A Touch of Blessings 1

During the renewal inspection on 10/24/2024, it was observed that the back wall in the computer room had chipping paint, and there was chipped paint in the infant room above the baseboard on the right side of the room.

During the renewal inspection on 10/24/2024, it was observed that two multiple child carriages in the front of facility were dirty and needed to be cleaned.

During the renewal inspection on 10/24/2024, it was observed that the facility had Equate Fever Reducer that expired in 9/2023. The medication belonged to a child that is no longer in attendance at the facility.

During the renewal inspection on 10/24/2024, the file for staff #1 was reviewed and there was no health assessment present in the file.

During the renewal inspection on 10/24/2024, the files for child #1 was reviewed and an initial health report was not present in the file and the child admission date is over 60 days. (see code sheet for admission date).

During the renewal inspection on 10/24/2024, it was observed that the annual liability insurance for the facility had expired on 9/26/24.

During the renewal inspection on 10/24/2024, the files for staff #1, #2, and #3 were reviewed and there was no Pediatric CPR/First Aid Training present. Staff #1 has not completed the 10-hour Health and Safety Training. (See code sheet for staff start dates).

During the renewal inspection on 10/24/2024, the files for child #2 and child #3 were reviewed and there was no admission date listed on the agreement.

During the renewal inspection on 10/24/2024, the files for child #1 and child #3 were reviewed and the Emergency Contact Form did not include written parental consent for the facility to administer emergency medical care to the child.

During the renewal inspection on 10/24/2024, the files for child #1 and child #3 were reviewed and the Emergency Contact Forms did not include the child's health insurance coverage and policy number.

During the renewal inspection on 10/24/2024, the files for child #1 and child #3 were reviewed and the Emergency Contact Form did not include written parental consent for the facility to administer minor first aid.

During the renewal inspection on 10/24/2024, the file for child #1 was reviewed and the Emergency Contact Form did not include written parental consent for the facility to provide transportation and wading for the child.

During the renewal dated 11/15/2023, certification representative reviewed the personnel file for staff person #1 and #2 (see code sheet for hire dates), and the file for staff #1 contains a Child Abuse History Clearance dated 7/25/18, and an FBI Clearance dated 8/28/18. Staff person #2 personnel file contains an FBI Clearance dated 2/1/17. The clearances for both staff person #1, and staff person #2 are more than 60 months old. There is no applications in the file for both an updated child abuse criminal background clearance and the FBI Clearance.

During the renewal inspection dated 11/15/2023, certification representative observed that there was a detached portion of the fence in the outdoor play space and the children could access to the street. Also, there were several weeds throughout the outdoor play space, and artificial grass was wrinkled in several spots and was a tripping hazard for the children.

Durin g the renewal inspection dated 11/15/2023, certification representative observed that the back door exit was obstructed by a ball and a child's chair.

During the renewal inspection dated 11/15/2023, certification representative observed that the cubby was not secured to the wall and was a tipping hazard and was unsafe for the children.

During the renewal inspection dated 11/15/2023, certification representative observed that staff person #1 did not wash child #1 hands after a diaper change.

During the renewal inspection dated 11/15/2023, certification representative observed that staff person #1, #2, #3 did not have a current health assessment in their personnel file. The last documented health assessment date for staff person #1 is 2/26/21, for staff person #2 is 2/1/17, and for staff person #3 is 10/29/21. The Health assessments are expired because they exceed the 24 month requirement per the 3270 regulations.

During the renewal inspection on December 12, 2022, the record reviewed for Staff Person #1 and #2 did not include annual emergency training documentation.

During the renewal inspection on December 12, 2022, there was multiple tearing in the green ground tarp covering located in the outdoor play space which caused an unsafe area and condition.

During the renewal inspection on December 12, 2022, the health assessment reviewed for Child #1, #2, #3, and #4 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

During the renewal inspection on December 12, 2022, the record reviewed for Staff Person #1, #2 and #3 did not include annual fire safety training documentation.

During the renewal inspection on December 12, 2022, Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and First Aid Training.

During the renewal inspection on December 12, 2022, the record reviewed for Staff Person #1 and #2 did not include a 12-month written evaluation.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 (HIRE DATE 06/20/2020) AND # 3 (HIRE DATE 09/01/2021) DID NOT INCLUDE A COMPLETED CHILD ABUSE REGISTRY CLEARANCE, FBI FINGERPRINT CLEARANCE, NATIONAL SEX OFFENDER REGISTRY CERTIFICATE, MANDATED REPORTER TRAINING, OR DISCLOSURE STATEMENT. THE RECORD REVIEWED FOR STAFF PERSON # 2 DID NOT INCLUDE A COMPLETED PA CRIMINAL HISTORY CLEARANCE. THE LEGAL ENTITY DOES NOT HAVE A PROVISIONAL HIRE WAIVER.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, AT APPROXIMATELY 9:33 AM, THE CERTIFICATION SUPERVISOR OBSERVED STAFF PERSON # 1 ALONE IN THE FRONT CHILD CARE SPACE WITH NINE CHILDREN. THE YOUNGEST CHILD IN THE GROUP WAS CHILD # 4, WHO IS A OLDER TODDLER TWO YEAR OLD CHILD. THE CERTIFICATION SUPERVISOR OBSERVED STAFF PERSON # 3 ALONE IN THE BACK BABY ROOM CHILD CARE SPACE WITH FIVE CHILDREN. THE YOUNGEST CHILD IN THE GROUP WAS CHILD # 5, WHO IS AN INFANT AGE CHILD.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1, 3 AND 4 RECEIVED TRAINING REGARDING THE EMERGENCY PLAN WITHIN A 12-MONTH PERIOD.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE GRASS IN THE OUTDOOR BACK PLAY SPACE NEEDS TO BE CUT. THE OUTDOOR PLAY SPACE IS NOT ABLE TO BE UTILIZED AS LARGE MUSCLE SPACE.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE ELECTRICAL OUTLET IN THE FRONT CHILD CARE SPACE NEAR THE RESTROOM WAS MISSING A PROTECTIVE RECEPTACLE COVER.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS A CONTAINER OF LYSOL WIPES IN THE BACK BABY ROOM CHILD CARE SPACE ON A LOW SHELF OF THE DIAPERING CHANGING TABLE IN REACH AND ACCESSIBLE TO CHILDREN. THERE WAS A AIR FRESHNER PLUG IN REACH, ACCESSIBLE TO CHILDREN PLUGGED IN AN OUTLET NEAR THE PLAYPENS.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WERE CLEAR SOAP DISPENSERS ON THE SINKS IN THE FRONT CHILD CARE SPACE AND BATHROOMS THROUGHOUT THE FACILITY THAT CONTAINED A PNK LIQUID AND WERE NOT LABELED WITH THE ORIGINAL LABEL OR A LABEL TO SPECIFY THE CONTENTS.

ON OCTOBER 18, 2021, DURING THE RENWAL INSPECTION, THE FIRST-AID KIT IN THE FRONT CHILD CARE SPACE WAS MISSING SCISSORS AND GLOVES.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS DUST, DIRT AND DEAD FLIES IN THE WINDOW SEAL IN THE FRONT CHILD CARE SPACE.

ON OCTOBER 18, 2021, DUIRNG THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT IN THE FRONT CHILD CARE SPACE ON THE WALL NEAR THE OFFICE AND ABOVE THE CUBBIES.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE TOILET IN THE GIRLS BATHROOM WAS IN NEED OF REPAIR. (UNABLE TO FLUSH)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECIONS, THERE WERE PLASTIC BAGS IN REACH AND ACCESSIBLE TO YOUNG TODDLER AND INFANT AGE CHILDREN IN THE BACK BABY ROOM IN A LOW RED CUBBY.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE PLAYPENS IN THE BACK BABY ROOM WERE NOT LABELED FOR THE USE OF A SPECIFIC CHILD.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, STAFF PERSON # 3 DID NOT WASH THE HANDS OF CHILD # 1 AFTER DIAPERING THE CHILD.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 AND # 3 DID NOT INCLUDE A HEALTH ASSESSMENT.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 4 DID NOT INCLUDE AN EXAMINATION FOR COMMUNICABLE DISEASES AND THE RESULTS OF THAT EXAMINATION.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 4 DID NOT INCLUDE THE PHYSICIAN'S OR CRNP'S ASSESSMENT OF THE PERSON'S SUITABILITY TO PROVIDE CHILD CARE.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS A GALLON OF MILK IN THE REFRIGERATOR THAT WAS EXPIRED. (DATED 10/14/21)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE LUNCH SERVED TO CHILD # 1 DID NOT CONTAIN A DAIRY PRODUCT. (THE CHILD WAS SERVED OATMEAL)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE LUNCH SERVED TO CHILD # 1 DID NOT CONTAIN A PROTEIN. (THE CHILD WAS SERVED OATMEAL)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE LUNCH SERVED TO CHILD # 1 DID NOT CONTAIN ATLEAST ONE FRUIT OR VEGETABLE. ((THE CHILD WAS SERVED OATMEAL)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, FOOD SERVINGS WERE NOT PORTIONED SUITABLY FOR THE SIZE AND AGE OF THE CHILDREN IN CARE. AT APPROXIMATELY 11:40 AM, THE CERTIFICATION SUPERVISOR OBSERVED STAFF PERSON # 1 SERVE LUNCH TO TEN CHILDREN RANGING IN AGE OF OLDER TODDLER TO PRESCHOOL IN THE FRONT CHILD CARE SPACE AND FOUR YOUNG TODDLER CHILDREN IN THE BACK CHILD CARE BABY ROOM. FIVE CHILDREN IN THE FRONT CHILD CARE SPACE WERE SERVED ONE SLICE OF PIZZA, ONE BUFFALO WING AND ONE PIECE OF CELERY, THE OTHER FIVE CHILDREN IN THE FRONT CHILD CARE SPACE WERE SERVED A HALF A SLICE OF PIZZA, ONE BUFFALO WING AND ONE PIECE OF CELERY. THREE OUT OF FOUR OF THE YOUNG TODDLERS IN THE BACK BABY ROOM CHILD CARE SPACE WERE SERVED A HALF OF SLICE OF PIZZA, CHILD # 1 WAS GIVEN OATMEAL DUE TO THE FACILITY RUNNING OUT OF FOOD.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, A MENU WAS NOT POSTED AT THE FACILITY.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A WRITTEN FEEDING SCHEDULE BEING ESTABLISHED FOR CHILD # 5.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE EMERGENCY PLAN REVIEWED DID NOT PROVIDE FOR ACCOMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES, AND CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, A FIRE DRILL LOG WAS NOT PRODUCED UPON REQUEST BY THE CERTIFICATION SUPERVISOR.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE FACILITY FAILED TO DEMONSTRATE THE FIRE DETECTION SYSTEM UPON REQUEST, THERE WAS NO WRITTEN DOCUMENTATION OF TESTING EVERY 30 DAYS; DOCUMENTATION OF ANNUAL TESTING WAS NOT PRODUCED. PROOF OF PURCHASE FOR THE FIRE DETECTION SYSTEM WAS NOT PRODUCED.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE EMERGENCY PLAN REVIEWED DID NOT INCLUDE SHELTER DURING A LOCK-DOWN.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 4 (ENROLLMENT DATE 11/14/19) DID NOT INCLUDE A HEALTH REPORT.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, COMPREHENSIVE GENERAL LIABILTY INSURANCE WAS NOT PRODUCED UPON REQUEST.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE CERTIFICATION SUPERVISOR OBSERVED TEN CHILDREN PRESENT IN THE FRONT CHILD CARE SPACE RANGING IN AGE OLDER TODDLER TO PRESCHOOL WERE NOT WEARING A FACE COVERING/MASK.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 4 PARTICIPATED IN FIRE SAFETY TRAINING WITHIN A 12-MONTH PERIOD.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF A WRITTEN EVALUATION WITHIN A 12 MONTH PERIOD FOR STAFF PERSON # 4 (HIRE DATE 07/2019) AND # 1 (HIRE DATE 06/20/2020)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, RECORD REVIEWED FOR STAFF PERSON #1 AND # 3 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE OR EDUCATION TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (ASSISTANT GROUP SUPERVISOR)

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, A WRITTEN PLAN OF DAILY ACTIVITIES WAS NOT POST IN THE BACK BABY ROOM CHILD CARE SPACE.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 5 DID NOT INCLUDE THE ADDRESS OF THE INDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE CHILD CARE SPACE FOR THE NINE CHILDREN PRESENT IN THE FRONT CHILD CARE SPACE AND FIVE CHILDREN PRESENT IN THE BACK BABY ROOM SPACE.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, A PLAN IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE WAS NOT POSTED IN THE BACK BABY ROOM CHILD CARE SPACE.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, A RECORD WAS NOT ESTABLISHED AT THE FACILITY FOR CHILD # 1 AND # 2 WHO ARE ENROLLED AND WERE PRESENT AT THE FACILITY.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR CHILD # 1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID PROCEDURES BY FACILITY STAFF.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT AN ACCIDENT FILE WAS ESTABLISHED AT THE FACILITY.

ON OCTOBER 18, 2021, DURING THE RENEWAL INSPECTION, UPON REQUEST FROM THE CERTIFICATION SUPERVISOR, A RECORD WAS NOT PRODUCED FOR STAFF PERSON # 5 WHO WAS IDENTIFIED AS THE DIRECTOR.

ON OCTOVER 18, 2021, DURING THE RENEWAL INSPECTION, THE CERTIFICATE OF COMPLIANCE POSTED AT THE FACILITY WAS NOT A CURRENT CERTIFICATE. (CERTIFICATE DATED 06/17/2019-12/17/2019)