Fisher Early Learning Center

2.229.K · Correction due January 29, 2026

In the Bearsie Bears classroom, observed a musical drum kit under the emergency evacuation crib.

Required correction: Nothing may be stored in or under any evacuation equipment. **Corrected at time of visit, staff member removed the drums on 1/29/26.** No response is required. Correct by 01/29/2026

2.223.A.2 · Correction due December 15, 2025

In the Roly Poly classroom, observed 7 children in attendance, however SM1 stated they had 6 children and 6 children were signed in on the attendance verification sheet.

Required correction: The time a child arrives and leaves the center each day must be recorded. **Corrected at time of visit, staff member corrected the attendance verification on 12/15/25.** No response is required. Correct by 12/15/2025

2.224.B.2 · Correction due December 15, 2025

In the Bearsie Bears classroom, observed 9 month old infant laying flat while holding their own bottle.

Required correction: Older infants must not be allowed to hold their own bottles when lying flat. **Corrected at time of visit, staff member held infant while feeding on 12/15/25.** No response is required. Correct by 12/15/2025

In the Cowboy Bunnies classroom, observed blue round rug to be tearing and causing a potential safety

2.229.C · Correction due November 19, 2025

In the Art Room, observed the staff lounge door to be locked but not closed. Potting soil labeled "keep out of reach of children" was accessible to children and posing a potential safety hazard.

Required correction: Keep all items labeled "keep out of reach of children" inaccessible at all times. **Corrected at time of visit, staff member closed the door making the potting soil inaccessible to children on 11/19/25.** No response is required. Correct by 11/19/2025

In the Friendly Sea Turtles classroom, observed uncooked beans in the sensory bin accessible to children

2.230.B · Correction due November 19, 2025

In the Art Room, observed the staff lounge door to be locked but not closed. An extension cord longer than 18 inches was accessible to children and posing a potential safety hazard. On the toddler playground, foam protector on the steps was not securely attached and a nail was coming loose, posing a potential safety hazard.

Required correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free of hazards. **Corrected at time of visit, staff member closed the staff door and removed the foam protector on 11/19/25.** No response is required. Correct by 11/19/2025

2.209.B.4 · Correction due December 19, 2025

Reviewed 14 child files. Observed CH8, CH9 and CH13's file lacking current documentation of a health statement completed by a health care provider.

Required correction: Obtain a health statement completed by a health care provider annually for all children. Correct and submit a statement of compliance by 12/19/2025. Correct by 12/19/2025

2.212.G · Correction due November 1, 2025

Reviewed 7 staff files. Observed SM4's file (DOH 8/18/25) lacking documentation of a medical statement, signed and dated by a physician or other health care provider.

Required correction: Obtain a medical statement, signed and dated by a physician or other health care provider. Correct and respond with statement of compliance by 11/1/2025. Correct by 11/01/2025

2.120.I · Correction due January 17, 2024

Reviewed 31 staff files and observed ECT R. P., Aide T. C, Aide J. C, and ECT D. G's files to have expired TRAILS clearance letters.

Required correction: Every 5 years, all child abuse and neglect inquiry background checks must be renewed and clearance letters available for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members R.T., J., and D. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members T.R., J., and D. with written response to Specialist by 1/24/24. Correct immediately and respond with verification of compliance by 2/17/24. Correct by 01/17/2024

Identified through Director statement that ECT R. works with children less than 12 months old. Reviewed

2.121.D.5 · Correction due January 17, 2024

Reviewed 31 staff files and observed ECT D. G's files to have an expired FBI clearance letter.

Required correction: Every 5 years, FBI criminal record checks must be renewed and clearance letters available for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member D. have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for staff member D. with written response to Specialist by 1/24/24. Correct immediately and respond with verification of compliance by 2/17/24. Correct by 01/17/2024

2.121.J.1

Reviewed 31 staff files and observed K.K., K.W., S.L., H.P., V.S., R.C., A.K., N.W., and K.B.'s files to be missing documentation of out of state clearance letter.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

2.209.A.7 · Correction due January 17, 2024

Reviewed 13 child files and observed nine children to be missing current documentation of an emergency medical authorization.

Required correction: Obtain emergency medical authorization for all children and annually thereafter. Correct immediately and and respond with a statement of compliance by 2/17/24. Correct by 01/17/2024

2.219.B.2 · Correction due February 17, 2024

Reviewed 13 child files and observed two child files to be missing documentation of a current and complete health statement signed by a health care provider.

Required correction: Obtain and maintain current and complete documentation of health statements for all enrolled children. Correct immediately and and respond with a statement of compliance by 2/17/24 Correct by 02/17/2024

2.212.D · Correction due January 17, 2024

During walk through observed sealed bottles of wine in Director office.

Required correction: Ensure any rooms accessible to children do not have alcohol that is accessible. Correct immediately and respond with statement of compliance by 1/24/24. **Corrected at time of visit. Director moved sealed wine to a locked storage room.** No response required. Correct by 01/17/2024

2.213.B · Correction due January 17, 2024

Reviewed 31 staff files and observed ECT R. to be missing documentation of completion of Department-approved standard precautions training.

Required correction: Obtain documentation of completion of Department-approved standard precautions training for R., and annually thereafter. Correct immediately and respond with verification of compliance by 2/17/24. Correct by 01/17/2024

2.213.G

Reviewed 31 staff files and observed ECT R. and ECT S. to be missing documentation of completion of Department-approved training about child abuse prevention.

Required correction: Obtain documentation of completion of Department-approved training about child abuse prevention for R. and S., and annually thereafter. Correct immediately and respond with verification of compliance by 2/17/24. Correct

2.213.D · Correction due January 17, 2024

Identified through Director statement that ECT S. works with children less than three years old. Reviewed 31 staff files and observed ECT R. to be missing documentation of completion of Department-approved prevention of shaken baby/abusive head trauma training.

Required correction: Obtain documentation of completion of Department-approved prevention of shaken baby/abusive head trauma training for S., and every two years thereafter. Correct immediately and respond with verification of compliance by 2/17/24. Correct by 01/17/2024

2.229.E · Correction due January 17, 2024

During walk through, observed thumb tacks used in hallway accessible to children less than 3 years of age.

Required correction: Ensure all areas accessible to children less than 3 years of age, do not have thumb tacks made accessible. **Corrected at time of visit. Director ensured all tacks were removed for Specialist review. ** No response required. Correct by 01/17/2024

2.223.A.2 · Correction due January 17, 2024

During walk through, observed the Bears classroom to not have a completed written attendance verification.

Required correction: Staff members must complete written attendance verification periodically throughout the day, including transitions. **Corrected at time of visit, ECT R. completed attendance verification for Specialist to review.** No response required. Correct by 01/17/2024