Willow Child Development Center

There were no handwashing signs at the sinks in Room 108 which the provider has converted from a classroom to a gross motor space.

There were 4 foam blocks in the Crayfish room that had teeth marks and pieces of foam missing

The thermometer in the refrigerator in the Crayfish room where milk is stored, measured 55° F at the time of the inspection.

The health assessment on file for Child #1 does not indicate if the child is free from contagious disease and is able to participate in child care.

The health assessment on file for Child #1 does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The emergency contact form on file for Child #2 does not include a complete address for all listed release persons.

Nine children were observed receiving care in the Crayfish without their emergency contact forms being in the classroom.

The most recent training regarding the emergency plan on file for Staff person #1 is dated 5.4.23, more than 1 year ago.

There was a quarter-sized area on the wall to the left of the closet that had damaged paint and drywall.

There was chipped, peeling paint on the blue cinderblock wall in Room 101 above the table; on the wall to the right of the classroom door; and on the wall to the right of the closet.

The immunization record on file for Child #1, who is 3 years old, included 1 of 4 HIB vaccines recommended by the ACIP for a child this age; 2 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

The 2 most recent health assessments on file for Staff person #1 were dated 5.26.22 and 9.30.24, more than 24 months apart.

The fire alarm 30-day test log includes test dates 11.12.24-12.13.24, more than 30 days apart.

The file for Child #1, with an enrollment date of 8/26/24, which is more than 60 days ago, does not include an initial health report.

There was no written daily activity schedule in Room 101.

The file for Child #2, includes Child Service reports. dated 11.3.23 and 6.6.24, more than 6 months apart.

The emergency contact form on file for Child #1 and #3 does not include the policy number for the child's health care benefits.

The Certificate of Compliance posted at the facility was expired as of 7.10.24; the current certificate was not posted.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health & Safety topics #1-#9 completed after 9/30/2016. Staff #1 and #2 completed Health & Safety Basics prior to 9/30/2016 which is not acceptable.

The file for staff person #1, start date in a child care position (see code sheet), is lacking verification of FBI clearance prior to start date. The file does contain a current FBI clearance. Also, staff person #1 has lived in the state of Maryland within the previous 5 years and is lacking complete Maryland state clearances.

The file for child #1, young toddler, is lacking a health report completed in the previous 6 month period.

Observed in a medication box in the office a container of Children's Tylenol and a container of Children's Motrin both lacking the name of the child for whom they were intended.

The director does not have a fire detection system test log that documents and verifies that the alarm system is tested at least every 30 days.

The file for child #1, young toddler, is lacking an initial health report within 90 days of the first day of attendance in the child care facility as required under the covid-19 suspended regulation.

Emergency contact information was not available for child #2 in the Ducks classroom where child #2 was observed receiving care.