Alliance Day Care & Learning Center

The FBI clearance on file for Staff #3 was observed to be greater than 60 months. The FBI clearance on file for Staff #2 was observed to be done for PDE and not DHS.

The NSOR clearance on file for staff #1 and staff #4 were observed were observed to be greater than 60 months. This is evidenced by staff #1 dated: 11/6/19 and 5/5/25 and staff #4 dated: 11/6/19 and 5/5/25.

It was observed in the basement room 28 an unlocked closet accessible to children containing paint and cleaning supplies

The first-aid kit in the Nursery was observed not to contain soap. It was also observed that eye wash was in the first-aid kit labeled "Keep out of Reach of Children".

The first-aid kit used by the Nursery for excursions from the facility was observed not to have a bottle of water.

Peeling paint was observed on the basement classroom wall, Room 28 on the day of inspection.

The health assessment on file for staff #1 was observed to be greater than 24 months. This is evidenced by the date: 6/1/22 and 3/21/25.

The Agreement form on file for Child #1 was observed not to have the child's admission date.

The Emergency contact form on file for Child #1 was observed not to have written parental consent for emergency medical care.

The emergency contact form on file for Child #2 was observed not to include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The Emergency contact form on file for Child #2 was observed not to include the address of the individual designated by the parent to whom the child may be released.

The file for Child #1 was observed not to have written parental consent for administration of minor first-aid procedures by facility staff.

The facility emergency plan does not address continuity of operations in the event of an emergency.

The parent letter explaining the facility emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed in the 'Lunch Room' behind the sink a bucket of water lacking a label. Staff identified the bucket to contain soapy water and bleach used for washing the tables.

Observed in Room 21, Toddlers, chipping paint on the side wall near the window.

The refrigerator in the lunch room was lacking a thermometer.

The file for child #2, young toddler, is lacking a health report completed during the previous 6-month period.

The files for child #1, preschool, and child #3, older toddler, are lacking health reports completed during the previous 12 months.

The files for children #1, #2 and #3 are lacking updated immunization reports showing compliance with the ACIP immunization schedule. Child #1, #2 and #3 must be removed from care until compliance with the ACIP schedule is received.

The files for staff persons #1 and #2 contain current health assessments that were completed greater than 24 months after the previous health assessment. The files are now current.

The facility emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The fire drill log identified that the length of time between fire drills exceeded 60 days from 4/17/23 to 6/21/23 to 8/21/23 to 10/23/23.

The fire alarm test log identified the length of time between tests exceeded 30 days from 5/20/23 to 6/21/23, from 8/6/23 to 9/12/23 to 10/23/23, from 11/11/23 to 12/18/23 and from 1/13/24 to 2/13/24.

The file for child #1 is lacking a child service report completed during the past 6 months.

The files for children #1, #2 and #3 are lacking current child health reports.

Staff person #7 was observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: approved mandated reporter training

Observed in the Sun Room, Lunch Room and Older Toddler Room spray bottles identified as a cleaning product and lacking a label that specifies the contents.

Observed there to be crumbling plaster and peeling paint on the wall in the far stall of the boy's hallway bathroom.

The files for child #2 and child #3, both older toddlers, are lacking current health reports conducted during the previous 12 month period.

Observed in the medicine case in the lunch room an Epipen that expired 10/2022, an Epipen that expired 4/2023 and Albuterol inhaler that expired 11/2020.

The file for staff person #2 is lacking a health assessment conducted within the previous 24 months.

The file for child #1, older toddler, is lacking an initial health report that was conducted within 60 days of the first day of attendance. The file does include a current health report.

The files for staff persons #1,2,4,5,6,7,8,9 and 10 are lacking documentation of the required Pennsylvania Health & Safety Update 2022 as required by the announcement issued on 10/4/2022 to be completed by 12/30/2022. The file for staff person #3 contains a Pennsylvania Health & Safety Update 2022 completed after the required date of 12/30/2022 and is now current.

Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The mandated reporter training on file is not an accepted training.

The file for child #1 is lacking a health report conducted within 60 days of attendance however does contain a current health report. The files for child #2 and child #3 are lacking current health reports within the previous 12 months.

The file for staff person #2 contains a child abuse clearance that expired 12/11/2020 and a current child abuse clearance dated 1/15/2021 which is greater than 60 months following the previous clearance. The file is now current. The file for staff person #10 contains; a state police clearance that expired 8/13/2020 and a current state police clearance dated 8/20/2020 which is greater than 60 months after the previous clearance, a child abuse clearance that expired 8/20/2020 and a current child abuse clearance dated 8/25/2020 which is greater than 60 months after the previous clearance, and an FBI clearance that expired 12/15/2020 and a current FBI clearance dated 5/18/2021 which is greater than 60 months after the previous clearance. The file is now current.

The files for staff persons #7 and #9 are lacking verification of training regarding the facility emergency plan within 90 days of hire.

The operator self-reported that the emergency procedures are shared with parents as part of the parent handbook however a letter explaining the emergency procedures is not provided to parents at enrollment and a letter explaining the recent updates has not been provided to parents.

Observed on the toddler playground damaged wooden fencing with splintering and peeling paint.

The file for child #1, preschool aged, is lacking a health report conducted during the previous 12 month period.

The file for child #2, preschool aged, is lacking documentation of a flu vaccine received during the 2021 year.

The files for staff persons #1, #3 and #7 contain current health assessments that were conducted greater than 24 months after the previous health assessments. The files for staff persons #9 and #10 are lacking current health assessments conducted during the previous 24 month period.

The fire system test log showed that the system has not been tested every 30 days with tests conducted 11/5/2021, 1/12/2022 and 3/8/2022.

The provider self-reported that the facility emergency plan has not been sent to the local municipality.

The file for child #2, preschool aged, is lacking a health report and has been in attendance for greater than 60 days.

The files for staff person #2, #7, #9 and #10 are lacking fire safety training completed during the previous 12 month period.

Staff persons #1-10 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Staff persons #3 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first 9 Health and Safety training topics.

The files for staff persons #7, #9, and #10 are lacking the required 12 hours of child care training completed during the year 12/19/2020 to 12/19/2021.