Allie Alligator LRNG CTR LLC

SECOND CITATION: Observed peeling paint in the Toddler Classroom by the rest equipment, Two's Room by the rest equipment in the corner, and in the KPrep Room along the corner on the orange wall. Previously cited 9/5/25.

The child sized table in the Two's Classroom was not level as one of the legs was shorter than the rest and created a toppling hazard.

SECOND CITATION: The file for Staff #1, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person. Previously cited 9/5/25.

The file for Staff person #1 who has lived in Ohio within the last 5 years did not have Ohio State Clearances.

Observed peeling paint in the Toddler Classroom by the rest equipment, Two's Room by the rest equipment in the corner, and in the KPrep Room along the corner on the orange wall.

The file for Staff #2 lacked a Health Assessment.

The file for Staff #2 lacked documentation of TB screening by the Mantoux method.

The Emergency Contact Form for Child #1 lacked written parental consent for transportation by the facility. Child #1 is transported by the facility.

The file for Staff #1, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.

At approximately 9:00 AM in the Infant Classroom, Staff #1 was asked to name their primary assigned group of children. Staff #1 stated that they were not currently responsible for any children. Staff #2 named three infants. Staff #3 named four infants. Cert Rep observed 12 children in the childcare space. At this time Staff #4 came back into the childcare space and told Staff #1 that they were responsible for their assigned group of children while they were using the restroom. Staff #1 was asked again if they were responsible for any children. At that time Staff #1 stated they were responsible for the remaining 5 children including two young toddlers and three infants.

At approximately 9:00 AM in the Infant Classroom, Staff #1 was asked to name their primary assigned group of children. Staff #1 stated that they were not currently responsible for any children. Staff #2 named three infants. Staff #3 named four infants. Cert Rep observed 12 children in the childcare space. At this time Staff #4 came back into the childcare space and told Staff #1 that they were responsible for their assigned group of children while they were using the restroom. Staff #1 was asked again if they were responsible for any children. At that time Staff #1 stated they were responsible for the remaining 5 children including two young toddlers and three infants.

An approximate two-foot section of the baseboard on the wall when you enter the children's restroom was removed leaving dry wall and wood exposed.

A crib, in use by an infant, lacked 2 feet of space on three sides. The crib was up against a wall on one side and had three cribs that were less than 2 feet away on the other three sides.

The last documented emergency drill was held 7/2/2024 which was not conducted in the previous 12 months.

The file for staff person #1 did not contain documentation of submission of an FBI clearance prior to their start date with children but contained a completed FBI clearance dated 6/12/2025, after their start date with children (see LIS code sheet). The file of staff #2 contained a child abuse clearance dated 5/15/2025, an FBI clearance dated 4/21/2025 without documentation of submission and an NSOR verification certificate dated 4/21/2025, all after their start date with children (see LIS code sheet). The NSOR verification certificate for staff #4 was dated 3/30/2025, after their start date with children (see LIS code sheet). The disclosure statement of staff #6 did not contain a witness signature making it incomplete.

In the infant classroom, an infant was observed to be sleeping in a crib which was against 2 other cribs (one parallel on the left and one perpendicular at the top), and did not contain at least 2 feet of space on at least 3 sides,

The file of staff #2 contained a health assessment which was dated 4/17/2025, after their start date with children (see LIS code sheet). The file of staff #3 contained an initial health assessment dated 6/16/2023, more than 12 months prior to their start date at the facility (see LIS code sheet).

The tuberculosis screening of staff #1 was dated 6/19/2025 and staff #2 was dated 4/21/2025, both after their start date with children (see LIS code sheet).

The health assessment on file for staff #1 did not state they were free from communicable disease.

The health assessment on file for staff #1 did not state they are suitable to provide child care.

Documentation of the last manual test of the fire detection system was dated 5/23/2025. Based on a conversation with staff #7, the fire detection system was manually tested on 6/24/25 but not documented. Based on that conversation, the testing of the system on 5/23/2025 and 6/24/2025 exceeded 30 days.

The file of staff #1 and #6 did not contain 2 written nonfamily references.

Staff #1 was attempting to move a child from behind a shelf, staff had the child by the left hand and wrist and pulled to move her, the child had been holding to the other side of the cabinet causing an injury to the child.

The files for Staff #1 and #2, both observed caring for children, lacked proof of FBI fingerprinting or complete FBI clearance and therefore were incorrectly provisionally hired.

The file for Staff #1 did not contain verification of childcare experience, education, and training prior to service at the facility.

The file for staff #1, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

The file for Staff #1 lacked an NSOR certificate and documentation of application of a PA Criminal History clearance prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. Staff #1's NSOR certificate is dated 4/8/25 and the PA Criminal History clearance request and clearance are dated 5/14/25.

The file for Staff #1 lacked a disclosure statement.

Based on interviews and video footage taken at the facility at approximately 4:25 PM on 5/23/25, Staff #3 and Staff #5 were observed exiting the Toddler playground and entering the facility with 8 children: leaving Child #1 alone on the Toddler playground. Child #1 was alone for approximately 30 seconds. Staff #4 exited the Preschool/School Age playground and entered the Toddler playground at 4:26 PM to retrieve Child #1. Staff #4 and Child #1 went into the Preschool/School Age playground. At 4:26:52 PM, Staff #3 exited the facility looking for Child #1 and entered the Preschool/School Age playground. Staff #3 immediately took Child #1 into the facility.

Based on interviews and video footage taken at the facility at approximately 4:25 PM on 5/23/25, Child #1 was alone on the Toddler playground without a staff member present in the measured space. When the incident occurred, Staff #4 and Staff #6 were in the Preschool/School Age playground, which is attached to the Toddler playground, but is separated by a fence.

Based on a conversation with Staff #2 on 5/28/25, Staff #2 reviewed the video footage of the incident on 5/23/25 at 6:50 AM after being contacted by Child #1's parents via email sent after business hours on 5/22/25. Staff #2 reviewed the video footage regarding the incident that occurred on 5/22/25 at 12:44 PM involving Staff #1 and Child #1. Staff #2 failed to immediately make a report of reasonable cause or suspected child abuse to ChildLine through the hotline, online, or any other method prescribed by the Department.

The two most recent emergency plan trainings on file for Staff #2 are dated 3/14/23 and 5/22/24, more than 12 months apart.

Two tubes of Triple Paste, 15 tubes of diaper creams, 2 anti-fungal creams, and approximately 20 cans of sunscreen were observed in an unlocked cabinet under the changing table in the Two's Room and were accessible to children.

An open box of latex gloves was observed in an unlocked cabinet under the changing table in the Two's Room, which could cause suffocation.

Staff #1 was observed caring for children on 5/28/25 without having an initial health assessment and tuberculosis test on file. The two most recent health assessments on file for Staff #2 are dated 3/14/22 and 5/23/24, more than 24 months apart.

The file for Staff Person #2 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06.

Staff #1, classified as an Assistant Group Supervisor, lacked documentation of education and child care experience.

At approximately 12:44 PM on 5/22/25, video footage taken at the facility shows Staff #1 sitting on the floor next to Child #1 and patting their back during nap. Child #1 picked up their head and Staff #1 forcefully slammed Child #1's head into Child #1's cot. Child #1 kept their head down while Staff #1 continued patting Child #1's back.

The file for Staff #2 lacked a NSOR Certificate. (See LIS Code Sheet). Staff #2 had been observed working alone in video footage on 4/25/25.

According to staff statements, the facility hung postings on the two classrooms that had suspected outbreaks, but did not inform all parents of enrolled children that there was a suspected outbreak of a communicable disease.

The file for Staff #2 lacked a Health Assessment.

The file for Staff #2 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have a tuberculosis screening by the Mantoux method before their first day working in childcare.

During inspection on 5/14/25, the facility did not post the letter and the attached licensing inspection summaries mailed on April 30, 2025.

2ND CITATION: Staff Person #1 was observed acting as an AGS in the Preschool Classroom. The file for Staff Person #1 lacked verification of childcare experience and contained a foreign degree that was not evaluated and therefore it could not be determined if Staff #1 qualifies as an AGS. Previously cited 2/25/25.

2ND CITATION: The file for Staff #1 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet) Previously cited 2/25/25.

Based upon review of video footage, a preschool aged child was observed to be left outside in the play space away from their assigned group on 5/7/25 at approximately 10:00 AM. Staff was not physically present with the child during this time, nor did staff know the whereabouts of the child in the assigned group. There was another staff person in a separate, but adjacent, play space that saw the child alone and took over supervision of the child.

Video footage reviewed from the Toddler Room on 4/22/25 at 10:27 AM shows Facility Person #1 abruptly lifting Child #1, a young toddler, by one arm to move them approximately 2-3 feet. Facility Person #1 stated they moved the child in this manner because the child was shaking water from their sippy cup on to the floor.

According to staff statements, at times Facility Person #2 uses a harsh tone of voice with the children.

SECOND CITATION; CITED PREVIOUSLY ON 1/28/25/: On 4/29/25 at approximately 10:55 AM, Facility Persons #1, #2 and #3 were supervising a total of 15 preschoolers in the K-Prep room. Facility Person #1 had 7 children lined up at the door and said they were taking the children to the restroom. Facility Person #1 left the classroom with the children and was not accompanied by any other staff person at this time. On 4/29/25 video footage of the K-Prep room from 4/25/25 at naptime was reviewed. In the video, it was observed, and confirmed by staff statements, that Facility Person #2 was the only staff person in the classroom supervising the children. Review of staff files on 4/29/25 indicates there was no documentation on file that Facility Person #1 or Facility Person #2 had completed required approved pediatric first aid & CPR training. According to staff statements, they have not yet completed the training. On 4/29/25, facility administrative staff were notified that Facility Persons #1 and #2 were required to be supervised at all times by at least an assistant group supervisor who has completed all required pre service trainings. On 5/1/25, Facility Persons #1 and #2 were again…

Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.

Observed staff not washing a child's hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash the child's hands after three separate diaper changes.

Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.

Three separate cribs, in use by three infants, lacked 2 feet of space on three sides.

At approximately 11:00 AM, 18 children were observed receiving care in the Twos Classroom that has a designated maximum capacity of 17.

Although the file for Staff #1 contained a complete FBI clearance at the time of the inspection, it was observed that Staff#1 lacked a request prior to date of hire. The file for Staff #1 lacked a NSOR certificate. (SEE LIS CODE SHEET).

Staff Person #1 was observed acting as an AGS in the Preschool Classroom. The file for Staff Person #1 lacked verification of childcare experience and contained a foreign degree that was not evaluated and therefore it could not be determined if Staff #1 qualifies as an AGS.

The file for Staff #1 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet)

****According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.

**According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.

***According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.

*According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR).

Cert Rep observed video footage from 1/15/25 at approximately 10:00 AM where Staff #3 is carrying a preschool aged child into the office space where Staff #3 continues providing care. According to staff statements the office has been used on multiple occasions to provide care and as a space to bring children in to calm down.

Based on Fire Drill Log documentation, the last Fire Drill occurred more that 60 days prior 10/10/24-1/28/25 (110 days).

Based on Smoke Detection Testing Log documentation, the last smoke detection testing occurred more that 30 days prior 11/6/24-1/28/25 (83 days).

Staff person #3 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).

*Although Staff #1 and #2 had current Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #1 and #2 updated their Mandated Reporter Training in an interval greater than 60 months.

**Although Staff #1 and #2 had current Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #1 and #2 updated their Mandated Reporter Training in an interval greater than 60 months.

Staff person #2 was observed to be caring for children unsupervised on 9/26/24. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR). On 9/30/24, Staff #2, who lacked pediatric first aid and cpr the previous day, was observed to be working unsupervised.

Observed four cribs in the Infant Room that had loose crib sheets posing a suffocation hazard to the children in care.

The file for Staff #1 contained FBI Clearances that were updated in an interval great than 60 months. Although the file for Staff #2 contained FBI Clearances and NSOR Certificate on day two of the inspection, it was observed that Staff #2 was alone with the children on day 1 of the inspection without a FBI Clearance and NSOR Certificate, and therefore was incorrectly provisionally hired. Although the file for Staff #4 contained a current FBI Clearance at the time of the Renewal Inspection, it was observed that the file Staff #4 lacked an FBI Clearance or request within 45 days of hire, and therefore was incorrectly provisionally hired. The file for Staff #5 contained a Volunteer Child Abuse Clearance. The file for Staff #6 contained a CJIS Criminal Justice Information Services FBI Clearance and not the approved DHS FBI Clearance. The file for Staff #9 contained an FBI Clearance that had not been updated in the previous 60 months. The file for Staff #11, who has lived outside of Pennsylvania in the last 5 years lacked out of state clearances and/or requests. On 9/30/24, Staff #11, who lacked out of state clearances and/or requests on 9/26/24, was observed to be working in a…

The facilities Emergency Plan did not address Continuity of Operations.

Observed a spray bottle that did not specify the contents that was located in the Toddler Room. Staff identified the bottle as a cleaning material.

The 5-year-old A room, Infant Room, K Prep Room, Preschool Room, School Age Room, Toddler Room, and 5-year-old B Room lacked the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted by the telephone.

In the K Prep Classroom peeling orange paint was observed above the cots, on the back wall, and along the right-side wall next to the cubbies. In the Preschool Classroom blue paint was observed in multiple spots along the left side wall.

In the Two's Classroom the lid to the water table was cracked creating a pinching hazard to the children in care. In the Outside Toddler Play Space there was a Turtle Sandbox lid that was cracked in two places posing a pinching hazard.

In the Toddler Room, the water table contained small plastic insects and animals that measured less than 1 inch and were accessible to children who are still placing objects in their mouths. In the Infant Room, four foam blocks were observed to have a thin layer of vinyl which was peeling off in small pieces that posed a choking hazard to the children in care.

The refrigerator located in the Infant Classroom lacked an operating thermometer.

Although the file for Child #4, a young toddler, contained a current Health Report at the time of the Renewal Inspection, it was observed that the health report for Child #4 was updated in an interval greater than 6 months.

Although the file for Child #3, a preschooler, contained a current Health Report at the time of the Renewal Inspection, it was observed that the health reports for Child #3 was updated in an interval greater than 12 months.

Observed the medication at the facility for Child #5 lacked written parental consent for administration of the medication.

Although the files for Staff #4, #5, #6, #10, and #13 contained Health Assessments at the time of the Renewal Inspection, it was observed that Staff #4, #5, #6, #10, and #13 lacked a Health Assessments prior to their first day caring for children.

Although the files for Staff #4, #5, #6, #10, and #13 contained tuberculosis screening at the time of the Renewal Inspection, it was observed that Staff #4, #5, #6, and #10 lacked tuberculosis prior to their first day caring for children. The file for Staff #13 contained tb screening that was conducted more than a year prior to their first day caring for children.

The Emergency Contact Forms for Child # 6, #7, and #8 lacked written parental consent for transportation by the facility. Child #6, #7, and #8 are transported by the facility.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/15/24 - 2/20/24 (36 days), 4/11/24-5/21/24 (40 days), 6/15/24-7/16/24 (31 days), and 7/16/24-8/19/24 (35 days).

The files for Staff #3, #7, #8, and #14 contained Fire Safety trainings that were dated more than 12 months apart.

Although Staff #9 had the Pennsylvania Health and Safety training at the time of the Renewal Inspection it was observed that Staff #9 had not completed the Pennsylvania Health and Safety training by December 30, 2022, as set forth in Announcement C-22-06. Although the file for Staff #15 contained Health and Safety Basics Training at the time of the Renewal Inspection, it was observed that Staff #15 had not completed the following required pre-service training within 90 days of their date of hire (Health and Safety Basics). Although the file for Staff #10 contained Pediatric First Aid and CPR at the time of the Renewal Inspection, it was observed that Staff #10 had not completed the following required pre-service training within 90 days of their date of hire (Pediatric First Aid and CPR). Staff person #18 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 CPR).

The most current Mandated Reporter Training for Staff #9 is dated more than 60 months ago.

Staff person #3 and #9 lacked an annual written evaluation that was conducted within the past 12 months.

The file for Child #4 contained child service reports that provide information to the family about the child's growth and development in the context of the services being provided dated more than 6 months apart.

The Emergency Contact Form for Child #1 lacked the name and telephone number of the child's physician.

The Emergency Contact Form for Child #2 lacked the enrolling parents work address and telephone number.

The Emergency Contact Form for Child #2 lacked the name, address, and telephone number of the individual designated by the parent to whom the child may be released.

The 5's A Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The file for Staff #12 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

The files for Staff #1 and #15, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.

** Previously cited under SIN-00240157. On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.

** On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.

***On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.

* On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.

Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you."

***Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you." to the children.

**Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you."

At approximately 1:30 - 2:00 pm, staff persons #1, #2 and #3 were caring for 11 infants and young toddlers. Though each facility person was in ratio with their respective supervisory groups, one child was sleeping in a crib in the far-right hand corner of the sleeping area behind 2 rows of cribs and was not able to be seen by any of the staff as they slept in the crib. Two staff were present with 15 children in the toddler 1 classroom at naptime. Staff person #4 identified 5 children (young toddlers) and staff person #5 identified 5 children (young and older toddlers) in their supervisory groups. When asked who was supervising the additional 5 children in the classroom, certification representative was told staff person #6 was supervising those children but was on break at that time. Staff person #6 was not present in the classroom.

At approximately 1:30 - 2:00 pm, when entering the classroom, an infant was observed to be sleeping in a swing. Supervision and ratio were completed, and the child was still asleep in the swing. A staff person was sitting with the child but did not remove them from the swing and place them in a sleep position recommended by the American Academy of Pediatrics.

Documentation of the last test of the fire detection system was dated 9/18/2023 which was more than 30 days from the time of the inspection on 10/20/2023.

The Disclosure Statement in the file for Staff #1 lacked a witness signature and date. The file for Staff#2, employed for more than 45 days, lacked a complete NSOR certificate, therefore Staff #2 was incorrectly provisionally hired. The file for Staff#3, employed for more than 45 days, lacked a complete FBI Clearance, therefore Staff #3 was incorrectly provisionally hired. The file for Staff#4, employed for more than 45 days, lacked a complete NSOR certificate, therefore Staff #4 was incorrectly provisionally hired. The file for Staff #8 contained a Child Abuse Clearance that was not obtained within 60 months of the previous clearance.

Staff Person #2, qualified to be an Aide, was observed to be unsupervised, caring for children in the Preschool Classroom.

Based on Cert Rep observations during the Renewal Inspection at approximately 1:00 PM, Staff #2 could be heard ridiculing and degrading the children through the adjacent classroom.

Based on Cert Rep observations during the Renewal Inspection at approximately 1:00 PM, Staff #2 could be heard using harsh, demeaning, and abusive language in the presence of children through the adjacent classroom.

In the Preschool Classroom there was a stapler that was in an unlocked drawer accessible to the children in care.

The files for Staff #7 and #8 did not contain documentation of receiving training regarding the Emergency Plan Training within the past 12 months.

In the Preschool Classroom there was Gorilla Glue labeled "Store away from children" in a unlocked drawer that was accessible to the children in care.

The First Aid kit located in the Preschool Classroom lacked nonporous gloves.

On the left blue wall when entering the Preschool Classroom there was peeling/flaky paint.

In the 2s Classroom there were bubbles labeled, "Choking Hazard: Not for Children 3 and Younger" in the cabinet that had a door that was off the hinges and allowed for the bubbles to be accessible to the children in care. In the 2s Classroom there were Coffee Beans with less than an inch in diameter that were in the play table and accessible to the children in care.

In the 2s Classroom there was a wall cabinet where the sliding door was off the hinges and created a pinching hazard for the children in care.

The file for Child #1 and #2, enrolled more than 60 days at the facility, did not contain documentation of the Influenza vaccination, as required based on the child's age as per the ACIP recommended schedule.

The inhaler for Child # 4 was not stored in the original container.

There was no prescription for the inhaler belonging to Child #4.

In the Five B Room, there was an Auvi-Q that was expired.

The medication for Child #3, #4, and #5 lacked written parental consent.

The file for Staff #1 lacked a Health Assessment. The file for Staff #6 lacked a Health Assessment completed within the previous 24 months.

The file for Staff #1 lacked tuberculosis screening by the Mantoux method.

The first aid kit located in the Bus lacked scissors.

The file for Child #2 lacked an initial health report within 60 days of attendance.

The Emergency Contact Form for Child #2 lacked the address of the child's physician.

The Preschool Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The file for Staff #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

The file for Staff #2, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person. The file for Staff #6, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.

Although the file for Staff #1 contained complete clearances at the time of inspection, it was observed that the file lacked a Child Abuse Clearance and requests for FBI Clearance dated prior to the date that Staff #1 began working with children. Therefore, she was incorrectly provisionally hired. The file for Staff #2 lacked a completed Child Abuse Clearance prior to working with children and contained a disclosure statement that was not dated. Therefore, was incorrectly provisionally hired. Although the file for Staff #3 contained complete clearances at the time of inspection, it was observed that the file lacked a Child Abuse Clearance and requests for FBI Clearance dated prior to the date that Staff #3 began working with children. Therefore, she was incorrectly provisionally hired.

Staff Person #1, qualified to be an Aide, was observed to be unsupervised, caring for children in the Fives Classroom.

The file for Staff #1 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare. The file for Staff #2 lacked a Health Assessment.

The file for Staff #1 contained a tuberculosis screening at the time of inspection, but it was observed they did not have tuberculosis screening before their first day working in childcare. The files for Staff # 2 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #3 contained a Health Assessment that lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Staff Person #1 was observed acting as an AGS in the Fives Classroom. The file for Staff Person #1, lacked verification of child care experience, education and training prior to service at the facility, to qualify as an AGS.

The file for Staff #2 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

The files for Staff #1, #2, and #3, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

According to staff statements, Staff #1 was picking children up by their arms and slamming them into chairs and/or nap mats. Staff #1 also forcefully moved a child across the floor in their chair, frightening the child.

According to staff statements, Staff #1 would call the children names, single out the children, and speak negatively about them in front of other staff and children.

According to staff statements, Staff #1 would yell and scream at the children using abusive and harsh language in front of the children.

Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR).

Although the file for Staff #2 (SEE LIS CODE SHEET) contained completed clearances at the time of inspection, it was observed that the file lacked a State Police or FBI clearance and requests for the additional State Police or FBI Clearance and request for Child Abuse Clearance at the time of hire and therefore, she was incorrectly provisionally hired. The file for Staff #3 (SEE LIS CODE SHEET) contained State Police and Child Abuse Clearances that were updated in an interval greater than 60 months. The file for Staff #5 (SEE LIS CODE SHEET) contained a incorrect FBI clearance and a NSOR certificate that was obtained after the 45 day provisional period, and therefore was incorrectly provisionally hired. Although the file for Staff #6 (SEE LIS CODE SHEET) contained completed clearances at the time of inspection, it was observed that the file lacked a Child Abuse Clearance at the time of hire and therefore was incorrectly provisionally hired.

Staff person #3 had not completed mandated reporter training within 60 months of the expiration of the previous clearance (5/4/15 and 8/31/20).

Staff #7, an Aide, was observed caring for children unsupervised.

The refrigerator in the Infant Room lacked a thermometer.

The file for Staff # 4 contained a Health Assessment that did not include an examination for communicable diseases and the results of the examination.

The file for Staff #4 contained a Health Assessment that 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.

A bottle which was not labeled with infant child #1's name was observed on the counter in the infant room.

Child #2 and #3, whom are transported by the facility, lacked parental consent for transportation by the facility on the emergency contact form located in the vehicle.

Staff person #2 completed the following required pre-service training after 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

The file for Staff #4 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet)

The files for Staff #1, #3, and #8, lacked documentation of the annual 12 clock hours of child care training.

Staff #2 placed Child #1 on the floor in a sitting position. Staff #2 then moved to remove bibs from other children in the room and was not aware that Child #1 had fallen over and bumped his head and face on the floor. (See LIS Code Sheet)

Based on conversations with administration, the facility does not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Staff person #1, #3, #4, and #5 has not completed the following required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3270.31(f)(10). Staff person #2, #6, #7 has not completed an acceptable required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3270.31(f)(10).

Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire. (See LIS Code Sheet) (3270.31(f)(1-9)). Staff person #8 has not completed an acceptable required pre-service training within 90 days of their date of hire. (See LIS Code Sheet). (3270.31(f)(1-9).

The file for Child #1 lacked a incident report of a accident that occurred at the child care facility.