Ages and Stages Child Care Center LLC · Fleetville

A renewal inspection was conducted on 11/6/25. The first aid kit in the Toddler classroom did not contain disposable, nonporous gloves. In the Infant/Wobblers classroom there was a bottle of cleaning solution that did not specify the contents and was not labeled.

A renewal inspection was conducted on 11/6/25. The facility does not have written statements giving the formula and feeding schedules for the facility's four infants from the parents.

A renewal inspection was conducted on 11/6/25. Cert rep observed the Preschool classroom to be over capacity and this was not indicated on the facility's schedule of daily activities for a 30-minute special activity. The Preschool classroom had 17 children and the capacity of the classroom is 14 children.

A renewal inspection was conducted on 11/6/25. Staff 1#'s file does not contain two non-family references.

A renewal inspection was conducted 2/7/25-2/10/25. The facility did not have documentation on file that the emergency plan was sent to the local municipality and to the county emergency management agency. The facility did not have documentation that the emergency plan was reviewed annually.

A renewal inspection was conducted 2/7/25-2/10/25. The first aid kit in the Infant/Wobblers classroom did not contain tweezers.

A renewal inspection was conducted 2/7/25-2/10/25. Child #3's immunization record indicates the child does not have the MMR or Varicella vaccine and only one dose of the Hepatitis A vaccine. There is no exemption letter is in child's file. This is not in accordance with the ACIP recommended schedule.

A renewal inspection was conducted 2/7/25-2/10/25. Cert rep observed in the toddler's classroom Nystatin cream marked prescription on the box. There was no RX label to indicate the name of the child and the box didn't contain instructions from the prescriber. Staff was unable to say who the medication belonged to or if the medication was administered.

A renewal inspection was conducted 2/7/25-2/10/25. Child #2's initial health assessment was not received within 60 days following the first day of attendance at the facility. Child #2's initial health assessment is dated 11/28/23. (See code sheet for date of admissions).

A renewal inspection was conducted 2/7/25-2/10/25. Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. The 1-hour update was required to completed by 12/30/22.

A renewal inspection was conducted 2/7/25-2/10/25. The facility's parent handbook did not contain a supervision policy.

A renewal inspection was conducted 2/7/25-2/10/25. Child #1's emergency contact form did not contain the release persons address.

A renewal inspection was conducted 2/14/24. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency.

A renewal inspection was conducted 2/14/24. At that time, the emergency plan was reviewed. The emergency plan did not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

A renewal inspection was conducted 2/14/24. At that time, the emergency plan was not posted in a conspicuous location in the facility.

A renewal inspection was conducted 2/14/24. At that time, small plastic bags were observed in a diaper bag located at floor level of the cubbies in the Wobbler Room, where they were accessible to the young toddlers.

A renewal inspection was conducted 2/14/24. At that time, Children's Tylenol observed in a diaper bag located at floor level of the cubbies in the Wobbler Room, where they were accessible to the young toddlers.

A renewal inspection was conducted 2/14/24. At that time, the thirty-day test log of the fire detection system was reviewed. The testing dates were 6/15/23, 8/16/23, 9/8/23, 10/11/23, 11/28/23, 12/7/23, 1/18/23, and 2/14/23 which included four instances where the system had not been tested within thirty days.

A renewal inspection was conducted 2/14/24. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained verification of two years' experience, but did not include verification of high school education.

A renewal inspection was conducted 2/14/24. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained verification of two years' experience, but did not include verification of high school education.

An opening inspection was conducted 5/30/23. At that time, the child files were reviewed. The immunization record for Child #2 did not include a flu vaccine since 3/5/22. The flu vaccine is recommended annually.

An opening inspection was conducted 5/30/23. At that time, albuterol for Child #1 was observed in the PreK Room. The label on the albuterol stated the medication should be discarded after 5/2022.

An opening inspection was conducted 5/30/23. At that time, the facility did not have liability insurance.

An opening inspection was conducted 5/30/23. At that time, the staff files were reviewed for the staff currently employed. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: health and safety training. Staff person #2, who has been employed more than 90 days, had completed the incorrect pre-service training (Get Started with Home-Based Care), and does not have the correct health and safety training completed.