Todays Learning Child Care

On 8/6/25 at 8:32 Staff # 1 was alone caring for 6 YT in the toddler #2 room.

On 8/6/25 around 8:32 staff #1 was caring for 6 YT. Staff #1 step out of the room to called staff #2 who came in the room until staff# 3 came to the toddler #2 room to work with staff #1.

On 8/6/25 around 8:32 staff #1 was caring for 6 YT. Staff #1 step out of the room to called staff #2 who came in the room until staff# 3 came to the toddler #2 room to work with staff #1.

There was a hand sanitizer bottle labeled " Keep out of reach of children" accessible to children in the school age room. There was a dry eye drops botte labeled " Keep out of reach of children" accessible to children on top of the table on the entry way in the pre-k room.

There was trash contaminated by human secretions in a garbage can without plastic-lined in the pre-k room.

The was no first aid kit the preschool room.

There was a cracked clear bin in the school age room. There was a cracked gray bin in the toddler 2 room. there was a cracked blue bin in the preschool room.

The school age room refrigerator lacked a thermometer.

The acetaminophen 5 ml for child # 5 was expired. The medication date was 4/25.

There was a lunchbox out of the refrigerator that contained yogurt drink.

The file for child # 2 an old toddler contained a current health report dated 3/20/25 that was provided after 60 days. The child was in care longer that 60 days without initial health report.

The file for child #4 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

The file for child #3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

The file for child # 1 lacked the 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, on the Emergency contact form.

The file for child # 3 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

The file for staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff # 1 lacked 11out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

On 7/2/25 at approximately 2:30 pm, Child #1 was outside in the outdoor playground for approximately ten minutes without a shoe on the child's left foot. The outdoor playground is covered in grass and a black unitary shock-absorbing surface. Staff #1 noticed a blister on the bottom of Child #1's left foot when the staff tried to put the child's shoe back on. Child #1 was diagnosed with a second degree burn on the bottom of their left foot, approximately 5cm in length spanning from the 1st to 4th toes and ball of the foot.

The A&D Ointment did not identify the name of the child for whom the medication was intended.

The facility did not maintain a medication log for child #1.

Child #1 received an injury to their left foot on 7/2/25. Child #1's parent did not receive an injury report on 7/2/25.

Based on staff conversations and video footage the following observation were made, on 12/10/24 at approximately 10:50am staff person #1 was positioned sitting on a chair in a face-to-face position with child# 1 in the Older Toddler room. Then Staff person #1 is observed holding a book in their right hand and hitting child #1 on the head with the book. Next, Staff person #1 uses the palm of their right hand and slaps child #1 in the face on their left cheek. After that, Staff person #1 is observed roughly moving child #1 from the circle mat, picks child # 1 up underneath their armpits and placed the child away from the circle mat.

There were two windows one by the kitchen and the other by the diaper changing area that were not modified or adapted to limit the opening to 6 or fewer inches on the second floor.

The closet door in the classroom is damaged and is not latching securely.

The file for staff # 1 contained a current Child Abuse clearance dated 3/2/21 that was obtained after the staff stared working with children. The staff start date was 3/1/21. The file for staff # 2 contained a current Child Abuse clearance dated 7/2/24 that was obtained after the staff stared working with children. The staff start date was 6/3/24.

There were two infants in their cribs with a play gym with hanging toys in the infant room.

There was a hand sanitizer label "keep out of reach of children." accessible to children in the school-age room.

There were two cracked bins in the Pre-K room. There was a cracked bin in the school- age room. There were 4 foam blocks with teeth marks in the YPS room.

There were damage red Styrofoam swimming noodles covering the edges of the wooden cubbies accessible to children in the OT room.

There were 2 cots in the preschool room that were not at least 2 feet of space as required on three sides. There were 4 cots in the OT room that were not at least 2 feet of space as required on three sides.

The refrigerator temperature was 54 degrees in the school-age room.

There was a Digestive calm comfort drops bottle that did not have a name of the child for whom the medication is intended in the YT room.

The Little Reminders Fever and pain reliever medication for child # 5 was expired. The medication expiration date was 5/24. The Childrens Allergy relief medication for child # 6 was expired. The medication expiration date was 1/24. The Hylands mucus+ cold relief medication for child # 6 was expired. The medication expiration date was 1/24.

The operator was not maintaining a medication log for a nonprescription medication, Tylenol for child # 7 and #8.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

There was a lunchbox that contained yogurt in a backpack hanging on the cubbies in the Preschool room.

The files for child # 2, and 4 lacked the work telephone numbers of the enrolling parent on the emergency contact form. The file for child #3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The files for child # 1 and 4 lacked the 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, on the Emergency contact form.

The file for child # 1 lacked the health insurance policy number on the emergency contact form.

Staff #1 restrained Child #1, when the child was made to sit in staff's lap, staff had both of their arms around child's front, their legs were over child's feet at some points and the child was kicking, and the staff person would hold child's arms at times if child was hitting or grabbing at staff's hair.

The school age children have engaged in outdoor activities in the parking lots behind the childcare center located at 80 and 82 Huff Extension. The area is not restricted which allows for cars to enter through the parking lot area where the outdoor activities are occurring. This results in an unsafe condition.

In the 3/4 Classroom a Eucerin Eczema Relief lotion was observed in an unlocked desk drawer accessible to children in the space. The lotion was labeled Keep Out of Reach of Children.

In the School Age Classroom an unlidded garbage can at the water fountain was observed to contain Kona Ice cups that had been used by the children.

A hand washing sign was missing from the sinks in the upstairs School Age Classroom restrooms. A hand washing sign was also missing at the Changing Table in the Back Classroom and at a toilet in the Front Classroom in Building 2.

The impact absorbing surface in the Toddler Play Space was observed to release small pieces, less than 1 inch, as Cert Rep walked through the space. Pieces of the surface were observed throughout the play space.

The refrigerator in the Front Classroom in building 2 was missing an operable thermometer.

The file for Child #3 lacked verification that the child had received an annual influenza vaccination as recommended by the ACIP. A written exemption was not on file for an influenza vaccination.

The health report on file for Child #3 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

An expired Epipen was observed in the 3/4 Classroom. The Epipen was missing signed parental consent from the parent.

The health assessment on file for Staff Person #2 lacked information related to an examination for communicable diseases and the results and the physician's assessment of their suitability to provide child care.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(10) Pediatric First Aid and Pediatric CPR.

The written evaluations on file for Staff Person #2 exceeded 12 months between evaluations completed on 5.16.22 and 7.19.23.

The emergency contact form for Child #1 lacked a complete address for 1 of the release persons listed. The emergency contact form for Child #2 lacked the addresses for the release persons listed.

An emergency contact form was missing for a child receiving care in the Infant Classroom.

At the time of a swimming inspection, a small zipped plastic bag containing 5 prescription pills was observed in the locked medication box in the travel backpack. A medication log was present identifying the pills for Child #1. The medication was not being maintained in the original container. The facility also lacked the written instructions from the individual who prescribed the medication.

At approximately 9:32am Staff Person's #1 and #2 were observed to be caring for 17 preschool age children. Staff Person #1 and Staff Person #2 each identified being responsible for 8 preschool age children. A second opportunity was given at approximately 9:45am at which time Staff Person #1 identified being responsible for 9 preschool age children and Staff Person #2 identified being responsible for 7 preschool age children. On both occasions 1 of the preschool age children present in the classroom was not identified.

The file for Facility Person #2 lacked a current disclosure statement. The Disclosure statement on file was from 2015 and not 2020 which would have been required at the time of hire. The Disclosure Statement on file for Facility Person #3 lacked their signature.

A lidded can was missing from the sink area in the Young Toddler Classroom. An open plastic netted bin was observed in place on a shelf above the sink to be used for disposal.

In the upstairs School Age Classroom one cracked bin with a sharp edge was observed.

An updated health report for Child #2 was due in February 2022. The next updated health report on file was dated July 2022.

The immunization record on file for Child #2 lacked verification that they had received an annual influenza vaccination. A written exemption was not on file at the time of the inspection.

Written parental consent for a medication intended for Child #1 was not present at the facility at the time of the inspection.

The health assessments on file for Facility Person's #1 and #2 lacked information related to an examination for communicable diseases.

The health assessment on file for Facility Person's #3 and #4 lacked information related to the physician's assessment of their suitability to provide child care.

Written notifications of safe routes were not posted in a conspicuous location in the child care facility.

The file for Facility Person #6 lacked completion of pediatric first aid and CPR in an approved curriculum within 90 days of hire. The training on file at the time of hire was not completed in an approved curriculum with an approved PQAS trainer.

The emergency contact form on file for Child #2 lacked the addresses for the release persons listed.

The file for Facility Person #5 lacked 1 of their 12 clock hours of child care training.

Staff person #1, #2, #3, #4, #5 and #6 have not completed the following required pre-service training within 90 days of their date of hire: The Curriculums for the First Aid and CPR on file for the staff are not approved.