Barbis Child Care Center LLC

The operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

The facility had shaving cream with the statement "Keep out of reach of children" and was intended for use in arts and crafts with the children.

The facility lacked the telephone numbers for the nearest hospital, police department, fire department, ambulance and poison control center posted in the telephone in the preschool room.

The school age room in the basement had peeling paint and multiple areas of black spots on the walls that were circular in shape and darker in the center on the walls in the bathroom.

There were 2 plastic bins and 2 plastic lids with toys in the preschool room that were cracked and posed pinch points and sharp edges to the children in care.

The facility had plastic bags in the infant and preschool room that were accessible to the children in care who still put things in their mouths.

The facility's documentation of fire system checks on 5/17, 6/20, 7/25, 8/16 and 9/22/23, were completed more than 30 days between each check as required by section 1016(c) of the act (62 P.S. § 1016(c)).

Staff files #1, #2, #3, #4, #5, and #6 lacked documentation of completion of the Pennsylvania Health and Safety Update 2022 within the prescribed timeframe required by OCDEL to complete the training, which was by December 30, 2022, as per Announcement C-22-06.

Child file #3 lacked the designated persons to whom the child may be released on the agreement form.

The facility lacked copies of the emergency contact forms in both outdoor play spaces where the children were receiving care at the time of the renewal inspection.

The facility lacked a copy of the emergency transportation plan posted in the school age room.

Staff file #2 lacked a valid NSOR verification clearance. (See LIS CODE SHEET) Staff file #3 contained a volunteer Child Abuse Clearance dated 5/1/23. (See LIS CODE SHEET)

There were cleaning supplies and paint in the utility room that did not have a lock on the door and was accessible to the children.

The windows above ground floor in the addition and were accessible to the children while in care, were not limited to opening 6 or fewer inches.

The first aid kit for the new child care room lacked soap and scissors and was not in the child care space.

The toilets and sinks in the new child care space lacked hand washing signs at each toilet and sink.

Staff file #4 lacked a copy of a health assessment with TB results prior to hire. (See LIS CODE SHEET) Staff file #1 lacked a copy of TB results dated within 12 months of hire. (See LIS CODE SHEET)

The facility lacked copy of the proof of purchase for the new fire detection devices installed in the new child care space.

The facility lacked a copy of written plan of daily activities posted in the new child care space.

The facility lacked a transportation plan for a means of transporting a child to emergency care in the event of an emergency posted in the new child care space.

Staff file #4 lacked copy of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person in the file.

Based on findings during investigation of self-reported noncompliance, it was determined that staff person #1 slapped child #1 while child was in care in the preschool during naptime.

Staff could not see, hear, direct and access of the children in their groups during naptime due to the placement of the cots near the furniture in the toddler room and in the preschool room.

The emergency exit from downstairs preschool room to the outside was obstructed.

The toddler and preschool cots did not have at least 2 feet of space between the cots while the children were sleeping on the cots.

The facility lacked an accident file for copies of accidents, injuries and illnesses that occurred at the facility.

Staff file #2 and #4 lacked updated emergency plan training on an annual basis, documentation of emergency plan training conducted on 8/21/20 and 12/21/21 were in the files.

The facility lacked an indoor or outdoor play space for the children to use for large muscle activity.

The facility lacked posting of emergency telephone numbers by the telephones in the facility.

The first aid kit located in the preschool room downstairs lacked scissors and sterile gauze pads in the kit.

The preschool room had toys in cracked bins in the kitchen area and the train area.

The preschool bathroom had empty plastic bags accessible to the children who are still placing objects in their mouths.

The refrigerators in the preschool room and in the kitchen lacked an operable thermometers.

The diaper changing pad covers were torn exposing the foam pad which could not be sanitized after each use.

Staff file #5 lacked an initial health assessment prior to working at the facility. (See LIS CODE SHEET)

Staff files #2 and #4 lacked documentation of annual fire safety training conducted by a fire protection professional.

Child file #1 lacked the designated release persons on the agreement form.

Staff files #1, #2 and #3 contained documentation of the health and safety professional development training completed prior to September 30, 2016.

Staff file #2 and #4 lacked 12 hours of child care training completed between 12/19/20 and 12/20/21.