All Gods Children Early Learning Center

The NSOR application of facility person #1 was dated 6/15/2023, and the competed NSOR verification certificate was dated 6/27/2023, both after their start date with children (see coded LIS sheet).

A spray bottle in the main classroom was not labeled with its contents, but was identified as, then labeled as "Fabuloso," which is a liquid cleaner, by a facility person.

The health assessment of child #1, identified as a school age child (see coded LIS sheet), contained a health assessment which was not dated making it unable to determine if it is in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The file of child #4, now identified as an older toddler (see coded LIS sheet), did not contain documentation of a current health assessment, with the last being completed on 1/9/2023, more than 6 months prior.

The heath assessment of child #1 did not contain a signature from a physician, physician's assistant or a CRNP.

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

The health assessments of facility person #2 exceeded 12 months (7/28/2021 and 8/5/2023).

Based on documentation, completion of annual emergency drills exceeded 12 months (11/22/2021 and 7/26/2023).

The files of facility persons #2, #3, #4, #5, #7 and #8 all of whom had taken the required health and safety topics under regulation 3270.31(f)(1-9) on the "Better Kid Care - Penn State Extension" between 9/30/2016 and 10/4/2022, contained documentation of the completion of the required 1 hour "Pennsylvania Health and Safety Update 2022" after 12/30/2022, the date the training was to be completed.

Documentation of the fire safety trainings for facility person #2, #3, #4, #5, #6 and #7 all exceeded 12 months.

The financial agreement of child #3 was not signed by the operator.

The financial agreement of child #3 did not include the admission date of the child.

The emergency contact form of child #1 did not include the name, address or telephone number of the child's physician. The emergency contact form of child #4 did not contain the address and telephone number of the child's physician.

The emergency contact form of child #2, #4 and #5 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 or documentation this is not applicable to the child.

The emergency contact form of child #1 and #5 did not include their health insurance policy number.

The emergency contact form of child #1 did not contain the telephone number of a release person designated by the parent to whom the child may be released.

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: Pediatric first-aid and pediatric CPR in an approved curriculum and by a PQAS instructor

The emergency plan did not include a statement regarding the continuity of operations in the event of an emergency.

In the main classroom, toxic cleaning supplies were stored on top of a shelving unit above the plates, cups and eating utensils the children use for meals.

The changing table in the nursery and one sink in the restroom did not contain handwashing signs.

The health assessment of child #2, identified as a preschool age child, contained a health assessment dated 11/4/2020, but did not contain an updated health assessment by 1/2022, when the suspension of the regulation was lifted.

The health assessment of child #3 was not signed or dated by a physician, physician's assistant, CRNP and did not include individual's professional title.

The immunization record of child #1 and 2 did not contain documentation of an annual influenza vaccination or an acceptable exemption.

Fire drills exceeded 60 days on the following occasions: 1/21/2022 to 3/23/2022 to 5/23/2022.

Testing of the fire detection system exceeded 30 days from 5/17/2022 to 6/18/2022.

The facility did not have a written policy on the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child; and to address the prevention and identification of child maltreatment.

Staff person #2 had 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 in an approved curriculum and by a PQAS instructor.

The written evaluation of facility person #1 was dated 7/28/2022, more than 12 months from their start date with children (see coded LIS sheet).

The financial agreement of child #4 did not contain their date of admission.

The emergency contact information of child #4 did not contain the address of the child's physician or source of medical care.

Emergency contact information of child #3 and 4 did not contain the enrolling parents work telephone number.

The emergency contact information of child #2 and 3 did not contain 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 or documentation it is not applicable to the child.

The emergency contact information of child #4 contained the health insurance coverage but did not contain the policy number for which the child is covered.

The emergency contact information of child #2 and 4 did not contain the addresses of the persons designated by the parent to whom the child may be released.

The emergency contact and financial agreement information of child #4 contained signatures the paperwork was reviewed and/or updated, but did not contain the dates the paperwork was reviewed/updated to determine if it was at least every 6 months.

Pediatric first-aid and pediatric CPR of facility person #1 was dated 8/1/2022 which is more than 90 days after their start date with children (see coded LIS sheet).

The facility had an expired certificate of compliance posted in a conspicuous location used by parents and did not have information for parents on how to access the regulations electronically.

The file of facility person #1 contained 12 hours of professional development dated after their anniversary year (see coded LIS sheet) dated 5/6/2022, 7/7/2022 and 8/1/2022. The file of facility person #3 contained 9 hours of professional development between 12/19/2020 and 12/19/2021 and an additional 4 hours after their annual requirement (see coded LIS sheet) dated 5/5/2022 and 7/7/2022.