11-12 · Technical assistance was provided regarding adopting a cleaning schedule to keep all areas clean, sanitary and well maintained at all times

• Clean carpets through out the facility observed with dirt and stains. • Dusk off shelves in the two year old classroom. • Make toilet in the boy's bathroom accessible to children attending the program. • Repair lightbulbs not working in the boy's bathroom and common area. • Refrigerator was observed with food residues and insects in the freezer area. (this area was corrected at the time of the inspection)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

12-05 · Technical assistance was provided regarding this standard

Cleaning products were observed on top of the sink located in the infant classroom. Provider took cleaning product out of the classroom

Corrected Corrected by Dec 14, 2023

Category: health medication. Marked corrected in the state record.

42-04 · Accident/Incident Reporting Group: Secs. 7-6.01 and 7-8.06, Ordinance and DCF Handbook

ALLEGATION: A complaint was reported to CCLE on 9/14/2023 regarding a one year old child that was bitten at school by another child, and the program failed to notify the parent about the incident. FINDINGS: An investigation was conducted on 9/15/2023 which consisted of an interview of the school administrator JW and the staff member SK who were in charge of supervising the infant/one year old classroom. The staff member SK stated that the parent asked the teachers about a bite mark that she found on her child's arm on 9/14/2023, and they responded that 3 days ago the child was bitten by another child while playing with a toy. SK said that the day of the incident, the parent was not notified neither an incident report was documented. An incident report was written on 9/14/2023 however the report was not on file at the time of the inspection. According to the school administrator JW and staff member SK, the original incident report was given to the parent by another staff member that was not present during today's investigation. Based on the information gathered, this allegation is DEEMED SUBSTANTIATED. A notice of violation is being issued for a second time non-compliance on the same standard that failed to comply on a complaint investigation conducted on 9/5/2023. Notice of violation occurred 9/15/2023 Notice violation was issued 9/18/2023

Corrected Corrected by Sep 15, 2023

Category: supervision. Marked corrected in the state record.

42-04 · Technical assistance was provided regarding record keeping requirements for this standard. On Based on the information gathered, this allegation is deemed SUBSTANTIATED since the agency was not able to review any written record about the incident

ALLEGATION: A complaint was reported to CCLE on 9/1/2023 regarding two year old child that had an incident at the school. The allegation states that the program failed to notify the parent and did not provide an explanation when the child was picked up from the program. INVESTIGATION: An investigation was conducted on 9/5/2023 which consisted of an interview with the staff member (TT) who was in charge of supervising the two year old classroom. According to TT, she recalls an incident that occurred months ago with the two year old child. She stated that the day of the incident, parents were notified and an incident report was written to document the occurrence. When a copy of the incident report was requested by licensing, the provider stated that they do not have a copy nor the original report because it was given to the parent who never returned it

Corrected Corrected by Sep 5, 2023

Category: supervision. Marked corrected in the state record.

11-15 · Technical assistance was provided regarding sanitation requirements

A dead roach was observed on top of a shelve and dead ants near the windows in the toddler classroom. Per provider's statement this room is not being used at the moment, and pest control was conducted recently. Provider clean the roach and ants at the time of the inspection

Corrected Corrected by Aug 4, 2023

Category: health medication. Marked corrected in the state record.

22-20 · Crib Requirements/Bedding Group: DCF Handbook DCF Handbook (Form OEL-SR-6202

23. See supplemental sheet for additional information

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

11-13 · General Facility Requirements Group: Sec. 7-5.01, Ordinance and DCF Handbook Sec. 7-5.01

The following areas were observed in need of repair: -Wall near playground door was observed peeled. -Infant door was observed with holes on both sided of the door. -Clean carpets in the preschool classroom and common area observed with stains. - Move playground equipment observed unstable in the middle of the playground. *********** The item cited on the previous inspection regarding the wooden baseboard in the one year old classroom, was observed repaired during today's visit

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

35-09 · Technical assistance was provided regarding this standard

Food acceptance log did not include the verification by the recipient of adequate temperature food for the following dates: 8/2/23 and 8/3/23. Provider documented today's temperature in the delivery slip. Submit via email a verification of meal's temperature for the next delivery schedule on 8/7/2023. ************* During today's food delivery, the milk had a temperature of 50 and 49 Fahrenheit degrees. Provider did not served the milk since it was above the temperature requirements for cold items

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

05-01 · Health Requirements Group: Sec. 7-4.05, Ordinance

One staff member did not have proof of a current medical statement on file. See supplemental sheet for more information

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

11-13 · General Facility Requirements Group: Sec. 7-5.01, Ordinance and DCF Handbook

Repair the wooden base board located behind the changing table in the one year old classroom observed broken. ******************************************** The other items cited on the previous inspection regarding the black carpets and light fixtures were observed in compliance during today's visit

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

11-13 · General Facility Requirements Group: Sec. 7-5.01, Ordinance and DCF Handbook

• Light bulbs in the following rooms were observed in need repair: Common area, two year old classroom and three/four year old classrooms. • Clean black carpets in the common area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

08-03 · Ratios of Personnel to Children Group: Sec. 7-4.06, Ordinance and DCF Handbook

Upon arriving to the facility, the teacher Ms.CR attended the door leaving the Ms. TT in charge of supervising two classrooms at the same time. Ms. TT was positioned at the entrance that opens to both classrooms. This action happened again when minutes later another administrator arrived to the facility and the staff member step out of the classroom to answer the door. Provider was reminded about the requirements of direct supervision that were discussed during the staffing conducted on 1/18/23. A notice of violation is being issued. Notice of violation occurred on 2/8/23 Notice of violation was issued on 2/9/23 ************* The following staff to child ratios were observed today: Infants 3:7 Ones 1:5 Twos 1:9 Threes/Fours/Fives 1:11

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

12-05 · Toxins/Hazardous Materials Group: Sec. 7-5.01, Ordinance and DCF Handbook

The item cited on the previous inspection conducted on 1/5/23 regarding chemicals observed in an area near the school age lunch room, were observed not locked during today's revisit. Provider proceeded to remove the storage that contained the chemicals/cleaning products to bring the area into compliance. This section was corrected at the time of the inspection. A notice of violation is being issued for a second time non compliance on the same standard

Corrected Corrected by Feb 8, 2023

Category: health medication. Marked corrected in the state record.

52-01 · Daily Attendance Group: DCF Handbook

The item cited on the previous inspection conducted on 1/5/23 regarding daily attendance was observed out of compliance during today's visit. This area failed to comply during the inspections conducted on 1/5/23, 1/13/23 and today 2/8/23. A notice of violation is being issued for a third time no compliance on the same standard. Notice of violation occurred 2/8/23 Notice of violation issued 2/9/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

42-03 · Accident/Incident Reporting Group: Secs. 7-6.01 and 7-8.06, Ordinance and DCF Handbook

ALLEGATION: A complaint was reported to CCLE on 1/20/23 regarding an infant child that got red mark in the right eye, and scratch marks around the neck. Parent stated that the facility failed to inform the parent about the child's bruises. INVESTIGATION: An investigation was conducted on 1/23/23 which consisted of interviews with the school administrator and staff in charge of supervising the child. According to the school administrator (JW) she was informed by the staff member (PH) that was in the infant classroom, that she noticed a red dot in the child's eye when she was feeding him. JW asked the staff member PH to be more specific about the red mark and it seemed that the child had a red vessel burst. None of the staff, neither school administrator noticed any marks around the child's neck. They stated that the parent was not informed, and that the program contacts the parents if there is an incident that requires first aid assistance. The program provided a copy of an incident report documenting the red mark in the eye, however the parent was not provided this report when the child was picked up from the program. Based on the information gathered, this allegation is deemed SUBSTANTIATED

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

08-01 · Ratios of Personnel to Children Group: Sec. 7-4.06, Ordinance and DCF Handbook

Upon arriving to the facility, two classrooms (the infant and one/two year old classrooms) were observed out of ratio. The ratios were as follow: Infants:1:8 Ones/Twos 1:9 Threes/Fours/Fives 1:7 School Age 1:13 This area failed to complied during the inspection conducted on 1/5/2023, and during today's revisit this area was observed out of compliance. The NOV occurred on 1/13/2023 The NOV was issued on 1/18/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

52-01 · Daily Attendance Group: DCF Handbook

While conducting a revisit related to ratios, the attendance in two classrooms were observed to verify the children's names and two classrooms' attendance were observed out of compliance. In the infant classroom no child was recorded in the attendance, and in the one/two year old classroom was missing one child. Attendance was completed at the time of the inspection. This area failed to comply during the inspection conducted on 1/5/2023, therefore a notice of violation is being issued for a second time non-compliance on the same standard. The NOV occurred on 1/13/2023 The NOV was issued on 1/18/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

05-01 · Health Requirements Group: Sec. 7-4.05, Ordinance

2 staff number 8 were expired since September. See supplemental for details

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

08-01 · Ratios of Personnel to Children Group: Sec. 7-4.06, Ordinance and DCF Handbook

The 2y/o group ratio was 1staff : 9 children. Per the assigned teacher (TT), all the children in the classroom were 2y/o. After children files were checked, it was determined that two of the nine children in the classroom were still 1y/o. To come into compliance, a teacher that was in the kitchen was moved to the room to meet ratio and a 1y/o child from the infant room was also moved to the 2y/o classroom. The ratio in the mixed group of 1s and 2s became 2 staff :10 children. Compliant ratios were as follows by the end of inspection(1 infant went home during inspection): infants ad 1y/o 2:6 1y/o and 2y/o 2:10 3y/o to 5y/o 1:8 after school 1:15 A notice of violation is being issued

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

08-02 · Ratios of Personnel to Children Group: Sec. 7-4.06, Ordinance and DCF Handbook

Upon arrival, Ms. P opened the door and she walked into the aftercare room. I conducted ratio in the 2s class and saw the teacher sitting at a table near the middle of her classroom. Then, I entered the adjoining mixed group of 3s and 4s. I counted eight children in the classroom but there were no adults in the room. Per the 2y/o teacher, she was watching both her classroom and the mixed group and 3s and 4s. TA was provided that she is in a different room and she cannot supervise both classrooms at the same time. while I spoke to the 2y/o teacher, Ms. P walked up to me and told me she was in charge of that mixed group of 3s and 4s. So, I asked her to stay in the room because the classroom cannot be left unsupervised. I proceeded to enter the school age room and I counted 20 school age children without adult supervision. Then, I entered the infant room and observed 8 children that appeared to be infants and 1y/o sleeping without adult supervision. At this point Ms. Pearl came to the infant classroom and I asked her where all the staff members were and she responded that the were out to lunch. Lack of director supervision was observed in the mixed group of infants and 1y/o, the mixed group of 3y/o and 4y/o, and in the school age room. To come into compliance, the director and Ms. P went into the infant room, the 1y/o teacher went into the school age room and another teacher went into the 3s and 4s class. See supplemental for names. A notice of violation is being issued

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

11-13 · General Facility Requirements Group: Sec. 7-5.01, Ordinance and DCF Handbook

The following was found in need of repair; - the peeling paint throughout the facility to include but no limited to the after care room, hallway, restrooms - repair saggy ceiling tiles in restroom near 3y/o room - rust in the restroom sink - rust in restroom metal drawer stand - clean air vent in infant room - broken stool in boys restroom near kitchen - broken cabinet hinge in restroom near kitchen

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

12-05 · Toxins/Hazardous Materials Group: Sec. 7-5.01, Ordinance and DCF Handbook

Chemicals were observed in an area near the school age / lunch room. The chemicals were not locked and out of reach of children as they were on a white furniture without doors and locks. TA was provided on proper storage of chemicals

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22-08 · Crib Requirements/Bedding Group: DCF Handbook

An infant was observed with a pacifier in her mouth that was attached to her bib around her neck. TA was provided that this is in violation of minimum infant standards

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

23-02 · Outdoor Play Space Group: Sec. 7-5.03, Ordinance and DCF Handbook

Although the license space has an adjoining playground, the school age children were observed playing in an area next to the parking lot that was not adjoining the building and that did not have a fence around it. TA was provided that the children shall not be taken out of the licensed premises without parent written authorization for field trip is received

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

23-06 · Outdoor Play Space Group: Sec. 7-5.03, Ordinance and DCF Handbook

The playground was observed with very low amount of mulch around the play equipment. It was so low that you could see the dirt at the end of the slide and under the swing set. TA was provided that resilient surface must be maintained under and within the fall zone

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

35-01 · Food Protection and Service Group: Secs. 7-7.09 and 7-7.11, Ordinance, and DCF Handbook

Three Infant bottles were observed served, ready to eat in the infant cubbies upon arrival. The infants were sleeping at time of arrival and one woke up during inspection. The infant that woke up was fed one of the bottles that were siting out in the cubby. Per teacher, the children drink the milk at room temperature. TA was provided that prepared bottles must be placed in the refrigerator immediately and used within 48 hours

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

50-02 · Fire Drills/Emergency Procedures Group: DCF Handbook

TA was provided that fire drills must be conducted monthly and documented on the fir drill log. 2 fire drill must be conducted this month to make up for December and to complete January

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

52-01 · Daily Attendance Group: DCF Handbook

attendance was checked for compliance and the following was observed; - in the mixed group of infants and 1y/o , there were 8 children present and only 6 marked present on attendance. - in the mixed group of 1y/o and 2y/o, there were 9 children present and only 7 children marked present on attendance. - in the school age group, there were 20 children present and only 16 marked present on attendance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.