10 Hour Care Daycare Center Downtown LLC

According to documentation on file at the time of inspection, when facility person #1 began working with children at the facility the staff record did not contain a completed NSOR certificate, and the PA state police clearance as required under the CPSL. The record did not contain a copy of the request for the criminal history clearance as required for provisional hiring under the CPSL. The individual was observed working with children at the time of inspection. The criminal history clearance has since been provided.

A ceiling tile in the kitchen had signs of water damage (water stained and sagging).

An area of peeling paint was observed on the wall on the gross motor room.

Two pack-and-plays were stacked and in front of the rear door of the building, obstructing access to the exit. (CORRECTED ON SITE)

According to the log on file at the time of inspection, the most recent fire drill took place more than 60 days ago. The last drill logged was dated 6/2/25.

According to the on file at the time of inspection, more than 30 days have lapsed since the last manual test of the fire detection system. The last time a system test was logged was on 6/27/25. A smoke detector located in the child care space was chirping.

The record for staff person #1 included documentation of education from another country. From the documentation on file, certification staff are unable to determine the level of education the staff person has attained and therefore the staff person's qualification level.

The file for facility person #1 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The filing cabinet that stored facility person records was unlocked. (CORRECTED ON SITE)

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Staff person #1's previous child abuse clearance expired on 4/4/24 and an updated clearance was not on file at the time of inspection. (CORRECTED ON SITE) Staff person #3's previous mandated reporter training expired on 1/15/25 and an updated training was not on file at the time of inspection. (CORRECTED ON SITE) Upon beginning work in the facility, staff person #4's record did not contain applicable out of state clearances as required under the CPSL, and did not contain a copy of request for the out of state clearances as required for provisional hiring under the CPSL. Staff person #5's previous mandated reporter training expired on 1/31/24 and an updated training was not on file at the time of inspection. (CORRECTED ON SITE) Clearances for staff person #6 expired during the previous year and were not updated timely. The PA state police expired 6/19/24, but was not updated until 6/29/24. The Child Abuse clearance expired 6/19/24, but was not updated until 7/8/24. The NSOR on file for staff person #8 expired 1/16/25, and an updated clearance was not on file. (CORRECTED ON SITE)

The first aid kit located in the backpack did not contain scissors. (CORRECTED ON SITE)

An infant bassinet was not labeled for the use of a specific child. (CORRECTED ON SITE)

The most recent health assessments on file for staff person #1 were dated 2/25/22 and subsequently more than 24 months later on 1/9/25. Staff person returned to work without a valid health assessment on file. The updated health assessment on file was dated 44 days after the return date.

Fire drills were conducted on 12/13/23, and subsequently more than 60 days later on 2/22/24.

Manual tests of the fire detection system were conducted on 12/20/24, and more than 30 days later on 1/23/25.

The initial health report on file for child 3 was dated 161 days after the first day of attendance at the facility.

The fire safety trainings on file for staff person #7 were dated in November of 2023, and subsequently more than 12 months later in January of 2025.

The staff evaluations on file for staff person #5 were dated 2/6/23 and subsequently more than 12 months later in December of 2024.

Original agreements were on file for children 1-5. (CORRECTED ON SITE)

Updated clearances were not obtained timely for staff person 3. The staff person's state police clearance expired on 9/24/23, but was not updated until 12/28/23. The staff person's child abuse clearance expired on 9/30/23, but was not updated until 12/29/23. The staff person's FBI clearance expired on 10/5/18, but was not updated until 12/29/23. Staff person 4 began working in a child care position with incomplete provisional hire paperwork on file. The staff person's NSOR request was sent 22 days after start date. The clearance has since been obtained.

Toddlers were observed on multiple occasions running away from the staff (away from their designated child care space and/or during transitions). The toddlers were running to a space where they were unable to be supervised by staff. Staff responsible for the supervision of the group were not quick to retrieve the children that left the group, nor were they making adjustments to ensure supervision was maintained.

The toddler group was then observed playing, and then went to the table to eat lunch. Hands were not washed before the mealtime.

The health assessment update on file for staff person 1 was not obtained timely. The health assessments were dated in May of 2021, and subsequently more than 24 months later in January of 2024. The most recent health assessment on file for staff person 5 was dated in July of 2021, and is past due to be updated. The health assessment update on file for staff person 6 was not obtained timely. The health assessments were dated in October of 2021, and subsequently more than 24 months later in January of 2024.

The most recent health assessment on file for staff person 6 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

More than 30 days lapsed between manual tests for the fire detection system on 12/5/23 and subsequently 1/22/24.

The pediatric first aid and CPR trainings on file for staff persons 1, 2, and 3 expired at the end of July 2023, and were not updated until January of 2024.

More than a year lapsed between fire safety trainings for the following staff persons: Staff person 2: The trainings on file were dated 7/2022 and subsequently 1/2024 Staff person 3: The trainings on file were dated 8/2022 and subsequently 1/2024 Staff person 4: The trainings on file were dated 7/2022 and subsequently 1/2024 Staff person 8: The trainings on file were dated 8/2022 and subsequently 1/2024.

The emergency contact information on file for child 1 did not include a complete address for a listed release person.

The emergency contact form and financial agreement on file for child 1 were not updated timely. Parent signatures were dated 8/2022 and subsequently 8/2023.

When preschool/toddler staff were asked to identify which specific children they were responsible for upon returning from a walk, only 10 of the 11 children were accounted for in the care groups.

Upon arrival to the facility, certification staff observed a toddler sitting in a stroller in the childcare space. The child was strapped into the seat, which restricted the child's movement. The child was removed from the stroller about 10 minutes later.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124d on SIN-00217208 had not been fully implemented. On 4/4/23, the emergency contact information that was brought on a walking excursion did not include emergency contact forms for two of the children that were brought on the walk.

The following clearances on file for staff person 2 were more than 5 years old, and updated clearances were not on file. State police clearance 4/26/17, Child Abuse clearance 5/1/17, and FBI clearance 5/8/17. The record for staff person 5 did not include a signed disclosure statement. Staff person 7 began employment at the facility without a completed NSOR on file, nor documentation that the NSOR had been requested. The NSOR on file for staff person 7 was obtained 110 days after start date. The FBI clearance on file for staff person 9 expired on 6/27/22 and was not updated until 1/13/23.

At the time of inspection, there was no documentation on file that the following staff persons have been trained on the emergency plan (either within 90 days of initial hire or annually). Staff 4, 5, 7, and 8

7 toddlers were observed in the indoor play space which measures for 5 toddlers.

The gate to the kitchen area was not installed properly and would not close, allowing access to the kitchen area which contained cleaning materials. A hand sanitizer dispenser was observed on the wall in an area accessible to children. The dispenser contained hand-sanitizer.

The handle of the sink (near front door) popped off when lifted.

The trash cans in the toilet areas were not lidded.

The diaper changing pad located in the bathroom was torn and the inner foam was exposed.

The thermometer in the refrigerator was reading at 50° F.

The most recent health assessment on file for child 1(young toddler) was more than 6 months old.

The immunization records on file for children 1, and 2 were not in accordance with the schedule recommended by the ACIP. The records also did not include parental exemption notes. Child 1 - Did not include documentation of 12-18 month immunizations (Pneumococcal, Influenza, MMR, Varicella) Child 2- Did not include documentation of an annual influenza vaccine.

The diapering trashcan located in the bathroom was not "hands free".

The following food items stored in the refrigerator were either spoiled (moldy), or were past the expirartion / "use by" date. -Bread, use by 8/27/22 -Opened jar of Prego was moldy -Garlic jar, expired 11/21/22 -Eggs, use by 12/24/22 -Hog dogs, use by 12/23/22 -Carrots, use by 12/5/22, 12/13/22, 10/2/22 and 10/30/22 -Cheese, use by 12/11/22 -Cream cheese, moldy -Rotting and/or moldy onion and potatoes

The facility did not have an operable smoke detector in the basement of the facility. According to the log on file at the time of inspection, more than 30 days lapsed between the following manual tests of the fire detection system: 5/2/22-7/3/22, 8/2/22-9/8/22, and 12/2/22-1/5/23.

At the time of inspection, the operator had not yet submitted the emergency plan to the local municipality.

The initial health report on file for child 2 was not obtained timely (dated 97 days after first day of attendance).

The records for staff persons 1, 2, 5, and 8 did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022. The health and safety update training on file for staff persons 6 and 9 were completed after the deadline of 12/30/22.

Staff person#2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/13/17. Staff person 9 did not complete the updated mandated reporter training within 60 months. The mandated reporter training expired on 7/9/22 and an update was not completed until 1/11/23.

The records for staff persons 2, 6, 8, and 9 did not contain documentation of annual fire safety training.

The record for staff person 3 did not include documentation of completing the 10 hour health and safety training. The 6 hour training was on file (1/28/19), but it was dated after the switch to the 10 hour training (7/1/2018). Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric first aid and CPR (has been employed for more than a year).

The records for staff persons 2, 3, 5, 6, and 8 did not include staff evaluations that were less than 12 months old. All staff listed have been employed for more than 12 months.

Staff person 7 is serving as an aide at the facility and has documentation of at least an 8th grade education on file. The record does not include documentation of 2,500 hours of child care experience.

The agreement on file for child 4 did not specify the amount of the fee to be charged per day or per week.

Children 1, 2, 3, and 5 have been enrolled in the program for more than 6 months. Their files do not include completed Child Service Reports (or approved alternatives).

The agreement on file for child 4 did not specify the child's arrival and departure times.

The emergency contact information on file for child 1 did not include the telephone number of the child's physician.

The emergency contact information on file for child 4 did not include the enrolling parent's home address.

The emergency contact information on file for child 4 did not include an address for a listed release person.

Emergency contact information did not accompany the group on their walk away from the facility. A condensed report (that did not meet the requirements of being "emergency contact information") was in the backpack that is brought with staff when they go on walks away from the facility.

The staff and child files were observed laying on a table in the childcare facility.

The record for staff person 4 included just 1 written, nonfamily reference attesting to the person's suitability to serve as a facility person.

The records for staff persons 1, 2, 5, 6, and 8 did not contain documentation of 12 clock hours of childcare training. The staff persons listed have all been employed for more than a year. 8 hours were on file for staff 5 and 2 for staff 6

The following non-compliance from the 2/14/22 renewal inspection had not been corrected per the providers plan of corrections: Child 1 - The child record did not include 15-24m immunizations.

Staff person 1 was serving as an aide at the facility at the time of inspection. The staff person's record did not include sufficient documentation to show the staff person was qualified to serve in the role at the facility.

The most recent DHS FBI clearance on file for staff person 1 was more than 5 years old and was past due to be updated (dated 10/9/2015). The most recent mandated reporter training on file for staff person 1 was more than 5 years old and is past due to be updated (dated 6/10/2015). The most recent DHS FBI clearance on file for staff person 3 was more than 5 years old and was past due to be updated (dated 2/3/2017). Staff person 4 began employment at the facility on 10/27/2021. The staff record did not include the required NSOR certificate, and the mandated reporter on file was more than 5 years old.

An infant child was placed down to nap on their stomach.

The emergency plan parent letter did not include information about emergency drills being conducted at the facility.

Uncovered electrical outlets were observed in the bathrooms and on a power strip in the child care space. (CORRECTED ON SITE)

The cleaning product refill station (disinfectant & all purpose cleaner) was located in the kitchen (in an area accessible to the children). A Glade air freshener was observed in a bathroom within reach of the children. (CORRECTED ON SITE)

A door to a bathroom used by the children had a large hole on the outside surface. A propane torch was observed in an unlocked stairwell right off the child care space. Paint, sealant, and construction debris were observed at the base of the stairs.

Peeling paint was observed on the green banister (stairwell to 2nd floor), and on the wall near the moon. Plaster aws damaged on the wall near the height chart.

Items from the facility were being stored in both of the stairwells, creating obstructed walkways.

A stool used by children had a large crack in the plastic. (CORRECTED ON SITE)

Infant children were observed sleeping in pack & plays that had less than three feet of space around three sides of the rest equipment.

The vaccine records on file for children 1, 2, and 5 were not updated in accordance with the schedule recommended by the ACIP. Child 1 - The record did not include the child's 4 and 6 month immunizations. Child 2 - The record did not include 15-24m immunizations. Child 5 - The record did not include the child's 6 month immunizations.

The diaper trash can being used in the infant space was not "hands free".

The most recent health assessment on file for staff person 1 was more than 24 months old (dated September 2019). An updated health assessment was not on file Staff person 4 began employment on 10/27/2021. Her TB test results were more than 12 months old at hire (dated 6/2018) The most recent health assessment on file for staff person 4 was more than 24 months old (dated October of 2018). An updated health assessment was not on file

The most recent health assessment on file for staff person 6 did not include an examination for communicable diseases and the results of that examination.

Expired food and food in damaged cans were observed in the cabinet and in the refrigerator (CORRECTED ON SITE).

Reusable bottles were being used to feed infants. Bottles were not being provided daily by the parent, nor being washed in a commercial dishwasher OR sterilized in a bottle sterilizer.

At the time of inspection, the operator was unable to provide documentation that an annual emergency drill had taken place.

At the time of inspection, the facility did not have proof of purchase on file for the interconnected fire detection system.

The record for staff persons 1, 2, and 6 did not include annual evaluations from the previous year.

The agreement on file for child 3 did not specify the amount of the fee to be charged, and the date on which the fee is the fee is to be paid.

The agreement on file for child 3 did not specify the child's arrival and departure times.

The emergency contact information on file for child 4 did not include a complete address for the child's physician.

The emergency contact information on file for child 1 did not include the enrolling parent's work address and work telephone number. The emergency contact information on file for child 4 did not include the enrolling parent's complete home address.

The emergency contact information on file for child 4 did not include addresses for 2 of the listed release persons.

Emergency contact information was not present in the child care spaces.

Upon arrival for inspection, both child files and staff files were observed laying out on a table in the main area of the facility and in an unlocked filing cabinet.

The record for staff person 3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person