Avas Garden

On 4/2/25, It was observed that the toddler bathroom does not have handwashing signs posted at each training chair. CONTINUED NON-COMPLIANCE. On 5/27/25, It was observed that the toddler bathroom does not have handwashing signs posted at each training chair.

It was observed in the young toddler space, the grey cabinet was not locked, giving children access to cleaning materials.

It was observed that all vents with small squares in the ceiling are covered with dust. It was observed that many wheel fixtures on the patrician walls are exposed in the infant, young toddler and older toddler spaces. It was observed in the young toddler space, the grey cabinet was not locked, giving children access to an extension cord.

It was observed, in the infant space, that there is peeling/chipping paint above the second pack n play from the right. It was observed, in preschool 3's space, that there is exposed plaster on the corner beside the bookshelf. This was covered by tape, but the tape is peeling off.

It was observed that the toddler bathroom does not have handwashing signs posted at each training chair.

It was observed, in preschool 3's space, that more materials should be added to the dramatic play area to preclude long waits for use. It was observed, in preschool 1's space, that more materials should be added to the kitchen area to preclude long waits for use.

It was observed in the older toddler space, that there were pom-poms less than 1 inch in diameter, accessible to children. It was observed in the younger toddler space, there was a box of materials in plastic packaging under the teachers desk, accessible to children.

Child #2's file does not contain a complete initial health report. The health report does not include a review of the child's health history.

Child #2's file does not contain a complete initial health report. The health report does not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Child #2's file does not contain a complete initial health report. The health report does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Child #2's file does not contain a complete initial health report. The health report does not include a written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Staff person #1 and 2's files do not contain acceptable verification of child care experience prior to service at the facility. Staff person #1 cannot be used as an Assistant Group Supervisor until verification of child care experience is determined.

Child #1, 4, and 5 Fee Agreements do not include the fee amount.

Child #1, 2, 3, 4, and 5 files contain the original Fee Agreements.

Child #2's Emergency Contact Forms does not include the physician/medical care name and address. Child #4's Emergency Contact Forms does not include the physician/medical care phone number.

Child #1, 2, 3, 4, and 5 Emergency Contact Forms do not include the enrolling parent's home phone number.

Child #1, 3, and 5 Emergency Contact Forms do not include information on special needs or indicated as not applicable.

Staff person #1 and 2's files do not contain acceptable verification of child care experience prior to service at the facility.

During a correction verification visit, it was observed that the preschool classroom had 16 total children but staff only named 12 in their primary care groups.

Previously cited from the renewal inspection (SIN: 00242904) Four ceiling tiles with water marks on them were observed in the preschool classroom.

Previously cited from the renewal inspection (SIN: 00242904) An updated health report was not on file for child 1. The health report on file is dated 2/22/21.

Previously cited from the renewal inspection (SIN: 00242904) Written notification of safe routes were not posted in a conspicuous location at the facility. This was corrected during the inspection. This was corrected during the correction verification visit on 6/28/24

Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency plan letter that the parents receive, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. This was corrected during the correction verification visit.

Previously cited from the renewal inspection (SIN: 00242904) Documentation of the fire detection system testing wasn't completed every 30 days. Testing was completed on 8/8/23 and again on 9/15/23 which is 38 days and on 10/12/23 and again on 11/29/23 which is 48 days and on 5/3/24 and again on 6/4/24 which is 32 days

During the time of the correction verification visit, it was observed that the inspection summary from the renewal inspection(SIN-00242904) was not posted in a conspicuous location used by the parents. This was posted during the correction verification visit.

Previously cited from the renewal inspection (SIN: 00242904) Documentation on file for staff member 3, did not include documentation of two years' experience working with children.

Previously cited from the renewal inspection (SIN: 00242904) Documentation of the agreement on file for child 3 did not specify the date of the child's admission.

Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 2 did not include the address of the child's physician or source of medical care.

Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 2 did not include the enrolling parent's home address. The emergency contact information on file for child 3 did not include the enrolling parent's work phone number.

Previously cited from the renewal inspection (SIN: 00242904) Documentation of the emergency contact information on file for child 1,child 2, and child 3 did not include complete addresses for the designated individuals by the parents to whom the child may be released.

Previously cited from the renewal inspection (SIN: 00242904) Documentation on file for staff member 1 and staff member 2 did not include two written references.

Documentation of the child abuse clearance on file for staff member 1 was updated more than 60 months of the original clearance date. The original child abuse clearance was obtained on 3/28/19 and updated on 4/2/24. Documentation of the child abuse clearance on file for staff member 5 was obtained after the staff member began working with children. Documentation of the disclosure statement on file for staff member 3, staff member 4, staff member 6 and staff member 7 were not signed by a witness.

Documentation of the emergency plan on file does not include a continuity of care plan.

During the time of inspection, it was observed that the facility did not have the emergency plan posted in a conspicuous location.

During the time of inspection, it was observed that outlet covers were missing in two surge protectors in the preschool classroom. Both surge protectors were removed during the inspection.

During the time of inspection, it was observed that a light in the indoor gross motor space, a light in the hallway leading the preschool classroom from the gross motor space and a light in the preschool classroom all had a significant number of dead bugs in them.

During the time of inspection, it was observed that there were two ceiling tiles with water marks on them in the older toddler bathroom, four ceiling tiles with water marks on them in the indoor gross motor space and three broken tiles and four ceiling tiles with water marks on them in the preschool classroom. The walls and baseboards in the older toddler bathroom had visible dirt on them. Baseboards in the older toddler bathroom were broken and or missing behind the toilet with visible mold on them. The wall behind the base of the toilet had broken drywall and had an exposed pipe coming out of the wall. The pipe had toilet paper stuffed into the part that was exposed. There was a square cut out in the wall where new piping had to be replaced for the toilet with exposed insulation. DIRECTED PLAN OF CORRECTION: The the older toddler bathroom cannot be used until the mold is removed from the baseboard behind the toilet and the walls behind the toilet area are fixed.

During the time of inspection, it was observed that there was paint peeling by the bathroom in the indoor gross motor space. Paint was peeling behind the sink in the older toddler bathroom. Plaster was broken on the corner of a wall in the preschool classroom. The plaster in the preschool classroom was corrected during the inspection.

During the time of inspection, it was observed that the sink in the older toddler bathroom had rust spots on the legs of the sink and the sink itself had visible dirt on it.

During the time of inspection, it was observed that the climber in the young toddler classroom had significant dust/dirt on the equipment. The toys on the train track in the older toddler classroom were visibly dirty and the couches in the older toddler classroom were ripped. The couches were corrected during the inspection.

During the time of inspection, a staple was observed on the climbing equipment in the young toddler classroom. The staple was removed during the inspection.

During the time of inspection, it was observed that the refrigerator in the infant classroom did not contain an operable thermometer.

An updated health report was not on file for child 1. The health report on file is dated 2/22/21.

Documentation of the immunization record on file for child 4 did not include the recommended doses of the Hepatitis B vaccine at birth, 2 months and 6-18 months. The 2 month, 4 month and 6 month dose of the DTAP, HIB, PCV13, and IPV vaccines. The 12-15 month dose of the MMR and Varicella vaccines.

During the time of inspection, it was observed that the staff member did not wash their hands prior to serving a snack to the children and the children didn't wash their hands prior to snack.

Documentation of the health assessment on file for staff member 2 was updated more than 24 months of the original health assessment date. The initial health assessment was on 3/15/22 and updated on 4/2/24.

Documentation of the health assessment on file for staff member 6 did not include an examination for communicable diseases and the results of that examination or a physician's or CRNP's assessment of the person's suitability to provide child care.

Written notification of safe routes were not posted in a conspicuous location at the facility. This was corrected during the inspection.

Documentation of the emergency plan letter that the parents receive, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Documentation of fire drills on file showed that fire drills were conducted on 8/8/23 and again on 10/12/23 which is more than 60 days.

Documentation of the fire detection system testing wasn't completed every 30 days. Testing was completed on 8/8/23 and again on 9/15/23 which is 38 days and on 10/12/23 and again on 11/29/23 which is 48 days.

Documentation of liability insurance was not on file at the facility. This was corrected during the inspection.

Documentation on file for staff member 3, staff member 5, staff member 6, and staff member 7 did not include documentation of two years' experience working with children. Documentation on file for staff member 5 did not include documentation of education. This was corrected during the inspection.

Documentation of the agreement on file for child 6 did not specify the date of the child's admission.

Documentation of the emergency contact information on file for child 3 did not include the address of the child's physician or source of medical care.

Documentation of the emergency contact information on file for child child 2 and child 3 did not include the enrolling parent's home address. The emergency contact information on file for child 5 did not include the enrolling parents work address or work phone number. The emergency contact information on file for child 6 did not include the enrolling parent's work phone number.

Documentation of the emergency contact information on file for child 5 did not include written parental consent for emergency medical care.

Documentation of the emergency contact information on file for child 1, child 2, child 3, child 5 and child 6 did not include complete addresses for the designated individuals by the parents to whom the child may be released.

Documentation of the 6 month update for the agreement and emergency contact information on file for child 2 and child 6 were updated more than 6 months of the original date.

Documentation on file for staff member 3, staff member 5, staff member 6 and staff member 7 did not include two written references.

During the time of inspection, it was observed that the facility did not have the current certificate of compliance posted in a conspicuous location. The current certificate of compliance was posted during the inspection.

The file for Facility Person #2 did not include DHS FBI fingerprint results. The file for Facility Person # 3 and #4 included RAP sheets with Felony offenses. The RAP sheets and clearances were not sent to the department for review for Facility Person #3 and #4. (see code sheet for hire dates).

It was observed in the infant classroom that there were soft toys, a bib and blankets draped over the sides of pack n' plays used by sleeping infants.

Facility Person #3 and #4 were observed working unsupervised with children and have been convicted of Felony charges. Director did not submit Facility Person #3 and #4 clearance and RAP sheets to the department for review.

It was observed that the measured indoor gross motor space to be used by infants and toddlers was being used for storage. Unsafe items observed in the child care space included computers with hanging cords, 40 stacked folding chairs and stacked decorative items that were a tipping hazard. The space did not contain gross motor equipment and was not safe for large muscle activity.

It was observed in the preschool classroom that the door to the classroom was missing the door handle. It was observed on the playground that there were several pieces of trash piled up along the fence and in 2 corners. It was also observed that there was a sharp screw exposed from the fence wall accessible to children.

It was observed in the preschool classroom that there were large areas of missing paint and exposed plaster accessible to children.

It was observed in the bathroom used by older toddler children that the sink and toilet in the bathroom did not work.

It was observed in the infant classroom that there were 4 high chairs, used by infants that did not have T-shaped safety straps.

It was observed in the infant classroom that the refrigerator did not contain a thermometer.

It was observed in the two-year old classroom that there was a bottle of Tylenol unlabeled.

It was observed in the two-year old classroom that there was Tylenol that did not have written parental consent for administration of the medication.

It was observed in the Preschool room bathroom used by children still potty training, that there was not a hands-free covered trashcan to dispose of soiled pull-ups.

It was observed that the facility did not conduct an emergency drill within the previous 12 months. No prior emergency drills were conducted or documented at the facility.

The facility director did not ensure that the facility smoke alarms were tested every 30 days and that the testing was documented.

The file for Child #1 did not have a health assessment on file.

Facility person #1 and #4 completed have not the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.

The file for Facility Person #1, #2, #3, #4, #5, #6, #7 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The classroom refrigerator in the infant space was observed to have no thermometer inside.