Warwick Day Care Center

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 01.15.26 a complaint investigation was conducted at the facility. It was found that, CH#1 was not supervised by a staff person at all times. Staff Person # 1 left Child # 1 alone on the bus while exiting children out of the vehicle and proceeding into the facility site.

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. 1) Children must be supervised at all times - implemented 02.25.26 2) Legal entity must ensure that all staff members receive training regarding supervision of children. Certification representative will submit training referral. - implemented 04.09.26 3) Legal entity will utilize a checklist within the school age classrooms at the facility to monitor supervision for a minimum of three months from the date in which the checklist is approved. Supervision monitoring will be conducted on facility site by Regional Office staff over a three-month period.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 01.15.26 a complaint investigation was conducted at the facility. It was found that CH#1 specifically assigned to Staff Person #1, was not supervised by Staff Person #1 at all times, during the afterschool program drop off at the facility

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.

Regulation: 3270.177(a)

Description: Not unattended in vehicle

Noncompliance Area: On 01.15.26 a complaint investigation was conducted at the facility. It was found CH#1 was sleeping in the facility vehicle and left alone and unattended in the facility vehicle.

Correction Required: Children may not be left unattended in a vehicle.

Regulation: 3270.177(b)

Description: During boarding and exiting

Noncompliance Area: On 01.15.26 a complaint investigation was conducted at the facility. It was found CH#1 was sleeping in the facility vehicle and left in the facility vehicle alone and unsupervised, when children were exiting the facility vehicle.

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the complaint investigation on 10.15.24, it was founded Staff person #1 aggressively rocked a crying infant.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 08.06.24, it was verified Staff Persons #1 and #2 did not properly supervise children within the facility PreK classrooms

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the complaint investigation on 08.06.24, it was verified Staff person #1 and #2 used physical punishment on a child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the complaint investigation on 08.06.24, it was verified Staff persons #1 and #2 used physical punishment on a child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: During the complaint investigation it was determined and verified Staff persons #1 and #2 singled out and ridiculed a child.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: During the complaint investigation on 08.06.24, it was verified Staff Person #1 and #2 singled out and/or ridiculed a child.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During the renewal inspection the certification representative requested to view the child #1 and child #6 file and both children were missing the fee amount of their fee agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: During the renewal inspection the certification representative requested to view files of children's #1 and #6 , both children were missing the date the fee amount is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection the certification representative requested to view child #2 file, child #2 did not have a CSR report in the file.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: During the renewal inspection the certification representative requested to view child #3 file, child #3 was missing both the release person's address on the emergency contact form as well as missing the release person on the financial agreement form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection the certification requested to view the children's file, children's #1 and #4 were both missing the flu vaccine child # 6 was missing the Rotavirus vaccine.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the certification requested to view the emergency plan and did not see an area that addressed the plan for continuity of care written in the plan.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and did not see the pickup and drop off procedures posted in any area of the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During the renewal inspection the certification representative requested to view staff #2 file and observed that staff # 2 pediatric first aid /CPR was not taken with a PQAS certified trainer.

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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During the renewal inspections the certification representative requested to view staff # 5 file and observed that staff #5 did not have proof that pediatric first aid /cpr was taken after 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.75(c)/3270.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: During the renewal inspection the certification representative conducted a walkthrough of the facilities transportation bus and observed there were no tweezers or soap in the first aid kit on the bus.

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. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection the certification representative conducted a walkthrough of the outdoor play space and noticed shallow areas of mulch near the swing, sliding bored and near the fence next to the sign all three areas need to be replenished with fresh mulch. There was also trash located on the play 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and discovered chip paint in the main space in the basement on the back wall near the exit as well as holes in the wall located in the back of the room and near the exit. There was also chip paint in the infant room on the back wall under buses as well as near the library center.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION CONDUCTED ON 8/12/22, INVESTIGATION CONFIRMS STAFF YELLED AT CHILD AT THE FACILITY.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/15/22, CHILD 1 EMERGENCY CONTACT FORM DID NOT STATE THE MA POLICY NUMBER ON THE FORM.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 715/22, CHILD 1 EMERGENCY CONTACT FORM DID NOT STATE THE RELEASE PERSON'S ADDRESS ON THE FORM.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/15/22, THE VAN USED TO TRANSPORT CHILDREN WAS MISSING TWEEZERS FROM THE FIRST AID KIT.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 7/15/22, THERE WERE ELECTRICAL OUTLETS WITHOUT PROTECTIVE ECEPTACLE COVERS IN THE TODDLER CLASSROOM.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/15/22, THERE WAS DISINFECT CLEANER AND BATHROOM CLEANER IN THE SCHOOL AGE ROOM ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/15/22, THERE WAS NO EMERGENCY TELEPHONE NUMBERS POSTED BY THE PHONE IN THE SCHOOL AGE CLASSROOM.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/15/22, THERE WERE SPOTTED CEILING TILES IN THE PRESCHOOL ROOM.

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: 3270.136(b)

Description: Parent info communicable diseases

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION, THE FACILITY WAS UNABLE TO PROVIDE VERIFICATION THAT PARENTS RECEIVED INFORMATION REGARDING A SUSPECTED OUTBREAK OF A COMMUNICABLE DIESASE.

Correction Required: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During time of inspection, there was a ceiling leak in the upstairs bathroom adjacent to the older toddler room. At the time of inspection the leak was being contained with a bucket. The leak was also causing damage to the ceiling with peeling plaster/paint.

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.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, there was no emergency plan training on file for staff #4.

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: At the time of the inspection, there was no NSOR certificate on file for staff #4 (date of hire 6-12-17).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #4- may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no address and/or phone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child #3-6.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: At the time of the inspection, child #1 (date of birth 2-19-19) did not have immunizations in accordance with the recommendations of the ACIP and there was no letter of exemption for these missing vaccinations.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: At the time of the inspection, there was no health report for staff #1 that answered if the staff person had a physical examination, is free from communicable disease and is able to provide childcare.

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 investigation, it was told from staff #1 that the center was made aware of the injury to the elbow of the child from the parent. Although no documentation was received from that parent other than verbal conversation that the child was seen in the ER, the center did not report this to DHS.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: At the time of the inspection, there was no verification of prior child care experience (2,500 Hours) on file for staff #1-4.

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: At the time of the inspection, there was no verification of emergency plan training on file for staff #2, 3 and 4.

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: At the time of the inspection, there was no verification of 6 clock hours of child care training on file for staff #2.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: At the time of the inspection, there was no fire safety training on file for staff #2. The last recorded date was 6-5-17.

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: At the time of the inspection, there was no mandated reporter training on file for staff #1 (date of hire 11/2017). There was no signed disclosure statement, no request for FBI clearance or completed clearance on file for staff #3 (date of hire 12-4-18). Also, Staff #3 is a provisional hire due to not having completed clearances on file and she was in the school age classroom alone and as the only staff person. There was no mandated reporter training on file for staff #4 (date of hire 6/2018).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #-3 may not work in a child care position at the facility.

Noncompliance Area: On 6/12/2018 a broken bookshelf was observed in the school age classroom. The large play has areas where the metal has rusted and is exposed.

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: Drawers and cabinets ( accessible to the children ) were observed in the lower level older toddler classroom. Items with a diameter of less than 1 inch,( pom poms, brass fasteners, beads, craft items )and plastic bags were observed in the drawers and cabinets.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: On 6/12/2018, an unlabeled bottle (child #1) was observed in the young toddler room.

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

Noncompliance Area: Staff person #1 has not had fire safety training for the past year.

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: Two small toy insects with a diameter of less than 1 inch was observed in the young toddler room. A young toddler was playing with the small toy insects.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: On 2/23/2018 a van/bus transporting 7 YSA children was observed pulling into the facility parking lot and backing into a parking space. Staff person #1 was the driver of the vehicle and the staff person counted in the staff child ratio. Staff person #1 remained inside the vehicle assisting a child as several children exited the vehicle. The first child to exit the vehicle swung on the bar that opened the door and missed the steps falling onto the pavement. The second and third child exited the vehicle and began hitting and pushing each other until one child fell onto the pavement. Staff person #1 was unable to see the children, who had exited the vehicle, as she assisted a child on the vehicle. As staff person #1 came around to the side of the vehicle, two children ran across the parking and driving area towards the door of the facility. No staff person was present while the school age children exited the vehicle.

Correction Required: Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

Noncompliance Area: Unlabeled Prescription medication for child #1 and Child #2 was observed at the facility. Written instructions from the individuals who prescribed the medicine was not available at the facility.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: A pizza and cheese lunchable and a cracker, cheese and lunch meat lunchable was observed unrefrigerated on top of a cubbie shelf.

Correction Required: Potentially hazardous food brought from the child`s home or provided by the facility shall be refrigerated.