U-Gro Learning Centres · Lebanon

On 10/3/25, it was observed that CPSL Child Protective Services Law was not followed. Staff person 30 was working in the Bears classroom and did not have verification of a child abuse clearance on file. Staff person 31 did not have documentation of a signed disclosure statement on file.

On 10/3/25, it was observed that the fire detection system was not tested every 30 days. A test was completed on 8/2/25 and the next test was not completed until 9/5/25 creating a lapse of 34 days.

On 10/3/25, it was observed that staff persons 30, 31, 32, 33, 34, 35, 36, and 37 were employed at the facility and an onboarding checklist was not received by OCDEL verifying onboarding procedures were followed. CONTINUED NONCOMPLIANCE from 3/21/25 and 3/28/25. On 3/21/25 and 3/28/25, it was disclosed through staff interview that staff persons are not being trained effectively. On 3/4/25, staff person 2 was not adequately supervising children as they made continuous trips to the classroom closet to get a drink, on 2/7/25 staff person 2 did not notice when a child in their primary care group eloped into an empty classroom to be discovered by another staff, on 2/20/25 staff person 1 left an older toddler on the changing table unattended. Given the nature of the recent incidents, it appears that the staff has not been adequately trained.

On 10/3/25, it was observed that staff person 30 did not have 2 written, nonfamily references on file. Staff person 30 had 1 reference on file. One additional reference is needed.

On 8/1/25, it was verified that staff person 6 screamed at an older toddler, loud enough to be heard at the end of the hall, because the child would not nap.

Continued non-compliance from 3/21/25. On 7/22/25, it was noted that weekly tracking sheets were not submitted to the Regional office since the week of 6/17/25. Facility will need to restart submission of weekly tracking sheets. In addition, management staff had not been completing daily checks, at a variety of times to monitor staff identification of primary care groups. [On 3/21/25, it was disclosed through staff interview that staff person 1 did not know that child 1 (older toddler) eloped from their primary care group. On 2/7/25 staff person 1 was using the hallway for a group activity when child 1 walked away, opened the door and entered the empty Koala classroom, which was unlocked. Child 1 then entered the storage are and started to go down the basement stairs. Basement provided potential access to small items, toxics, unsteady shelves and the hot water heater. Child 1 was discovered by staff person 3. Facility management estimates the child was unsupervised for approximately 8 seconds. Staff person 1 returned to their classroom with the rest of the children and did not realize the child was not with them until child was returned to them by staff person 3.]

On 7/21/25, it was observed that staff person 29 had a health assessment dated 7/10/23 which was more that 12 months before their start date. Staff person 29 also did not have record of a TB test on file.

On 6/16/25, it was observed that fire drills were not completed every 60 days. The most recent fire drill was held on 3/28/25 creating a lapse of more than 60 days since the last drill.

On 6/16/25, it was observed that the facility fire detection system had not been tested every 30 days. The most recent test was completed on 3/28/25 creating a lapse of more than 30 days.

On 6/16/25, it was determined through staff interview, that staff person 12 held a child's face to make them have eye contact while correcting their behavior.

On 6/16/25, it was observed that the vents and the ceiling fans in the butterfly classroom were visibly dirty with a layer of thick dust.

On 6/16/25, it was observed that lunch in the monkey classroom consisted of rice, hamburger, fruit, tortilla, mixed vegetables, and water. Lunch did not include a sufficient amount of a dairy item.

On 5/22/25, it was observed that staff person #25 was caring for children unsupervised in the Monkey classroom. Staff person #25 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR and Health and Safety training.

On 5/22/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 26 was observed working in the Bunny classroom and did not have a NSOR (National Sex Offender Registry) Certificate on file. Staff persons may not start employment with children until NSOR is on file. Staff person 26 may not return to work until NSOR is completed and on file. Staff person 25 had an incomplete state police clearance on file. Clearance indicated that it was under review.

On 5/22/25, it was observed that staff health assessments and TB tests were not on file. Staff person 23 was working in the Butterly classroom and did not have record of a health assessment or TB test on file. Staff person 25 was working in the Monkey classroom and did not have record of a health assessment on file.

On 5/22/25, it was observed that staff person 25 was working alone in the Monkey classroom with 11 children and did not have documentation of education or experience on file to be at least Assistant Group Supervisor qualified.

On 5/22/25, it was observed that staff persons did not have 2 written nonfamily references on file before employment with children. Staff person 23 only had one reference on file and requires 1 additional reference. Staff person 26 did not have any references on file. 2 references are needed.

On 4/24/25, it was verified through staff interview with staff persons 3, 15, and 22 that staff persons 20 and 21 cared for children unsupervised. Staff persons 20 and 22 have not completed pediatric first aid and CPR training and Health and Safety training, which is required prior to caring for children unsupervised. Staff person 20 had first aid and CPR training on file that did not indicate pediatric and was not conducted by an approved trainer. It was reported that staff person 20 worked alone for 1 hour during the week of 4/20/25, in the Ladybug classroom, to cover a staff person who had to leave. Staff person 22 did not have record of completed health and safety training or pediatric first aid/CPR training on file and reported that they worked alone in a classroom to cover bathroom breaks for staff.

On 4/24/25, it was observed that the health assessment for staff person 21 did not indicate if the staff person was suitable to provide care to children.

On 4/24/25, it was observed that staff person 21 did not have 2 written nonfamily references on file.

On 3/28/25, it was observed that staff person 14 had a NSOR (National Sex Offender Registry) certificate on file dated 3/17/25, which was after their start date in the classroom. CORRECTED ON SITE.

On 2/21/25, it was disclosed through staff interview that staff person 1 left a two year old child on the changing table while they walked away to assist another child in the classroom

On 3/21/25 and 3/28/25, it was disclosed through staff interview that staff persons are not being trained effectively. On 3/4/25, staff person 2 was not adequately supervising children as they made continuous trips to the classroom closet to get a drink, on 2/7/25 staff person 2 did not notice when a child in their primary care group eloped into an empty classroom to be discovered by another staff, on 2/20/25 staff person 1 left an older toddler on the changing table unattended. Given the nature of the recent incidents, it appears that the staff has not been adequately trained.

On 3/28/25, it was disclosed through staff interview and review of reasons for dismissal of staff person 2, that staff person 2 appeared to be consuming alcohol while supervising children. On 3/19/25 staff person 2 was supervising 10 preschool age children by themselves when they were observed drinking something in the closet of the classroom, upon further investigation by facility staff persons 3, 4, and 7 it was discovered that the bottle contained what smelled like alcohol. Staff person 2 was not properly supervising the 10 preschool children in their care while making frequent visits to the classroom closet to have a drink an unknown substance, which is suspected to be alcohol, from their backpack.

On 3/21/25, it was disclosed through staff interview that staff person 1 did not know that child 1 (older toddler) eloped from their primary care group. On 2/7/25 staff person 1 was using the hallway for a group activity when child 1 walked away, opened the door and entered the empty Koala classroom, which was unlocked. Child 1 then entered the storage are and started to go down the basement stairs. Basement provided potential access to small items, toxics, unsteady shelves and the hot water heater. Child 1 was discovered by staff person 3. Facility management estimates the child was unsupervised for approximately 8 seconds. Staff person 1 returned to their classroom with the rest of the children and did not realize the child was not with them until child was returned to them by staff person 3.

On 3/6/25, it was observed that lunch in the Ladybug classroom (Toddlers) consisted on Cheesy Bread, green beans, tropical fruit, and water. Certification Representative checked in with the classroom before lunch and again at the end of lunch to be sure if a protein arrived at the end of lunch. The lunch served did not include a protein. Continued non-compliance from 1/22/25.

On 1/22/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1had a FBI clearance on file that expired on 11/1/24 that had not been updated. Clearances must be updated every 60 months. Staff person 1 may not work in the facility until FBI clearance is updated. Staff person 1 had a Mandated Reporter training on file that expired on 11/4/24 that had not been updated. Mandated Reporter training must be updated every 60 months. Staff person 2 lived in Puerto Rico in the previous 60 months and did not have Puerto Rico clearances on file.

On 1/22/25, it was observed that the first aid kit in the Caterpillar classroom did not contain scissors.

On 1/22/25, it was observed that there was peeling paint in the facility Peeling paint was observed along the floor trim under the window in the Caterpillar classroom. Peeling paint was observed behind the grey chair in the Monkey classroom.

On 1/22/25, it was observed that nap mat number 6 was torn, on the corner, in the Monkey classroom.

On 1/22/25, it was observed that child 2, who is preschool age, had a health assessment dated 12/11/23 which had not been updated within 12 months.

On 1/22/25, it was observed that the medication log for child 8 did not include dates for medication to be administered. CORRECTED ON SITE.

On 1/22/25, it was observed that staff person 2 was working in the Turtle classroom and did not have a health assessment on file.

On 1/22/25, it was observed that lunch consisted of chicken, stuffing, green beans, banana, and water. Lunch did not contain an item from the dairy food group.

On 1/22/25, it was observed that children 2, 4, and 5 did not have record of information given to the parents about the child's growth and development in the previous 6 months.

On 1/22/25, it was observed that child 5 did not have an admission date on file. CORRECTED ON SITE.

On 1/22/25, it was observed that child 2 did not have record of a review and update of their agreement and emergency contact forms in the previous 6 months.

On 1/22/25, it was observed that child 2 did not have signed parental consent for first aid on file.

On 1/22/25, it was observed that the classroom list disclosing child special needs was uncovered in the Monkey classroom. CORRECTED ON SITE.

On 1/22/25, it was observed that staff person 3 did not have 2 written nonfamily references. Only 1 reference was on file. One additional reference is needed.

On 11/19/24, it was observed that staff person 1 did not have 2 written, nonfamily references on file. Staff file was received and reviewed as part of a directed plan of correction.

On 7/31/24, at approximately 10:20 AM, a female staff person was observed on an excursion away from the facility by themselves with 4 toddler aged children.

On 8/7/24, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 6 had been employed longer than 45 days and did not have a State Police or FBI clearance on file. Staff person 6 may not return to work in a childcare position until state police and FBI clearance are on file. Staff person 6 started employment with children without a state police or a FBI clearance on file. Staff person 6 was observed working alone in a toddler classroom during naptime without complete clearances on file. Staff person 8 was observed working in the Caterpillar (preschool) classroom and did not have a child abuse clearance on file. Staff person 8 may not return to work until child abuse clearance is on file. Staff person 14 was observed working in the child care spaces on 8/19/24 without a child abuse or FBI clearance. No provisional paperwork was available for the FBI clearance. Staff person 14 may not work in a childcare position until completed child abuse and FBI clearances are on file.

On 8/7/24, it was observed that the caterpillar classroom was out of ratio at naptime. 1 staff person was present with 19 preschoolers who were supposed to be having naptime. The classroom was observed to be chaotic with limited staff control over the situation. Between 7 and 11 children were observed to be up jumping on their cots, climbing on the shelves/windowsill, running around the room, and playing with toys. Staff member present had to divide their time between monitoring the bathroom and chasing the children. On 8/19/24, it was observed that there were 19 children with one staff during naptime in the Caterpillar classroom when 3-4 children were up and moving around the room, climbing in the windowsill, and throwing toys at each other.

On 8/19/24, it was observed that the staff in the Bears, Turtles, Ladybugs, Monkeys, and Caterpillar classrooms were not logging the counts for the children in their care throughout the day as required by the 5/7/24 inspection. At 1:00 PM, all counting sheets were checked by certification staff. it was observed that the Bear classroom last logged their counts at 12:00 PM, the Turtle classroom had not logged their count at all, The Ladybug classroom last logged their count at 11:00 AM, the Monkey classroom last logged their count at 8:00 AM, and the Caterpillar classroom last logged their count at 8:00 AM, Continued non-compliance from 5/7/24 and 7/24/24

On 7/26/24, it was observed that the blind cords were dangling low enough to loop around a child's head/neck. Blind cords were observed dangling beside the window above the comfy corner in the Caterpillar classroom. A child was observed sitting on top of the roof of the comfy corner while playing with the blind cords. CORRECTED ON SITE. Blind cords were observed dangling on the window beside the playground door in the Butterfly classroom. CORRECTED ON 8/19/24. On 8/7/24, it was observed that there was an exposed hole in the wall measuring about 3 feet wide and 2 feet high in the butterfly classroom, under the counter. Due to this hole the electrical outlet was exposed. CORRECTED ON 8/19/24.

On 8/7/24, it was observed that the facility emergency plan had not been reviewed and/or updated in the previous 12 months.

On 8/7/24 it was observed that staff persons 1, 2, 3, 4, 5, 7, 9, 10, 11, and 13 had been employed longer that 12 months and did not have record of emergency plan training in the previous 12 months.

On 7/26/24, it was observed that emergency phone numbers were not posted in the Young Infant classroom. CORRECTED ON 8/7/24.

On 7/26/24, it was observed that there were surfaces in the facility in need of repair or cleaning. The vents near the hallway doors in the Monkey, Butterfly, and Caterpillar classrooms were observed to have a visible layer of dust which could be removed by brushing them with a hand. It was observed that there was a broken plate on the outlet to the left of the entry door in the Koala classroom. On 8/7/24, it was observed that there was damaged plaster and trim in the butterfly classroom caused by an overflow in the bathroom. On 8/7/24, it was observed that there was peeling paint in the hallway under the caterpillar bulletin board.

On 7/26/24 and 8/7/24, it was observed that there were not 2 feet of space on 3 sides between the cots, at naptime, in the caterpillar classroom.

On 8/7/24, it was observed that child health assessments were not updated in a timely manner. Child 1 had a health assessment on file dated 3/16/23 which should have been updated by 3/16/24. Child 6 had a health assessment on file dated 7/20/23 which should have been updated by 7/20/24.

On 8/7/24, it was observed that staff health assessments were not updated in a timely manner. Staff person 1 had a health assessment on file that expired on 4/1/24. An updated health assessment was not available. Staff person 4 had a health assessment on file that expired on 12/7/23. An updated health assessment was not available. Staff person 5 had a health assessment on file that expired on 1/20/24. An updated health assessment was not available. Staff person 11 had a health assessment on file that expired on 6/30/24. An updated health assessment was not available.

On 8/7/24, it was observed that staff persons 6, 12, and 14 were working with children and did not have record of a health assessment or TB test on file. Staff person 7 did not have record of a TB test on file.

On 7/26/24, it was observed that there was not a protein served as part of lunch in the Caterpillar, Monkeys, and Bears classrooms. Lunch served in these classrooms consisted of cheese pizza, banana, goldfish crackers, and water.

On 8/7/24, it was observed that there was not documentation that the facility emergency plan had been sent to the local municipality and the county emergency management agency.

On 8/7/24, it was observed that the facility did not have documentation that the local traffic authorities had been notified of the facility's vehicle and pedestrian routes in the previous 12 months. CORRECTED on 8/13/24.

On 8/7/24, it was observed that a current copy of the facility insurance policy was not available. CORRECTED 8/13/24.

On 8/7/24, it was observed that the caterpillar classroom was unsafe at naptime. There were 19 children present in the classroom with 1 staff person. Between 7 and 11 children were observed to be up jumping on their cots, jumping over other cots with children sleeping on them, climbing on top of the shelves/windowsills, running around the room, and throwing toys at each other. Staff member present had to divide their time between monitoring the bathroom and chasing the children. Staff member was unable to persuade the children to rest quietly on their mats. There was opportunity for either the children sleeping or the children up and running to be injured. On 8/19/24, it was observed that between 3 to 4 children were jumping on their mats, climbing in the windowsill, or throwing toys during naptime in the caterpillar classroom.

On 8/7/24, it was observed that the caterpillar classroom was unsafe at naptime. There were 19 children present in the classroom with 1 staff person. Between 7 and 11 children were observed to be up jumping on their cots, jumping over other cots with children sleeping on them, climbing on top of the shelves/windowsills, running around the room, and throwing toys at each other. Staff member present had to divide their time between monitoring the bathroom and chasing the children. Staff member was unable to persuade the children to rest quietly on their mats. There was opportunity for either the children sleeping or the children up and running to be injured. On 8/19/24, it was observed that between 3/4 children were jumping on their mats, climbing in the windowsill, or throwing toys during naptime in the caterpillar classroom.

On 8/7/24, it was observed that staff person 1 had first aid and CPR training on file that expired on 7/19/24.

On 8/7/24, it was observed that staff person 4 had not completed fire safety training in the previous 12 months.

On 8/7/24, it was observed that staff person 12 had been employed longer than 90 days and did not have record of completed health and safety training on file.

On 8/7/24, it was observed that staff persons 6 and 12 had been employed longer than 90 days and did not have record of Mandated Reporter training on file. Staff persons 6 and 12 may not work unsupervised with children.

The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/7/24, staff files were reviewed and found that emergency plan training and staff evaluations were not completed. The facility emergency plan was not reviewed or sent to the local and county agencies. The facility traffic letter was not updated and sent to the local traffic authority. New staff hiring requirements were not met. Staff do not have complete clearances, health assessments, trainings, and education/experience on file. Proper staffing was not met in the Caterpillar classroom at naptime.

On 8/7/24, it was observed that staff persons 2, 3, 4, 5, 10, 11, and 13 had been employed longer than 1 year and did not have a staff evaluation on file in the previous 12 months.

On 8/7/24, it was observed that there was not an agreement on file for children 7 and 9.

On 8/7/24, it was observed that the agreement form for children 3, 5, and 8 did not indicate a fee amount.

On 8/7/24 it was observed that information about the child's growth and development was not on file within the last 6 months for children 1 and 2.

On 8/7/24, it was observed that the agreement forms for children 3 and 6 did not indicate arrival and departure times.

On 8/7/24, it was observed that child 9 did not have emergency contact information on file.

On 8/7/24, it was observed that child 7 did not have an address on file for their physician.

On 8/7/24, it was observed that child 3 did not have a work address on file for their enrolling parent. Children 4 and 6 did not have work address and phone number on file for the enrolling parent.

On 8/7/24, it was observed that special needs information was not indicated for child 3.

On 8/7/24, it was observed that child 3 did not have health insurance information on file.

On 8/7/24, it was observed that children 5 and 7 did not have addresses on file for their release persons.

On 8/7/24, it was observed that child file reviews were not completed every 6 months. Child 1 last had a file review on 12/30/22. Child 2 last had a file review on 12/20/22.

On 8/7/24, it was observed that admission dates were not indicated on the files for children 3, 5, 6, 7, 8, and 9.

On 8/7/24 it was observed that children 3, 4, and 9 did not have signed parental consent on file for emergency medical care.

On 8/7/24, it was observed that children 3, 4, 5, 8, and 9 did not have signed parental consent on file for minor first aid.

On 8/7/24, it was observed that staff persons 7, 9 and 12 were working in a childcare capacity and did not have record of education or experience on file.

On 8/7/24, it was observed that staff person 9 had education from a foreign country that was not evaluated for United States equivalency. Continued Non-Compliance from 4/10/24.

On 8/7/24, it was observed that staff persons did not have 2 written nonfamily references on file. Staff person 6 only had one reference on file. One additional reference is needed. Staff person 12 did not have any references on file. 2 references are needed. CORRECTED 8/19/24. Staff person 14 only had one reference on file. One additional reference is needed. (No longer employed 10/10/24)

On 8/7/24, it was observed that staff person 4 was employed longer than 12 months and did not have record of 12 training hours on file.

On 7/24/24, it was observed that the facility had not submitted any weekly tracking sheets which should have been submitted starting no later than the week of June 10, 2024. Previous plan of correction stated that 3 months of tracking would be completed by 9/1/24. (On 5/7/23, at approximately 7:30 AM, child 1 was left in the hallway by staff persons 2 and 3. Staff persons 1 and 2 were transitioning a group of children from the Ladybug to the Caterpillar classroom. Child 1 was found by staff person 1 outside the staff bathroom near the Ladybug classroom and taken to the Caterpillar classroom. Staff persons 1 and 2 were unaware that the child was missing. Child is estimated to have been unsupervised for 1-2 minutes.)

On 5/31/24, it was observed that the fire door at the end of the hallway was blocked by a water table, 2 slides, and a plastic tree stump. Continued non-compliance from 5/17/24.

On 5/31/24, it was observed that the previous open inspection summaries from 5/17/24 were not posted for the parents.

On 5/7/23, at approximately 7:30 AM, child 1 was left in the hallway by staff persons 2 and 3. Staff persons 1 and 2 were transitioning a group of children from the Ladybug to the Caterpillar classroom. Child 1 was found by staff person 1 outside the staff bathroom near the Ladybug classroom and taken to the Caterpillar classroom. Staff persons 1 and 2 were unaware that the child was missing. Child is estimated to have been unsupervised for 1-2 minutes.

On 5/16/24, it was observed that the Butterfly Classroom (Preschool) was out of ratio between 7:56 and 7:58 AM with 22 preschool age children and 2 Staff.

On 5/16/24, it was confirmed through staff interviews that staff person 4 did work in the preschool classroom while they had pink eye. Staff person had not started treatment before returning to care for children.

On 5/17/24, it was observed that the fire door at the end of the hallway was blocked by a water table, 2 slides, and a plastic tree stump. CORRECTED ON SITE.

On 5/16/24 it was observed that staff person 3 had education documents on file from a foreign country that were not verified for United States equivalency. Continued non-compliance from 4/10/24.

On 4/10/24, it was observed that CPSL (Child Protective Services Law) was not followed. Continued non-compliance from 2/16/24. Staff person 7 was observed working in the Ladybug classroom and did not have documentation of state police, child abuse, FBI, or NSOR (National Sex Offender Registry) clearances or provisional paperwork on file. Staff person 7 may not return to work without complete clearances. Staff person 8 was observed working in the Ladybug classroom and did not have documentation of a NSOR clearance or provisional paperwork. Staff person 8 may not return to work without a completed NSOR clearance. Staff person 3 has been employed longer than 45 days and does not have documentation of a NSOR clearance on file. Staff person 3 may not return to work without a completed NSOR clearance. Staff person 1 had been employed longer than 90 days and does not have documentation of completed Mandated Reporter Training on file.

On 4/10/24, it was observed that staff person 7 was working in the Ladybug classroom and did not have documentation of a completed health assessment and TB test on file. Continued non-compliance from 2/16/24.

On 4/10/24, it was observed that staff person 3 had been employed for longer than 90 days and did not have documentation of the 10 hour health and safety training on file.

On 4/10/24 it was observed that staff person 7 was working in the Ladybug classroom and did not have verification of education or experience on file. Continued non-compliance from 2/16/24.

On 4/10/24 it was observed that staff person 3 had education documents on file from a foreign country that were not verified for United States equivalency.

On 4/10/24, it was observed that staff did not have 2 written references on file. Continued non-compliance from 2/16/24. Staff person 7 did not have any references on file. Staff person 8 did not have any references on file. Staff person 1 did not have any references on file. Staff person 2 only had 1 reference on file.

ON 4/10/24, it was observed that staff persons 1, 2, and 3 had been employed longer than 90 days and did not have documentation of pediatric first aid and CPR training.

On 2/16/24 it was observed that staff persons were working unsupervised without completion of required professional development trainings. Staff person 2 and 5 were observed working together in the Butterfly classroom. Staff person 2 has not completed the required health and safety update training and does not have verification of Pediatric First Aid and CPR training on file. Staff person 5 has not completed the 10 hour health and safety training and Pediatric First Aid and CPR training. Staff 2 and 5 are not qualified to supervise each other. Staff person 3 was observed working alone in the Monkey classroom. Staff person 3 has not completed the 10 hour health and safety training with Pediatric First Aid and CPR. Staff person 3 is not qualified to work alon

On 2/16/24, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 2 did not have a complete NSOR (National Sex Offender Registry) certificate on file and was working in a classroom with Staff person 5 who also did not have complete clearances. Staff person 5 did not have an FBI clearance or provisional paperwork on file. Staff person 5 was working in a classroom with staff person 2 who also did not have complete clearances. Staff person 5 may not return to a childcare position until a complete FBI clearance is on file. Staff person 1 did not have a NSOR certificate on file and no provisional paperwork was available. Staff person 1 may not return to a childcare position until a complete NSOR certificate is on file. Staff person 1 has been employed longer than 45 days and does not have a completed FBI clearance on file. Staff person 1 may not return to a childcare position until a complete FBI clearance is on file. Staff person 4 has been employed for longer than 45 days and does not have a NSOR certificate on file. Staff person 4 may not return to a childcare position until a complete NSOR certificate is on file. Staff person 4 has been employed…

On 2/16/24, it was observed that the facility staff had not been trained on the facility emergency plan and had been employed longer than 90 days. Staff person 6 did not have verification of facility emergency plan training on file. Staff person 1 did not have verification of facility emergency plan training on file.

On 2/16/24, it was observed that the outlet in the hall outside of the Ladybug classroom was uncovered. Corrected on site.

On 2/16/24, it was observed that staff health assessments and TB tests were not on file. Staff person 1 was present at the facility and working in the Bears classroom and did not have a health assessment and TB test on file. Staff person 2 was present at the facility and working in the Butterfly classroom and did not have a TB test on file.

On 2/16/24, it was observed that staff persons did not meet the requirements for the CPSL (Child Protective Services Law) in regards to Mandated Reporter training. Staff person 2 and 5 did not have verification of completed Mandated Reporter training on file and were observed working together the Butterfly classroom. Staff persons may not work alone with children until Mandated Reporter training is completed. Staff person 3 did not have verification of completed Mandated Reporter training on file and was observed working alone in the Monkey classroom. Staff persons may not work alone with children until Mandated Reporter training is completed.

On 2/16/24, it was observed that staff person 4 had been employed longer than 90 days and did not have verification of completed Health and Safety training on file including Pediatric First Aid and CPR training.

On 2/16/24, it was observed that staff did not have verification of education and/or experience on file. Staff person 5 did not have verification of education on file. Staff person 3 did not have verification of education or experience on file. Staff person 1 did not have verification of education or experience on file. Staff person 4 did not have verification of experience on file.

On 2/16/24, it was observed that staff did not have 2 written nonfamily references on file. Staff person 5 only had one reference on file. One additional reference is needed. Staff person 3 only had one reference on file. One additional reference is needed. Staff person 1 did not have any references on file. Two references are needed. Staff person 4 only had one reference on file. One additional reference is needed.

Staff person 1 was observed restraining child 1 by holding them on a nap mat face down with a hand in the middle of their back while trying to get them to nap. Child was visibly struggling to get up and was held in place by the staff person. Incident occurred on 1/4/24 and video was reviewed on 1/11/24.

On 12/13/23, it was observed that the fire system at the facility was not tested every 30 days. The most recent test recorded for the facility was on 10/4/23. A test should have been completed on or before 11/3/23.

On 7/26/23, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a child abuse clearance dated 3/1/23 which was after their start date with children. Staff must have a child abuse clearance on file before working with children.

On 7/26/23, it was observed that child 11 had an epi-pen on site and did not have a medication log present.

On 7/26/23, it was observed that staff health assessments were not completed in a timely manner. Staff person 2 had a health assessment on file that expired on 2/5/23. A new health assessment was not completed until 6/28/23. Staff health assessments should be updated every 24 months. Staff person 3 had a health assessment and TB test on file dated 7/1/23 which was after their start date with children. Staff persons must have a health assessment and TB test on file before working with children.

On 7/26/23, it was observed that child 8 did not have addresses on file for their release persons.

On 7/26/23, it was observed that staff person 1 had education on file from the Phillipines that had not been verified as equivalent to a High School Diploma.

On 7/20/22, it was observed that staff person 1 had a FBI clearance on file for the Department of Education. FBI clearances must be for the Department of Public Welfare.

On 7/20/22 it was observed that toxic materials were accessible to children. Lotion was located in a child's cubby in the Monkey Classroom. CORRECTED ON SITE.

On 7/20/22 it was observed that staff person 2 did not have a physical and TB test on file prior to their start date with children. Physical on file was dated 7/1/22.

On 7/20/22, it was observed that the health assessment form for staff person 1 did not address communicable diseases or medical problems that may prohibit a staff person from providing care. CORRECTED ON SITE.

On 7/20/22, it was observed that Proof of Purchase for the fire detection system was not available.

On 7/20/22 it was observed that admission dates were not on file for child 2, 3, 4, 5, 6, 7, and 9.

On 7/20/22 it was observed that signed parental consent for minor first aid was not on file for child 1, 3, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, and 18.

On 11/5/21, staff person 1 left child 1 (age 2) in the Butterfly Classroom, for 2-5 minutes, while they took the other 5 children outside. Staff person 2 saw the child at the door and brought them outside.

On 10/18/21, it was observed that staff person 2 had state police and child abuse clearances on file for a volunteer. Staff person 2 may not continue to work until clearances for employment are on file. STATE POLICE CLEARANCE WAS CORRECTED ON SITE.

On 10/18/21, it was observed that child 9 did not have health insurance coverage and policy information on file.

On 10/18/21, it was observed that child 8 did not have signed parental consent on file for emergency medical care and minor first-aid.

On 10/18/21, it was observed that staff persons 1 and 3 did not have proof of education on file.