Celeste Learning Center

Noncompliance Area: In the infant room, there was one infant bottle that was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: During a complaint investigation, video was observed, which had staff 1 in it. During the video, which was 17:33 long, staff 1 was not wearing a mask.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff are required to wear a mask at all times while providing child care to reduce the risk of spreading the virus/Covid-19

Noncompliance Area: Staff 1 only had one letter of reference that was non-family. The other letter of reference that was on file was from a family member.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: There was one child that was given medication daily at the facility. The facility had appropriate doctor notes on file but did not have medication logs on file for the child and his medication.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: There were toxics in an unlocked closet in the second floor bathroom. The toxics were bathroom cleaner, glass cleaner and stainless steel cleaner and polish.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: During a complaint investigation, it was determined that staff 1 was holding hot soup and child 1 reached up and tugged on the staff's arm. As a result, the soup spilled onto child 1, burning her. The hot soup was within the child care space and caused interference with the health and safety of the children. Staff 2 also stated that she had to leave the child care area to obtain the emergency contact information for child 1. As a result, the emergency contact information was not the in the child care space.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: Staff 1 and 2 did not know the names of all the children in their groups. Staff 1 and 2 thought there were 18 children in their class, while there was actually only 17.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Child 1 had a blank fee agreement on file. The agreement did not have the amount to be charged or the date on which the fee shall be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Child 1 had a blank fee agreement on file, including the child's arrival and departure time.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Child 1 had a blank fee agreement on file. The fee agreement did not have the child's date of admission on file.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: Staff 4, whose start date in child care is 7/12/2019, did not have emergency plan training on file.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: Staff 3 had outdated fire safety training. The date of her last fire safety training was 4/18/2018.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: A light fixture in the upstairs hallway had a plastic cover hanging down from it.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During a complaint investigation on 9/26/2019, certification representative requested the file of child 1. It was found that child one did not have his fee agreement or emergency form signed by his family. Child 1 also did not have a health assessment on file. He was past his 60 days from the first day of attendance.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During the unannounced visit, certification representatives arrived at 8:00a.m. It was observed that there was lack of structure throughout the facility. Every classroom was engaged in extensive free play. In the toddler room, there were children climbing on tables and shelves which did not promote development of skills, social competence and self-esteem.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Noncompliance Area: Staff 1 and 2 are both aides. It was observed that staff 1 and 2 were working in the infant room without the supervision of at least an assistant group supervisor.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: There were uncovered outlets in the infant and older toddler rooms.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: There was peeling paint in the preschool, young toddler and older toddler rooms.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: As per staff, toddlers are not taken outside on a daily basis due to behaviors of some of the children in care.

Correction Required: Weather permitting, children shall be taken out doors daily.

Noncompliance Area: During an incident on 7/17/2019, staff 1 restrained child 1 when child 1 did not listen to redirection from staff 1. Staff 1 held the left arm of child 1 while slapping him on the inner thigh. This was self reported to the Northeast Regional Office on 7/18/2019.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: During the complaint investigation on 6/27/2019, it was determined that child 1 did not have a feeding schedule that was obtained by the family.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: During a complaint investigation, it was found that the facility was utilizing unmeasured child care space during an incident that occurred on 06/14/2019. The space being utilized was the facility parking lot.

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child

Noncompliance Area: During an unannounced visit on 5/2/2019, it was observed that the cots the children were sleeping on were numbered. However, a cot list could not be produced by the facility.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: During an unannounced visit on 5/2/2019, it was observed that the cots the children were sleeping on were numbered. However, a cot list could not be produced by the facility.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: When the certification representative arrived on a complaint investigation on 11/14/2018, he observed Staff 1 on her cellphone, while in ratio with children, on multiple occasions. He also observed Staff 2 leaving children alone in his classroom while he went to answer the front door. When Staff 2 answered the front door, he was not able to see the children. Certification representative also observed school age children walking the halls alone going back and forth from their classrooms to the bathroom without staff supervising them. When certification representative arrived to the facility on 11/28/2018 for another complaint investigation, a 4 year old child was observed to be walking out of the bathroom by herself without staff supervising her. It was also observed that two school age children walked from the first floor of the facility to the second floor by themselves while the certification representative was in the hallway on the second floor. During an unannounced visit on 5/2/2019, certification representative observed a school age child alone in the lobby for approximately 1-2 minutes not being supervised by staff.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. All staff will receive a minimum of two hour training through a PQAS trainer on supervision. The training will not count towards the annual training hours. The facility will also receive technical assistance through the PQAS trainer for a period of three months. The facility will develop a supervision policy and staff will sign off stating that they understand it.

Noncompliance Area: When the certification representative arrived on a complaint investigation on 11/14/2018, he observed Staff 1 on her cellphone, while in ratio with children, on multiple occasions. He also observed Staff 2 leaving children alone in his classroom while he went to answer the front door. When Staff 2 answered the front door, he was not able to see the children. Certification representative also observed school age children walking the halls alone going back and forth from their classrooms to the bathroom without staff supervising them. When certification representative arrived to the facility on 11/28/2018 for another complaint investigation, a 4 year old child was observed to be walking out of the bathroom by herself without staff supervising her. It was also observed that two school age children walked from the first floor of the facility to the second floor by themselves while the certification representative was in the hallway on the second floor. During an unannounced visit on 5/2/2019, certification representative observed a school age child alone in the lobby for approximately 1-2 minutes not being supervised by staff.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: During an unannounced visit on 5/2/2019, certification representative observed staff 1 tell a child that he was responsible for the possibility of her license being revoked.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: During an unannounced visit on 5/2/2019, certification representative observed staff 1 tell a child that he was responsible for the possibility of her license being revoked.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: During an unannounced visit on 5/2/2019, certification representative was coming from the 2nd floor to the first floor. When attempting to exit the stairwell, it was discovered that the door was locked, making it obstructed, and there were no other means to safely exit the second floor in case of a fire, except via an elevator. On 5/3/2019, the local fire department confirmed that they did not approve that and that an elevator can not be used as a means of escape.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: During a complaint investigation on 4/29/2019. certification representative observed two infants in the infant room sleeping in cribs that did not have 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: While observing diapering changes in the infant room on 4/24/2019, it was observed that staff 7 did not wash her hands or the hands of the child of whose diaper was being changed.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: During a complaint investigation on 11/14/18, it was found that this facility was out of ratio in both the preschool 1 and toddler 1 rooms from 6:30 a.m. to 8:45 a.m. The ratios were as follows: Staff 1 in the toddler one room with 21 school age children at 6:30 a.m.; Staff 1 again in the toddler one room with 17 school age children at 8:04 a.m. At 6:48 a.m. certification representative observed 6 young toddlers with Staff 2 in the preschool 1 room. At 7:08 a.m., until 8:12 a.m, it was further observed that Staff 2 had 7 young toddlers in the preschool 1 room. On 11/28/2018, certification representative arrived for another complaint investigation and observed 11 children with staff 3 in the preschool one room. 10 of the children were school age and 1 was preschool age. At 5:30p.m., it was observed that Staff 3's room had 13 children, with one being a young school age child in the preschool one room. During a complaint investigation on 5/2/2019, at approximately 7:15 a.m., it was observed that staff 5 was out of ratio and had 13 school age children. The youngest child in the group was 6 years old. During the same visit, in the younger toddler room, staff 6 left staff 4 alone in the room with 6 children. The youngest child was 1 years old.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Noncompliance Area: When the certification representative arrived on a complaint investigation on 11/14/2018, he observed Staff 1 on her cellphone, while in ratio with children, on multiple occasions. It was also observed Staff 2 leaving children alone in his classroom while he went to answer the front door. When Staff 2 answered the front door, he was not able to see the children. Certification representative also observed school age children walking the halls alone going back and forth from their classrooms to the bathroom without staff supervising them. When certification representative arrived to the facility on 11/28/2018 for another complaint investigation, a 4 year old child was observed to be walking out of the bathroom by herself without staff supervising her. It was also observed that two school age children walked from the first floor of the facility to the second floor by themselves while the certification representative was in the hallway on the second floor.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. Each staff person shall know the names and whereabouts of the children in his assigned group. Each staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Staff 1 will attend an existing provider orientation at the Northeast Regional Office on February 27th, 2019.

Noncompliance Area: During a complaint investigation on 11/14/2018, it was observed that Staff 3 did not have proof of education or two letters of reference on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: During a complaint investigation on 11/28/2018, certification representative observed facility person 1, who is a volunteer, alone in a classroom with 5 young children.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.

Noncompliance Area: During a complaint investigation on 11/14/2018, it was observed that Staff 3 did not have a mandated reporter training on file. During another complaint investigation on 11/28/2018, Facility Person's 1 and 2, who were volunteers, did not have a child abuse clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and 2 may not work in a child care position at the facility.

Noncompliance Area: During a complaint investigation on 11/14/18, it was found that this facility was out of ratio in both the preschool 1 and toddler 1 rooms from 6:30 a.m. to 8:45 a.m. The ratios were as follows: Staff 1 in the toddler one room with 21 school age children at 6:30 a.m.; Staff 1 again in the toddler one room with 17 school age children at 8:04 a.m. At 6:48 a.m. certification representative observed 6 young toddlers with Staff 2 in the preschool 1 room. At 7:08 a.m. until 8:12 a.m., it was further observed that Staff 2 had 7 young toddlers in the preschool 1 room. On 11/28/2018, certification representative arrived for another complaint investigation and observed 11 children with Staff 3 in the preschool one room. Ten of the children were school age and 1 was preschool age. At 5:30 p.m., it was observed that Staff 3's room had 13 children, with one being a young school age child in the preschool one room.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Northeast Regional Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During a complaint investigation on 12/7/2018, it was observed that a portable space heater was in use in the front office.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: During the renewal visit on 8/20/2018 (SIN-140277) on 8/20/2018, it was observed that staff 1 did not have proof of education on file. During a verification visit on 9/26/2018, it was observed that while staff 1 had educational transcripts on file, they did not specify that she graduated 8th grade.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: During an unannounced visit on 9/26/2018, it was observed that the preschool room had 1 staff with 11 children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30..

Noncompliance Area: During an unannounced visit, it was observed that ceiling tiles were missing from various parts of the building, including in the hallway that is utilized to get to all classrooms.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The younger toddler/infant, school age room and older toddler rooms did not have a daily activity schedule posted.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: During the annual inspection, staff 1 and 3 could not identify the name of one of the children in their classroom.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Child 2 did not have a health insurance number on file.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Child 1 did not have permission for minor first aid on file.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Staff 1 did not have emergency plan training on file within one week of hire. The date of the inspection was 8/20/2018 and her hire date was 8/1/2018.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: Staff 4 did not have a disclosure statement on file upon hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). .A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Staff 2 did not have proof of education on file. When certification representative asked staff 2 about her education, she stated that she did not graduate high school in her country but did have at least an 8th grade education. Certification representative observed staff 2 alone in the older toddler room. Staff 1 did not have proof of two years of experience on file in order to be qualified as an assistant group supervisor. Staff 4 also did not have proof of education on file.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The downstairs rest room by the kitchen had an garbage can with no lid inside of it.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: The water from the upstairs children's bathroom was above 110 degrees.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: In the upstairs hallway, one window did not have a window stopper in it preventing it from opening more then 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: During the initial opening, the infant refrigerator was missing a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During the initial opening, the provider did not have the emergency plan sent to the county emergency management agency for approval.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: During the initial opening of the facility, all of the windows in the upstairs hallway and classrooms opened more then 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: In the first downstairs bathroom when walking down the hallway, there was a crack in the wall to the right upon entering. There was also a crack in one of the bathroom stall doors. There was also rust in the downstairs and upstairs bathroom stalls.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.