Willow Tree Early Learning Center

There was a small hole in the wall in the 2-year-old room.

A bottle of infant pain relief medication expired June 2024.

Per the facility's fire drill and detection log there were more than 30 days between tests of the fire detection system on April 1, 2024 to May 6, 2024, and then again July 3 to August 5, 2024,

Staff #1 did not have the correct FBI clearance. The current clearance on file is from out of state and not a DHS clearance.

The facility's emergency plan did not address continuity of operations.

The facility did not have any documentation of notifying local traffic safety authorities of the location of the facility and the pedestrian and vehicular routes around the facility.

Staff person #1 and #2 has not completed the required Pediatric First Aid/CPR pre-service training within 90 days of their date of hire (see LIS code sheet)

The facility exceeds 45 children, but does not have a group supervisor as a staff member. There were 54 kids on site at the time of inspection.

On 12/8/22, Staff #1 pulled child #1, who was stuck between the ball pit and the wall, up by the hand, directly resulting in an injury to the child's elbow (Nursemaid's Elbow).

During renewal inspection on 12/19/22 STAFF #1, 3, 5 (see code sheet for start dates) were observed to be caring for children unsupervised. STAFF #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR by a PQAS-certified instructor. STAFF #3 & STAFF #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR by a PQAS-certified instructor and CCDBG Health & Safety training.

During renewal inspection on 12/19/22, the file of STAFF #3 (see code sheet for start date) did not contain completed NSOR information required under the CPSL. A copy of the application for the NSOR dated 10/3/22 is in file.

During renewal inspection on 12/19/22 at 9:50 am STAFF #4 and 5, who were both identified as Aides and are provisional hires, were observed in the Toddler 2 room working alone with children and were not in the vicinity of a permanent employee. At 10:00 am STAFF #3, who was identified as an Aide and is a provisional hire, was observed in the Crawler room working alone with children and was not in the vicinity of a permanent employee.

During renewal inspection on 12/19/22 cert rep observed damaged paint in the preschool room in the corner of the science area and behind the bookshelf.

During renewal inspection on 12/19/22 cert rep reviewed several children's files. CHILD #2 (see code sheet for date of birth) does not have the third Rotavirus immunization or any influenza immunizations. There are no exemption letters in child's file.

During renewal inspection on 12/19/22 STAFF #1 (see code sheet for start date) had an After-Visit Summary printout dated 11/11/21. This is not a signed health assessment, and it was more than 12 months before STAFF #1's start date. STAFF #3 (see code sheet for start date) had tuberculosis results in file, but no health assessment/physical form.

During renewal inspection on 12/19/22 STAFF #1 (see code sheet for start date) did not have results of current tuberculosis screening in file. STAFF #3 (see code sheet for start date) had results of tuberculosis screening in file. The date was after STAFF #3's start date.

During renewal inspection on 12/19/22 cert rep reviewed several children's files. CHILD #1 emergency contact form and financial agreement were last updated 6/2/22. CHILD #3 emergency contact form was last updated on 5/6/22 and financial agreement was last updated on 4/6/22. These dates are more than 6 months ago.

During renewal inspection on 12/19/22 STAFF #1 did not have verification of qualifications including childcare experience, education and training prior to service at the facility. STAFF #2, an assistant group supervisor possessing a high school diploma, did not have verification of 2,500 hours of prior childcare experience in file.

On 5/24/22 during an unannounced inspection between 8:30am and 8:45am, the infant room had 7 infants with staff #7, and the Preschool room had 14 preschoolers with staff #3.

On 5/24/22 during an unannounced inspection, Staff 1 (see code sheet for hire date) did not have a signed disclosure statement on file. Staff #2 (see code sheet for hire date) did not have NSOR clearance or a signed disclosure statement on file and was observed working with children. Staff #6 (see code sheet for hire date) did not have the FBI clearance or the NSOR on file. Staff #12 (see code sheet for hire date) did not have an FBI clearance or the NSOR on file. Staff #12 had a State Police clearance on file that was obtained for volunteer purposes, which is not able to be used for childcare employment purposes.

On 5/24/22 during an unannounced inspection, the most recently documented fire drill at the facility was 12/14/21.

On 5/24/22 during an unannounced inspection, the fire alarm system was not being tested every 30 days as required. Staff #8 stated that they recently made the fire alarm system independent from the shopping center and that the program can now set off the alarm by calling the company to put it in test mode.

On 5/24/22 during an unannounced inspection, Staff 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12 had 1st Aid and CPR training that is not on the approved curriculum list and was conducted by a trainer who is not PQAS certified.

As of an unannounced inspection on 5/24/22, Staff #6 (see code sheet for hire date) had not complete the required health and safety training topics and has been employed for more than 90 days.

Staff Person #1, date of hire 11/1/2021, does not have an FBI clearance on file. Staff Person #2, date of hire 12/1/2021, does not have a National Sex Offender Registry certification on file.

Staff person #3 began in a child care position at the facility on 8/1/2021 and did not obtain her National Sex Offender Registry certification until 11/22/2021.