Twin Acres Country Day School

During unannounced visit certification rep reviewed staff files. Volunteer person 1 and 2 were missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During unannounced visit certification rep reviewed staff files. Staff 1 was missing emergency plan training.

During unannounced visit certification rep observed two outlet covers missing in Penguins

During renewal visit certification rep observed hair gel and shave cream in accessible in Ponies.

During unannounced visit certification rep observed chipped paint on the wall near the children's batrhoom.

During unannounced visit certification rep reviewed the fire drill log. Last documented fire drill was 2-11-25. Last date fire alarm was tested was on 2-11-25.

During unannounced inspection certification rep reviewed staff files. Staff 2 needs fire safety training.

During unannounced visit certification rep reviewed staff files. Staff 1 and 2 were missing water safety training.

During unannounced visit certification rep reviewed staff files. Staff 1 was missing written evaluation.

During renewal inspection certification rep reviewed staff files. Staff 1 was missing NSOR clearance. Staff date of hire 10-2-23.

During renewal inspection certification rep observed Ponies out of ratio by one child. Staff had 7 children by herself. Youngest child in the group was 2 years old. Teddy Bears classroom was out by one child. Youngest child in the group was 1 year old. There were 11 children with 2 teachers.

During renewal inspection certification rep reviewed emergency plan. The emergency plan was missing continuity of operations

During renewal inspection certification rep observed chipped paint in preschool classroom and the wall near the window need repair in the preschool classroom.

During renewal inspection certification rep observed missing handwashing signs from both bathrooms near the office.

During renewal inspection certification rep reviewed medication log for child 1. Child 1 did not have current written consent for administration of child's medication.

During renewal inspection certification asked to test smoke alarms. The smoke alarms are interconnected but when provider tested it only one smoke alarm went off.

During renewal inspection certification rep reviewed staff files. Staff 1 needs water safety training from a certified lifeguard. Water safety training that is in the staff file is "American Red Cross Online Water Safety for Parents and Caregivers"

During renewal inspection certification rep reviewed children's files. Child 2 was missing CSR from their file.

During renewal inspection certification rep reviewed staff files. Staff 2 was missing verification of child care experience.

During renewal inspection certification rep reviewed staff files. Staff 2 was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Provider did not have information for families on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During renewal inspection, certification rep observed spray bottle (bleach and water) in an area accessible to children in the children's bathroom.

During renewal inspection certification rep reviewed first aid kit. The first aid kit in the Bunnies room was missing tweezers.

During renewal inspection certification rep observed broken tile in the children's bathroom and missing baseboard in the preschool room.

During renewal inspection certification rep observed chipped paint in the following rooms: Penguins, bathroom (near bathroom), Lil' Gomies, Preschool Room and wall near the step going down to the preschool room.

During renewal inspection certification rep did not see a thermometer in the Ponies. Corrected on site. A thermometer was added. A thermometer was also missing in Penguins room.

During renewal inspection certification rep reviewed children's file. The file of child 1 and 4, enrolled more than 60 days at the facility, did not contain documentation of an influenza vaccination within the past year, as required per the ACIP recommended schedule.

During renewal inspection certification rep found an epi pen that was not in a labeled medication container inside the first bag in the preschool room.

During renewal inspection certification checked the smoke alarm. The smoke alarms were not interconnected.

During renewal inspection certification rep reviewed staff files. Staff 3 was missing 1 hour updated health and safety.

During renewal inspection certification rep reviewed staff files. Staff 1 was missing annual evaluation.

During renewal inspection certification rep checked for daily schedule. Daily schedule was missing in the Bunnies room

During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 and 3 did not specify the services which are to be considered as extra.

During renewal inspection certification rep reviewed children's file. Emergency contact for child 1 and 2 was missing the address of the individual designated by the parent to whom the child may be released.

During renewal inspection certification rep was missing verification of childcare experience.

During renewal inspection certification rep reviewed staff files. Staff 1 was missing 5 annual training hours.

During unannounced visit certification rep reviewed staff files. Staff 1, 5 and 7 were missing disclosure statement from their file. Staff 2 was missing FBI clearance from their file. Staff 3 was missing child abuse clearance from their file. Staff 4 was missing NSOR from their file. Staff 9 was missing state police clearance from their file. Staff 4 has not completed the mandated reporter training within 90 days of their date of hire. Staff 8 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5-11-16.

During announced visit certification rep observed 6 children with one staff in the Pony room. The age of the youngest child in the room was 1.

During unannounced visit certification rep reviewed staff files. Staff 8 last physical on file was from 3-29-21. Staff 9 was missing a file from their file. Staff 3,4 and 6 were missing the date the TB was read.

During unannounced visit certification rep reviewed staff files. Staff 3,4,7 and 9 has not completed first aid and cpr training within 90 days of hire. Staff 3,4,6,7 and 9 were observed working unsupervised. They were not working with an AGS/GS who has completed the required training related to this citation. Staff 4 and 7 were missing the 10 hour health and safety training.

During unannounced visit certification rep reviewed staff files. Staff 1,2,3,4,5,6,7 and 9 need water safety training from a certified lifeguard. Water safety training that is in the staff file is "American Red Cross Online Water Safety for Parents and Caregivers"

During unannounced visit certification rep reviewed staff files. Staff 5,7,9 were missing verification of experience from their file.

During unannounced visit certification rep reviewed staff files. Staff 4, and 9 were missing 2 reference letters. Staff 5 was missing 1 reference letter.

It was observed on 9/28/22 child #1 was in the crib sleeping and was not in the recommended sleeping position.

It was observed on 9/28/22 classroom # 3 electrical outlet located by the window did not have receptacle covers in place.

It was observed on 9/28/22 the cabinet located in classroom #3 lock was broken and contained cleaning disinfectant accessible to children.

It was observed on 9/28/22 classroom # 1 first aid kit did not include tweezers.

It was observed on 9/28/22 classroom #2 glass doors did not have visual identification in child care space.

It was observed on 9/28/22 the changing table located inside toddler bathroom did not have required hand washing sign.

It was observed on 9/28/22 classroom #2 refrigerator did not have a thermometer.

It was observed on 9/28/22 that ice packs were being used and lunches were not being stored in the required refrigerator measuring at required temperature.

It was observed on 9/28/22 staff person #1 has not completed required pediatric first aid/CPR training within 90 days of their date of hire.

It was observed on 9/28/22 facility did not have information for parents to access the regulations, or the instructions for contacting the appropriate regional child care office

AT TIME OF COMPLAINT INVESTIGATION ON 12/21/21, STAFF PERSON #1 ACKNOWLEDGED THAT STAFF PERSON #2 LEFT THE BUILDING ON 12/16/21, AND A GROUP OF 10 PRE-K CHILDREN WERE LEFT UNATTENDED IN THE CLASSROOM, ALSO COMPROMISING STAFF:CHILD RATIOS FOR THIS ROOM.

AT TIME OF COMPLAINT INVESTIGATION ON 12/21/21, STAFF PERSON #1 ACKNOWLEDGED THAT THE FACILITY WAS CLOSED DUE TO A CHILD BEING EXPOSED TO COVID-19. THE FACILITY DID NOT REPORT THE REASON FOR THE CLOSURE TO THE DEPARTMENT OF HEALTH OR OCDEL.