A Childs World Day Care Center INC

At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to receive rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to receive a rest mat without a staff member present.

At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to receive rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to receive a rest mat without a staff member present.

At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to retrieve rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to retrieve a rest mat without a staff member present.

A tool bag containing a hammer, a wrench, and screwdrivers were observed in an unlocked cabinet in the School Age room and was accessible to children.

A power strip in the Kitchen and an outlet in the Preschool 2 room were missing protective electrical covers.

A bottle of Tylenol was observed on the window ledge in the School Age room and was accessible to children. At the time of inspection, the door to the staff lounge was observed to be open and a container of tide pods labeled "Keep out of reach of children" was observed on the counter, which was accessible to children.

Unlabeled spray bottles containing cleaning products were observed in the Infant and Preschool 2 rooms.

In the Toddler room, an outlet cover plate was observed broken with sharp edges and could cause injury to children. High, overgrown grass was observed in two areas of the outdoor play space, which could be hazardous to children. The step stool located under the water fountain was observed to be darkened with a layer of dirt.

Damaged plaster was observed with peeling pieces on the back wall of the Preschool 2 room.

Rest equipment with torn vinyl and exposed foam was observed in the Preschool 1 and Preschool 2 rooms.

A climber with torn vinyl pieces less than 1 inch in diameter was observed in the Toddler Room and was accessible to children who are still placing objects in their mouths.

The hands-free garbage can used for diapering in the Toddler Room was observed to be broken, and not hands-free.

On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

Based on staff statements, Staff #3 restrained Child #1, a preschooler, to a chair with the sleeves of a sweatshirt for approximately 15 mins. Staff #1 reported that Child #1 was restrained to keep the child safe. Child #1 was jumping off of tables.

According to the fire drill log, the last fire drill was conducted on 1/17/25.

According to the Fire Detection System Test Log, the last test was conducted on 12/17/24.

SECOND CITATION PREVIOUSLY CITED ON 12/11/24: The file for Staff #1 contained a health assessment dated within 12 months prior to date of hire and also included a Tuberculosis test dated 10/9/23, more than 12 months prior to date of hire. (SEE IS CODE SHEET)

The file for Staff #1 contained a health assessment lacking the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for Staff #1 lacked the training certificate for Pediatric First Aid/CPR training dated 5/22/24 at the time of inspection.

Staff #1 and Staff #4 were observed to be caring for children unsupervised. Staff #1 and Staff #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training. Staff #1 has not completed the following pre-service training required prior to caring for children unsupervised: Get Started with Center-Based Care- Revised 2022.

The files for Staff #2 (dated 11/6/19), Staff #4 (dated 11/6/19), and Staff #5 (dated 12/10/19) contained NSOR certificates dated more than 60 months prior. The two most recent FBI Clearances on file for Staff #3 are dated 9/26/18 and 3/26/24, more than 60 months apart.

At approximately 9:50 AM, Staff #1 was observed working alone in the Toddler Classroom with 2 younger toddler and 4 older toddlers. The mixed group ratio which includes young toddlers is 1 staff member to 5 children. At approximately 11:04 AM, Staff #1 was observed alone in the Front Room with 2 preschool aged children, 1 younger toddler, and 4 older toddlers while Staff #4 stepped out of the room.

At approximately 9:45 AM, Staff #4 was unable to name the 2 preschool children in their assigned group that they were responsible for.

In the kitchen used by children as an eating space, an accessible power strip was observed to be unmounted and instead dangled loose in midair along with the cords plugged into it between the microwave cabinet and a metal shelving unit.

The most recent Emergency Plan training on file for Staff #5 is dated 1/3/23, more than 12 months prior.

The facility did not post the Emergency Plan in a conspicuous location in the facility.

Protective outlet covers were missing in the Older Toddler Room, School Age Room, Preschool 2 Room, and in the Kitchen (wall outlet, power strip, and extension cord).

A trash can in the outside play space and in the Preschool 2 Room were observed with garbage from days prior.

Fruit flies were observed in the kitchen and at least 14 were observed on the inside of a lidded pan containing canned carrots that had not yet been cooked or consumed.

Broken outlet plates with sharp edges were observed in the Older Toddler Room, School Age Room, and Preschool 2 Room. The wall next to the basketball hoop in the School Age Room was missing baseboard trim. A ceiling tile was missing in the front bathroom of the facility. In the Toddler Room, a heater cover in the corner was observed protruding from the wall leaving an exposed anchor, which could be harmful to children. In the outdoor play space, ripped turf carpeting and a large wooden sign was observed with splintered wood on the ends, which could be harmful to children.

A torn rubber carpet seam cover contained pieces with a diameter of less than 1 inch was observed in the Infant Room, which could be a choking hazard for children who are still placing objects in their mouths.

Peeling paint and plaster was observed in the School Age Room under the windows and near the wall cutout and in the Toddlers Room in the corner next to the protruding heater cover.

In the Preschool 2 Room, splintered plywood was observed on a yellow table which could be harmful to children. Exposed fence bolts, a broken metal chair, and sharp plastic on the door frame of the short tan house along the fence were observed in the outdoor play space, which could be harmful to children.

The two most recent health assessments on file for Child #1 (Younger Toddler at the time) are dated 4/5/23 & 12/21/23, more than 6 months apart.

An Epi Pen for Child #6 with an expiration date of 7/2024 was observed in the Infant Room.

The two most recent health assessments on file for Staff #1 (dated 2/25/22 & 3/10/24) and Staff #4 (dated 1/24/22 & 2/27/24) are dated more than 24 months apart. The most recent health assessment on file for Staff #2 is dated 1/20/22, more than 24 month prior.

The facility did not post the menu in a conspicuous location at the facility.

The most recent emergency drill documented at the facility is dated 12/7/23, more than 12 months prior.

The facility lacked documentation of fire drills conducted within the last year.

The facility's 30-day fire alarm test log contained the following dates more than 30 days apart: 5/1/24-6/1/24, 6/3/24-7/3/24, 8/2/24-9/2/24. The most recent documented 30-day fire alarm test date is 10/2/24, more than 30 days prior.

The facility lacked documentation of the following policies: Shaken Baby/Child Maltreatment and Continuity of Operations in the Emergency Plan.

The files for Staff #3 and Staff #6 contained 0 of 12 annual training hours within the training period of 12/19/22-12/19/23. The file for Staff #5 contained 4 of 12 annual training hours within the training period of 12/19/22-12/19/23.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, and Staff #6 are dated 9/10/22 and 10/9/24, more than 24 months apart.

The two most recent fire safety trainings on file for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, and Staff #6 are dated 9/23/23 and 10/19/24, more than 12 months apart.

The file for Staff #1 lacked documentation that Staff #1 has completed the following pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care -- Revised 2022.

The files for Staff #1 and Staff #4 lacked documentation that Staff #1 and Staff #4 have completed the following pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Mandated Reporter Training. The mandated reporter training on file for Staff #2 dated 1/27/21 is not an acceptable training, making it invalid.

The most recent staff evaluation on file for Staff #1, Staff #2, Staff #3, and Staff #5 are dated 1/3/23, more than 12 months prior. The most recent staff evaluation for Staff #4 is dated 1/3/22, more than 12 months prior.

The file for Staff #1, classified as an Assistant Group Supervisor, lacked 2 years of child care experience. The file for Staff #4, classified as an Assistant Group Supervisor, lacked documentation of a high school diploma or GED.

The Financial Agreement form on file for Child #4 lacked the signature of the operator.

The Financial Agreement form on file for Child #2 lacked the fee amount for services.

The Financial Agreement forms on file for Child #1 and Child #2 lacked the date the fee is to be paid.

The Financial Agreement form on file for Child #2 lacked the services provided by the facility. The most recent Child Service Report on file for Child #1 is dated 8/17/23, more than 6 months prior.

The Financial Agreement forms on file for Child #3 and Child #4 lacked the child's date of admission.

The Financial Agreement forms on file for Child #1, Child #2, Child #3, Child #4, and Child #5 were the original agreement. The parent is to receive the original agreement, and the facility is to retain a copy of the agreement.

The files for Child #3 and Child #4 did not contain an Emergency Contact form.

The Emergency Contact forms for Child #1 and Child #2 lacked the address and phone number of the child's physician or source of medical care.

The Emergency Contact form for Child #2 lacked the child's health insurance/MA coverage and health insurance/MA policy number.

The Emergency Contact forms for Child #1 and Child #2 lacked addresses for all listed release persons.

The facility lacked Emergency Contact forms for the children in care in the Front Room, Infant Room, and Toddler Room.

The most recent parent updates for the Emergency Contact and Financial Agreement forms for Child #1 are dated 1/6/23, more than 6 month prior. The two most recent parent updates for the Emergency Contact and Financial Agreement forms for Child #5 are dated 11/29/23 and 10/14/24, more than 6 month prior.

The most recent parent update of the Financial Agreement form on file for Child #4 is dated 5/22/24, more than 6 months prior.

The file for staff #1 renewed 2 clearances late. The state police clearance was due 10/2023 and was renewed 12/2023. The child abuse clearance was due 9/2023 and was renewed 11/2023.

A preschool aged child was not escorted to the restroom by a staff person at 9:45am on 12/5/23. The preschool aged child was not adequately supervised.

Observed exposed bolts on the gate in the play space (outside).

Observed a child in rest equipment (crib) that was in use without 2 feet of space on 3 sides in the infant room.

The files for children #2 and #3 lack updated immunizations according to recommendations of the ACIP. Child #2 lacks a DTP and meningitis. Child #3 lacks a flu vaccine.

The facility did not implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings) for child #2 and #3 who were both lacking complete immunizations in their files.

The preschool aged children did not wash their hands prior to snack as observed by the certification representative.

The facility has not conducted an emergency drill annually.

The smoke alarm (fire detection system) in the school age room was beeping, therefore, indicating that the battery needed to be replaced.

The file for child #2 contains an initial health assessment that was obtained late (beyond 60 days). The health assessment was due 12/2022 and obtained 5/2023.

The files for children #1-4 contain updated agreements and emergency contact forms that were updated late (beyond a 6 month period). They were due for updates in 7/2023 and were updated 11/2023.

The following staff files contain clearances that were updated late: staff #1- criminal due 2/2022 and obtained 3/2022, child abuse due 3/2022 and obtained 4/2022, FBI due 3/2022 and obtained 4/2022; staff #3 - criminal clearance due 12/2022 and obtained 1/2023.

The files for staff #4 and #5 indicate that both staff were improperly provisionally hired. The FBI clearance and NSOR were applied for after initial service in the child care setting which made both clearances late also. Staff #5 applied for the FBI clearance after initial service in the child care setting. The child abuse clearance and the criminal clearance were not applied for prior to initial service in the child care setting which made the entire provisional hiring process void, thus resulting in all 4 clearances being obtained late. Both staff #4 and #5 now have valid clearances on file.

Staff #4 obtained emergency plan training late. It was due on 12/22/22 and conducted on 1/3/23. Staff #5 obtained emergency plan training late. It was due on 6/1/22 and conducted on 1/3/23.

Observed exposed bolts on the gate in the play space outside.

Observed one crib in use without 2 feet of space on 3 sides in the infant room.

The files for children #1 and #3 lack verification of the flu vaccination as recommended by the ACIP. Both children have been in care more than 60 days.

The files for children #1 and #3 lack verification of the flu vaccination as recommended by the ACIP. Both children have been in care over 60 days.

The file for staff #4 contains a health assessment that was obtained late. The health assessment was due by 9/12/22 and was obtained 10/5/22.

Staff person #4 obtained a late TB test. The TB test was due by 9/12/22 and was obtained on 11/15/22.

The operator did not send a copy of the emergency plan update for 2022 to the local municipality and to the county emergency management agency.

The files for children #2 and #3 contain initial health assessments that were obtained late. The health assessment for child #2 was due 12/2020 and was obtained 9/2022. The health assessment for child #3 was due 8/2022 and was obtained 11/2022.

The operator did not notify the 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 child care facility.

The facility lacks a shaken baby syndrome policy.

Staff person #5 completed the following required pre-service training beyond 90 days of their date of hire (see LIS code sheet): PQAS pediatric first aid and CPR. Current training is on file.

Staff persons #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Staff person #5 completed the mandated reporter training beyond 90 days of their date of hire (see LIS code sheet). Staff person's mandated reporter training was due on 6/1/22 and completed on 12/22/22.

Staff person #2 has not updated the mandated reporter training. Staff person #2s mandated reporter training expired on 2/13/22.

The file for staff #5 lacks a high school diploma.

The file for staff #5 lacks one written reference that attests to the person's suitability to serve as a facility person.

2nd citation: The health assessment for staff person #1 had a horizontal line drawn through the boxes that said "Yes" and "No" in regards to the question regarding communicable disease. Therefore, it was unable to be determined if an exam for communicable disease was conducted and the results of that exam. Previously cited on 3/4/22.

Upon entering the infant room at approximately 11:05, child #2, a 3 month old, was observed sleeping in a baby swing.

Upon entering the infant room at approximately 11:05, child #1, a 3 month old, was observed sitting in a Baby Einstein exersaucer in the infant room. The child appeared to be having a hard time keeping their head up and there were folded blankets being used as a cushion between the child and the seat. Based on review of the instructions online, the minimum age for using the equipment is 6 months.

Upon entering the infant room at approximately 11:05, child #2, a 3 month old, was observed sleeping in a baby swing.

The health assessment for staff person #1 had a horizontal line drawn through the boxes that said "Yes" and "No" in regards to the question regarding communicable disease. Therefore, it was unable to be determined if an exam for communicable disease was conducted and the results of that exam.

2nd citation: All fire drills conducted in the last 12 months occurred between 9:45 am and 11:30 am. Previously cited on 1/11/22.

The inspection summary for the facility's renewal inspection, which included items not yet corrected, was not posted at the facility.

At approximately 8:45 am, staff person #1 answered the front door of the facility and then screened this certification representative for COVID by using a touchless thermometer, leaving 7 older school-age children unsupervised in the School-age 2 room.

At approximately 8:45 am, staff person #1 answered the front door of the facility and then screened this certification representative for COVID by using a touchless thermometer, leaving 7 older school-age children unsupervised in the School-age 2 room.

The last FBI clearance in the file for staff person #2 was dated more than 60 months ago and the individual continued working with children with expired clearances. The last two state police, child abuse and FBI clearances in the file for staff person #4 were dated more than 60 months apart and the individual continued working with children with expired clearances.

At approximately 8:45 am, staff person #6 answered the front door of the facility and then screened this certification representative for COVID by using a touchless thermometer, leaving 7 older school-age children unsupervised in the School-age 2 room.

A flat screen tv was on a low table in the School-age 1 room, creating a tipping hazard.

There was a "Dab-O-Ink" bingo dabber in a low cabinet in the School-age 1 room, making it accessible to the children in care. The "staff only" bathroom door was unlocked, making the Chlorox wipes, which were observed sitting on a low table near the bathroom door, accessible to children. The staff lounge door was unlocked and propped open, making the package of Tide pods sitting on the counter accessible to children. All items included instructions to keep out of the reach of children.

There was a "Dab-O-Ink" bingo dabber in a low cabinet in the School-age 1 room. Based on conversation with the director, it was used for arts and crafts.

The hot water in both sinks in the toddler room measured at approximately 120 degrees F.

There were no emergency phone numbers posted in the toddler room.

There were several tears in the vinyl covering of the climbing equipment on the floor in the infant room, making the foam inside accessible to the 3 toddlers in the room at the time.

There were several tears in the vinyl covering of the climbing equipment on the floor in the infant room, making the foam inside accessible to the 3 toddlers in the room at the time.

The health report in the file for child #3, a kindergartener, was dated when the child was 4 years old.

The last health assessment in the file for staff person #2 and #5 was dated more than 24 months ago.

The health assessment in the file for staff person #4 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

There were two occasions in 2021 where fire drills were conducted slightly more than 60 days apart:

All fire drills conducted in the last 12 months occurred between 9:45 am and 11:30 am.

There was no proof of purchase for the facility's fire detection system available at the time of the inspection. There were 6 times in 2021 when the testing of the fire detection system was dated more than 30 days apart.

The last traffic letter sent to local authorities by the facility was more than 12 months ago.

Based on conversation with the operator and review of child files, parents were receiving original injury reports and a copy was placed in the child's file, but a 3rd copy was not maintained in an accident file at the facility.

The most recent Mandated Reporter training in the file for staff person #1and #5 was not one of the acceptable trainings. The previous training had expired.

There was two different colors of ink on the agreement form in the file for child #2 and the operator stated it was the original agreement.

The emergency contact information in the file for child #2 did not include the work phone number for the child's mother.

The emergency contact information in the file for child #4 did not include addresses for the 3 release persons.

There was no emergency contact information in the School-age room 2 for child #1, who was observed in care at the time of the inspection

The last update in writing by a parent on both the emergency contact form and the agreement form in the file for child #1, #4 and #5 was dated in 2020.

The file for staff person #1, #2 and #5 contained evidence of 9 hours of training between 12/19/20 and 12/19/21. The file for staff person #4 did not include any training hours between 12/19/20 and 12/19/21.