A Plus Early Learning Center INC

Staff person #1 did not obtain the NSOR before working with children. Date of hire was 7/1/25, and the date of the NSOR was 7/18/25. On 7/8/25, staff person #1 was observed working with children.

It was observed that protective outlet covers were missing upstairs under the basketball game, to the right of the mini fridge, and the outlet where the phone is plugged in.

It was observed that there was a spray bottle with clear liquid that was not labeled; on top of the cabinet in the corner behind the steps.

Staff person #1's file does not include a health assessment prior to working with children. On 7/8/25, staff person #1 was observed working with children.

Staff person #1's file does not include a health assessment complete with a physical examination or tuberculosis screening.

Staff #1 did not have access to the staff files.

During the inspection of the physical site in the outside play area, protruding bolts were observed on the fencing surrounding the area.

During the inspection of the physical site in the outside play area, splintering wood was observed on the fencing surrounding the area (approximately the 15th board of the wooden fencing).

Upon inspection of the facility fire safety logs, the provider (staff #1) tested the smoke detectors on 1.4.24 and again on 2.6.24 (33 DAYS); also, on 3.5.24 and again on 4.15.24 (41 DAYS) which is greater than the allowable 30 days between testing dates.

Staff person #1 confirmed that staff person would 'soothe ' the child by placing staff person's fingers in and around the child ears to tickle the child. Staff person #1 also tapped the child's forehead as a technique to promote positive behavior.

The letter provided to families regarding emergencies at the facility did not include procedures for emergency lock-down.

It was observed in the 1st floor Room 1 and Room 2 that the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by each telephone in the child care spaces.

It was observed on the playground that there was a broken fence board with exposed rusty nails, a lawnmower accessible to children, a very broken, cracked and sharp recycling can, an open gate with steps to the 2nd floor and loose wires protruding from the wall posing potential hazards to the children.

It was observed in the school age room that the small toilet in the bathroom did not flush.

The health assessment on file for Child #1 did not include a signature from a physician, physician's assistant or a CRNP.

It was observed that an emergency drill was not conducted and documented annually at the facility.

It was observed that the facility director did not ensure that the facility fire alarm system was tested and documented every 30 days.

Facility person #1, #2, #3, #4 has not completed the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.

It was observed that there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in any of the classroom child care spaces.

It was observed on the Playground that there were rusty nails and screws exposed on broken, loose boards accessible to children.

The file for Child #1 did not include an updated child health assessment conducted every 12 months. The health assessment on file was dated 9/3/2020.

The facility director did not ensure that the fire alarm system testing was completed and documented every 30 days.