Violation

Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff BRC - R Sep 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Attendance Recording and Group Sizes/Ratios

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Supervision of Children

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP)

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Infection Control/Hand Washing

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Current consent for administered medications

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Space (indoor / outdoor hazards)

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, in a review of four children's files, the documentation was not fully complete. Child A was missing documentation of Developmental History and had an expired Progress Report. Child B's enrollment information was expired. At the time of the visit it was observed that the Director's school aged child was on site but was not enrolled in the program. At the time of the observation, the child was not assigned to a classroom. The licensee must maintain complete and accurate accounts, books and all records required by 606 CMR 7.00, including but not limited to: a method of knowing exactly who is present on the premises at any given point in the day. Children's records must have all required applicable documentation as outlined on the Children's Record Checklist.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, in a review of three educators files, the documentation was not fully complete. All educators were missing documentation of EEC Program Orientation. Staff A was missing documentation of their physical. Staff B was missing documentation of MMR and staff observations. Staff C had expired staff observations. The Program must maintain a personnel record for each staff member, including immunization records.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

After the visit, in a review of all employees background record checks, it was identified that one educator had an expired BRC. The educators BRC had been expired for four months. The licensee must maintain in each personnel record: evidence of completed background record checks, as required by 102 CMR 1.05(2) and 606 CMR 14.00.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit the following was observed: Within the Preschool Two classroom, an Assistant Teacher took a student to the bathroom within the Preschool One classroom. At the beginning of rest time within the Preschool Three classroom, the students were on cots and awake. One teacher stepped out of the classroom to gather supplies in the hallway. This left one teacher alone with eighteen students. The program must have the number of educators necessary to: ensure adequate supervision of the group at all times. For purposes of calculating staff: child ratios, staff shall include only those EEC-qualified persons who are assigned to care for children for specific hours of the day. The licensee must maintain sufficient numbers of qualified staff to promote the health, safety, growth and development of each child.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, it was observed that the Preschool Two classroom left the gate open between Preschool Two and Preschool One. One student ran from Preschool Two, into Preschool One and into the bathroom attached to Preschool One before an educator in Preschool Two noticed. During another instance, a student within Preschool Two asked for water and was directed to enter Preschool One to fill up their water bottle, without an educator accompanying them. Educators must exercise appropriate supervision of the children in their care. Educators must be positioned to maximize their ability to see and/or hear children in their care. Educators must not engage in any other activities or tasks that could unnecessarily divert their attention from supervising the children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, in a review of three IHCPs, the documentation was not fully complete. One student was missing documentation of the educators trained on their health condition. The licensee must maintain as part of a child's record, an individual health care plan for each child with a chronic medical condition, which has been diagnosed by a licensed health care practitioner.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, it was observed that two students within the Toddler One classroom had their diapers changed. The students did not have their hands washed after their diaper was changed and were directed back into the classroom to engage with their peers. Within the Preschool Two Classroom it was observed that the students did not wash their hands prior to eating lunch. The licensee must ensure that educators and children wash their hands with liquid soap and running water, using friction, in accordance with DPH guidelines. Hands must be dried with individual or disposable towels or automatic hand blow-dryers. The use of common towels is prohibited. Educators and children must wash their hands at least at the following times: after toileting or diapering and before eating or handling food.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, in a review of three students IHCPs and the corresponding medication consent documentation, one student was missing documentation of medication consent for their prescribed medication. All medications must be accompanied by written parental consent and healthcare practitioner authorization when required, including proper administration of medication.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, the following was observed indoors: Within the Preschool Two classroom the flooring was lifted and bubbling in the library area and by the gate into Preschool One, within the Library area there were loose cords. Within Preschool One there was a closed trash bag by the handwashing sink. An educator in the classroom identified it had discarded sensory table sand in it and the bag had been there for several days. By the circle rug the baseboard had been removed. There was a dehumidifier plugged in with the cord loose and accessible. Within the Preschool Three classroom there was an Alexa device plugged in, where the cord was loose and accessible to students. The indoor space must be clean, safely maintained, well-ventilated and well-lit, of sufficient size for the children served, and must encourage play and learning. At the time of the visit, the following was observed outdoors: The ramp leading to the playground had a handrail with slats. The slats were 4.5 inches apart and a potential entrapment hazard. On the preschool playground, The wooden fence was coming loose, which resulted in three nails protruding from the fence. The handrails on the preschool play structure had chipping and peeling paint, resulting in the metal structure being exposed. There was a steering wheel on the play structure that was broken, and hanging off of the play structure. A blue slide on the play structure had two cracks in it at the top, which could potentially pinch a child as they sat down. There was a play kitchen that was unsecured and tippable. On the toddler playground there was a play tool bench which was unsecured and tippable. The outdoor play area must be free from hazards including but not limited to: a busy street, a parking lot, poisonous plants, water hazards, debris, broken glass, chipping, peeling or flaking paint, dangerous machinery or tools, and weather-related and environmental hazards or small objects that could present a choking hazard to young children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, the Preschool One classroom had a teacher and an assistant teacher with eighteen students. At one point the assistant teacher took four students to the bathroom, outside of the classroom. This left the assistant teacher alone with four students in the bathroom and the teacher in the classroom alone with fourteen students. An Assistant Teacher must work at all times under the direct supervision of at least a teacher qualified staff person. The program must have the number of educators necessary to ensure adequate supervision of the group at all times.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Attendance Recording and Group Sizes/Ratios

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Outdoor Space - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency Evacuation - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Diapering and Toileting for children under 2.9

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, in a review of five students files one student had an expired enrollment packet.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, on the preschool playground, the woodchips were roughly 2.5 inches deep at the fall zones. The fall zones must be at 9 inches in depth.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, the last fire drill that was completed was in June 2024. The educator must hold practice evacuation drills with all groups of children and all educators at least monthly. Drills must be held during different times of the program day, and must use alternative exits. The educator must document the date, time, exit route used, number of children evacuated and effectiveness of each drill.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, the Toddler One, Toddler Two and Infant/Toddler Classroom did not have diapering procedures posted.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In a review of three students IHCP's two students did not have complete EEC IHCPs or KinderCare IHCP documentation. All aspects of the students IHCP must be completed fully. One student was missing their doctor provided IHCP for their allergy. One students doctor provided IHCP was expired.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At the time of the visit, one student was prescribed antihistamine as part of their IHCP. The antihistamine was not on site for review. Emergency or life-saving medications, for any children for whom they have been prescribed must be readily available.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

An area of blue wall in Toddler 2, under the window, had chipped/peeling paint, which was accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Chipping and Peeling Paint

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following areas were observed to have chipping paint accessible to children: -In TODDLER 2, paint was chipping on the wall under the white board. -In TODDLER 1, paint was chipping off the full exit door. - In PREK, the paint on the wall under the bulletin board, the large doorway on the sides in the classroom, and the windowsills was chipping. -In PRESCHOOL 2, the paint on wall under the calendar area was chipping.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following was observed to be accessible to children: -In TODDLER 2, an open box of gloves was under the cabinet next to the door and the cord for the boombox loosely hung from the outlet. The box of gloves and boombox were relocated during the visit to minimize the hazard. -In PREK, the white and aqua bookshelf was not secured and tippable and one outlet in the middle of the room was not covered. -In PRESCHOOL 2, a dark pink bin sitting on the floor under the cubbies had a broken lid with sharp edges and two stacks of bins at the entrance were not secured and tippable. -In PRESCHOOL 1, the contact paper on the windowsills was peeling away and the sticky part visible can trap dirt and dust.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Educator in the PRESCHOOL 2 was asked if anyone in their room had any emergency medications. The educator stated that they did not know. It was identified through the review of the Allergy List that a child in their room was on an Individual Health Care Plan that required an (REDACTED). The Allergy List was posted on the wall and the medication was observed inside one of the classroom cabinets.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

It was identified that the (REDACTED) for a child in the PRESCHOOL 2 is expired as of (REDACTED).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The (REDACTED) that is part of a child's allergy plan in PRESCHOOL 2 was stored in the office and not readily available and accessible to the educators in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Toxic Substances

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Current consent for administered medications - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A review of the documentation of staff meetings available at the program indicate meetings have not been conducted every month as required. -The program did not document a staff meeting was facilitated in May 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Electrical Outlets were uncovered in the following classrooms: PreK ROOM, PRESCHOOL 1, and PRESCHOOL 2. All electrical outlets within the reach of children younger than school age must be made inaccessible by use of a safety device or covering that prevents access to the receptacle openings. Please cover.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Sticker/tape residue was seen in multiple locations throughout the program; on bookshelf near entrance of TODDLER 1, tape residue on wall where shapes are hanging in TODDLER 2 and tape peeling off and leaving stickiness on windowsill in PRESCHOOL 1. Windowsills were also dirty as indicated by visible brown dirt on the open windows in the PreK ROOM.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff orientation, training and meetings

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Electric outlets covered, no frayed electrical cords

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency Information Posted

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency Evacuation - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

All classrooms were missing the required Emergency Information Postings. The licensee must post the following information in an area easily visible to parents, educators and visitors: "Call 911" reminder and the telephone number and address of the program, including the location of the program in the facility; the telephone number of the Poison Control Center and the name and telephone number of the emergency back-up person, and the name, address and telephone number of the health care consultant. Please post.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

A review of the documentation of evacuation drills available at the program indicate drills have not been conducted every month as required. -The program did not document drills conducted in May, June, and July 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The IHCP for one child was missing the following information: chronic health condition description, side effects, and consequence of not receiving the medication/treatment.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The storage closet off the right side bathrooms was unlocked and contained the following accessible to children: toilet brush, paint cans, and a Bathroom Cleaner bottle which states on the label, “Keep out of reach of children”.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

An(REDACTED) expired in (REDACTED) 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Required (REDACTED) for one child with allergies was not in the child’s classroom with the (REDACTED).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The consent forms for one child’s (REDACTED) were not signed.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Fall zones adequate depth of impact absorbing material

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Evacuation procedures posted at each exit; Exit signs and diagrams as required

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Documentation of medication administration; Current consent for medications

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

During the visit, three children's files were reviewed. One file did not include a current First Aid/Emergency Medical Consent Form. Two files did not include a current Transportation Plan. One file did not include a current Developmental History Form. One file did not include evidence of a current physical.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

During the visit, three staff files were reviewed. One file did not include a current physical. Staff observations were not completed bi-monthly as required.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Infant classroom, two sleeping children were not placed at least 2 feet apart as required.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following was observed during the visit: there were stained ceiling tiles in the Preschool 2 and PreK classrooms. There were missing or broken ceiling tiles in the Preschool 1 and Preschool 2 classrooms. There were dusty ceiling vents in several classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There was not an adequate depth of impact absorbing material around the fall zones of the climbing structure. Grass was observed growing through the impact absorbing material.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Evacuation procedures were not posted at the rear exit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child with (REDACTED) on the premises did not have a Medication Consent Form signed by a parent.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Cots/cribs at least 2 feet apart or children's faces at least 3 feet apart

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's records and checklist - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's Individual Health Care Plan (IHCP) did not include all of the required information. One child with (REDACTED) on the premises did not have an IHCP describing the chronic condition, symptoms, any medical treatment that may be necessary while the child is in care, the potential side effects of that treatment, and the potential consequences to the child's health if the treatment is not administered.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Infection Control/Hand Washing - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Upon review of three children's records, one file had an incomplete IHCP (Individual Health Care Plan) and another file was missing a current physical, First Aid/Emergency medical consent and release and transportation plan. *The same non-compliance of the program not having complete and current IHCP upon review of children's records was cited on the 9/12/17 visit and the 3/16/15 visit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Toxic Substances

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Schedule/Qualifications - R Sep 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Supervision of Children

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Consistent grouping

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Toothbrushes

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Labeling

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Administration

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

False and Misleading information

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Physical Space Paint

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency #'s easily visible-all

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Evacuation procedures posted at each exit

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Diapering and Toileting for children under 2.9

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Three educators files were reviewed and the following was missing: -one lacked a BRC consent form, -one did not have an up to date physical, -three did not have required staff observations. *The following non-compliances were previously cited as follows: -3/16/15 visit: one educator lacked a signed and dated BRC consent form. -1/20/11 visit: staff records did not include documentation of individual ongoing supervision of each staff member. -5/14/07 visit: a staff member lacked a current physical.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The staff schedule was not current, nor was it posted. *The same non-compliance was cited on the following visits: 10/7/19 and 4/25/18.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Pre-K classroom, a child left the classroom with an ABA therapist and the teacher was unaware the child was not in the room. *A similar non-compliance of a child taken from a classroom by a staff member and this transition not being documented on attendance was cited on the 9/12/17 visit. In addition, classroom staff being unaware that a child had left a classroom was cited on the 6/7/19 visit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Preschool 2 class, there are 12 children enrolled with one teacher. If necessary, staff stated that two children are "bumped" to another classroom (Preschool 1) to maintain ratios. Children need to be with a consistent group with consistent staffing. *On the 6/8/19 visit, staff stated that there is not consistency for the children when they are moved from one room to another.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's toothbrushes were touching in the Preschool 1 classroom. *The same non-compliance was cited on the 9/12/17 visit. A Plan for Correction submitted by the Provider stated "teachers now collect toothbrushes so they can space them out appropriately. A second tooth brush holder has been ordered" (9/12/17 visit).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Infant class, there was one pacifier and one bottle that were not labeled with a child's name. In the Preschool 1 class, there was an unlabeled sippy cup in the refrigerator. Personal items must be labeled with the name of the child for whom they are intended. *The same non-compliance was cited on the 9/12/17 visit. A Plan for Correction was submitted by Provider that stated "Staff was instructed to label any bottles/cups as soon as they come in" (9/12/17 visit).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

-In the Infant classroom, the carpet had a visible amount of dirt on it. -In the Toddler classroom, the trash containers were covered with food/dirt on outside of receptacle. The plastic coating on the play kitchen stove was peeling and the yellow sink insert was broken. There was plastic peeling from the top of a shelving unit. The carpet had a visible amount of dirt and was covered in a thick layer of plaster dust. Under the changing table pad, there was visible dirt and debris. -In the Toddler 2 classroom, there was a thick layer of plaster dust on the shelves. The corner of a shelf had peeling plastic on the top of it. The ceiling vents and tiles were covered in dust. The children's purple chairs were rusty. The trash was full and over-flowing at 9:30am. The floor in the classroom appeared buckled and there was chipped and cracked tile. -In the Pre-K classroom, the lego table was uncleaned. There is evidence of water damage on the ceiling near the fire exit sign and door. There is cracked tile in the threshold of the classroom door. The blue child-sized couch has rips on it. The trash was full and overflowing. The carpet in the classroom had rips and frayed edging where two different type of carpets meet. -In the Preschool 1 classroom, there was a small hole in the wall. The sink, counter area around the sink, and mirror were dirty. The white cabinets under the sink are in disrepair and are unclean. -In the Preschool 2 classroom, the circle area rug was dirty. The wall area near the circle rug was dirty. The door had peeling paint on it. -The bathroom area stalls have broken toilet paper dispensers, stains on the floors, and the tiles appear to be cracking. The wooden step-stools in the bathroom are unclean. *The following non-compliances were cited in previous visits to the program as follows: -Visit on 6/28/19: carpet in Infant room appeared dirty. Plan for Correction submitted by the Provider on 7/1/19 stated that a request for a new carpet was made. -Visit on 12/5/18: Throughout the facility, classrooms and equipment are dirty and in need of cleaning; chipped and peeling paint in classrooms; rust on children's chairs; blue rug dirty; holes in wall. The Plan for Correction submitted by Provider stated that the interior of the center was to be painted by 1/2019 and that old and dirty equipment had been removed and new equipment ordered. -Visit on 10/29/18: Throughout the facility, classrooms were dirty, with visible grime; rusted chairs in Preschool, holes in the wall, rug dirty. The Plan for Correction submitted by the Provider stated the chairs and rug were replaced as of 4/20/19. -Visit on 1/20/11: white cabinets under sink in Preschool were in need of cleaning; chipping paint. -Visit on 8/6/08: chipping paint and floor buckling were cited.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

This program is not soundly administered. There have been frequent and repetitive non-compliances cited previous to today's visit of 11/5/19, as evidenced in this report.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Program submitted previous Plan for Corrections that have been observed by licensor to be false and misleading information, as they are still representative of non-compliances outlined in this report based on the 11/5/19 visit. Examples of these include, but are not limited to, the following previously submitted Plans for Correction as follows: -Current staff scheduled posted 10/7/19 (10/7/19 visit). -Interior of center to be painted by 1/2019 (12/5/18 visit). -Old and dirty equipment removed and new equipment ordered (12/5/18 visit). -Chairs and rugs were replaced on 4/20/19 (10/29/18 visit). -4/20/19: We will be vigilant going forward when vendors have been in school over the weekend (10/29/18 visit). -10/30/18: All personal items are away from children (10/29/18 visit). -9/15/17: Teachers now collect toothbrushes so they can space them out appropriately. A second tooth brush holder has been ordered (9/12/17 visit). -9/13/17: Staff was instructed to label any bottles/cups as soon as they come in (9/12/17 visit). - 10/30/17: Storage closet has been locked and a new key is on a hook not accessible to children (9/12/17 visit).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Throughout the program, classrooms had peeling/chipped paint. In addition, there was a significant amount of plaster dust in the Toddler classroom around the windows, floor, pillows, and shelving. *The same non-compliance of chipped plaster and paint was cited on the following visits: 12/5/18, 10/29/18, and 6/6/06.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency numbers were not posted and/or visible to parents, educators, or visitors.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Throughout the program, there were no posted emergency/evacuation procedures posted next to exits.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Infant, Toddler 1, and Toddler 2 classrooms, the area surrounding and underneath the diaper changing pad had visible amounts of dirt and debris. *The same non-compliance was cited on the 10/29/18 visit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following hazards were observed and accessible to children during the visit: -In the Infant class, diaper cream, plastic bags, and Glade air freshener were accessible to children under the diaper changing table. A broom was accessible to children. -In the Toddler class, diaper cream, plastic bags, and a container of small art supply jewels were accessible to children under the diaper changing table. There was a box of sippy cups with water left over in them from the summer, staff stated, and were accessible to children under a cabinet. There was a radio with a wire longer than 6 inches accessible to children. The metal brackets connecting the shelving units and the play kitchen area were protruding out and the screws were either loose or on the floor nearby. -In the Toddler 2 class, there was a broom and dust pan accessible to children. There were uncovered electrical outlets. There was soap, used sponges/scrub brushes and diaper cream accessible to children under the diaper changing unit. -In the Pre-K class, a refrigerator wire longer than 6 inches was accessible to children. An ABA therapist was in the class and had her purse unattended on the floor, accessible to children. -In the Preschool 1 class, there was a box of laminating supplies and wires accessible to children on a low shelf. A broom was accessible to children. There was an uncovered electrical outlet near the rug area. -In the Preschool 2 class, a roll of plastic trash bags were accessible to children on a low shelf. There was a pair of adult scissors in the front pocket in the First Aid Kit bag accessible to children. There was a pest repellent plugged into an outlet in the classroom. -The adult bathroom was unlocked and accessible to children and it contained a wheeled cart full of paint supplies and sealant. -The hallway near the Director's office is accessible to children and contains a copy machine with long wires, a computer with wires, a vacuum, and center emergency bags at a child's level. -The front desk in the hallway had a computer with long wires as well as staples, and rubber bands in it. -Two supply room doors were unlocked and open. One contained a toaster oven, microwave, and laminating supplies. Another supply room had multiple cleaners, trash bag liners, paint, and mop and bucket. -There were two staff bags in the hallway (leading to the playground) under a table. *The same non-compliances were cited on the following visits: -10/29/18: Teacher purses accessible to children; numerous toxic substances were accessible to children. Plan for Correction submitted by Provider on 4/20/19 stated "we will be vigilant going forward when vendors have been in school over the weekend;" and "All personal items are in cabinets away from children." -10/30/17: "Storage closet has been locked and a new key is on a hook not accessible to children" (9/12/17 visit).

Open Not marked corrected in the state record

Violation

Throughout the program, it was observed that equipment such as chairs, tables, walls, and carpets were not properly cleaned.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Toddler classroom, educators were unaware a child in the classroom had an IHCP for (REDACTED). *A non-compliance of program staff being unaware of a child's medical needs was cited on the 9/12/17 visit.

Open Not marked corrected in the state record

Open / not marked corrected.