Anne McLaughlin Day Care Center

While at the facility unannounced the inspector observed one staff with three infants and eight young toddlers alone in the infant/toddler room.

While at the facility unannounced the inspector observed two preschool aged children in the preschool room asleep behind furniture and unable to be seen by the staff present.

While at the facility unannounced the inspector observed an infant asleep in an electric swing in the infant/toddler room. The facility did not have documentation from a physician noting a medical reason for sleeping in a position other than the recommended position on file.

While at the facility unannounced for the complaint investigation the inspector observed dead insects (yellow jackets) in the light fixtures as well as on the windowsills in the infant/toddler room. The inspector also observed a live insect (yellow jacket) on the window and sill while present. Staff #1 stated that they were aware of a nest located on the rear of the facility.

While at the facility unannounced the inspector observed Lysol, Equate Sunblock out and within reach of children in the preschool room. The inspector also observed Johnsons and Johnsons baby powder out and within reach of children in the preschool bathroom. The inspector observed all-purpose joint compound, Valspar paint, and bulk antibacterial soap, out in the main hallway of the facility and within reach of children. All of these products have labels indicating that they need to be kept out of reach of children.

While at the facility unannounced the inspector observed a spray bottle in the infant/toddler room missing a label specifying the contents.

While at the facility unannounced the inspector observed the door to the kitchen to be left open rendering the stove accessible to children.

While at the facility unannounced the inspector observed a Diaper Genie being used for soiled diapers changing table in the infant/toddler room. The Diaper Genie cannot be used without the use of a person's hands.

While at the facility unannounced the inspector observed the changing mat in the infant/toddler room to be cracked, exposing the foam below it, rendering it unable to be cleaned.

While at the facility unannounced the inspector observed two unlabeled infant bottles in the infant/toddler room.

During the course of the investigation staff #1 admitted to openly discussing someone needing to have "the psych ward "called on them. This comment was made to another staff in front of children receiving care.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that this staff has been working in direct care with children and does not have the required FBI clearance on file since DOH (See LIS Code Sheet for DOH). Staff #3 was also observed in direct care with children and did not the required NSOR clearance on file as is required (See LIS Code Sheet for DOH). As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that this staff does not have a health assessment or a TB is working in direct care with children since hire (see LIS Code sheet for DOH).

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and did not observe the required one-hour 2022 update to the health and safety training by 12/30/2022.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that they did not update their Pediatric first aid and CPR training. This is evidenced by the previous documented Pediatric first aid and CPR expiration date of 10/2024.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #2 and found that this staff did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was not hired correctly as a provisional hire. Staff #1 did not receive the child abuse clearance until 10/16/24 and did not apply for an FBI clearance until 10/16/24. The CPSL requires the child abuse clearance to be obtained prior to working in child care and also requires staff to apply for the FBI clearance prior to working in child care. Staff #3 was not hired correctly as a provisional hire. Staff #3 did not apply for their FBI clearance until 1/31/23 and the NSOR until 2/6/23. The CPSL also requires staff to apply for the NSOR clearance prior to working in child care. Staff #8 was not hired correctly as a provisional hire. Staff #8 did not apply for their state police clearance until 10/8/24 and their NSOR clearance until 9/27/24. Staff #8 also did not complete a disclosure statement as required by the CPSL prior to working in child care. The CPSL also requires staff to apply for their state police clearance prior to working in child care. The CPSL requires staff to update their clearances every 60 months. Staff #4 did not update the…

A renewal inspection occurred at the facility. At the time of the inspection, the facility provided a copy of their continuity of operations plan. The plan did not include the following: operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection occurred at the facility. A physical site review was conducted. The orange fencing in the outdoor play area, was not attached to the poles and contained holes that did not restrict the children from leaving the play area. On the other side of this fencing was a stream. There was a gap in the natural barrier behind the camper that led to a road and children were not restricted from leaving the area. The retractable fencing behind the camper covering the driveway did not cover the entire opening. This left a small area unrestricted from the children leaving the play area. On the other side of the camper and rear of the camper, the children were not restricted from leaving the play area and had access to the road. Between the building was a shed. In the shed was a lawn mower that was not restricted from the children. Also, in this area, two rusty chairs and broken toys were found. These items were no made inaccessible to children. Children were observed in the outdoor play area during this inspection.

A renewal inspection occurred at the facility. A physical site review was conducted. Several outlets were missing protective receptacle covers throughout the facility. These areas were identified and addressed with the director at the time of the inspection.

A renewal inspection occurred at the facility. A physical site review as conducted. Toxic cleaning and other toxic materials were found accessible to children throughout the facility. These items did indicate the need to keep out of the reach of children. Children were observed receiving care in the areas these toxic materials were accessible. These items were identified and addressed with the director at the time of the inspection. The items and areas addressed were as follows: DOE-PreK - hand sanitizer, abra cadabra, several items in the teacher's desk Hallway - Paint, 2 sodium chloride bags, hornet spray, sanitizer Kitchen with an open door - cleaning materials

A renewal inspection occurred at the facility. A physical site review was conducted. On the Toddler room's windowsill, several dead flies were observed. These areas were identified and addressed with the director at the time of the inspection.

A renewal inspection occurred at the facility. A physical site review was conducted. The DOE-PreK room and the Infant room contained a garbage can that did not have a lid. Tissues, napkins and food wrapper waste were found in these garbage cans. These items were required to be contained in closed, plastic-lined receptables as required by regulation. These garbage cans were identified and addressed with the director at the time of the inspection.

A renewal inspection occurred at the facility. A physical site review was conducted. At the time of the inspection, the first aid kits were accessible in the DOE-PreK and Older Toddler classrooms. Children were observed receiving care in those classrooms.

A renewal inspection occurred at the facility. A physical site review was conducted. In the hallway, outside of the office, a light fixture was found to have come loose at one end and was hanging. This light fixture was identified and addressed with the director at the time of the inspection. The orange fencing in the outdoor play area, was not attached to the poles and contained holes that did not restrict the children from leaving the play area. On the other side of this fencing was a stream. There was a gap in the natural barrier behind the camper that led to a road and children were not restricted from leaving the area. The retractable fencing behind the camper covering the driveway did not cover the entire opening. This left a small area unrestricted from the children leaving the play area. On the other side of the camper and rear of the camper, the children were not restricted from leaving the play area and had access to the road. Between the building was a shed. In the shed was a lawn mower that was not restricted from the children. Also, in this area, two rusty chairs and broken toys were found. These items were no made inaccessible to children. Children were observed in…

A renewal inspection occurred at the facility. A physical site review was conducted. The sink in the DOE-PreK room and sink in the bathroom located in the office were missing a handwashing signs. These areas were identified and addressed with the director at the time of the inspection.

A renewal inspection occurred at the facility. A physical site review was conducted. In the Toddler room, several nap mats were observed torn with the inside foam exposed. These mats were not in good repair and could not be appropriate cleaned. These mats were identified and addressed with the director at the time of the inspection.

A renewal inspection was conducted at the facility. A physical site review was conducted. In the DOE-PreK room, five medications were found with a manufacturers label that listed an expired date.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to obtain a health assessment prior to working in child care. Staff #1 did not obtain a health assessment until 10/23/24. This health assessment was obtained after Staff #1 began working in child care. Regulation requires staff to update their health assessment at least every 24 months. The following staff did not update their health assessment at least every 24 months: Staff #6 (previous 6/30/22, current 8/23/24) and Staff #7 (previous 11/7/22, no update).

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to obtain a tuberculosis screening prior to working in child care. Staff #1 did not obtain a tuberculosis screening until 10/23/24. This tuberculosis screening was obtained after Staff #1 began working in child care.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to complete pediatric first aid/CPR prior to their current certification expiring. Staff #6's pediatric first aid/CPR training expired on 7/26/24 and Staff #6 did not complete updated pediatric first aid/CPR training until 11/11/24.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #2 (previous 9/22/23, current 10/24/24), Staff #3 (previous 7/12/23, current 10/24/24), Staff #4 (previous 7/12/23, current 10/24/24), Staff #5 (previous 7/12/23, current 10/24/24), Staff #6 (previous 7/12/23, current 10/24/24), Staff #7 (previous 7/12/23, current 10/24/24) and Staff #9 (previous 9/22/23, current 10/24/24).

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/13/15. Staff #4 completed mandated reporter training on 2/6/20. The CPSL requires staff to update their mandated reporter training at least every 60 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires proof of education on a staff to be able to appropriately qualify a staff for a role in child care. The file of Staff #1 did not contain education documentation and Staff #1 was unable to be appropriately qualified as a staff person.

A renewal inspection occurred at the facility. A review of the facility's handbook was conducted. The facility did not have listed in the handbook, as required by regulation, supervision policies, dismissal policies and transportation and pick up arrangements.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to be signed by the parent. Child #2 did not have a signed agreement form by the parent in the file.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's enrollment date. Regulation requires a child service report to be completed on children every 6 months. Child # 4 has not had a child service report completed since the date of enrollment. Child #4 has been enrolled for over 6 months requiring the need for a child service report.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires a child's file to contain their arrival and departure times. The following children's files were missing their arrival and departure times: Child #2 and #4.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the address of the listed release person to be included in a child's file. The following children's files were missing the address of the listed release person: Child #2 and #5.

A renewal inspection occurred at the facility. A physical site review was conducted. At the time of the inspection, the facilities emergency medical transportation plan was not posted in any child care space as required by regulation.

As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the…

Facility person #4 has a child abuse clearance dated 11/9/22, and FBI clearance dated 11/10/22 and an NSOR clearance dated 11/8/22 which exceeds the requirements of requesting and/or obtaining clearances prior to working with children. Facility person #6 has a state police clearance dated 9/26/23, a child abuse clearance dated 10/16/23 and an FBI clearance dated 10/13/23, which exceeds the requirements of requesting and/or obtaining clearances prior to working with children. Facility person #7 has a state police clearance dated 9/21/23, a child abuse clearance dated 9/25/23, an NSOR clearance dated 9/18/23 and missing proof of FBI fingerprinting and clearance, which exceeds the requirements of requesting and/or obtaining clearances prior to working with children.

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be…

Facility person #1 has an expired health assessment dated 9/28/20.

Facility person #3 has an initial health assessment and TB test dated 5/26/22, which exceeds the requirement of obtaining an initial health assessment prior to working with children. Facility person #4 has an initial health assessment and TB test dated 11/7/22, which exceeds the requirement of obtaining and initial health assessment prior to working with children. Facility person #5 & 6 do not have an initial health assessment and TB test on file. Facility person #7 has an initial health assessment and TB test dated 10/16/23, which exceeds the requirement of obtaining an initial health assessment prior to working with children.

Operator has not conducted an annual emergency drill.

Operator has not sent an annual copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency, 9/1/22 was the most previous updated plan sent.

Child #3 is missing an initial health assessment.

Facility person #1 did not complete the required health and safety training update by 12/30/22. Facility person #2 completed the training on 9/15/23. Facility person #3 completed the training on 8/10/23.

Facility person #3 completed the required health and safety training on 7/1/22 and facility person #4 completed the required health and safety training on 4/30/23 which exceeds the requirement of completing the health and safety training within 90 days of hire.

Child #4 is missing signed parental consent for emergency medical care.

Child #1, 2 & 3 are missing updated emergency contact information and financial agreements.

Child #4 is missing signed parental consent for administration of minor first-aid.

Facility person #5 is missing proof of education.

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be…

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department.

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval.

Staff #2 does not have an FBI clearance on file. Staff #3 does not have a complete state police clearance on file. Staff #4 does not have an FBI clearance on file. Staff #6 does not have a signed disclosure, and FBI clearance on file. Staff #7 has an expired state police clearance dated 4/5/17, an expired child abuse clearance dated 4/14/17, and is missing an FBI clearance.

Facility was issued violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), C1D-25 PA Code, 109.606. The facility is currently not in compliance with the Safe Water Drinking Act.

The facility's emergency plan has not been reviewed and or updated since 2019.

There is peeling paint under the window in the Pre K room. There is also peeling paint on the the purple wall near the Pre K Counts classroom door.

Staff #4 & 6 are missing their initial health assessment.

The facility has not conducted an annual emergency drill.

Cert Rep observed that the fire system was tested on 5/9/22 and then again on 6/16/22 which is a span of 38 days, the fire system was also tested on 6/16/22 and then again on 7/27/22 which is a span of 41 days which exceeds the requirement of testing every 30 days.

Child #1 & 3 are missing an initial health assessment.

The facility has not notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The facility does not have a policy in place to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Staff #4 completed the required health and safety training on 5/11/22, this exceeds the required completion within 90 days of hire.

Child #1, 3 & 4 are missing the operator's signature.

Child #1, 3 & 4 are missing the child's date of admission.

Child #2 is missing the address and telephone number of the child's physician.

Child #1, 2 & 3 are missing work addresses and telephone numbers of the enrolling parent.

Child #2 is missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child #2, 3 & 4 do not have updated emergency contact and financial agreements on file.

Staff #5 does not have proof of education on file.

Staff #4 & 5 are missing two written nonfamily references.

Staff person #1, 2, 3, 5, & 7 do not have proof of 12 annual training hours of child care training.

Facility person #1 admitted that on 5/3/22 she grabbed child #1's ponytail as the child was trying to exit the building. According to facility #1 the child was trying to run after the parent as the parent was leaving. Facility person #1 said that she was unable to catch up with the child so she grabbed the child by her hair, which was in a ponytail, to prevent her from exiting the building.

Facility person #1 has worked at the facility for more than 90 days and does not have pediatric first-aid and CPR certification or health and safety training. Facility person #1 also has mandated reporter training on file that is over 60 months old. Facility person #2 does not have pediatric first-aid and CPR certification on file and has worked at the facility for more than 90 days. Facility persons #1 and #2 were observed in the preschool room on 5/6/22 supervising preschool children for a short period of time and were not being supervised by a qualified staff person. Facility person #3 has been at the facility for less than 90 days and has not completed the health and safety training. Cert rep observed facility person #3 watching a group of 5 toddlers without another qualifying staff present during nap-time.

During an unannounced complaint visit to facility on 5/6/22 facility person #3 asked facility person #1 to fill in for her in the preschool room with facility person #2 to maintain ratios in the preschool room. Facility person #1 has PA child abuse, PA criminal and FBI clearances on file from 2015. These clearances are beyond 60 months old.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Facility person #1 must complete the 10 hour health and safety training titled Building Blocks for Quality Care in a Child Care Centers, an approved Pediatric First-Aid and CPR Certification Course with a PQAS certified instructor and Mandated Reporter Training. Facility person #2 must take an approved Pediatric First-Aid and CPR Certification Course with a PQAS certified instructor.

Facility person #1 has mandated reporter training on file that is over 60 months old

Facility person #1 does not have a completed file and has only clearances on file that are over 60 months old.

Facility person #1 has a child abuse clearance on file dated 8/17/16 and is over 60 months. Facility person #2 has a date of hire listed as 4/5/17 and does not have mandated reporter training on file.

The orange fencing located in the outdoor play area has fallen down in some areas and does not go far enough to keep the children away from the brush and the small stream that runs behind the building.

There is a spray can of disinfectant spray on the shelf on top of the cubbies located in the Pre-K / School-age room. There is a container of air freshener and a spray bottle of Woolite Rug Cleaner located in the unlocked blue cabinet in the Pre-K / School-age Room. There is a gallon of sanitizing solution located on the floor in the hallway by the main office. The is a spray can of Raid located on the radiator by the rear exit to the play yard. There is a container of hand sanitizer located on the play table in Preschool I. There is a can of air freshener and a spray adhesive located in the unlocked cabinet in Preschool I.

There is a broken ceramic tile located on the tile counter located in the Pre-K / school-age room.

There are areas of chipped paint located on the yellow cabinet located in the toddler room. There are areas of chipped paint located on the round black table located in the toddler room.

There are plastic bags and rubber gloves accessible to children in the unlocked cabinet underneath the changing table in the toddler bathroom

Facility person #2 has a date of hire listed as 4/5/17 and does not have documentation on file to verify that the required health and safety course (Building Blocks for Quality for Child Care Centers) has been completed. This course is required to be completed within 90 days from date of hire.