Alphabet Tree Oakdale

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: CCDBG health and safety training, pediatric first aid and CPR; and mandated reporter training.

The record for staff #1 lacked a disclosure statement, FBI clearance and NSOR verification certificate. The record for staff #2 and #10 included a current state police clearance, child abuse clearance, FBI clearance and NSOR verification certificate dated more than 60 months following their previous clearances. The record for staff #3 included a current child abuse clearance, FBI clearance and NSOR verification certificate dated more than 60 months following their previous clearances. The record for staff #4, #5 and #7 included a current NSOR verification certificate dated more than 60 months following their previous clearance. The record for staff #9 included a current FBI clearance dated more than 60 months following their previous clearance. The record for staff #11 included a disclosure statement and NSOR verification certificate dated following their first day working in child care; and a CJIS FBI clearance, which is not considered valid for child care employment.

An infant was observed sleeping in an infant seat in the infant room.

The facility's parent letter did not include their lockdown procedure and their plan to provide accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

A Pothos plant, which is toxic to humans, was in the older toddler room.

There were water-stained ceiling tiles observed in the older toddler room and office.

Paper clips, googly eyes and pompoms that were less than 1 inch in diameter were observed in an unlocked storage container on a shelf in the older toddler room, accessible to children who are still placing objects in their mouths.

There was less than 2 feet of space on three sides of a crib while the equipment was in use in the infant room.

The record for staff #1 and #13 lacked a health assessment. The record for staff #6, #7 and #8 included a current health assessment dated more than 24 months following the date of their previous health assessment.

The health assessment for staff #11 did not include an examination for communicable diseases and the results of that examination.

The health assessment for staff #11 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The record for child #4, who has been enrolled more than 60 days, lacked a health report.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03.

Staff person #12 completed CCDBG Health and Safety 2025 on 2/22/2025 and 3/3/2025, which was more than 90 days following their date of hire. (see LIS code sheet)

The record for staff #2, #3, #4, #7 and #10 included verification of mandated reporter training completed more than 60 months following their previous completion of mandated reporter training.

The record for staff #1, who was identified as an AGS, lacked verification of education and 2 years child care experience required to work in position.

The emergency contact information for child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact information for child #3 did not include health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #1 did not include the address of the individual designated by the parent to whom the child may be released.

Staff #1 did not have a file.

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

The record for staff person #2 included a child abuse clearance for volunteers, which is not a valid clearance for child care staff.

The facility's emergency plan did not include their plan for continuity of operations.

A thermometer in the refrigerator in the 4 year old room was displaying a reading of more than 45° F. An alternate method of measurement was used to determine that the refrigerator was capable of maintaining food at 45° F or below and the thermometer was not displaying an accurate reading.

The record for child #4, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

The record for staff #1, #2, and #3 included a current health assessment, dated more than 24 months from the date of their previous health assessment.

The facility's emergency plan did not include the evacuation route to exit the building.

The record for child #3 contained a current health report dated more than 60 days following their first day of attendance at the facility.

Staff person #4, who has been employed more than 90 days, has not completed the following required pre-service training: CCDBG Health and Safety.

The director did not complete a minimum of one written evaluation every 12 months for all existing staff between 1/2023 to 3/2024.

The record for child #1 contained an agreement signed on 1/24/2024, which was following the child's first day of attendance.

The record for child #1 contained emergency contact information signed on 1/24/2024, which was following the child's first day of attendance.

The emergency contact information for child #1, #2 and #4 did not include the address of the individual designated by the parent to whom the child may be released.

The emergency contact information for child #5 was not reviewed by a parent at least once during the period between 2/1/2023 to 12/7/2023.

The record for staff #8 lacked a current and valid PA state police clearance as required under CPSL.

In the infant room, there was a crib that did not have at least 2 feet of space on three sides while in use.

The record for staff #5 included a current health assessment dated more than 24 months following the date of their previous health assessment.

The facility did not send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

The record for child #3 includes a current health report dated more than 60 days following the first day of attendance at the facility.

The provider had a policy and procedure to identify the prevention of shaken baby syndrome and abusive head trauma that did not address the prevention and identification of child maltreatment to maintain compliance with 45 CFR 98.41(a)(1)(vi). Staff #1, #2, #3, #4, #7, #8, #9 and #10 completed the Pennsylvania Health and Safety Update 2022 following December 30, 2022, which was the prescribed timeframe required by OCDEL to complete the training, as per Announcement C-22-06.

The record for staff #1 and #5 included verification of professional development as listed in subsections (f)1-9 completed more than 90 days following their date of hire.

The initial agreement for child #2 and #4 was signed by the operator and the parent following the child's first day of attendance at the facility.

The record for child #2 and #3 included the original agreement.

The emergency contact information for child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact information for child #4 did not include health insurance coverage for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #3 has not been reviewed and updated within a 6-month period.

The financial agreement for child #1, #2, #3 and #4 has not been reviewed and updated at least once in a 6-month period.

The record for staff #6 lacked two required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The record for staff #3 lacked a NSOR verification certificate required under the CPSL.

The following cleaning materials and other toxics were kept in areas accessible to children in care: Swiffer Wetjet mops with cleaning solution were observed in the preschool and older toddler classrooms; and a bottle of hand sanitizer was observed on a shelf in the main room.

The following toys and equipment in the outdoor play space designated for preschool children were not in good repair: cracks were observed on a plastic picnic table and children's table that could pose a potential pinch point for children using the equipment; and a piece of a plastic truck was broken off which created sharp and rough edges that could pose a potential hazard for children using the toy.

A thermometer in the refrigerator in the older toddler room was displaying a reading of 48° F. An alternate method of measurement was used to determine that the refrigerator was capable of maintaining food at 45° F or below and the thermometer was not displaying an accurate reading.

The record for staff #1 and #8 included a current health assessment dated more than 24 months following the date of their previous health assessment. The record for staff #2 included a health assessment and results of TB test read more than 12 months prior to providing initial service in a child care setting and lacked a current health assessment. The record for staff #7 included a current health assessment and results of TB test read following their first day providing initial service in a child care setting.

An annual emergency drill was not conducted.

The operator did not send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Staff person #1, #4, #6 and #8 did not participate, at least annually, in fire safety training during the period from 8/2020 to 9/2021.

Staff person #5 who has worked in child care for more than 1 year did not obtain an annual minimum of 12 clock hours of child care training.