.

The health report for child #4 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet); the most recent health report on file was a Well Child Report printed on 03/30/2021.

The current health report on file for child #5 was a "Continuity of care document" which did not include a review of the child's health history.

The current health report on file for child #5 dated 03/04/2021 was a "Continuity of care document" which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The current health report on file for child #4 dated 03/30/2021 was a Well Child Report which did not include a statement that the child able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of DTap, a 2nd dose of Rotavirus, a 2nd dose of Hib, a 2nd dose of PCV13, and a 2nd dose of Polio immunization. The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #4 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

The Director or designated staff person did not ensure fire drills were conducted at least once every 60 days; the following dates exceeded 60 days: 06/02/2022 - 08/02/2022 -10/04/2022 - 12/05/2022 -04/06/2023.

The Director or designated staff person did not ensure the fire detection system was tested at least once every 30 days; the months which exceeded 30 days include: 06/21/2022 - 07/26/2022, 09/19/2022 - 11/04/2022 - 12/06/2022, and 02/02/2023 - 03/06/2023 - 04/17/2023.

The initial health report for child #2 and #3 was not obtained within 60 days of the first day of attendance (see LIS code sheet). The initial health report on file for child #2 was dated 10/31/2022 and the initial health report on file for child #3 was dated 01/17/2023.

The pediatric first aid and CPR for staff person #4 was not renewed on or before the expiration of the previous certification; The current certificate on file was dated 01/09/2023 and the previous certificate was valid from 12/05/2020 - 12/2022.

The director did not complete a written evaluation for staff person #2 and #4 at least once every 12 months. The file for staff #2 did not contain a staff evaluation within 12 months of initial hire (see LIS code sheet). The most recent evaluation on file for staff person #4 was dated 03/28/2022.

The agreement for child #1, #3 and #5 did not include the child's arrival and departure times.

The original agreement for child #1, #2, #3, #4 and #5 was not provided to the parent. The original document was in the child's file and a copy of the agreement was provided to the parent.

The Pediatric First Aid & CPR for staff person #5 was not completed within 90 days of hire (see LIS Code Sheet); the training was completed on 01/09/2023.

On 06/14/2022, staff person #1 left child #1 unattended in the preschool classroom while taking the class outside. The child was left alone for approximately 1 - 3 minutes until a parent found the child crying in the classroom and brought the child outside to the playground.

Observed Pack N Plays in the infant classroom with crib sheets on the mattresses in lieu of sheets intended for a Pack N Play mattress. The sheets were too big for the mattress and created access material which creates a potential suffocation hazard.

At approximately 11:55 am, observed child #1 asleep in an infant swing. According to staff person #2, the infant fell asleep in the swing at approximately 11:30 am.

A copy of the emergency plan was not posted in a conspicuous location in the facility.

Observed Clorox wipes on the sink counter which were accessible to children in the preschool classroom. Observed Clorox wipes on the counter in the girl's bathroom which were accessible to children. Observed baby lotion labeled keep out of reach of children on top of the paper towel dispenser located in the bathroom which was accessible to older toddlers in care.

Observed on the school age playground: gaps along the bottom of the left side of the fencing, rust on the top rail of the fencing, exposed bolts on the gate leading into the toddler playground, loose wires on the top right side and bottom right fence, and bolts exposed on the gate leading to the Gaga pit. Observed on the preschool playground: gap in bottom right side of the fencing, loose wire at top right near the corner, bolts in corner facing into the toddler playground and a rusty bottom rail. Observed on the toddler playground: a rusty rail on the left side of the fence and a bolt exposed at the gate on the left side of the playground.

The file for child #3, a 2-year-old, included a record of the child's immunization status which lacked an influenza immunization. The file for child #4, a 4-year-old, included a record of the child's immunization status which lacked an influenza immunization.

The heath assessment for staff person #1 was not updated within 24 months of the previous health assessment; the current health report was dated 10/01/2021 with the previous one dated 05/29/2019.

An annual emergency drill was not documented and on file at the facility

The Director or designated staff person did not ensure fire drills were conducted at least once every days. Fire drills exceeded 60 days on the following dates: 08/02/2021 - 10/05/2021, 10/05/2021 - 12/07/2021, 12/07/2021 - 04/25/2022.

The Director or designated staff person did not ensure a test of the fire detection system was documented every 30 days. In lieu of a test of the system, the status of the fire detection system on the alarm system display was checked monthly.

The health report on file for child #5 was not submitted within 90 days following the first day of attendance at the facility as required by the COVID suspended regulations. The health report on file was dated 12/07/2021

The agreement for child #3 did not specify the fee to be charged per day or week.

The agreement for child #2, #3, #4 and #5 did not specify the date of the child's admission.

The emergency contact information for child #3 did not include the telephone number of the child's physician or source of medical care.

The emergency contact information for child #1 did not include the work address and telephone number of the enrolling parent.

The emergency contact information for child #3 did not include the addresses of the individuals designated by the parent to whom the child may be released.

The file for child #1 did not include an initial agreement between the parent and the operator at the time of enrollment.