Warwick Child Care

Regulation: 3270.113(a)(1)/3270.113(e)

Description: Staff assigned to specific children/Restraints prohibited

Noncompliance Area: During the complaint investigation, certification representative did a facility walk through, and staff #1 and staff #2 left a child unattended and strapped down on the changing table while she did something else and children were left secured in high chairs while staff cleaned up after lunch and there were children awake in their cribs at the time of the renewal inspection.

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. 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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation, certification representative conducted a facility walk through and spoke with staff about an incident that lead to a child getting scratched and staff #1 was unaware that the child she was responsible for got scratched by another child and staff #2 was unaware that the child she was responsible for was involved in an incident because the view was obstructed by an object and she wasn't positioned in a way that allowed the child to be properly supervised.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the allocated unannounced inspection, certification representative reviewed all of the staff files and the file for staff #1 did not contain the required health and safety professional development training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

Description: Age and Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the complaint investigation, certification representative reviewed all the staff files and the file for staff #2 did not contain a PQAS certified pediatric cpr/first aid certification from an approved provider /approved course.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: On 3/18/24, staff member #1 was observed by another staff member yelling at a child and being rough with a child in care at the facility.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: During the complaint investigation on 5/25/23, there was excess mulch from the primary playground in the play area designated for younger toddlers and infants. The excess mulch poses a choking hazard to the children.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the complaint investigation on 5/25/23, there was excess damage/peeling of the outside wall adjacent to the first-floor egress to the playground.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection on 5/9/23, child #1 (emergency contact information dated 1/12/22), was not updated within the last 6-months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 5/9/23, in the Pre-K room there was an unused electrical outlet next to the furnace door without a protective receptacle cover.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 5/9/23, the first-aid kit in the Toddler Room had no tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 5/9/23, 1. Wood step on the upstairs egress landing, leading to the outdoor play space was in poor repair. 2. There was frayed electrical tape on the railings on the same stairwell/ egress. 3. In the Infant Room there was a torn mattress. 4. In the School Age Room there was a box of rolled paper in the childcare space.

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.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 6/15/22, CHILD #1 HAD EMERGENCY CONTACT INFORMATION DATED "2/7". CERTIFICATION REPRESENTATIVE WAS UNABLE TO ESTABLISH THE YEAR THE INFORMATION WAS SIGNED.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.165

Description: Menus

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 6/15/22, THE OPERATOR DID NOT HAVE A MENU POSTED IN A CONSPICUOUS AREA USED BY THE PARENTS.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 6/15/22, THE SUMMER CAMP ROOM HAD ITEMS IN THE CORNER BEING STORED. CHILD CARE SPACE CAN NOT BE USED FOR STORAGE.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/15/20, IN INFANT ROOM 2 THERE WAS NO THERMOMETER IN THE REFRIGERATOR.

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 RENEWAL INSPECTION ON 9/15/20, THE LIABILITY INSURANCE PROVIDED HAD AN EXPIRATION DATE OF 7/25/20.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/15/20, AN ELECTRICAL OUTLET IN THE PRESCHOOL ROOM DID NOT HAVE A PROTECTIVE RECEPTACLE COVER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/15/20, INFANT ROOM 2 (FIRST FLOOR) WAS MISSING SOAP. -

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/15/20, IN THE PRESCHOOL ROOM (2ND FLOOR), THERE WAS PEELING TAPE ON THE FLOOR USED FOR PLACE MARKERS.

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 THE RENEWAL INSPECTION ON 9/15/20, THE DOOR NEAR THE ENTRANCE TO THE OUTSIDE PLAYSPACE HAD EXCESSIVE PEELING PAINT. THE URINAL WALLS IN THE PRESCHOOL ROOM ALSO HAD EXCESSIVE PEELING PAINT.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/15/20, IN THE PRESCHOOL ROOM (2ND FLOOR),THE URINAL DRAINS WAS HEAVILY SOILED.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, the plastic swings were cracked in the seat and posed a hazard to the children that would be utilizing them.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: At the time of the inspection, there was no label on the crib in the infant room. The mats in the Preschool room were torn and the inside foam was exposed.

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: At the time of the inspection, there was no verification of an address of the child's physician or source of medical care on the emergency contact form of child #1.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: At the time of the inspection, there was no verification of parent's work address on the emergency contact form for child #3.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the time of the inspection, there was no health assessment on file for child #5 (dob 3-11-5) and date of admission 7-19-18.

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.

Noncompliance Area: At the time of the inspection, on the health assessment for child #4 there was no statement that that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: At the time of the inspection, there was no updated health assessment on file to accompany the Department of Motor Vehicle health assessment for staff #6.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: At the time of the inspection, staff #9 health assessment was marked yes for communicable diseases without any further explanation.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: At the time of the inspection, there was nothing in writing to notify local traffic safety authorities annually of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: At the time of the inspection there was no owner's manual in van #4.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #4. There was no signed parental consent for emergency medical care for the child on the emergency contact form for child #5.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: At the time of the inspection, in van #4 and 5 on the step that leads into the vehicle, there was excessive rusted metal sticking of the step which could have caused injury to a child.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: At the time of the inspection, there was nothing on the regulations or posted anywhere indicating instructions for contacting the appropriate regional day care office.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: At the time of the inspection, the large trash can on the playground was full and appeared to not have been emptied weekly.

Correction Required: Trash shall be removed from the facility grounds at least once per week.

Noncompliance Area: At the time of the inspection, there was peeling paint behind the door in the bathroom of the Pre-K counts room.

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

Noncompliance Area: At the time of the inspection, the urinal in the Pre-K counts bathroom would not flush properly. The Director had stated that if children hold the handle for too long, the toilet overflows spilling urine and water onto the floor. Also, in the same bathroom, there was a puddle of urine on the floor in front of the toilet that nobody had cleaned up.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: The child safety locks on draws in the preschool bathroom and school age classroom were no longer functioning properly. A draw in the upstairs child bathroom near the sink contained cleaning products and the draw in the school age classroom contained white out. These areas were accessible to the children.

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: The metal cabinet, next to the sink area, in the upstairs preschool classroom had areas of rust. The outer wall on the bathroom stall in the upstairs preschool classroom had areas of rust. The sink area in the back upper level preschool classroom had areas of water damage.

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 outside wall of the building, accessible to children near the playground had areas of damaged plaster.

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

Noncompliance Area: Two storage cabinets located on the stairway landing area,partially obstructed the doorway exiting the upstairs classroom.

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: The parent of child #1 reported to Staff person #1 and #2 that Staff person #3 picked up her child and "slammed him down on the mat to sleep" and that" staff put their hands on her child". Staff person #1 and #2 reported the allegations to Individual #2 at the administration office. The operator or a designated staff person did not notify childline of the suspected abuse. Individual #2 stated they didn't report to childline because the parent stated she was going to report.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.A staff person may be designated by the operator as the person responsible to notify ChildLine of suspected child abuse. The operator or designated staff person with this responsibility shall immediately notify ChildLine at 1-(800)-932-0313.

Noncompliance Area: Several nap time mats with torn plastic and exposed foam stuffing were observed at the facility.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: A shelf with a narrow base and tipping hazard was observed in a preschoool classroom.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child`s size, age and special needs.

Noncompliance Area: Peeling paint and plaster was observed in the lower level young toddler room on a wall near the back sink. The peeling paint and plaster was in an area accessible to the children in the classroom

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