Bambinos Daycare Center

On 5/22/25 at approximately 10:00am, Staff #1 was observed caring for 8 young toddlers.

In the Pre-K Room, broken/exposed plaster/drywall were observed on the front and side walls.

The most recent First Aid/CPR certificate on file for Staff #2 is dated 3/12/23, exceeding the expiration date of 3/2025.

The facility's emergency plan lacked information for a method to contact parents when an emergency arises.

The facility's emergency plan lacked information for a method to inform parents that the emergency has ended and to provide instruction on how to safely reunite with their children.

In Room 5 (ones), an outlet to the left of the entrance door lacked a protective cover.

In Room 1 (twos), an opened pack of Kirland baby wipes were observed in an unlocked cabinet under the changing table.

A protruding nail was observed on the outdoor wooden stairs leading to the outdoor play space.

In Room 4 (preschool), peeling paint was observed to the right of the windows on the right side of the classroom.

In Room 3 (Pre-k), a magnet tile was observed to be cracked and sharp on the edge, which could cause injury.

The two most recent health report forms on file for Child #4, a young toddler at the time, are dated 2/8/23 and 2/14/24, more than 6 months apart.

The two most recent health report forms for Child #3 are dated 5/8/23 and 12/10/24, more than 12 months apart.

The file for Staff Person #3 contained a tuberculosis screening dated 1/22/16, more than 12 months prior to the date of hire. (SEE LIS CODE SHEET).

The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The two most recent emergency drills on file were dated 5/16/23-11/1/24, more than 12 months apart.

The facility did not provide documentation that the emergency plan was sent to local and county emergency management.

The initial health report form for Child #1 was dated 7/10/24, more than 60 days after date of admission. The initial health report form for Child #4 was dated 2/8/23, more than 60 days after date of admission.

The two most recent Mandated Reporter trainings on file for Staff Person #1 were dated 1/7/19 and 7/3/24, exceeding the 60-month update. The Mandated Reporter training on file for Staff Person #2 is dated 10/20/19, more than 60-months prior.

The financial agreement forms for Child #1 and Child #2 lacked a date of admission.

The emergency contact form for Child #3 and Child #4 lacked the enrolling parent's work address and work phone number.

The emergency contact form for Child #1 and Child #3 lacked information stating if the child has any special needs.

The emergency contact form for Child #1 lacked the release person's address.

In a phone interview with staff person #1 on 6/28/24 she verified that she completed and signed an NSOR application for staff person #2 making the NSOR not valid. Staff person #2 would not have been able to work providing care for children without a valid NSOR verification certificate.

In a phone interview with staff person #1 on 6/28/24 she verified that she completed and signed an NSOR verification certificate application for staff person #2.

The file for staff person #1 lacked mandated reporter training that was completed within the last 60 months. The mandated reporter training in the file was dated 1/7/19.

The two most recent FBI Clearances for Staff #5 are dated 6/20/18 and 7/17/23, more than 60 months apart.

The file for Staff #1 lacked Emergency Plan Training within 90 days of hire. The training was completed on 11/2/23. (See LIS Code Sheet) The two most recent Emergency Plan Trainings on file for Staff #5 are dated 11/21/21 and 11/2/23, more than one year apart.

Spray bottles with toxics were observed unlabeled in the Younger Toddler and Older Toddler rooms.

A broken wooden step with sharp edges next to the gate for the Toddler Playground was observed accessible to children, which could be hazardous.

An embedded play climber in the outdoor Preschool Playground was observed to contain less than 9 inches of loose-fill mulch.

The immunization record for Child #2 (PSA) lacked the following immunizations: 3 doses of Hepatitis B, 1 dose of Rotavirus, 1 dose of DTAP, 3 doses of Hib, 2 doses of Pneumococcal, 3 doses of Polio, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A with no Letter of Exemption in the file. The immunization record for Child #4 (PSA) lacked the following immunizations: 1 dose of Rotavirus and yearly Influenza shot for 2023 (most recent dated 10/28/22) with no Letter of Exemption in the file. The file for Child #5 (PSA) lacked a yearly Influenza shot for 2023 with no Letter of Exemption in the file. Child #2, Child #4, and Child #5 must be dismissed from care by close of business on 12/12/23 and may only return to care when the immunization record is updated or when a parent provides a written signed exemption letter.

In the Younger Toddler Room, Infant Motrin for Child #6 and Children's Tylenol for Child #7 did not contain the original containers for the medication.

The file for Staff #1 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for Staff #1 is dated 10/5/23.

The files for Staff #3 and #5 lacked completion of the PA Health and Safety Update 1 hour training on or before 12/30/2022. (See LIS Code Sheet)

The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff #2 are dated 7/27/21 and 10/13/23, more than 24-months apart. The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff #4 are dated 2/23/21 and 3/12/23, more than 24-months apart. (See LIS Code Sheet)

Staff #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 11/15/23.

The file for Staff #5 (See LIS Code Sheet) contained a Staff Evaluation dated 11/21/23 and nothing prior.

The financial agreement on file for Child #3 was the original copy.

The Emergency Contact forms for Child Files #1, Child # 4, and Child #5 lacked the Enrolling Parent's Work Address and Work Number.

The Emergency Contact form for Child #1 does not include a complete address for all listed release persons.

The Immunization Record, in the file for Child #2, did not contain documentation of the influenza vaccination in 2022, and no letter of exemption was observed.

Written consent, for administration of an Epi-Pen, prescribed for a child in the OT Room, was not available.

The Health Assessments, in the file for Staff #3, were dated 1.2.20 and 1.3.22, which exceeded the 24-month renewal requirement.

The file for Staff #5 contained a Mantoux Test dated 2.19.20, which was prior to initial employment (see IS Code Sheet), and a tuberculosis screening was not done at initial employment.

The files for Staff #1, Staff #2, Staff #3, Staff #4, Staff #6, and Staff #7 contained documentation of Pediatric First-Aid/Pediatric CPR on 11.4.19 and 11.29.21, which exceeded the expiration date of the previous training.

The Agreement, in the file for Child #1, was not signed by the parent.

The Agreement, in the files for Child #1, Child #2, Child #3, Child #4, and Child #5, did not specify the date of the child's admission.

The Emergency Contact form, in the file for Child #4, did not contain the name, address, and telephone number of the child's physician or source of medical care.

The Emergency Contact form, in the files for Child #2 and Child #4, did not contain the name of the health insurance coverage.

The record for staff #3 included a current FBI clearance dated 12/1/2021, more than 60 months following previous clearance dated 9/6/2016.

The following equipment was accessible and posed a potential pinch point for children in care: In the main preschool room, there was a cracked lid on a plastic bin being used to store toys and in the preschool room, there was a cracked plastic bin being used to store toys.

The record for child #1, a younger toddler, included a current health report dated more than 6 months following the date of previous health report; and the health report was due prior to the suspension of this regulatory requirement during the COVID-19 pandemic as per Announcement C-20-04.

The record for child #2, an older toddler, lacked a current health report.

The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous health assessment. The record for staff #2 included an initial health assessment, including the results of initial tuberculin skin test, dated more than 12 months prior to providing initial service in the child care.

Staff #4 has not participated, at least annually, in fire safety training since 11/15/2020.

Staff #4, who began working in child care on 9/16/2020, completed health and safety training on 12/23/2021, which was more than 180 days following the implementation of the current regulations.

The director completed a written evaluation of staff person #4 on 11/2/2021, more than 12 months following their date of hire on 9/16/2020.

Staff #4, who began working in child care on 9/16/2020, completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 11/29/2021, which was more than 180 days following the implementation of the current regulations.