Akneka Sharika Wee Care · 2809 Brighton Rd, Pittsburgh

The file of staff #1 contained an incomplete DHS BFI clearance. The file of facility person #3 contained an incomplete DHS FBI clearance, an incomplete state criminal history clearance, an incomplete disclosure statement and did not contain an NSOR verification certificate. The file of staff #4 did not contain a completed child abuse clearance or DHS FBI clearance. The file of staff #7 did not contain a completed disclosure statement, an NSOR verification certificate, DHS FBI, state criminal history or child abuse clearance.

The files of staff #1, #2 and #3, all employed for more than 90 days (see LIS code sheet), did not contain documentation of initial emergency plan training.

In the preschool classroom, 2 corners of a carpet in the dramatic play area and 1 corner of a carpet in the table toy area were curling creating a tripping hazard.

A pillar in the preschool classroom was repaired, however, dust and chips from the plaster were on the floor below the repair.

A handwashing sign was not posted at the changing table by the child restrooms in the toddler room.

The cloth seat of the exersaucer in the infant room was torn.

The cover of the cushion in a highchair located in the infant room was torn exposing the inside filling.

The file of child #4, identified as a preschool age child (see LIS code sheet) contained health assessments which were dated more than 12 months (9/27/2024 and 10/8/2024).

Tylenol in the infant room and an Albuterol inhaler in the preschool classroom were not labeled with the names of the children for whom they were intended.

The file of facility person #3 contained a health assessment dated 6/27/2024, after their start date at the facility (see LIS code sheet). The file of staff #5 (9/8/2022 and 3/16/2025) and staff #6 (3/9/2022 and 4/25/2024) contained documentation of a health assessment being updated more than 24 months from the prior assessment.

The file of facility person #3 contained documentation of a tuberculosis screening dated 6/27/2024, after their start date at the facility (see LIS code sheet).

Documentation of testing the fire detection system exceeded 30 days on the following occasion: 1/6/2025 to 2/7/2025.

The file of staff #2 and #4 all identified as assistant group supervisors, did not contain documentation of education and/or experience to verify they qualify for the position.

The file of child #2 and #3 contained child service reports which, based on their dates, were completed more than 6 months apart.

The financial agreement of child #1 did not contain their arrival time.

The emergency contact information of child #2 contained the policy number but not include the name of the health insurance carrier.

The infant room did not have an emergency contact form for child #5 who was receiving care in the room.

Based on conversation with the operator, the file of staff #7 was misplaced and unable to be provided at the inspection. A health assessment, tuberculosis screening, documentation of education and/or experience, 2 written non-family references, documentation of age/address/telephone number and initial emergency plan training were not available at the time of the inspection.

The file of facility person #3 and staff #4 did not include 2 written nonfamily references attesting to the person's suitability to serve as a facility person.

Based on documentation on the testing log, the manual testing of the fire detection system occurred 8/2/2024 and the next on 9/6/2024, which exceeded 30 days between tests.

Documentation of current pediatric first aid and pediatric CPR of staff #5 was dated 11/3/2024, which was after the 10/2024 expiration of the prior training.

Staff person #1 and #2 have not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/2024. Documentation of updated Pediatric first aid and CPR training is not on file.

Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training topics

The child abuse clearance of staff person #1 was dated 9/29/2023 which was after their start date at the facility (see coded LIS sheet). The disclosure statements of staff person #2 and #3 were not dated. Documentation of submission of the FBI clearance of staff person #3 was dated 9/25/2023, which was after their start date with children. Documentation of the updated PA state police clearance of staff person #4 exceeded 60 months (8/7/2018 and 11/16/2023).

The first aid kit in the Preschool Classroom was accessible hanging on a hook in the cubbies.

A handwashing sign was not posted at the changing table in the Infant Classroom.

In the Preschool Classroom, a pink bin which contained Lego-type blocks was broken.

The refrigerator in the infant classroom did not contain a thermometer.

The health assessment of child #2 did not contain a statement the child is able to participate in child care and appears to be free form communicable disease.

The Infant Classroom contained a prescription medication for child #4 but did not have written instructions from the individual who prescribed the medication or the prescription label with the written instructions listed.

Documentation of testing of the fire detection system exceeded 30 days (12/13/2023 to 1/17/2024).

The emergency contact form of child #1 did not include the name of the child's physician and child #3 did not include the address of the child's physician.

The file of staff person #4 contained documentation of 5 hours of professional development during their annual training year of 12/2022 to 12/2023, but lacked documentation of an additional 7 hours to meet the minimum 12-hour annual requirement.

Based on conversation with staff at the facility, a child was sleeping in their crib and when they woke up, had a welt on their neck extending from their ear to the chin area. The staff did not know how the injury was obtained. On 11/20/2023, a child asleep in their crib in the infant classroom. The facility person was feeding a child in the rocking chair on the other side of the classroom unable to see the child as the teacher's back was to the child. The facility person in the preschool room was sitting at a table across the room from the 7 children sleeping on their cots. The facility person's back was turned away from the children making them unable to supervise the sleeping children, including three children which were sleeping behind shelves.

The PA state police clearance of facility person #2 did not contain a disposition for charges on the rap sheet.

The updated health assessment of child #3, identified as a young toddler (see coded LIS sheet), exceeded 6 months from the previous health assessment (9/2/2021 and 2/27/2023) and the health assessment child #5, also identified as a young toddler (see coded LIS sheet), was dated 3/7/2022 but did not contain an updated health assessment within 6 months.

The immunization record of child #1, 3 and 4 did not contain documentation of an annual influenza vaccination and the record of child #5 was missing 1 DTAP, 2 Pneumococcal, 1 MMR, 1 Varicella and did not contain documentation of a current influenza vaccination as recommended by the ACIP. The files of child #1, 3, 4 and 5 did not contain an acceptable exemption.

Documentation of testing the fire detection system exceeded 30 days: from 5/2/2022 to 6/3/2022 and from 7/1/2022 to 1/6/2023.

The additional 1 hour of training, "Pennsylvania Health and Safety Update 2022," required for facility persons who have taken the "Health and Safety Basics" training between 9/30/3026 and 6/30/2018 or the "Get Started with Center- Based Care: Building Blocks for Quality" between 7/1/2018 and 10/4/2022, was completed after 12/30/2022 by facility person #1 (3/6/2023) and #4 (1/6/2023).

The emergency contact form of child #1 did not include the enrolling parents work address and work telephone number and child #2 did not include the enrolling parents work address.

Pediatric first aid and pediatric CPR of facility person #3 was dated 10/28/2022, which is more than 90 days from their start date at the facility (see coded LIS sheet).

The child abuse clearance on file for Facility Person #2 was completed after their start date. (See IS CODE SHEET). The child abuse clearance on file for Facility Person #2 was completed on 3/21/22.

There was an uncovered outlet on a power strip on the floor in the preschool room.

The most recent health assessment on file for child #1, a preschooler, was more than 12 months old.

There was no documentation of a current annual flu vaccine on file for child #1.

The current health assessment on file for Facility Person #1 was completed more than 24 months after the prior health assessment on file.

The health assessment on file for Facility Person #2 was not signed by a physician.

There were no written statements giving the feeding schedules for four infants at the facility (children #4-#7).

There was no documentation of an emergency drill conducted at the facility.

The documentation of testing of the fire alarm system indicated at times testing was conducted more than 30 days apart on the following days: 12/6/21, 1/10/22, and 2/11/22.

There were no daily activity schedules posted in the young toddler area and the preschool room.

The agreement and emergency contact forms on file for child #3 were reviewed and updated by parents in writing more than 6 months after the previous update.

There was documentation of only 10 hours of child care training on fie for Facility Person #1, employed at the facility prior to 12/19/20, completed between 12/19/20 and 12/19/21.