YWCA Kuddle Korner Day Care

Observed on the outdoor place space, Step 2 Skyward Summit rock wall climber lacking 9" of loose fill due to the fact the fill measured less than 2 inches.

Observed prescription medication for child #4 with an expiration date of 6/2025.

Observed medication for children #1 and #3 but not medication logs.

At the time of the inspection, there was not documentation an emergency drill was conducted annually.

At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality.

The file of staff #2 lacked documentation of completing the 1 hour Health and Safety Training update.

The files of staff #1, #3, and #4 had documentation of completing Fire Safety training late due to the fact they completed more than 12 months apart.

The files of staff #1, #3, and #4 had annual evaluations completed more than 12 months apart.

The files of children #3, #5, #6, and #7 lacked emergency contact forms with the enrolling parents' complete work addresses and phone numbers.

The file of child #7 lacked an emergency contact form with information on the child's special needs, as specified by the child's parent or physician or "NA" if not applicable.

The files of children #3 and #6 lacked emergency contact forms with the complete addresses of the individuals designated by the parents to whom the children may be released.

At the time of the inspection, there were not copies of the emergency contact forms for children #2 and #5 in the rooms where they were observed to be receiving care.

The file of child #5 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff and signed parental consent for walking excursions.

The file of staff #5 had Mandated Reporter training completed more than 60 months apart due to the fact they were dated 4-29-25 and 2-29-20.

Observed loose sheets in the in the pack and plays labeled for child #1 and #2. Observed in preschool #1 and #2 rooms, adult scissors accessible to children.

The file of staff #3 had FBI clearances more than 60 dates apart due to the fact they were dated 2-22-24 and 1-15-19.

Observed sinks in both toddler rooms too high for the able children to reach; furthermore, staff reported lifting and holding the toddlers at the sinks to wash their hands.

Observed in the preschool #2 room, plastic bags accessible due to the fact they were in the bottom left unlocked drawer of the teacher's desk.

Observed a pack and play not labeled for child #3.

Observed an Epi-pen for child #4 stored in their backpack hanging on a hook in the classroom accessible to children.

There was not a medication log for prescription medication observed for child #4.

Based on the smoke detection testing log and information from the director, testing of the system is done more than 30 days apart at times because the testing is done monthly.

The file of staff #2, an AGS had proof of 1.5 years' experience rather than 2 years' experience.

The file of staff #1, an aide, lacked documentation of education at initial employment. The education on file was a high school diploma dated May 2024, which was approximately 2 months after initial hire.

The files of children #1, #2, and #8 lacked an agreement with the persons designated by a parent to whom the child may be released.

The file of child #6 had an agreement that lacked an enrollment date.

The files of children #2, #5, #7, and #8 lacked emergency contact forms with the full address of the individual designated by the parent to whom the child may be released.

Observed staff file #2 contained a CPSL required disclosure statement which was not signed by a witness. Observed staff file #3 contained a CPSL required disclosure statement which was signed on 2/1/23 which is after staff #3 started in a childcare position (1/16/23). Observed staff file #5, contained a CPSL required disclosure statement which was not signed by a witness. Observed staff file #5, who has been in a childcare position for 4 months did not contain a child abuse clearance or a NSOR verification letter. Observed staff file #7, a provisional hire, contained a NSOR verification letter which was dated more than 45 days after staff #7 started in a childcare position. Observed staff file #8, a provisional hire, did not contain a child abuse clearance which is required to be on file for a provisional hire. Observed staff file #9, contained a criminal background clearance which had a status of request pending.

Observed in the small preschool room, two electrical outlets and one on the end of a string of decorative lights which did not have protective receptacle covers.

Observed hand sanitizer, labeled keep out of the reach of children, accessible to children on a low shelf in the preschool room. Observed hand sanitizer accessible to children on a low shelf in the upstairs cubby area. Observed hand sanitizer accessible to children on a bag on a low shelf in the young toddler refrigerator. Observed Fabreeze spray, labeled keep out of the reach of children, accessible to children on a low shelf in the downstairs bathroom and in an unlocked low cabinet in the infant room. Observed an instant ice pack, labeled keep out of the reach of children, accessible to children in an unlocked low cabinet in the infant room. Observed an unlocked closet on the first floor which contained paint, lysol cleaner, and disinfectant spray.

Observed shaving cream, labeled keep out of the reach of children, store with the arts and crafts materials in both of the preschool room.

Observed the middle window in the older toddler room, which was open for ventilation, had a damaged screen.

Observed a damaged corner with rough edges on a plastic camp house in the preschool/school age room.

Observed the embedded swing set in the preschool play area did not have the United States Consumer Product Safety Commission recommended 9 inches of loose-filled protective surface covering.

Observed child file #5 contained a most recent health assessment dated 5/13/22, which was dated more than 15 months ago.

Observed child file #5 and #4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed an expired epi pen in the locked medication box in the preschool/school age room.

Observed the operator did not have an established medication log for an epi pen, children's benadryl, and prescription diaper cream which are stored at used at the facility.

Observed the group of children in the preschool room, who were dancing and singing prior to lunch, did not wash their hands prior to sitting down to eat their lunch.

Observed staff file #2 contained an incomplete initial health assessment which was obtained after providing initial service in a childcare setting. Observed staff file #4, contained an incomplete updated health assessment which was dated more than 24 months after the previous valid health assessment.

Observed the documentation of emergency drills revealed that the most recent emergency drill was conducted on 6/6/22 which is more than 14 months ago.

Observed the operator did not send a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

Observed the facility did not notify the local traffic authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility within the previous 12 months.

Observed staff file #1, 6, 10, 11, 13, 14 contained documentation of updated fire safety training which was conducted more than 12 months after the previous completed fire safety training.

Observed staff person #5 has not completed the following pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #5 has not completed 3270.31(f1-9).

Observed staff file #2, 3, 5, 7, 9, 12 did not contain documentation of 2 years of experience with children.

Observed staff file #9, an aide, did not contain documentation of an 8th grade education and 2 years of experience with children.

Observed child file #1, 2, 3, and 4 contained incomplete original agreements.

Observed the emergency contact form for child file #4, did not contain the address of the individual designated by the parent to whom the child may be released.

Observed staff file # 2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Observed staff file #5 contained documentation of completed pediatric first aid and pediatric cardiopulmonary resuscitation which was completed more than 90 days after the date of hire.

Observed staff file #2 contained a volunteer child abuse clearance which is not valid for child care employment.

Observed hand sanitizer, labeled keep out of the reach of children, accessible to children on a low shelf in the preschool room. Observed cleaning scrubber, accessible to children, in an unlocked low cabinet in the infant toddler room.

Observed multiple above ground windows, which were not restricted to 6 or fewer inches, in both preschool rooms and the toddler room.

Observed two ceiling vents in the infant room which needed to be cleaned. Observed an exposed bolt at the entrance gate to the preschool play area. Observed an elevated refrigerator in the toddler room which is a visible hazard and needs to be securely anchored to the wall.

Observed a torn diaper changing pad in the infant diaper changing area. Observed in the toddler room, a bucket table which did not have the manufacturers safety straps for the seats.

Observed in the toddler outdoor play area, many small objects/mulch with a diameter of less than 1 inch, accessible to children who are still placing objects in their mouths.

Observed child file #2 and #3 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed an expired epi pen on top of the refrigerator in the preschool/school age room.

Observed staff file #1 contained an updated health assessment which was dated more than 26 months after the previous valid health assessment. Observed staff file #3 contained an initial health assessment which was dated more than 16 months prior to staff #3 began providing initial service in the child care setting. Observed staff file #4 contained an incomplete updated health assessment.

Observed the facility did not have documentation of completing a fire drill from December 2021 until May of 2022.

Observed the facility did not have documentation of testing the fire alarms at least every 30 days and also did not have a fire alarm system annual testing letter.

Observed the emergency contact information for child file #1 did not contain the health insurance policy number.

Observed the emergency contact information for child file #1 and #3 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed staff file #4 contained 6 documented hours of child care training, out of the required 12 clock hours of child care training, during the period of 12/19/20-12/19/21.