Ahead of the Curve

2ND CITATION: The file for Staff Person #1 contained a State Police clearance dated 4/26/24; the file lacked a previous State Police Clearance. The file for Staff Person #2 contained a State Police clearance dated 4/10/25, which was obtained more than 60 months from the previous State Police clearance dated 12/31/19; a PA Child Abuse clearance dated 4/10/25, which was obtained more than 60 months from the previous Child Abuse clearance dated 1/4/20; an NSOR certificate dated 4/11/25, which was obtained more than 60 months from the previous NSOR certificate dated 11/16/19.T The file for Staff Person #5 contained an NSOR certificate dated 1/30/20 which is more than 60 months old. Previously cited 5/29/25.

2nd CITATION: The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations. Previously cited 5/29/25.

2ND CITATION: The emergency plan was reviewed on 2/10/25. There was no documentation on file of previous annual reviews. Previously cited 5/29/25.

2ND CITATION: The file for Staff Person #1 contained a health assessment indicating the person is not able to provide adequate care to children. Previously cited 5/29/25.

2ND CITATION: A current emergency drill dated 11/20/24 was on file at the facility. The facility lacked documentation of previous emergency drills conducted annually. Previously cited 5/29/25.

2ND CITATION: The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked recognition of potential signs/symptoms of SBS/AHT and lacked prevention and identification of child maltreatment. Previously cited 5/29/25.

2ND CITATION: Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training. Previously cited 5/29/25. Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff…

2ND CITATION: The file for Staff Person #1 lacked documentation of years of experience working with children. The file for Staff Person #2 lacked documentation of years of experience working with children. The file for Staff Person #4 lacked documentation of education and experience working with children. The file for Staff Person #5 lacked documentation of experience working with children. Previously cited 5/29/25.

2ND CITATION: The emergency contact form for Child #4 lacked the enrolling parent's work address and work phone number. Previously cited 5/29/25.

2ND CITATION: The emergency contact forms for Child #5 lacked the release person's address. Previously cited 5/29/25.

2ND CITATION: The file for Staff Person #1 lacked 6 of the 12 annual required training hours for the most recent review window of December 2023-December 2024. The file for Staff Person #4 lacked 12 of the 12 annual required training hours for the most recent review window of June 2023-June 2024. The file for Staff Person #6 lacked 10 of the 12 annual required training hours for the most recent review window of August 2023-August 2024. Previously cited 5/29/25.

The file for Staff Person #1 contained a State Police clearance dated 4/26/24; the file lacked a previous State Police Clearance. The file for Staff Person #2 contained a State Police clearance dated 4/10/25, which was obtained more than 60 months from the previous State Police clearance dated 12/31/19; a PA Child Abuse clearance dated 4/10/25, which was obtained more than 60 months from the previous Child Abuse clearance dated 1/4/20; an NSOR certificate dated 4/11/25, which was obtained more than 60 months from the previous NSOR certificate dated 11/16/19.T The file for Staff Person #5 contained an NSOR certificate dated 1/30/20 which is more than 60 months old.

The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations.

The emergency plan was reviewed on 2/10/25. There was no documentation on file of previous annual reviews.

Cleaning items stating Keep Out Of Reach Of Children, including Windex, were in an unlocked cabinet under the sink next to the Transition Room and restrooms accessible to children.

There were uncovered trash receptacles in the Preschool, PreK, and Transition classrooms containing paper towels and tissues contaminated by human secretions/excrements..

There was a gap in the bottom of the fence in the left outdoor play area opposite the gate. There was trash and sticks in the right outdoor play area.

There was peeling paint where the gate latches in the left outdoor play area.

In the right outdoor play area there were broken plastic cones, a broken seesaw, and broken handle off of a push toy.

The health report on file for Child #3, a young toddler, (See LIS Code Sheet) was dated 1/3/25 more than 6 months after the previous health report dated 1/3/24.

The file for Staff Person #6 contained a health assessment dated 8/9/24 which was more than 24 months from the previous health assessment dated 7/20/22.

The file for Staff Person #1 contained a health assessment indicating the person is not able to provide adequate care to children.

At approximately 11:45am, Staff Person #1 was observed doing meal prep activities in the Kitchen with an infant. The infant was in a bouncy seat on the floor in the kitchen area. The Kitchen is not a measured child care space.

A current emergency drill dated 11/20/24 was on file at the facility. The facility lacked documentation of previous emergency drills conducted annually.

According to the fire drill log, there was more than 60 days between drills between 12/3/24 and 2/7/25.

Documentation of the fire alarm system test shows more than 30 days between testing: 1/5/25 and 2/7/25; 9/6/24 and 10/8/24; 7/7/24 and 8/7/24.

The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked recognition of potential signs/symptoms of SBS/AHT and lacked prevention and identification of child maltreatment.

The facility lacked a copy of the current insurance policy. The policy on file at the facility was dated 4/6/23-4/6/24 which was expired.

Staff Person #1 completed pediatric first aid and CPR training on 2/9/24, more than 24 months from the previous training on 1/14/22. Staff Person #2 lacked current pediatric first aid and CPR. Staff Person #2 completed pediatric first aid and CPR on 1/14/22 more than 24 months ago. Staff Person #3 completed pediatric first aid and CPR on 2/9/24; previous pediatric first aid and CPR training was not provided for Staff Person #3. Staff Person #4 lacked current pediatric first aid and CPR. Staff Person #4 completed pediatric first aid and CPR on 2/7/23 more than 24 months ago. Staff Person #5 lacked documentation of current pediatric first aid and CPR training; Staff Person #5 completed pediatric first aid and CPR on 10/29/22 that was not PQAS certified. Staff Person #6 lacked documentation of current pediatric first aid and CPR training completed on 6/15/23. Staff Person #6 lacked documentation of previous pediatric first aid and CPR training.

The files for Staff Persons #1 and #2 contained fire safety training dated 2/2/23 which was more than 12 months ago. The file for Staff Person #3 contained fire safety training dated 1/14/24 which was more than 12 months ago. The file for Staff Person #3 lacked fire safety training. The files for Staff Person #4 contained fire safety training dated 1/19/24 which was more than 12 months ago.

The file for Staff Person #1 contained a mandated reported training dated 2/24/25; the file for Staff Person #1 lacked documentation of previous mandated reporter training. The file for Staff Person #2 contained a mandated reporter training dated 4/8/24 which was obtained more than 60 months from the previously documented training dated 8/28/15. The file for Staff Person #4 contained a mandated reporter training dated 10/27/22 which was obtained more than 90 days from initial date of hire (See LIS Code Sheet). The files for Staff Persons #5 and #6 lacked documentation of completion of mandated reporter training.

The file for Staff Person #1 lacked documentation of years of experience working with children. The file for Staff Person #2 lacked documentation of years of experience working with children. The file for Staff Person #4 lacked documentation of education and experience working with children. The file for Staff Person #5 lacked documentation of experience working with children.

The file for Staff Person #2 contained a written evaluation dated 10/13/24; however, the file lacked documentation of a previous written evaluation within the past 12 months. The file for Staff Person #3 contained a written evaluation dated 3/27/25 more than 12 months from the previous evaluation dated 2/2024. The file for Staff Person #4 contained a written evaluation dated 2/2024 which is more than 12 months ago. The file for Staff Person #5 contained a written evaluation dated 4/15/24 which is more than 12 months ago. The file for Staff Person #6 contained a written evaluation dated 2/2024 which is more than 12 months ago.

The agreement form for Chile #1 lacked the arrival and departure times.

The file for Child #1, #2, and #5 contained the original fee agreement form signed by the parent.

The emergency contact form for Child #4 lacked the enrolling parent's work address and work phone number.

The emergency contact forms for Child #5 lacked the release person's address.

The file for Staff Person #1 lacked 6 of the 12 annual required training hours for the most recent review window of December 2023-December 2024. The file for Staff Person #4 lacked 12 of the 12 annual required training hours for the most recent review window of June 2023-June 2024. The file for Staff Person #6 lacked 10 of the 12 annual required training hours for the most recent review window of August 2023-August 2024.

The File for staff #1 lacked a current Child Abuse Clearance, previous clearance dated 4/30/18, and a current FBI Clearance, previous clearance dated 8/28/18.

The operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

Staff # 3 did not wash the child's hands after diapering.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

The file for staff #1 contained a current health assessment dated 8/30/22. It was not obtained within 24 months of the previous assessment dated 5/11/20. The file for staff #2 contained a current health assessment dated 4/22/24. It was not obtained within 24 months of the previous assessment dated 3/7/21. The file for staff # 4 contained a current health assessment dated 11/28/23. It was not obtained within 24 months of the previous assessment dated 9/29/21.

The facility emergency plan lacked accommodations for children with disabilities, and children with chronic medical conditions.

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

The operator did not notify 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 childcare facility. The previous letter was sent on January 2023.

The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.

Staff # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

The files for Staff # 1 contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/6/23. The file for Staff # 4, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/22/24. The update was required to be completed by 12/30/22, per Announcement C-22-06.

The files for staff # 1 and 3 contained a current CPR and First- Aid certificate from an approved PQAS trainer that lacked the identification of an approved curriculum on the certificate.

The files for children # 1 and 2 contained an original agreement form.

The file for child #1 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

The file for staff # 1 lacked 5 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

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

The facility lacked documentation of the emergency plan.

The operator did not have the Emergency Plan posted in the facility at a conspicuous location.

There was an Anti- Bacterial hand spray with natural essential oils labeled " Keep out of reach of children" accessible to children in the pre-k room.

There was a damaged screen in the toddler two room window under the green curtain.

There was peeling plaster on the green wall in the pre-k room.

There was a wooden tray with a chipped corner in the preschool room. There was a fabric cube storage lid with a ripped corner exposing foam in the preschool room. There was a cracked plastic bucket hanging on the toddler's playground gate. There was a playhouse with different holes, chipped spots and a red and black attached square with a chipped sharp corner.

The file for child # 3, a young toddler, contained a current health report dated 10/21/22. The health report was provided more than 6 months after the previous health report, dated 2/16/22.

The file for child # 2 a preschooler lacked an updated health report. The previous report was dated 2/14/22.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 1/27/23 to 2/28/23.

The facility emergency plan and subsequent plan updates were not sent to the county emergency management agency.

The file for staff # 2 Health and Safety training was not updated by 12/30/22. The certificate is dated. 3/16/23. The file for staff # 2 Contained a current Pediatric First Aid and Pediatric CPR training dated 2/3/23. The previous certificate is dated 1/3/21.

The file for child #1 lacked the work addresses of the enrolling parent on the emergency contact form.

The file for staff #1, contained a current FBI clearance. The previous FBI clearance on file is more than 60 months old. 10/14/14-1/23/20. A current Stated Police clearance. The previous State Police on file is more than 60 months old.10/22/14-12/31/19. A current Child Abuse clearance. The previous Child Abuse on file is more than 60 months old.10/30/14-1/4/20.

At 9:30 am staff #1 was alone caring for 4 young toddlers and 3 older toddlers in the toddler room.

In the kitchen by the toddler room the following toxic items labeled, "keep out of reach of children," were on the counter by a box of cereal and infant formula: Purell hand sanitizer, Miracle Brand hand sanitizer and Raw Sugar hand sanitizer.

There was a screen with a hole on the left window and another screen with a hole on the right window in the pre-k room.

There was a cracked bin holding instruments in the pre-k room. There was a Spiderman rubbery red mask with bites marks and ripped of piece on the edge.

The thermometer in the small refrigerator in the kitchen by the toddler room was showing a temperature of 50° F.

The files for staff #1lacked the annual requirement for 12 clock hours of child care training between December 2020 - December 2021.