Absolutely Loving Hands Childcare

The file for Staff Person #1 contained State Police clearances dated 1/10/20 and 3/27/25, Child Abuse Clearances dated 3/12/20 and 3/22/25, DHS FBI Clearances dated 2/27/20 and 3/18/25 and NSOR Certificates dated 12/17/19 and 4/3/25 all more than 60 months apart. The file for Staff Person #2 contained a Child Abuse Clearance dated 9/30/24 which was after hire date (see LIS code sheet). The file for Staff Person #3 contained a State Police Clearances dated 3/11/25, Child Abuse Clearance dated 3/22/25 and a NSOR Certificate dated 2/25/25, which were received after hire date (see LIS code sheet).

At approximately 10:15 AM while assessing supervision and ratio it was observed that Staff Person #5 was alone with a mixed group of 7 children consisting of 2 infants, 4 older toddlers and 1 preschooler.

It was observed that during supervision and ratio checks at 10:25 AM that an infant was sleeping in their car seat on the floor in the infant room.

It was observed that there was a bottle of disinfectant spray on a low shelve in the bathroom that was assessable to children.

The first aid kit in the infant room was lacking tape.

It was observed that a highchair in the eating room was lacking safety straps.

The most recent health assessment on file for Child #2 who is an older toddler is dated 3/19/24 which is older than 12 months.

It was observed that after a diaper change that the staff did not ensure that the child's hands were washed.

It was observed that a staff person used a cloth hand towel to dry their hands after washing them and then used the same towel to wipe the hands of a child.

While observing a diaper change staff was observed not throwing the diaper away by immediately placing the diaper into a plastic-lined, hands-free covered can.

At approximately 11:05 AM, it was observed that there was a mixed age group of 8 children (3 infants, 1 young toddler, 3 older toddler and 1 preschooler) receiving care in the purple/music room that has a designated maximum capacity of 6.

The file for Staff Person #4 includes verification of Pediatric First Aid/CPR training dated 4/2/25, after the expiration date of 1/31/25.

Staff Person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care Revised 2022 10hrs. (completed on 12/26/24).

The file for Staff Person #3 who is classified as an assistant group supervisor was lacking documentation of 2 years of experience with children.

The emergency contact form on file for Child #2 and Child #3 was lacking the addresses of the individuals designated by the parent to whom the child may be released.

The last update for the financial agreement and emergency contact form for Child #1 was dated 8/1/24 which is more than 6 months ago.

The file for Staff Person #3 was lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

The facility emergency plan was not post at a conspicuous location.

There was a baby bag on the first-floor hallway floor that contained Desitin, Little Saline Spray Drops, Orejel and Mommy's Bliss Grip Water labeled, "keep out of reach of children," accessible to children.

There were 2 windows in the eating room on the second floor and 2 in the infant room above the ground without stopers to limit the opening to 6 or fewer inches.

The first -aid kits in the SA room and in the toddler room lacked scissors.

There was a hole on the wall under the window by the play kitchen area in the SA room. There was a hole on the wall under the window by the hockey table in the SA room, the metal had a sharp edge.

There was peeling paint on the ceiling in the SA room. There was damaged plaster on the wall under the window in the infant room.

The toilet and sink in the second-floor bathroom lacked hand washing signs.

There was a wobbly toy kitchen in the SA room. There was a broken hockey table in the SA room.

The file for child # 4 a preschooler lacked an updated health report. The previous report was dated 5/27/21. The file for child # 5 a school age contained a current health report dated 3/5/24, that was obtained after 12 months from the previous report dated 12/5/24.

The first and second floor bathrooms lacked soap.

The facility lacked the pick-up and drop-off notification of safe routes posted by the operator at a conspicuous location in the child care facility.

On the day of the inspection, the provider was unable to demonstrate the fire alarm system. The independent smoke detector on the second floor was not operable.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 3/1/24 to 4/1/24.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

The file for child# 2 lacked an initial health report. The child was in care longer that 60 days without initial health report. The child start date was 11/13/23. The file for child# 3 lacked an initial health report. The child was in care longer that 60 days without initial health report. The child start date was 8/23/21.

The file for child# 1 a preschooler contained an initial health report dated 9/1/22. The child was in care longer that 60 days without initial health report. The child start date was 4/6/22. The file for child # 1 a preschooler contained a current health report dated 4/16/24, that was obtained more than 12 months from the previous report dated 9/1/22.

The file for staff #1 lacked an updated fire safety training. The previous training was dated 6/26/22. The file for staff # 2 lacked an updated fire safety training. The previous training was dated 1/22/23.

The file for child # 2 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form. The files for children # 3 and 5 lacked the work addresses of the enrolling parent on the emergency contact form.

The files for child # 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files for child # 2 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The file of child #1, enrolled more than 60 days at the facility, did not contain documentation of One varicella, one MMR and one DTaP vaccinations, as required based on the child's age as per the ACIP recommended schedule. The file of child #2, enrolled more than 60 days at the facility, did not contain documentation of one DTaP, one MMR, one Varicella, one Pneumococcal, one Rotavirus, one Hepatitis B, two IPV, and two Hib vaccinations, as required based on the child's age as per the ACIP recommended schedule.

The files for Facility Persons #2 and #3 contained PA State Police Clearances that were listed as under review, which are not finalized clearances. Facility persons #2 and #3 may not work at the facility until proper clearances are obtained.

The file for Facility Person #2 did not contain the documentation of the completion of emergency plan training in the past 12 months.

A toilet used by children in care in the Rainbow Room was observed to have two exposed, upwardly facing bolts protruding from either side of the base. Contact with said bolts could cause puncture and/or abrasion injuries.

Protective metal mesh grates covering baseboards heaters in areas accessible to children in the Rainbow Room and the main downstairs room were observed to have sharp edges that could cause puncture and/or laceration injuries.

The file for Child #2, an older toddler, did not contain a health assessment completed in the past 12 months.

The file for Facility person #1 did not contain a health assessment.

Documentation of the completion of an annual emergency drill was not on file at the facility.

Documentation the operator had notified local traffic authorities in writing in the past 12 months of the location of the facility and use of pedestrian and vehicular routes around the facility was not available on file.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their dates of hire: Health and Safety Basics Training. Staff person #2 has not completed the following pre-service training within 90 days of their dates of hire: Pediatric First-Aid/CPR.

The file for Facility Person #3 did not contain documentation of the completion of mandated reporter training in the past 60 months.

The file for Child #4 contained an emergency contact form that did not include the phone number and address of the child's physician.

The file for Child #3 did not contained an emergency contact form that did not include the addresses to two persons to whom the child can be released.

The files for Child #1 and #2 did not contain signed documentation establishing that the parent(s) reviewed emergency contact and agreement information.

The files for Facility Persons #1 and #2 did not contain qualifications, including documentation of the completion of High School or GED.

The facility had not obtained the provisional hiring waiver until 7-12-21. The file for staff#3 (See IS Code Sheet) contained a Child Abuse Clearance Date of 5-12-2021.

The file for staff #2 and staff #3 contained an emergency plan training date of 4-9-2021 and has not received the annual emergency plan training which was to be completed by 4-9-2022.

In the Toddler Room, located on top of a green bin and accessible to children was an Orange Dab-O-Ink Dauber and written on it was: "Keep out of reach of children." In the utility room, a bottle of Ortho Home Defense Insect Killer was on the floor and was accessible to children in care and written on it was: "Keep out of reach of children."

In the upstairs School Age Room, the right top side of a white shelf was coming apart and could cause a pinch point.

The file for child #1 with an admission date of 10-21-2021 did not contain an Influenza Vaccine.The file for child #2 with an admission date of 4-2-2021 contained an Influenza Vaccine date of 8-2-2020. The file for child #3 with an admission date of 9-2-2021 contained an Influenza Vaccine date of 12-28-2018. The file for child #4 with an admission date of 9-24-2019 contained an Influenza Vaccine date of 10-29-2020.

The file for staff #1 contained a health assessment date of 10-1-2019 and has not received an updated health assessment which was due by the mandatory date of 10-1-2021 to receive the health assessment. The file for staff #2 contained a health assessment date of 10-26-2019 and has not received an updated health assessment which was due by the mandatory date of 10-26-2021 to receive the health assessment.

There was no emergency drill or emergency drill log documented on file at the facility.

There was no evacuation route posted in the upstairs School Age Room.

The smoke detection log contained a date of 10-4-2021, 11-9-2021 and 12-20-2021 all of which exceeded the mandatory 30 days for testing.

The file for staff #2 who was hired prior to 12-20-2020 did not contain a Health and Safety Training which was due by the mandatory date of 6-17-2021. The file for staff #3 (See IS Code Sheet) did not contain Health and Safety Training which was due by the mandatory training date of 7-9-2021.

The file for staff #2 (See IS Code Sheet) did not contain any staff evaluation completed since being employed in the facility. The file for staff #3 (See IS Code Sheet) did not contain a staff evaluation which was due by the mandatory date of 4-9-2022.

The file for child #1 contained a fee agreement which did not specify the admission date.

The file for child #5 contained an emergency contact form that did not specify the health insurance/MA policy number.

The file for child #1 contained an emergency contact form that did not designate the address of the release person.

The file for staff #3 did not contain two non-family references.

The facility did not provide information to the parents on how to access the regulations electronically.

The file for staff#1 who was hired prior to 12-19-2020 had 1 hour of training by the mandatory training date of 12-19-2021. The file for staff#2 who was hired prior to 12-19-2020 had 0 hours of training by the mandatory training date of 12-19-2021.