St. Christophers Day School

The parent handbook does not include the required information for the promotion of physical activity.

One of the reviewed files did not have a current shot record

A ceiling tile in the classroom was partially detached from the ceiling. This was corrected when a caregiver fixed the tile.

Nine of the reviewed caregiver training files did not have an administering medication training.

A child with a known allergy did not an allergy plan signed by a health care professional

An infant was sleeping in a restrictive device with its face covered with a blanket. This was corrected when the caregiver removed the infant from the restrictive device and placed him in his crib.

The operation was not able to present documentation of the date of lease or purchase of a bus with over 8-person seating that did not have a child safety alarm.

A child was unsupervised at the operation.

The operation did not immediately notify the parent that a child was unsupervised at the operation.

The operation did not notify Licensing that a child was unsupervised at the operation.

The current fire inspection was last completed on 4.2.24

The operation did not inform the parent immediately after the incident.

The operation did not inform the parent immediately after the incident.

A child was unattended while in care of the operation.

During the inspection I observed that the caregiver did not wash the childs hands after a diaper change.

One child did not have the required food allergy emergency plan on file.

The operation did not have a current annual sanitation inspection or documents to confirm that a sanitiation inspection is not required.

During the walkthrough the following safety hazards were observed: * Electrical outlets accesible to the children in care. * There was exposed sharp wood on the playground equipmet.

A caregiver was involved in janitorial duties while tasked with supervision of children.

Hot liquid accessible to children in the classroom resulted in injury to a child.

During the inspection I observed that a fenced playground yard did not have two exits.

2 out of 3 caregivers did not have the required annual training topics in: Administering Medication and Preventing and Responding to Emergencies due to Food or Allergic Reaction.

The operation emergency evacuation diagram does not include the designated location inside the child-care center where they will take shelter from threatening weather. Corrected: The director updated the emergency evacuation diagram to show the designated location inside the child-care center where they will take shelter from threatening weather.

The operations emergency preparedness plan was found to be missing how to evacuate children under 24 months. Corrected: The director updated the emergency preparedness plan to show infants will be transported in evacuation cribs.

The operation emeregency evacuation diagram did not include the designated relocation site outside of the child care center. Corrected: The director updated the emergency evacuation diagram to show the designated relocation sites outside of the chilld care center.

The director did not have the required annual training topics in: Administering Medication and Preventing and Responding to Emergencies due to Food or Allergic Reaction.

During the inspection it was found that two children were on a field trip without their food allergy emergency plans and allergy medications.

During the inspection I observed three medications to be expired for two children in care. One epinephrine injection has been expired since July of 2022. One auvi-q injection has been expired since 8/28/2022. One bottle of benadryl has been expired since 04/2023.

A review of the Employees Who Left Employment in 2022 data from February3 ,2023 revealed that the center had not reported the number of employees who left employment in 2022 as required.

The staff training records were not available for review by Licensing.

The operation did not have the manufacture instructions for the play equipment on the playground.

The child's file has not been updated since enrolled as an infant, he is know a school age child.

The operation dose not have an updated fire inspection, the fire inspection expired on 4/17/2020.

The buses didn't have the children's emergency medical transport and treatment authorization forms.

The buses didn't have the children's emergency telephone numbers, the only information was the parents contact number and email address.

Children age three year old playing on the monkey bars. Corrected: When the director had the caregiver get the children off the monkey bars.

The diaper changing mat had tears in it.

In both infant classrooms each infant crib did not have adequate space between them.

In the infant classroom the SAG is 0-11 months, there was one caregiver in the room with 8 infants when one of the caregivers came to the door.

The director and a caregiver had expired transportation training. Two other caregivers that transporting children didn't have transportation training at all.

There was an 6 month old infant sleeping in a swing.