All About Kids Daycare and Learning Center LLC

On 4/16/25, it was observed that the pack and play with giraffes and elephants, in the older toddler classroom was observed to have a large stain on the mat and was not numbered for individual use.

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/CPR

During the time of inspection, it was observed that the portable sinks used in diapering areas of the infant, young toddler and older toddler classroom were not being emptied at least once a day

During the time of inspection, it was observed that the children's rest equipment in the younger toddler/older toddler classroom was not placed 2 feet apart on three sides. This was corrected during the inspection.

During the time of inspection, a staff member in the younger toddler/older toddler classroom told certification representative that if children are under one year of age, they do not wash their hands with soap and water after a diaper change.

Staff person #1, staff person 2, staff person 3, staff person 4, staff person 5 and staff person 6--- has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Documentation of the agreement on file for child 2, did not include the persons designated by a parent to whom the child may be released.

Documentation of the emergency contact information on file for child 1, did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits

Documentation of the emergency contact information on file for child 1, did not include the release person's address. This was corrected during the inspection.

It was observed at the time of the inspection the closet in the hallway near the young toddler room and the bathroom was unlocked and open. The closet contained plastic bags and paint that was accessible to children. (Corrected at inspection)

It was observed at the time of inspection two pre-school children and three school-age children were sleeping on the floor wrapped in a blanket. (corrected at inspection)

It was observed at the time of inspection the fire detection system was last tested on 5-15-24.

Continued non-compliance from SIN-00244800: It was observed at the time of inspection the young toddler classroom sink in the diapering area did not have a sign which the written requirement that a facility person and able child shall wash their hands after toileting and before eating. (corrected at inspection)

Continued non-compliance from SIN-00244800: It was observed at the time of inspection the diaper pad in the big room was cracked and the foam was exposed. (corrected at inspection) Plates being used for lunch had a white crust on them that appeared to be either food or dishwasher detergent.

It was observed at the time of inspection child #1's record did not contain written consent for administration of their EpiPen.

It was observed at the time of inspection hand sanitizer and prescription nasal spray were in a bin accessible to children in the preschool classroom. The cabinet under the sink in the preschool classroom was unlocked and contained dish soap that stated keep out of reach of children. Diaper cream was in a bin on the floor in the bathroom the pre-school classroom accessible to children. (corrected at inspection)

The foam padding on the floor in the young toddler area and the hallway were dirty. The kitchen cabinets, cabinet handles and wall next to the stove had food debris on them. The top of the refrigerator in the pre-school classroom was dirty.

It was observed at the time of inspection the hand washing area in the big room did not have a handwashing sign. (corrected at inspection)

It was observed at the time of inspection the portable sinks used in diapering areas of the infant, young toddler and older toddler classroom were not being emptied at least once a day.

It was observed at the time of inspection the protective handle of a scooter in the toddler play area was broken leaving the metal exposed. A sponge and cleaning brush, used to clean the lunch time dishes, were sitting in a glass jar that had mold and soap scum. The feeding chairs used in the main eating area were wiped down after lunch but still had food stuck to them.

It was observed at the time of inspection the hallway near the kitchen and young toddler room and bathroom on the main/lower floor off of the kitchen, had plastic bags containing diapers and clothing accessible to toddlers who use the bathroom and the kitchen area.

It was observed at the time of inspection a cord to a sound machine was hanging and presented a choking hazard. It was observed at the time of inspection the pre-school classroom had a hammer under a table on the floor accessible to children. A shelf in the pre-school classroom was not secured to the wall an posed a hazard. (corrected at inspection).

It was observed at the time of inspection the pack and plays used for napping in the young toddler area did not have the names of the child for specific use. (corrected at inspection)

It was observed at the time of inspection the refrigerator thermometer in the pre-school classroom read 52 degrees. (corrected at inspection)

It was observed at the time of inspection a cup of milk was in the hallway at the entrance of the building.

It was observed at the time of inspection the infant classroom did not have a daily schedule. (corrected at inspection)

It was observed at the time of inspection child #1's emergency contact information did not contain the name address and telephone number of the child's physician or source of medical care.

It was observed at the time of inspection child #2 and #3's emergency contact information did not contain information of the child's special needs.

It was observed at the time of inspection child#1's emergency contact information did not include their health insurance coverage and policy number. Child #3's emergency contact form did not contain did not contain their health insurance policy number.

It was observed at the time of inspection that child #4's emergency contact information and health assessment noted the child needed an EpiPen. There was not an EpiPen on site and the director said the parent said it was no longer needed. The emergency contact for was not updated to reflect the change in information.

It was observed at the time of inspection the kitchen door that is adjacent to childcare space was left open and cleaning products in an unlocked cabinet under the sink were accessible to children.

It was observed at the time of inspection the rug in the older toddler classroom was dirty and stained. There were two cloth bins in the pre-school classroom that were ripped. The cabinet door, under the sink, in the kitchen was off it's hinges.

It was observed at the time of inspection a soiled diaper was in a plastic bag sitting outside the older toddler classroom on the floor.

The fire detection log documented the last fire safety system testing on 1/17/2024.

On 2-28-2024 a staff person left the older toddler room to answer the door causing the room to be out of ratio.

Provider was previously cited. On 10-16-23 staff #1 picked child #1 up by her wrists and heard a pop causing bilateral elbow dislocation. SIN-00233004 listed that the legal entity would arrange for all facility staff to receive training regarding developmentally appropriate practices to include age-appropriate lifting and caring for infants and toddlers, infant sleep position, and daily programming for infants and toddlers by 2-15-24. Continued non-compliance was observed on 3-12-23. Documentation that all staff completed training regarding developmentally appropriate practices to include age-appropriate lifting and caring for infants and toddlers, infant sleep position, and daily programming for infants and toddlers was not completed.

It was observed at the time of inspection staff #2's health assessment did not include tuberculosis screening by the Mantoux method at initial employment.

It was observed at the time of inspection staff #2's record did not contain verification of education prior to service at the facility.

It was observed at the time of inspection staff #1's Pennsylvania State Police Criminal History Clearance was for the purpose of volunteer. Corrected at inspection.

It was observed at the time of inspection staff changed a diaper then carried the soiled diaper across the room, through two gates and threw the diaper away in a trash can. The soiled diaper was not discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. CORRECTED AT INSPECTION.

It was observed at the time of inspection strings of holiday lights were hanging in the "Big Room" accessible to older toddlers presenting a strangulation hazard. It was observed at the time of inspection ceiling tiles in the pre-school room had water stains on them.

It was determined at the time of inspection that on July 7, 2023 the facility had a water day which included wading for young toddlers, older toddlers and pre-school children. The facility did not have enough staff to children to be in the required ratios while wading,

On July 7, 2023 the facility had a water day that included wading for young toddlers, older toddlers and pre-school classrooms. The facility persons did not have annual water safety instruction.

Continued noncompliance from SIN-00232210: It was observed at the time of inspection the operator's letter to parents explaining the emergency procedures did not include a plan to provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions and that provides for accommodation for shelter of children during a lockdown.

It was determined at the time of inspection on July 7,2023 the facility had a water day that included wading for the young toddler, older toddler and pre-school classrooms, The children's records did not contain signed parental consent for swimming and wading.

It was observed at the time of inspection child #1's record did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

It was observed at the time of inspection staff #1 was caring for 5 infants in one childcare space.

It was observed at the time of inspection two infants were sleeping in infant swings.

It was observed at the time of inspection two infants were in infant seats watching tv. Staff stated they were watching tv to get them to sleep.

On 10-16-23 staff #1 picked up child #1 by her wrists causing bilateral elbow dislocations. The operator did not make a report of suspected child abuse to Childline.

It was observed at the time of inspection child #1's most recent health assessment in their file was completed on 1-17-23.

On 10-16-23 child #1 was injured requiring emergency medical care and the parent was not contacted as soon as practical best interest of the child.

On 10-16-23 staff #1 picked child #1 by her wrists and heard a pop causing bilateral elbow dislocations.

It was observed at the time of inspection the director and staff stated that between 12:30 and 3 pm daily there is not a designated staff person who is responsible for compliance with this chapter in the Director's absence. The director is not fulfilling responsibilities as per the violations listed in this Licensing Inspection Summary and SIIN-00233004 and SIN-233232.

It was observed at the time of inspection the director and staff stated that between 12:30 and 3 pm daily there is not a designated staff person who is responsible for compliance with this chapter in the Director's absence. The director is not fulfilling responsibilities as per the violations listed in this Licensing Inspection Summary and SIIN-00233004 and SIN-00233232.

It was observed at the time of inspection child #1's financial agreement was not signed by the operator.

It was observed at the time of inspection child #1's financial agreement did not specify the date on which the fee is to be paid.

It was observed at the time of inspection child #1's financial agreement did not include the services to be provided to the family and child.

It was observed at the time of inspection child #1's financial agreement did not specify the child's arrival and departure times.

It was observed at the time of inspection child #1's financial agreement did not specify the persons designated by a parent to whom the child may be released.

It was observed at the time of inspection child #1's financial agreement did not specify the date of the child's admission.

It was observed at the time of inspection child #1's financial agreement did not specify the services which are to be considered as extra.

It was observed at the time of inspection child #1's financial agreement was missing documentation of designated persons to whom a child may be released, arrival/departure time, late fees, payment date, date of admission and services provided to the child by the facility. Child #1's emergency contact information did not contain signed consent for emergency medical care and consent for administration of first aid by facility staff. Child #1's health assessment was completed on 1/17/23 more than 6 months old. Child #2's file did not contain a financial agreement.

It was observed at the time of inspection child #1's record did not contain signed parental consent for emergency medical care for the child and contain signed parental consent for administration of minor first-aid procedures by facility staff.

On 10-16-23 child #1 obtained an injury while at the facility and a report of the injury was not given to the parent on the day of the incident.

It was observed at the time of inspection child #2's file did not contain a financial agreement.

It was observed at the time of inspection an emergency contact form containing a child's information was on a shelf in the entrance of the facility, where parents pick up and drop off children at the facility.

It was observed at the time of inspection child #12 ran out of sight of staff #3 in the toddler "big room" classroom. Child #13 ran behind a will in the pre-school classroom and was not able to be seen by staff #2. A child in the pre-school classroom was observed going into the bathroom, out of sight of staff #2, during nap time.

It was observed at the time of inspection the facility did not have continuity of operation plan including backing up or retrieving health and other key records/files and managing. financial issues such as paying employees and bills during the aftermath of the disaster.

It was observed at the time of inspection the operator's letter to parents explaining the emergency procedures did not include a plan to provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions and that provides for accommodation for shelter of children during a lockdown.

It was observed that an electrical outlet in the hallway, where children walk to the pre-school playground, did not have protective receptacle covers. CORRECTED AT INSPECTION

It was observed at the time of inspection staff #1 was applying hand sanitizer on the hands of older toddlers. A diaper bag containing baby powder, that was open and, on the floor, was accessible to children eating lunch, walking outside and using the bathroom.

It was observed at the time of inspection the portable sink and diapering area, in the infant classroom, did not have a sign which outlines the requirements for handwashing. CORRECTED AT INSPECTION

It was observed at the time of inspection a sensory table containing coffee beans with a diameter of less than 1 inch was being used by toddlers at the facility. The toddler playground had was covered in mulch with a diameter of less than one inch.

It was observed at the time of inspection the sleeping bags/mats in the pre-school classroom and young toddler room were not all labeled for individual use. CORRECTED AT INSPECTION

It was observed at the time of inspection a child in the young toddler room was using a blanket as their rest equipment. CORRECTED AT INSPECTION.

It was observed at the time of inspection that the refrigerator in the upstairs classroom did not have a thermometer. CORRECTED AT INSPECTION.

It was observed at the time of inspection that child # 15's bottle was not labeled in the infant fridge and child #14 's bottle was not lableled in the young toddler refrigerator. CORRECTED AT INSPECTION.

It was observed at the time of inspection the facility's emergency plan did not have a plan entitled "Lockdown" that provides for accommodation for shelter of children during a lockdown. The facility's emergency plan did not have a plan that provides for accommodation for infants, toddlers, children with disabilities and children with chronic medical conditions.

It was observed at the time of inspection child #11's emergency contact information did not contain the work address of the enrolling parent.

It was observed at the time of inspection child #1, #2, #3, #4, #5, #6 and #7's emergency contact information, in the pre-school classroom, were not updated with in the last six months. child #8, #9 and #10's emergency contact information, in the big room, were not updated in the last six months.

A gallon jug of soap, 'label keep out of reach of children' was present in the staff cubby area and accessible to children. (corrected on site)

The following was observed in the outdoor play spaces: -A bench had chipped/peeling paint. -A small trampoline had a cracked cover with exposed foam. -A play kitchen was cracked creating pinch points. -A playhouse was broken and the sides were separating. -Mulch had washed out of the play space entrance and prevented the play space gate from properly closing. (All areas listed were corrected on-site).

Hot water temperature in upstairs bathroom measured at 116 degrees Fahrenheit.

It was observed at the time of inspection on 11-30-22 a bottle of hand sanitizer was in the staff bin area that was accessible to children.

It was observed at the time of inspection on 11-30-22 a purple plastic chair in the outdoor play area in the back of the building was cracked. Electrical cords, for powering infant swings, in the infant room, were loose causing a choking hazard.

Continued non-compliance from renewal inspection conducted on 9-27-22 as child #4's health assessment did not contain an annual influenza vaccine or an exemption from immunization from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian in the child's file.

It was observed at the time of inspection all of the children in the toddler room hands were wiped with diapering wipes instead of their hands being washed. A child arrived at 9:30 am with a lunch box. He sat down at the table to eat his food and his hands were not washed. His hands were washed prior to eating when prompted by certification staff.

It was observed at the time of inspection child #1 was not offered or provided applesauce at lunch. Staff stated that he does not eat applesauce. Child #2 was not provided a plate of food at lunch. Child #2 was given a bag of snack crackers. Staff stated that he does not eat. He was given a plate of food when prompted by Certification staff, which was taken away after a minute of giving it to him. The older toddlers and pre-school children requested more applesauce but there was not enough to give a second serving at the request of the children. The older toddlers and pre-school children were given a third of a cheese stick on their lunch trays.

It was observed at the time of inspection that television was on in the infant classroom, the toddler classroom and the pre-school room during the entire inspection from 9:15 am to 12:30 pm. It was observed at the time of inspection child #1 and child #2 were place in a highchair during lunch.

It was observed at the time of inspection that television was on in the infant classroom, the toddler classroom and the pre-school room during the entire inspection from 9:15 am to 12:30 pm. It was observed at the time of inspection child #1 and child #2 were place in a highchair during lunch. Staff stated they were placed in the highchair so they would remain seated and eat their lunch.

It was observed at the time of inspection on 11-30-22, when asked about a cracked chair in the outdoor play area, staff stated that they have not been going outside daily due to the cold weather and parents not providing jackets.

Continued non- compliance from renewal inspection conducted on 9-27-22 was observed child #3's emergency contact information did not contain the address and telephone number of the child's physician.

Continued non-compliance from renewal inspection conducted on 9-27-22 was observed child #3's emergency contact information did not contain the telephone number and complete address of the individual designated by the parent to whom the child may be released.

It was observed at the time of inspection a child left due to illness and an illness report was not provided. Continued non-compliance from renewal inspection conducted on 9-27-22 that reports of accidents, injuries and illnesses were not being completed and the facility did not have an accident file.

Continued non-compliance from renewal inspection conducted on 9-27-22 was observed as staff #1 did not have verification of their education in their record.

It was observed at the time of inspection that staff #3 did not have a copy of their FBI Criminal history clearance in their file, Staff #4's disclosure form was not witnessed and their file did not contain a copy of their National Sex Offender Registry Clearance. Staff #7's disclosure form was not signed, Staff #11's disclosure form was not dated. Staff #12's Child Abuse Clearance, Pennsylvania State Police Criminal History Clearance, FBI Criminal History Clearance, National Sex Offender Registry Clearance and Mandated Child Abuse Reporter Training were not completed within the last 60 months .LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, #4, and #12 may not work in a child care position at the facility.

It was observed at the time of inspection that while staff was changing an infant's diaper, a sleeping infant in a pack and play around the corner, was not able to be supervised by staff.

It was observed at the time of inspection that all staff had not been trained on the facilities emergency plan after the most recent update in July 2022.

It was observed at the time of inspection that the door to the kitchen area was open, while children were having snack in the adjacent child care space, and the unlocked cabinet under the sink contained cleaning materials. The bathroom in the young toddler area, observed being used by children at the time of inspection, contained bottles of cleaning products on the floor accessible to children. The director's office, adjacent to the infant and young toddler area was divided by a curtain. The office space was accessible to children and had sanitizing wipes on the floor. Bins in the young toddler space contained three bottles of sunscreen that were accessible to children in care. A staff member's purse containing mucinex was open and accessible to children in the hall way.

It was observed at the time of inspection a bucket at the entrance of the facility contained cigarette butts. A cigarette butt was observed on the ground near the entrance of the facility.

It was observed at the time of inspection that a first aid kit was not in the front pre-school classroom, the young toddler classroom and the child care space adjacent to the kitchen area.

It was observed at the time of inspection the window sills in the front pre-school classroom were dusty with cobwebs. A hamster cage was observed on a shelf in the front pre-school classroom. Below the cage the floor and a play sink were covered in hamster food and feces.

It was observed at the time of inspection that there was not a source of running water near the infant diapering area. Staff were observed using hand sanitizer to wash their hands.

It was observed at the time of inspection the two pink blinds in the front pre-school classroom were covered in dust. The play plastic sink in the front pre-school classroom was crack and had sharp corners. The green toy bin in the young toddler area was cracked and had sharp edges. The bottom of the green toy bins in the young toddler area had dust and debris. A brown couch cushion and a red rocking chair cushion in the young toddler area were ripped and the foam was exposed. A metal red and black gliding chair in the front outdoor play area was missing a screw and was broken. The seesaw in the back outdoor play area was disassembled and screws were laying on the ground. A red and white plastic picnic table in the back outdoor play area was broken. Plastic food wrappers and a plastic bag with a snack food was observed on the back outdoor play area. Discarded paper towels, pieces of duct tape, a piece of a ripped plastic noodle, a piece of foam and used wipes were on the ground in the front play area. A plastic grocery bag with discarded wipes, tissues and paper towels was hanging on the fence in the front play area. The TV and the shelf it was sitting on in the front pre-school…

A zip lock bag containing wipes stored in a bin below the young toddler diaper changing table was accessible to children. Four zip lock and two plastic grocery bags were stored in bins containing children's belongings in the young toddler area were accessible to children.

It was observed at the time of inspection that young toddlers were observed strapped into feeding chairs for a period of 45 minutes during snack and a painting activity. Some of the children were observed crying and still remained strapped into the feeding chairs after the activity was completed. Young toddlers were observed strapped into feeding chairs after lunch after they had finished eating. They were required to remain strapped into their feeding chairs until all the children were finished eating their lunch. Children were observed crying and wiggling to get out of their chairs.

It was observed at the time of inspection that the operator did not require the parent to provide an updated health report at least every 12 months for an older toddler or pre-school child. Child #3's initial health assessment was completed on 6-12-20 and then updated on 1-7-22. Child #2's (admitted in 2019) contained a health assessment dated 6-2-22.

It was observed at the time of inspection that child #2 and child #4's health assessment and immunization record did not contain an annual influenza vaccine or an exemption letter from the family or a physician.

It was observed at the time of inspection staff placed a soiled disposable diaper in a plastic grocery bag before placing it into a the plastic lined hands free covered can.

Three sippy cups containing milk were observed sitting out on the couch and shelf in the front pre-school classroom. Three sippy cups containing milk were observed sitting out in the young toddler area.

It was observed at the time of inspection the older toddler and pre-school children were served a inappropriate portion of yogurt and fruit for their age and size. The older toddler and pre-school children were observed asking for more yogurt but were told there was not more available.

It was observed at the time of inspection that the infant room staff were handwashing bottles before reuse at the facility.

It was observed at the time of inspection that an empty bottle in the young toddler area was not labeled with the child's name.

It was observed at the time of inspection on 9-27-22 the fire detection system was last tested on 7-22-22.

At the time of inspection the infant room staff stated that they heat formula in the microwave.

It was observed at the time of inspection that an annual written letter to the local traffic safety authorities notifying location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not completed. Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

It was observed at the time of inspection that staff #2 and staff #9 were not competent and had not completed training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

It was observed at the time of inspection staff #1, staff #3, staff #4, staff #6, staff #8, staff #9, staff #10, staff #11 and staff #12 did not participate in annual fire safety training.

It was observed at the time of inspection the director did not complete a written evaluation for Staff #1, staff #3, Staff #4, Staff #6, Staff #8, Staff #9, Staff #10 and Staff #11 within the last 12 months.

It was observed at the time of inspection Child #2, Child #3 and Child #4's agreements did not specify the date of the child's admission.

It was observed at the time of inspection that child #1, child #2, child #3 and child #4's agreement did not specify the services which are to be considered as extra.

It was observed at the time of inspection that child #4's emergency contact information did not contain the name, address and telephone number of the child's physician or source of medical care.

It was observed at the time of inspection that child #2's emergency contact information did not include the home and work addresses and telephone numbers of the enrolling parent.

It was observed at the time of inspection child #1, child #3, child #4, child #5's emergency contact information did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

It was observed at the time of inspection that child #1, child #4 and child #5's Emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

It was observed at the time of inspection that child #3's emergency contact information did not include the telephone number of the individual designated by the parent to whom the child may be released. Child #4's emergency contact information did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

It was observed at the time of inspection that the emergency contact information on the app used by staff while outside and while in child care space did not contain all of the required emergency contact information.

It was observed at the time of inspection that a A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care space next to the kitchen.

It was observed at the time of inspection that child #2 and child #3's emergency contact information and financial agreement were not reviewed or updated within a six month period.

It was observed at the time of inspection that the facility was not keeping reports of accidents, injuries and illnesses involving a child in the care at the facility. The original report was not be given to the parent on the day of the incident. The second copy of the report was not be retained at the facility in an accident file. The third copy of the report shall was not retained at the facility in the child's file.

It was observed at the time of inspection that staff #4, staff #5 and staff #9 record did not contain verification of their education.

It was observed at the time of inspection that staff #8's record did not contain a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

It was observed at the time of inspection that staff #6 and #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

It was observed at the time of inspection that Staff #1, staff #3, staff #4, staff #6, staff# 8, staff #9, staff #10 and staff #12 did not obtain an annual 12 clock hours of child care training.

It was observed at the time of inspections pre-school children and toddlers were on the pre-school playgrounds and the toddler playground without a first-aid kit.

It was observed at the time of inspection the exit door in the young toddler room had a magnetic screen that did not cover the entire door area.

It was observed at the time of inspection that the plastic seats on the seesaw in the outdoor play area were cracked creating a sharp edge.

It was observed at the time of inspection that staff #1 did not have a signed disclosure form in their record. CORRECTED ON SITE

It was observed at the time of inspection that staff member #1 took a group of older toddlers and pre-school children to the hallway bathroom. Two children were observed to have walked behind the open door of the bathroom into the hallway while staff #1 was attending to children in the bathroom.

It was observed at the time of inspection that an electrical outlet did not have a protective receptacle cover in the pre-school and older toddler classroom.

It was observed at the time of inspection a window was open without a screen in the infant classroom and a door was open without a screen in the young toddler classroom.

It was observed at the time of inspection that a shelf in the young toddler classroom was not secured to the wall.

Staff #1's health assessment did not include an examination for communicable diseases and the results of that examination.

Staff #1's health assessment did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children or the physician's or CRNP's assessment of the person's suitability to provide child care.

It was observed at the time of inspection that the TV was on in the infant room and the young toddler room during the duration of the inspection 1 1/2 hours.

It was observed at the time of inspection that child #1's emergency contact information and financial agreement was not updated at least once in a 6-month period or as soon as there is a change in the information.

It was observed at the time of inspection that staff #1's record did not include verification of education via a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. CORRECTED AT INSPECTION

Staff #1's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

It was observed at the time of inspection, on May 31, 2022, five young toddlers were napping, unsupervised by staff, in a section of the young toddler room divided by a blue curtain that was from floor to ceiling. Staff were sitting on a couch on the other side of the blue curtain unable to see the napping young toddlers. It was observed at the time of inspection that staff caring for three older toddlers and fourteen pre-school children in the sunroom were not assigned the responsibility for supervision of specific children and did know the names and whereabouts of the children in his assigned group.

It was observed at the time of inspection, on May 31, 2022, five young toddlers were napping, unsupervised by staff,in a section of the young toddler room, divided by a blue curtain that was from the floor to the ceiling. Staff were sitting on a couch on the other side of the blue curtain unable to see the napping young toddlers. It was observed at the time of inspection that staff caring for three older toddlers and fourteen pre-school children in the sunroom were not assigned the responsibility for supervision of specific children and did know the names and whereabouts of the children in his assigned group.

It was observed at the time of inspection on May 31, 2022 that 20 pre-school children were being cared for on the second floor. The measured capacity for the second floor is 15.

It was observed at the time of inspection that 20 pre-school children were being cared for on the second floor of the building. The Certificate of Occupancy was reviewed and building and codes confirmed that children cannot be cared for on the second floor.

It was observed at the time of inspection staff #4 and staff #5 did not have a current child abuse registry clearance in their record. Staff #6 did not have a copy of their National Sex Offender Registry in their record. Staff #6's Pennsylvania State Police Criminal History Clearance stated "under review", was not completed with results. Staff #7's Federal Bureau of Investigation was completed by the Pennsylvania Department of Education not by the Department of Human Services as required by the CPSL.

It was observed at the time of inspection that an infant was observed sleeping in a crib with a pacifier that had a strap that clipped to the infant's shirt.

It was observed at the time of inspection that child #1 was sleeping on a couch in the pre-school room. Child #1 was not able to be seen by staff as a wall obstructed staff's view of the child.

It was observed at the time of inspection that electrical outlets, including an extension cord in the pre-school classroom, accessible to children 5 years of age or younger were without protective receptacle covers in the pre-school and young toddler classroom.

It was observed at the time of inspection that toxic cleaning products were observed in a bin on the pre-school bathroom floor and a bottle of glad air freshener was on the sink accessible to children in the pre-school bathroom. A container of sanitizing wipes were observed on the floor in the pre-school classroom. Cleaning products and a can of Lysol disinfectant spray were observe on the top of a cabinet accessible to children in the pre-school classroom.

Child #1 was observed sleeping on a couch in the pre-school room. A child was observed sleeping on a couch in the older toddler/three year old classroom.

It was observed at the time of inspection the fire detection system was not being tested every 30 days as required. The owner/operator did not have a receipt for the interconnected fire safety system.

It was observed at the time of inspection that a copy of the inspection summary from an inspection on 3-31-22 was not posted in a conspicuous location used by parents.

It was observed at the time of inspection staff #1, staff #2, staff #3, staff #4, staff #6, staff #8 did not have completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation.

The file for staff #4 did not include professional development in the Health & Safety topics as required in 3270.31(f)(1) - (9) within 90 days of hire. Staff #4 completed the 6 hour health and safety training completed on 3-11-19 after 9-30-18 when the requirement was the 10 hour health and safety training.

At the time of inspection at 8:15 am on 3-31-22 staff #1 was observed standing outside smoking a cigarette. The inspector entered the building and observed 14 children with the youngest child being age 2 years and two staff members in the toddler classroom. Staff #1 came in the building and entered the toddler classroom. Staff #2 was then observed leaving the classroom to take one child to the bathroom. Staff #1 left the classroom to open the front door, leaving staff #3 alone in the toddler room with 13 children and the youngest being age 2 years.

At the time of inspection at 8:15 am on 3-31-22, staff #1 was observed standing outside smoking a cigarette. The toddler room was observed to have 14 children with the youngest child age 2 years and two staff members. Staff #1 came in the building and entered the toddler classroom. Staff #2 was then observed leaving the classroom to take one child to the bathroom. Staff #1 left the classroom to open the front door, leaving staff #3 alone in the toddler room with 13 children and the youngest being age 2 years. Staff #1, #2 and #3 were not assigned the responsibility for supervision of specific children.

It was observed at the time of inspection three infants in the care of staff #4 were sleeping in swings.

On January 3, 2022 at 5:30 pm staff #1 placed child #1 (age 2 years) in a pack n play, for approximately five minutes to manage the child's behavior.