Smart Start
Smart Start
License/Registration ID: 893412
1954 Trumansburg Rd Trumansburg, NY 14886
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This Checklist reflects a partial list of the regulatory requirements based on the inspection performed. Additional violations may have been cited that are not included in the inspection checklist.
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Inspection ID:
2025-I-SRO-013948
Date:
06/16/2025
Inspection Type:
Annual Unannounced
Inspection Result:
Violations found
Compliance Status:
Y-Compliant, N-Noncompliant, N/O-Not Observed, N/A-Not Applicable, P/V-Prior Violation
Reg
Compliance Status
413.3 Enforcement of Regulations
*
Posting of Compliance History Document
413.3(g)(3)(i)
Y
418-1.3 Building and Equipment
Children of school age have areas separate from younger children
418-1.3(j)
Y
Fire department sprinkler system connections are identified and accessible.
418-1.3(o)
Y
Water supply & sewage facilities are adequate
418-1.3(n)
Y
418-1.4 Fire Protection
*
Adequate means of egress must be provided, and children are only cared for on floors with accessible alternate means of egress
418-1.4(f)
Y
418-1.5 Safety
A record of each shelter-in-place drill is maintained on file
418-1.5(b)(5)
Y
Emergency evacuation diagram is posted in every room used for child care
418-1.5(b)(2)
Y
Evacuation crib or other assistive device must be available for children unable to evacuate on their own
418-1.5(b)(8)
Y
Firearms are prohibited at the child care program, except where exempted by law and regulation
418-1.5(x)
Y
High chairs must have a sturdy and steady base and be used only for children who can sit up independently
418-1.5(ab)(1)
Y
Poisonous, toxic, flammable and dangerous items are inaccessible to children
418-1.5(v)
Y
Porches, walkways, decks, ramps and stairs must not present a safety or health hazard
418-1.5(a)
Y
Strings and cords from window coverings are inaccessible to children
418-1.5(z)
Y
*
Suitable precautions are taken to eliminate all safety and health hazards
418-1.5(a)
Y
418-1.7 Program Requirements
No more than 1 person may occupy a cot, crib, bed or mat
418-1.7(v)
Y
Staff who care for infants have interaction with and are responsive to infants
418-1.7(f)
Y
Television and other electronic visual media must be off during nap time
418-1.7(h)(3)
Y
Television and other electronic visual media must be turned off when not part of the program plan
418-1.7(h)(1)
Y
418-1.8 Supervision of Children
*
Competent supervision is maintained at all times
418-1.8(a)
Y
*
Number of staff is appropriate for number of children present
418-1.8(j)
Y
418-1.11 Health and Infection Control
Children's health records are current
418-1.11(a)(1)
N/O
Medication administration authorization and consent forms for children less than 18 months of age
418-1.11(f)(7)(ii)
Y
Medication given on an ongoing basis must have consents reauthorized every 12 months for children 5 and over
418-1.11(f)(20)
N/A
Medication given on an ongoing basis must have consents reauthorized every 6 months for children under 5
418-1.11(f)(21)
N
Medication in original containers, both prescription and OTC
418-1.11(f)(15)
Y
Medication is administered through the right route
418-1.11(f)(8)(v)
Y
Potty chairs are emptied and rinsed in accordance with regulations
418-1.11(i)(18)(viii)
Y
418-1.12 Nutrition
Bottles and food items individually labeled with child's first and last name
418-1.12(z)
N
418-1.14 Training
A minimum of five (5) hours of Office-approved training must be obtained each year which addresses topics or subject matters set forth in 418-1.14(d).
418-1.14(c)(2)
Y
*
At least one staff member certified in First Aid and CPR is present at all times children are in care
418-1.14(k)
Y
Each identified staff and volunteer completed Federal Health and Safety training within required timeframes
418-1.14(b)
Y
Each identified staff supervising children alone completed Federal Health and Safety training.
418-1.14(b)
Y
418-1.15 Management and Administration
Children's health and immunization records, including permission for emergency treatment
418-1.15(c)(6)
N
*
Numbers and ages of children present are within licensed or registered capacity
418-1.15(a)(4)
Y
The program must immediately notify the parent and Office of serious injury of a child while in care at the program or being transported by the program
418-1.15(b)(14)(iii)
N
Summary of Violations
Date Cited
Regulation
Regulation Description
Compliance Status
Corrected on- Site?
06/16/2025
418-1.5(ad)
Pursuant to New York Public Health Law Section 2500-h, the program must comply with the anaphylaxis policy jointly issued by the Office and the New York State Department of Health and any amendments thereto. The program must notify the parent of any child in care of the anaphylaxis policy when the child is enrolled and annually thereafter. Notification shall include contact information for parents to engage further with the program to learn more about individualized aspects of the anaphylaxis policy.
Corrected
N
06/16/2025
418-1.11(f)(13)
Medication must be returned to the parent or guardian when it is no longer required by the child or, with the permission of the parent or guardian, be properly disposed of by the program.
Corrected
N
06/16/2025
418-1.11(f)(21)
In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.
Corrected
N
06/16/2025
418-1.11(h)(5)(i)
A written Individual Health Care Plan must be developed for the child;
Corrected
N
06/16/2025
418-1.12(z)
All containers or bottles of, breast milk, formula or other individualized food items must be clearly marked with the child's complete name.
Corrected
N
06/16/2025
418-1.15(b)(14)(iii)
The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious injury,
Corrected
N
06/16/2025
418-1.15(c)(6)
The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
Corrected
Y
Date Cited
06/16/2025
Regulation
418-1.5(ad)
Regulation Description
Pursuant to New York Public Health Law Section 2500-h, the program must comply with the anaphylaxis policy jointly issued by the Office and the New York State Department of Health and any amendments thereto. The program must notify the parent of any child in care of the anaphylaxis policy when the child is enrolled and annually thereafter. Notification shall include contact information for parents to engage further with the program to learn more about individualized aspects of the anaphylaxis policy.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
06/16/2025
Regulation
418-1.11(f)(13)
Regulation Description
Medication must be returned to the parent or guardian when it is no longer required by the child or, with the permission of the parent or guardian, be properly disposed of by the program.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
06/16/2025
Regulation
418-1.11(f)(21)
Regulation Description
In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
06/16/2025
Regulation
418-1.11(h)(5)(i)
Regulation Description
A written Individual Health Care Plan must be developed for the child;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
06/16/2025
Regulation
418-1.12(z)
Regulation Description
All containers or bottles of, breast milk, formula or other individualized food items must be clearly marked with the child's complete name.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
06/16/2025
Regulation
418-1.15(b)(14)(iii)
Regulation Description
The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious injury,
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
06/16/2025
Regulation
418-1.15(c)(6)
Regulation Description
The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
Compliance Status
Corrected
Corrected on- Site?
Y
Inspections may be conducted outside of program operating hours and/or off-site (where inspector was not on premises where care is provided) for the following reasons:
For additional information on this program and compliance history, contact:
Office: Syracuse Regional Office
Phone: (315) 423-1202