Brenda Lee Yingling

In the Living Room childcare space, observed disinfectant wipes on an end table. In the bathroom, which is used by the children, observed 2 bottles of Bath n Body spray, 2 adult bottles of hairspray. All items were labeled as, "Keep out of reach of children" and were accessible to the children. Cat food was observed on the changing table in the bathroom used by children.

Resolution: Implemented

In the living room child care space, observed a toxic Peace Lily and toxic Aloe Vera plant.

Resolution: Implemented

Child #1 was unsupervised while outside the GCCH waiting for a school bus and while riding a school bus to the elementary school. The child is not yet enrolled in school.

Resolution: Implemented

Child #1 was unsupervised while outside the GCCH waiting for and then while riding a school bus to the elementary school. The child is not yet enrolled in school.

Resolution: Implemented

Child #1 was unsupervised while outside the GCCH waiting for and then while riding a school bus to the elementary school. The child is not yet enrolled in school.

Resolution: Implemented

In the facility restroom, toxics such as hair spray were accessible to the children on the shelf by the sink.

Resolution: Implemented

It was observed that the facility had Snake tail and Peace Lily plants accessible to children.

Resolution: Implemented

The facility's Emergency plan did not have documentation for continuity of operations and specify the role for volunteers if applicable.

Resolution: Implemented

The Child Abuse clearance on file for Staff person #1 was observed to be greater than 60 months. This is evidenced by 3/2/2020.

Resolution: Implemented

The facility's first-aid kit contained burn cream, Poison Ivy cream and Neosporin medicine not labeled for an individual and stated "Keep out of Reach of Children".

Resolution: Implemented

The outside porch of the facility was observed to have a broken planter container and plastic bags accessible to children.

Resolution: Implemented

The facility's cat "Bubba" did not have documentation of a current rabies immunization on file.

Resolution: Implemented

It was observed that the file for Child #2, Child #3, Child #4, and Child #5 did not have documentation of a Child Service Report done every 6 months.

Resolution: Implemented

The file for Child#1 did not contain documentation nor was it posted giving the formula and feeding schedule from the parent.

Resolution: Implemented

It was observed that the evacuation routes were not posted in a conspicuous location on all levels of the facility

Resolution: Implemented

It was observed that the bottle for Child #1 was heated in the microwave.

Resolution: Implemented

The facility was observed to lack a posting of the emergency plan in the facility at a conspicuous location.

Resolution: Implemented

The facility was observed to lack evidence that the operator sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Resolution: Implemented

The access to the front door egress by the stairway upstairs was observed to be mostly obstructed by the storage of boxes and other items.

Resolution: Implemented

The facility was observed to lack a veterinarian's certificate of current rabies immunization on file for pets Bella and Sophia.

Resolution: Implemented

The files for children #1, #2 and #3 were observed to contain agreements that did not specify the persons designated by a parent to whom the child may be released.

Resolution: Implemented

The file for child #2 was observed to contain an agreement that did not specify the date of the child's admission.

Resolution: Implemented

The facility was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in any of their child care spaces.

Resolution: Implemented

The file for child #4 a young toddler when enrolled was observed to contain an initial health exam dated 1/27/2020 and the next health report is dated 9/18/2020 a period greater than 6 months.

Resolution: Implemented

The file for child #4 a preschool aged child was observed to contain Health reports that were not obtained at least every 12 months for an older toddler or preschool aged child. This was evidenced by health reports dated 07/08/21 and 04/06/23 in the file.

Resolution: Implemented

The file for staff person #1 was observed to lack acceptable verification of education.

Resolution: Implemented

The facility was observed to have an emergency plan that failed to include a statement regarding the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions during the emergency.

Resolution: Implemented

The file for child #1 was observed to contain a health report signed by a physician, physician's assistant or a CRNP, but failed to include a date.

Resolution: Implemented

The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster. The facility lacked a policy and procedure regarding shaken baby syndrome, abusive head trauma and child maltreatment including ways to cope with a crying and fussy child. The file for staff #2 lacks the one hour health and safety update.

Resolution: Implemented | Not Accepted

Staff person # 1 and 3 were observed to be caring for children unsupervised. Staff person #1 and 3 have not completed the following pre-service training required prior to caring for children unsupervised: Staff #1 - Pediatric CPR/FA with approved curriculum and approved PQUA instructor and acceptable Health and Safety training. Staff #3 - Pediatric CPR/FA with approved curriculum and approved PQUA instructor and Health and Safety training.

Resolution: Implemented

There was standing water accessible to children in the following areas on the side porch which is reportedly used as a play space for infants, toddlers and preschoolers: in 2 water tables and one cooler. The TV in the Living Room was not secured and could be pulled over by the children.

Resolution: Implemented

The file for staff #1 and 2 lack emergency plan training within the past year. Last emergency plan training was dated 2/2/22. The file for staff #3 lacks emergency plan training at initial hire. There is no emergency plan training on file.

Resolution: Implemented

The file for staff #1 lacked 12 hours of childcare training from 12/19/21 - 12/19/22. The file for staff #2 lacked 12 hours of childcare training from 9/21/21 - 9/21/22.

Resolution: Implemented | Not Accepted

The file for staff #4 lacked the most current required disclosure statement required under the CPSL on or before initial rehire date in a child care position.

Resolution: Implemented

On 3/22/23, there was no one present at the facility who was competent in pediatric first aid and pediatric CPR while children were in care.

Resolution: Implemented

On 3/22/2023, observed staff person #1 leave the Playroom at approximately 10:30 AM for approximately one minute to answer the door, leave the Playroom at 11:08 AM, 11:13 AM, 12:12 PM and 1:43 PM to walk into the kitchen for approximately 15 seconds. During these times, a staff was not physically present in the Playroom to supervise the children where 1 infant and 3 toddlers were in care. Ratio 0:4.

Resolution: Implemented

The side porch of the facility, which is reportedly used as a play space for infants, toddlers and preschoolers, was also being used as a storage space for items not related to childcare. These items were being stored in a way that allowed for limited walking paths on the side porch and also prohibited the children from being able to run, jump, climb or ride.

Resolution: Implemented

The following toxic items were observed to be on the side porch which is reportedly used as an outdoor play area for the infants, toddlers and preschoolers: toxic ice melt, a bottle of Oxyclean, a bottle of sunscreen, an open bag of Miracle Gro plant fertilizer, and a container of weed killer. All items were marked "Keep Out of Reach of Children" and were accessible to children on the side porch. There was a can of Rustoleum spray paint accessible to children on top of a bin in the back yard.

Resolution: Implemented

In the Mud Room childcare space, observed disinfectant wipes and Lysol spray. In the Living Room childcare space, observed disinfectant wipes on an end table. In the bathroom, which is used by the children, observed 2 bottles of Bath n Body spray, 2 adult bottles of deodorant and adult toothpaste. All items were labeled as, "Keep out of reach of children" and were accessible to the children.

Resolution: Implemented

In the living room child care space, observed a toxic Peach Lily and toxic Aloe Vera plant.

Resolution: Implemented

The following unsafe conditions and/or hazards were observed on the side porch which is reportedly used as an outdoor play area for the infants, toddler and preschoolers: there was a tall blue container containing ice melter that wobbled when touched posing a hazard to the children if it were to tip over; two tall solar floor lamps with glass shades and 1 tall lamp post being stored on the side porch that could be easily tipped over; there were multiple clay pots (some filled with dirt) being stored on the ledge of the railing to the side porch that posed a hazard if the children were to pull it over on themselves; a propane tank; 3 large bird feeders stored on the floor of the side porch which could easily be tipped over; decorative lanterns with glass panels were being stored on the ledge of the railing that could easily be pulled down; a gas grill; a car seat was being stored on top of the gas grill that could easily be pulled down; an unplugged portable space heater was leaning against a rusty metal garbage can; the lid to a storage bin being stored on the floor on which there was a brownish green substance; broken pieces of a ceiling fan being stored on bench; multiple plastic bags being stored on a bench; a crutch being stored on a bench; several wire hanging baskets being stored on a bench; and there was a metal street sign with sharp edges protruding into the side porch play area from the side yard. All of the unsafe conditions and/or hazards were accessible to the children on the side porch. The following unsafe conditions and/or hazards were observed in the back yard which is reportedly used as a play space for the school aged children: A rusty bird cage; a rusty garden hoe laying on the ground; a rusty pitch fork laying on the ground; a rusty shovel laying on the ground; a rusty metal hook used to hang decorations laying on the ground; multiple cracked clay pots on the ground; a rusty 5 gallon bucket sitting on the ground; a metal garbage can filled with empty beer cans; there were large areas of the back yard that contained jaggerbushes that were covered with sharp thorns

Resolution: Implemented

The following unsafe conditions and/or hazards were observed on the side porch which is reportedly used as an outdoor play area for the infants, toddler and preschoolers: a cooler containing multiple beer cans; a box of materials used for fishing that contained sharp fish hooks; there were 5 wooden boards stacked on top of one another being stored on the ledge of the railing to the side porch on which there were sharp edges of 3 screws protruding from one of the boards. The following unsafe conditions and/or hazards were observed in the back yard which is reportedly used as a play space for the school aged children: there were metal sheets with sharp edges accessible to children under the deck which surrounds the above ground pool; there was no barrier to prevent the children from accessing the crawl space under the deck that surrounds the pool; and a rusty metal burn bin.

Resolution: Implemented

There was peeling and chipping paint on a metal garbage can and a wooden bench that were observed to be on the side porch play space. The brown wooden post attached to a bird feeder in the back yard had multiple areas of peeling and chipping paint. There were multiple areas of chipped paint on the window ledge of a window on the side of the house accessible to children in the back yard

Resolution: Implemented

Observed that the bathroom door, which leads to the laundry room, was obstructed by rest mats and a large bag of diapers. Observed that the Mud Room door, which leads to the laundry room, was obstructed by boxes of supplies.

Resolution: Implemented

There was a red and yellow play equipment boat on the side porch that was covered in dirt and leaves. There was a gray toy bin on which there was a crack on the lid on the side porch posing a pinch point. There was plastic play house behind the pool on which half of the roof was collapsed. There was a Little Tikes piece of tan and pink play equipment behind the pool that was covered in thorny jaggerbushes.

Resolution: Implemented

There was an open bag of bird food on the floor of the side porch that contained seeds that were less than one inch in diameter. The bag was accessible to children who are still placing items in their mouths.

Resolution: Implemented

On 3/22/2023, observed staff person #1 leave the Playroom at approximately 10:30 AM for approximately one minute to answer the door, leave the Playroom at 11:08 AM, 11:13 AM, 12:12 PM and 1:43 PM to walk into the kitchen for approximately 15 seconds. During these times, a staff was not physically present in the Playroom to supervise the children where 1 infant and 3 toddlers were in care.

Resolution: Implemented | Not Accepted

On 3/22/2023, observed staff person #1 leave the Playroom at approximately 10:30 AM for approximately one minute to answer the door, leave the Playroom at 11:08 AM, 11:13 AM, 12:12 PM and 1:43 PM to walk into the kitchen for approximately 15 seconds. During these times, a staff was not physically present in the Playroom to supervise the children where 1 infant and 3 toddlers were in care.

Resolution: Implemented

Based on a conversation with the operator, the children have not gone outside daily, weather permitting, during the winter of 2022/2023.

Resolution: Implemented | Not Accepted

The gate to the wooden deck that partially surrounds the above ground swimming pool in the back yard was open allowing the pool to be accessible to the children. The operator reported that school age children use the back yard as their outdoor play space. It was observed that the gate to the wooden deck that partially surrounds the above ground swimming pool was not self-closing or self-latching in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission. The top of the gate attached to the wooden fence that partially surrounds the above ground pool measured 38 inches above grade. In accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission, the top of the pool barrier should be at least 48 inches above grade. The top of the gate that leads from the side porch to the backyard where the above ground pool is located measured 38 1/2 inches above grade. In accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission, the top of the pool barrier should be at least 48 inches above grade. The opening between the post of the fence that partially surrounds the above ground pool and the pool itself measured 10 1/2 inches. In accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission, all openings should be small enough so that a 4 inch diameter sphere cannot pass through. The top of the wooden fence that partially surrounded the above ground pool measured 44 inches above grade. In accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission, the top of the pool barrier should be at least 48 inches above grade.

Resolution: Implemented

The most current fee agreement on file for child #1 lacked the fee amount to be charged. The most current fee agreement on file for child #2 lacked the fee amount to be charged and the child's arrival and departure time.

Resolution: Implemented

The files for children #1, 2, 3, 4 and 5 lack a child service report which has been completed within the past 6 months.

Resolution: Implemented

The most current fee agreement on file for child #1 lacks the date of the child's admission.

Resolution: Implemented

The fee agreements on file for children #1, 2, 3, 4 and 5 were the originals. Therefore, the original was not provided to the parent.

Resolution: Implemented

The Living Room, Play Room and Mud Room lacked a conspicuously displayed medical emergency transportation plan.

Resolution: Implemented

The initial health assessment on file for child #2 lacked a signature by a physician, physician's assistant or CRNP.

Resolution: Implemented

The file for child #1 lacked verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. There was no exemption from parent on file.

Resolution: Implemented

The health report on file for child #2 lacked a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Resolution: Implemented

In the bathroom, observed medicated Caldesene and Aquaphor. In the first aid kit, observed Neosporin. All lacked the name of the person for whom the medication was intended.

Resolution: Implemented

In the bathroom, observed medicated Caldesene and Aquaphor which were accessible to the children.

Resolution: Implemented

Proof of purchase of the facility's fire detectors was not located in the facility file on the day of inspection.

Resolution: Implemented

Staff persons #1, 2 and 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 - Pediatric CPR/FA with PQUA instructor and approved curriculum and Health and Safety training. Current Health and Safety training was the 6 hours training and dated 11/9/2018. 6 hour training acceptable from 9/30/16-6/30/18. Staff #2 - Pediatric CPR/FA with PQUA instructor and approved curriculum. Staff #3 - Pediatric CPR/FA with PQUA approved instructor and approved curriculum and health and safety training.

Resolution: Implemented

The initial health assessment on file for child #2 did not contain a date. Therefore, there was no way to assess if the health assessment was provided within 60 days of start date.

Resolution: Implemented

Observed a pillow case labeled for child #5 with torn and shredded plastic.

Resolution: Implemented

The file of child #2 lacked an emergency contact form with the home and work addresses and telephone numbers of the enrolling parent.

Resolution: Implemented

The file of child #2 lacked an emergency contact form with address of the individual designated by the parent to whom the child may be released.

Resolution: Implemented

The files of children #1, #3, and #4 lacked documentation of exemption from flu immunization.

Resolution: Implemented

The file for staff person #1 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET).

Resolution: Implemented

At the time of the inspection, the Emergency Plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Resolution: Implemented

The file of facility person #1, identified as a volunteer since 1-3-22 lacked a current FBI clearance. The FBI clearance in file was dated 7-5-16.

Resolution: Implemented

The file of facility person #1, identified as a volunteer since 1-3-22, lacked a health assessment. During the unannounced inspection, cert rep observed facility person #1 holding an infant and assisting with serving lunch. Therefore, facility person #1 was providing direct care, came into contact with the children and/or worked with food prepared and served to children in care.

Resolution: Implemented