Barnsley Academy · Quarryville

Staff person #1 was observed changing a child's diaper. The diaper changing surface was not cleaned after the child's diaper was changed.

The initial health assessment on file for staff person #1 was not dated within the 12 months prior to providing initial service in the child care setting. The health assessment 3 months after start date. The health assessments on file for staff person #7 were dated in April of 2022, and subsequently more than 24 months later in January of 2025.

The health assessment on file for staff person #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Manual tests of the fire detection system took place on 6/7/24 and subsequently more than 30 days later on 7/8/24.

Staff person #3 has completed the health and safety course titled · Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Staff person #2's fire safety training was due to be completed in June of 2024, but was not completed until December of 2024.

Staff person #5 did not completed the required pre- service trainings (f-1-9) within 90 days of their date of hire. The trainings were completed 144 days after the date of hire.

The record for staff person #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The trash cans located in the bathrooms did not have operable lids (would not close). One of the trash cans contained a disposable pull-up.

The health assessment on file for staff person 2 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The record for staff person 2 did not contain documentation that the staff person has completed the required PA Health and Safety update training. The staff person has been employed for more than 90 days.

Staff person 1 did not complete the mandated reporter training within 90 days of hire. The training was completed 158 days after the date of hire.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the back preschool room. (CORRECTED ON SITE)

According to documentation on file at the time of inspection, the child abuse clearance, the DHS FBI clearance and the mandated reporter training on file for staff person 2 were not updated timely during the previous year. Child abuse clearance - Dated 9/17/2017, and subsequently more than 60 months later on 10/12/2022 DHS FBI clearance - Dated 8/16/17, and subsequently more than 60 months later on 10/19/2022 Mandated reporter training - Dated 10/18/2017 and subsequently more than 60 months later in December of 2022. The most recent DHS FBI clearance on file for staff person 3 was dated 8/5/2017 and has expired. The record included a clearance for another purpose (Department of Education).

Two of the BINGO dotters in the preschool room (1st on right) were labeled "Keep out of the reach of children". The BINGO dotters were observed on the desk within reach of the children in the room. (CORRECTED ON SITE)

At the time of inspection, the immunization records on file for children 1, 2, and 3 were not in accordance with the schedule recommended by the ACIP, nor did they include any appropriate exemption letters. Child 1 - Did not include documentation of having received the Hepatitis A vaccine. Child 2 - Did not include documentation of annual flu vaccine (most recent was from 12/2021). Child 3 - Did not include 2 and 4 month vaccines.

The emergency contact information on file for children 1 and 2 did not include complete addresses for listed release persons.

At the time of inspection, the record for staff person 1 included just one written, nonfamily reference attesting to the person's suitability to serve as a facility person.

The record for staff person 3 did not include a Pennsylvania NSOR certificate, nor the required out of state clearances (Maryland resident). Staff person 1 has been employed at this location since December of 2019. Staff person 3 was observed working alone in a room with children. The PA state police clearances on file for staff person 4 were dated 5/2016 (expired 5/2021) and subsequently 1/6/2022. The update was not obtained timely (within 60 months / 5 years). The record for staff person 5 did not include a mandated reporter training that has been approved for child care purposes. A partial training was on file for PDE purposes. Staff person 5 has been employed for more than 90 days.

A single staff person was observed alone with a mixed age group of 14 preschool and school-aged children. The second staff person from the room had left to answer the front door.

Hand sanitizer was observed in areas accessible to the children in both preschool rooms, and in the school-age room. In the toddler room, diaper cream and baby powder were observed in an unlocked cabinet underneath the changing table (accessible to toddlers). (CORRECTED ON SITE)

Mulch (less than 1 inch in diameter) was observed on the the fenced in playground that is used by toddlers.

Health assessments for staff person 1 were dated 3/19/2019 and subsequently 5/27/2021. The health assessment update was not obtained timely (within 24 months). The health assessments on file for staff persons 2 and 3 were past due to be updated. The most recent health assessment on file for staff 2 was dated 10/24/2019. The most recent health assessment on file for staff person 3 was dated 12/17/2019.

Infant bottles were being hand washed at the facility in between uses. Sufficient bottles were not provided by parents for all feedings, nor were the bottles being washed in a commercial dishwasher (or bottle sanitizer).

At the time of inspection, none of the eight staff that work at the facility had a current pediatric first aid and CPR training. Staff persons 1 and 8 have the following training card on file - CPR and AED (did not include pediatric first aid). Staff persons 2, 3, 4, 5 and 6 have the following training on file: "CPR, AED, and Basic First Aid, adult, child and infant". The cards state, "This program is not designed to meet pediatric first aid regulatory requirements." Staff person 7 has the following training on file "CPR/AED/First-aid (Adult / Child / Infant / Choking / AED / Injury & Universal Precautions). This training does not meet the requirements of a "pediatric first aid and CPR" course.