Alphabet Express Early Learning

The PA State Police Clearance on file for staff person #1 was in "Request Under Review Status". The final result was not maintained in the staff person's file. *Corrected at the time of the inspection.

The file for staff person #3, #8 and #9 did not include documentation of training regarding the emergency plan at the time of initial employment (see LIS code sheet). Emergency plan training for staff person #3, #8 and #9 was documented on 08/30/2024.

The letter provided to the parent of each enrolled child explaining the emergency procedures did not include information regarding accommodations will be made for infants, toddlers, children with disabilities and children with chronic medical conditions or a statement that emergency drills will be conducted annually.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted at the facility phone located in the office

Observed a young toddler being lifted by a staff person to reach the sink to wash their hands; the sink in the young toddler classroom was not a proper height for use by young toddlers and did not include a platform or steps for the children to easily approach the sink for handwashing.

The file for child #2 included a health report that was not updated at least once every 6 months for an infant or young toddler (see LIS code sheet). The most recent health report on file was dated 10/27/2023 with no subsequent health report on file.

The file for child #4 included an updated health report which was not updated within 12 months of the previous health assessment. The current health report on file was dated 11/21/2023 with the previous health assessment dated 03/24/2021.

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap and a 4th dose of PCV13.

A written statement giving the formula and feeding schedule for the infants in care were not obtained from the parents.

Observed bottles in the refrigerator located in the infant classroom which did not include a label with the child's name for whom the bottle was intended. Observed sippy cups in the refrigerator located in the young toddler classroom which did not include a label with the child's name for whom the cup was intended.

The director or designated staff person did not ensure that a fire drill was conducted at least once every 60 days. The fire drills between 05/10/2024 - 07/10/2024 exceeded 60 days. The last documented fire drill was conducted on 07/10/2024 with no subsequent fire drill documented.

The director or designated staff person did not ensure that a manual test of the fire detection system was completed at least once every 30 days. Tests that exceeded 30 days included 01/12/2024 - 02/12/2024; 03/12/2024 - 04/12/2024; 05/10/2024 - 06/10/2024; 08/09/2024 - 09/09/2024.

The file for child #3 did not include a health report within 60 days of enrollment (see LIS code sheet). A health assessment with immunization record was not in the child's file.

The pediatric first aid & CPR for staff person #4 was not updated on or before the expiration of the previous certification. The current first aid & CPR was completed on 07/31/2024, the previous training expired on 05/2024.

Fire safety training for staff person #6 was not documented within 12 months of the previous training; the most recent training was documented on 10/20/2022 with no subsequent training documented.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): "Get Started with Center-based Care-Revised 2022". The file for staff person #1 included the 6-hour "Health and Safety Basics: Requirements for Certification" which was completed on 08/16/2016 and does not count toward the new Health and Safety Professional Development (PD) requirement. The file also included the 1-hour "Pennsylvania Health and Safety Update 2022" completed on 12/05/2022. Staff person #2 and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): "Get Started with Center-based Care-Revised 2022". The file for staff person #2 and #4 included the 6-hour "Health and Safety Basics: Requirements for Certification" which was completed on 08/02/2016 and does not count toward the new Health and Safety Professional Development (PD) requirement. The file for staff person #2 included the 1-hour "Pennsylvania Health and Safety Update 2022" completed on 12/28/2022. The file for staff person #4 included the 1-hour "Pennsylvania Health and Safety Update 2022" completed on…

The file for child #1, #2, #3 and #4 did not include a child service report providing information to the family about the child's growth and development at least once every 6 months. The file for child #1 included a Pearson - Ounce assessment dated 06/2024 with the previous assessment dated 06/2023. The file for child #2 included a Pearson - Ounce assessment dated 08/24/2024 with the previous assessment dated 05/2023. The file for child #3 did not include a Child Service Report within 6-months of enrollment (see LIS code sheet) or subsequent assessments. The file for child #4 included a Child Service Report dated 01/2022 with no subsequent Reports on file.

The agreement for child #3 did not specify the date of the child's admission.

The emergency contact information for child #2 and #3 and #5 did not include the work address and telephone number of the enrolling parent.

The emergency contact information for child #5 did not include written consent signed by a parent for emergency medical care prior to admission.

The emergency contact information for child #2 and #5 did not include health insurance coverage information or the policy number.

The emergency contact information for child #2 was updated on 12/29/2022 with no subsequent reviews documented. The emergency contact information and financial agreement for child #3 has not been reviewed since the child's initial enrollment (see LIS code sheet).

The emergency contact information for child #5 did not include signed parent consent for administration of minor first-aid procedures prior to admission.

The file for staff person #3 did not include verification of education prior to service at the facility.

The file for staff person #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff person #10 did not include an annual minimum of 12 clock hours of child care training between 08/2023 - 8/2024; a total of 8.5 hours of training were completed during this time period.

The file for Facility Person #1 did not contain NSOR results or a signed disclosure statement. (see LIS sheet for DOH)

It was observed in the Young Toddler classroom that the emergency exit was blocked by 2 large gross motor toys.

It was observed in the Young Toddler classroom that there was not a working thermometer in refrigerator.

Child #1 and Child #2 did not have written parental consent for the EpiPen medications at the facility.

The facility did not conduct an annual emergency drill at the facility.

Facility Person #1 and #3 has not completed the required pre-service health and safety training within 90 days of their date of hire (see LIS code sheet).

The file for Facility Person #2 did not have two written, nonfamily references attesting to the person's suitability to serve as a facility person.

It was observed in the Older Toddler bathroom that there were Lysol bottles on a low shelf accessible to children.

It was observed in the Older Toddler bathroom that gate was broken, and a large screw was on the floor accessible to children. It was observed on the playground that multiple fence slates were broken with sharp edges accessible to children.

It was observed that Facility Person #1 did not ensure that 2 children's hands were washed after diaper changes occurred.

Facility Person #2 was observed working with children and did not have a health assessment on file. See code sheet for DOH.

The facility emergency plan did not provide for accommodations for shelter of children during an emergency including lock-down.