Berks Area Youth Recreation

Staff #2 was alone in a classroom with 14 children, the youngest identified as a preschooler and the oldest a school ager.

Upon arrival at the facility at approx. 10:30am on 7/30/25, there was no running water and the toilets were not able to be used due to a plumbing issue. Children and staff had been at the center since 7am with no running water.

There was a gap of greater than 60 days for fire drills. One was done 1/2/25 and the next one was 3/14/25.

There was a gap of greater than 30 days for the fire alarm test. One was done 1/2/25 and the next one was 3/14/25.

On 7/14/25, two children got stung by bees while playing outside, one getting stung multiple times. On 7/17/25. two additional children got stung while playing outside.

Staff #3 had 2 written references, however, both were from family members.

The facility does not have current documentation from Dept of Environmental Protection that it meets the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). The facility was previously cited during an unannounced inspection ending on 9/4/24. The plan of corrections stated that by 10/31/24 "We will either have on file a yearly letter from DEP stating that we are not a PWS or have the form from DEP stating that the water has been tested."

The most recent health report on file for child #2 is dated 8/30/23.The most recent health report for child #4 is dated 9/5/23.

There was frozen corn with a "best by" date of 7/2024, and frozen meat of some kind with a "use by" date of 7/31/23 in a freezer.

There was no initial health assessment on file for child #5 (see code sheet for start date).

There was insufficient documentation of an approved Pediatric 1st Aid/Pediatric CPR for staff #1.

There was no written evaluation from the previous year on file for staff #1.

The emergency contact information for child #1 did not include the health insurance policy number.

There was a gap of greater than 6 months in the review/update of the emergency contact information and fee agreement for child #2, #3, and #4. The emergency contact information and fee agreement for child #2 were updated on 8/29/23 then on 6/18/24. For child #3, the emergency contact information was updated on 8/28/23 then on 6/14/24; the fee agreement was updated on 5/1/23 then on 6/4/24. For child #4, the emergency contact information was updated on 9/5/23 then on 5/15/24; the fee agreement was updated on 9/11/23 then on 5/15/24.

Staff #2 stated that they did not retain a third copy of the incident reports in a separate incident file.

On 9/30/24 during an unannounced inspection, staff #1 was working alone with children. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics, and Pediatric First Aid and Pediatric CPR.

During an unannounced inspection on 9/30/34, staff #1 was working alone with children and had a volunteer state police clearance. Staff #1 has been employed for more than 45 days (see code sheet for hire date).

During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room. An acceptable plan of corrections was received that stated, "Mentioned outlet was covered. Going forward, all outlets will have protective coverings." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there were several uncovered outlets including one in the front room under the cubbies where children were being cared for, and one in the back room near the hallway opening where children ate lunch. An acceptable plan of corrections was submitted with a correction date of 8/30/24. On 9/30/24, during an unannounced inspection, there were uncovered outlets in an outlet strip in the back child care room.

During an unannounced inspection on 9/30/24, question #2 on the health assessment stating that staff person #1 is free from communicable disease was not checked by the physician and no explanation was provided.

On 8/1/24 during an unannounced inspection at Sills Family Campground, staff #4 was asked if she had a lifeguard. She stated that she did, but could not remember her name. Staff #4 was instructed to provide the file for the lifeguard. The file was not received. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. When asked who the lifeguard was, they stated that staff #11 was the lifeguard. During all visits to the camp, children were observed wearing swimsuits. The manager of the campground stated that the program buses the children to the campground to use the pool weekly.

As of the renewal inspection on 6/24/24, Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #8 had expired state police, child abuse, and FBI clearances, and was working alone with children. An acceptable plan of corrections was received that stated, "Staff person as identified will undergo the Mandated Reporter training within the specified time as realized was required at this documentation. That staff will not be left unsupervised until that time. Staff #8 will get updated State Police, child abuse and FBI clearances before working with children." The correction date provided was 8/8/24. During an unannounced inspection on 8/13/24, staff #7 still had not completed the Mandated Reporter training. The previous citation required the training to be completed by 7/18/24. On 8/13/24, staff #8 was observed working with children at the Sills Family Campground and did not have an updated child abuse clearance or FBI clearance, or sufficient documentation of an updated state police clearance.

During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care. An acceptable plan of corrections was submitted that stated, "Qualified staff have been arranged in care groups as of 6/25/24. Going forward, qualified staff will be in ratio placed groups." During an unannounced inspection on 8/13/24, staff #6 and facility person #10 were in a classroom with 12 preschool and school age children. Facility person #10 was identified as a volunteer and does not count in ratio leaving staff #6 supervising 12 preschool and school age children. At Sills Family Campground on 8/13/24, staff #8 and staff #2 were the only qualified staff with 30 preschool and school age children.

On 8/1/24 during an unannounced inspection at Sills Family Campground, children were observed wearing bathing suits. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. The manager of the campground stated that the program buses the children to the campground to use the pool weekly. The pool has a fence around it but it is not locked. The manager of the pool also stated that the pool is not locked during the day so that campers can access the pool.

During the renewal inspection on 6/24/24, there was no continuity of operations plan. An acceptable plan of corrections was received that stated, "A plan of continuity of operations will be established and provided to all enrolled families by Aug 5, 2024. A continued update and renewal of continuity of operations will be facilitated during the August In Service period of each year." The date of correction was 8/5/24. During an unannounced inspection on 8/13/24, there was no continuity of operations plan.

As of the renewal inspection on 6/24/24, there was no documentation on file of training on the emergency plan at hire for staff #2, #5, #6, #7, #9. There was no documentation of emergency plan training for staff #8. An acceptable plan of corrections was received that stated, "The mentioned staff that did not have documentation in their files regarding emergency plan training will have that signature on their files by Aug 5, 2024. Going forward, all new hires will have the signature that indicates they have received Emergency Plan training upon hire, in their file." During an unannounced inspection on 8/13/24, there was no documentation of emergency plan training for staff #2, #5, and #7.

During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room. An acceptable plan of corrections was received that stated, "Mentioned outlet was covered. Going forward, all outlets will have protective coverings." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there were several uncovered outlets including one in the front room under the cubbies where children were being cared for, and one in the back room near the hallway opening where children ate lunch.

During the renewal inspection on 6/24/24, the handbag of staff #4 was open and accessible to children, and contained several prescription bottles with medication. An acceptable plan of correction was received that stated, "Handbag was removed and stored out of children access. Going forward, all hazardous items will be kept out of children's reach." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there was hand sanitizer and disinfecting wipes labeled "keep out of reach of children" on an open shelf in the front room accessible to children.

The facility does not have current documentation from Dept of Environmental Protection that it meets the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

As of the renewal inspection on 6/24/24, the file of staff #7 had an initial health assessment dated 6/17/22. There was a second health assessment on file with no date so assessor could not determine compliance. An acceptable plan of correction was received that stated, "Stated health form was returned for signature. Going forward, all staff will have completed health forms on file at all times- updated." During an unannounced inspection on 8/13/24, the health assessment of staff #7 had not been updated.

On 8/1/24 during an unannounced inspection at Sills Family Campground, children were observed wearing swimsuits. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. The manager of the campground stated that the program buses the children to the campground to use the pool weekly. Staff data sheet and review of the staff files indicated that no staff had water safety training.

On 6/24/24 a renewal inspection was conducted at the facility. Staff person #7 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. The facility's acceptable plan of correction indicated the correction would be implemented by 8/8/24. On 8/13/24 an unannounced inspection was conducted. Staff person #7 still had not completed the following required pre-service training: health and safety topics.

As of the renewal inspection on 6/24/24, there was no written evaluation for staff #8 and staff #9 who have been employed for more than a year. An acceptable plan of corrections was received that stated, "A written evaluation for staff 8 will be given by August 5, 2024. Staff 9 is no longer employed or serving here. Going forward, written evaluations for staff will be given within their hire anniversary year." During an unannounced inspection on 8/13/24, there was no written evaluation for staff #8.

During the renewal inspection on 6/24/24, staff #1 and #3 were initially identified as volunteers, however, both are younger than 16 years old. An acceptable plan of corrections was received that stated, "Qualified staff have been placed in ratio groups. Going forward, qualified staff will be placed in ratio groups." The correction date provided was 6/25/24. During an unannounced inspection on 8/13/24, staff #1 and #3 were acting in the role of staff/camp counselors at Sills Family Campground.

As of the renewal inspection on 6/24/24, Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #8 had expired state police, child abuse, and FBI clearances, and was working alone with children.

During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care.

During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

During the renewal inspection on 6/24/24, there was no continuity of operations plan.

As of the renewal inspection on 6/24/24, there was no documentation on file of training on the emergency plan at hire for staff #2, #5, #6, #7, #9. There was no documentation of emergency plan training for staff #8.

During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room.

During the renewal inspection on 6/24/24, the handbag of staff #4 was open and accessible to children, and contained several prescription bottles with medication.

During the renewal inspection on 6/24/24, the green turf carpet on the outdoor play space had huge tears throughout the carpet creating a tripping hazard. The plastic climber had a large hole in one of the slide beds and on the side climbing part. The fenced play area had so many items in it, there was little space for children to move freely and safely.

During the renewal inspection on 6/24/24, there was no handwashing sign at the sink in the kitchen. Children went to the bathroom unattended and did not wash hands after using the toilet due to there being no soap or paper towels in the bathroom.

As of the renewal inspection on 6/24/24, the file of staff #7 had an initial health assessment dated 6/17/22. There was a second health assessment on file with no date so assessor could not determine compliance.

As of the renewal inspection o n 6/24/24, staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

As of the renewal inspection on 6/24/24, there was no written evaluation for staff #8 and staff #9 who have been employed for more than a year.

As of the renewal inspection on 6/24/24, there was no documentation of information about the child's growth and development on the Department's approved form provided to the parents of child #1 (see code sheet for start date) in the previous 6 months.

As of the renewal inspection on 6/24/24, the most recent date of review of the emergency contact information for child #2 was 9/28/23.

During the renewal inspection on 6/24/24, staff #1 and #3 were initially identified as volunteers, however, both are younger than 16 years old.

It was observed and stated by facility staff that on Monday, January 22, there were 28 school aged children transported in the afternoon on the facility owned bus with only 2 total staff persons present.

On 1/23/24, during a correction verification visit, continued noncompliance was observed. Previously on 12/6/23, it was observed and stated that the facility has a mice and fruit fly infestation. Mice droppings were observed throughout the building. They were noticed in the kitchen area where meals are prepared for the children in care. The droppings were observed on the floor and throughout the lower level cabinets in that kitchen space. In addition to the mice droppings, several fruit flies were present in the kitchen space most noticeable around the sink area. The facility submitted a plan of correction on 1/2/24, which was accepted, but upon review on 1/23/24, it was determined that the submitted plan was not implemented.

On 1/23/24, during a correction verification visit, continued noncompliance was observed. Previously on 12/6/23, it was observed that the facility had pillows, a large room-sized rolled up carpet, and boxes stored on a stairwell that contained a sign which read "alternate evacuation route". The facility submitted a plan of correction on 1/2/24, which was accepted, but upon review on 1/23/24, it was observed that the submitted plan was not implemented. Although the pillows, carpet, and boxes were removed from the stairwell area, additional boxes and furniture were now being stored in the adjoining hallway leading to that same stairwell.

It was observed and stated that the facility has a mice and fruit fly infestation. Mice droppings were observed throughout the building. They were noticed in the kitchen area where meals are prepared for the children in care. The droppings were observed on the floor and throughout the lower level cabinets in that kitchen space. In addition to the mice droppings, several fruit flies were present in the kitchen space most noticeable around the sink area.

It was observed in the kitchen area that the floor and cabinets were unclean due to visible mice droppings present.

It was observed that an opened jar of jelly dated 8/22/22 was left stored in the refrigerator used by the facility. It was observed and stated that a opened gallon of milk containing a sell by date of 11/29/23 was still being used for children on 12/6/23.

It was observed that the facility had pillows, a large room-sized rolled up carpet, and boxes stored on a stairwell that contained a sign which read "alternate evacuation route".

Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of September 2023.

File for staff person #2, who was hired as an assistant group supervisor, contained verification of education but did not contain adequate or written verification of at least 2 years of experience working with children.

Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. It was observed that current emergency contact information was not present for children in Room 1 or Room 2.

Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. It was observed that the current emergency contact forms for children are not present when staff and children leave the facility on excursions.

Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. File for child #2 did not contain a copy of the initial or subsequent agreements between the parent and the operator.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training topic.

File for staff person #2, see code sheet for hire date, contained the application for an NSOR verification certificate, but the file did not contain the results of that application. Staff person #2 was observed to be working alone with children the day of inspection. Staff person #4, see code sheet for hire date, did not contain a completed criminal history clearance, a DHS FBI clearance, or the NSOR verification certificate. Although current mandated reporter training is on file dated 4/24/23, for staff person #3, they had not re-completed mandated reporter training within the 60 month requirement. This is evidenced by the previously documented mandated reporter training on file being dated 4/17/18.

It was observed that sunscreen was left accessible to children in care.

It was observed that the facility van's window, located on the passenger side door, was broken. It was observed in the outdoor play space that several areas of the outdoor carpet were folded up and not longer properly anchored causing a tripping hazard.

It was observed that paint above the window in Room 1 was peeling and damaged.

It was observed in the outdoor play space that several pieces of equipment would require embedding, but were not anchored firmly into the ground. The equipment was also not mounted over loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

It was observed that a thermometer was not present in the kitchen refrigerator used by the facility.

File for child #4, see code sheet for date of birth, contained a physical dated 4/18/22, but an updated health report completed within the last 12 months was not found on file.

File for child #5, see code sheet for enrollment date, did not contain a health assessment or documentation of recommended immunizations.

File for staff person #4 did not contain a health assessment or the written results of a TB test.

It was observed that approximately 17 children were signed in on the facility's attendance sheet the day of inspection, but were observed to be present in a separate space within the building. That space was not measured and therefore was not part of the established capacity under the facility's license as usable childcare space.

File for staff person #1 did not contain a written evaluation completed by the director within the last 12 months.

File for child #4 did not contain a child service report completed within the last 6 months.

It was observed that current emergency contact information was not present for children in Room 1 or Room 2.

It was observed that the current emergency contact forms for children are not present when staff and children leave the facility on excursions.

It was observed that child #1 and child #3 did not have an individual file established or maintained at the facility.

File for child #2 did not contain a copy of the initial or subsequent agreements between the parent and the operator.

File for staff person #4 did not contain verification of experience or education.

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

It was observed that the facility did not have the current certificate of compliance posted.

It was observed that the facility could not provide documentation verifying that an emergency plan letter, explaining all required emergency procedures, was created and provided to all currently enrolled families.

It was observed that hand sanitizer was accessible to children in room #2.

It was observed that florescent glass lighting on the ceiling in both rooms did not contain the protective light covering and tiles were missing from the ceiling in room #2 creating a visible hazard. It was observed that paint on the ceiling in room #1 was also chipped and peeling.

It was observed that a milk crate filled with paper and other office supply materials was left sitting in front of the rear gated exit causing this exit to be partially obstructed.

It was observed that the inside of the refrigerator in the kitchen space was unclean and staff stated this refrigerator was being used to store food for the children at the facility.

File for child #4, see code sheet for date of birth, contained one health report dated 7/8/21 and the updated health report dated 9/28/22; therefore an updated health report was not on file every 12 months as required.

Files for child #2, #3, and #4 did not contain a written review of all immunizations recommended by the ACIP; these files did not contain any current documentation regarding the influenza vaccine.

It was observed in the refrigerator in the kitchen space that an open container of mayonnaise was labeled as expired as of 1/2023, and appeared to be discolored.

It was observed that the facility did not have posted in a conspicuous location used by parents the facility's safe routes, or pick up and drop off procedures.

It was observed that the facility van contained expired booster seats.

It was observed and stated that the facility did not submit to local traffic authorities the facility's annual traffic letter.

It was observed that a current copy of the facility's comprehensive general liability insurance policy was not on file at the facility at the time of inspection.

It was observed that the facility did not provide to families in writing the facility's general daily schedule, hours for which care is provided, responsibilities for meals, clothing, health policies, supervision policies, dismissal policies, or transportation and pick-up arrangements. The documentation on file shown during inspection was created for another facility and did not contain any details for this location or legal entity.

Agreement for child #1 was not signed by the operator and did not contain the child's admission date.

File for child #1 did not contain documentation of an emergency contact form detailing all emergency contact information as required.

It was observed that the emergency contact form for child #6 was not present in either room where the child was receiving care at the time of inspection.

File for child #2 and #4 did not contain a dated parental signature within the last 6 month period verifying that the agreements and emergency contact forms for these children were reviewed.

It was observed that the facility did not provide to parents of each enrolled child information on how to access the regulations in Chapter 3270 electronically.

File for staff person #1 did not contain 12 clock hours of annual child care training.

It was observed that diaper cream with a label stating, "keep out of reach of children," was being stored for a child on the lower level shelf under the changing table allowing it to be accessible to the children in care.

It was observed that the first aid kit in the front room was left lying on the floor making it accessible to the children in care.

It was observed in the front room that a bin housing toys for the children on a lower level shelf was broken.

On 12/1/22, continued noncompliance observed from inspection conducted on 9/28/22. On 9/28/22, file for staff person #5, (see code sheet for date of hire), contain neither a completed criminal history clearance nor the request for the criminal history clearance. On 12/1/22, a criminal history clearance for staff person #5 was observed on file, however, file for facility person #7 did not contain all required paperwork under the CPSL. File for facility person #7, (see code sheet for first day volunteering in care with children), contained an application for their NSOR verification certificate but did not contain the certificate itself and facility person #7 was present at the facility for more than 45 days. The facility did not follow their plan of correction that was accepted on 11/7/22.

It was observed that the secondary exit was partially blocked by several large boxes, a stroller, and a large plastic outdoor garbage can.

It was observed at the time of inspection that the facility provided lunch to the children which did not include a protein.

It was observed on the facility's fire alarm testing log that a fire alarm test was conducted on 8/31/22 and then the next test logged was conducted on 10/7/22. This is more than the 30 day testing requirement to meet compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. Although staff person #4 is no longer employed at the facility, staff person #5 was observed to be caring for children unsupervised and staff person #6 stated they have worked with children unsupervised. Staff person #5 and #6 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics and pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #5 has also not completed Mandated Reporter Training. The facility's plan of correction submitted on 8/22/22, was not implemented.

File for staff person #5, (see code sheet for date of hire), contain neither a completed criminal history clearance nor the request for the criminal history clearance.

File for staff person #5, (see code sheet for date of hire), did not contain documentation verifying that they are qualified to be an assistant group supervisor. Documentation observed on file for staff person #5 verified they were qualified to be employed as an aide only. Staff person #5 was observed to be unsupervised caring children at the time of inspection. File for staff person #6, (see code sheet for date of hire), did not contain documentation verifying that they are qualified to be an assistant group supervisor. Documentation observed on file for staff person #6 verified they were qualified to be employed as an aide only. Staff person #6 stated they are at times left unsupervised while caring for children in the outdoor play space at the facility.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. On 6/29/22, it was observed in the main room that staff person #2 was present with 1 older toddler, 6 preschoolers, and 4 older school agers. Staff person #2 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. It was observed in the art room that staff person #4 was present in the art room with 16 school aged children. Staff person #4 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. Although ratios were maintained during the inspection conducted on 9/28/22, the facility has not established a supervision and ratio policy approved by the department and has not trained their staff on this policy. The facility's plan of correction submitted on 8/22/22, was not implemented.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. On 6/29/22, it was observed during inspection that staff person #1 was walking 8 children across the street back to the facility property. A few minutes prior to observing staff person #1 walking these 8 children back to the facility, staff person #1 was observed inside the building and the 8 children were not present. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility. On 6/29/22, it was observed that staff person #3 sent a child inside from the facility's outdoor play space to use the bathroom. The child entered the facility via the art room and staff person #4 sent the child into the bathroom from the art room, through the art room doors, reclosing the doors to the art room behind the child, as the child walked down the hallway to the bathroom alone, leaving that child unsupervised. It was later stated by staff that…

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that the facility did not provide to each enrolled family a letter explaining all parts of the facility's emergency plan procedures. The parent letter did not contain lockdown procedures or specify the accommodations for toddlers, those with special needs, or chronic medical conditions. These were procedures observed in the facility's overall emergency plan, but were not provided in the letter to the parent of each enrolled child. The facility's plan of correction submitted on 8/22/22, was not implemented.

It was observed that a stack of tables, a piece of plywood, and other garbage items/materials were left sitting on the outside walkway at the rear door of the facility.

It was observed in the main room that an electric outlet by the doorway was left uncovered and outlets on a power strip in the classroom were left uncovered, both accessible to children under the age of 5.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed in the kitchen/office area of the main room that the following were left accessible to children in care: a gallon sized bottle of bleach and a quart of diesel fuel were observed together on the floor between the play space and kitchen area, cleaning products were stored in the cabinet under the kitchen sink, and medication bottles were stored on a waste-high shelf between the office and kitchen spaces. The facility's plan of correction submitted on 8/7/22, was not implemented.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that the inside of the facility refrigerator was left unclean. The facility's plan of correction submitted on 8/7/22, was not implemented.

It was observed that the facility's garbage can, located by the bathroom changing table and observed to be used to dispose of soiled diapers, was broken and no longer hands-free.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that perishable food items requiring refrigeration were being stored in the classroom space and not in the refrigerator. The facility's plan of correction submitted on 8/22/22, was not implemented.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was stated that the facility did conduct an emergency drill after 6/29/22 however, documentation of this drill was not found on file. The facility's plan of correction submitted on 8/7/22, was not implemented.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. Emergency contact form for child #3 did not include release person's address.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that although the facility's emergency transportation plan is now posted in the art room, it was stated that the plan is not accompanying staff who leave with a group of children on an excursion away from facility property. The facility's plan of correction submitted on 8/7/22, was not implemented.

File for staff person #5, (see code sheet for hire date), did not contain a health assessment or results of a TB test or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics, pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, and Mandated Reporter Training.

It was observed in the main room that staff person #2 was present with 1 older toddler, 6 preschoolers, and 4 older school agers. Staff person #2 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. It was observed in the art room that staff person #4 was present in the art room with 16 school aged children. Staff person #4 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space.

No staff persons were present when children were on an excursion away from the facility property for approximately 10 minutes. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility.

It was observed during inspection that staff person #1 was walking 8 children across the street back to the facility property. A few minutes prior to observing staff person #1 walking these 8 children back to the facility, staff person #1 was observed inside the building and the 8 children were not present. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility. It was observed that staff person #3 sent a child inside from the facility's outdoor play space to use the bathroom. The child entered the facility via the art room and staff person #4 sent the child into the bathroom from the art room, through the art room doors, reclosing the doors to the art room behind the child, as the child walked down the hallway to the bathroom alone, leaving that child unsupervised. It was later stated by staff that the child was child #5.

It was observed and stated that the facility did not provide to each enrolled family a letter explaining all parts of the facility's emergency plan procedures.

It was observed in the kitchen/office area of the main room that disinfectant spray and medication bottles were left accessible to children in care.

It was observed that the first aid kits in both the main room and art room were accessible to children.

It was observed that a first aid kit and emergency contact forms were not present and did not accompany staff when taking children off facility property.

It was observed in the kitchen that the stove was turned on and the kitchen was left accessible to children in the main room causing a visible hazard. It was observed that the corner shelf in the main room by the bathroom hallway was unclean; it was dusty and contained cobwebs.

It was observed in the facility hallway that mats, which staff stated are used by the children for tumbling, were ripped and not in good repair.

It was observed that the inside of the facility refrigerator was left unclean.

It was observed that medication, labeled for child #6, was present in the kitchen space, and no medication log or signed parental consent was observed or provided by facility for this medication.

It was observed that a child was sent inside to use the bathroom, no staff were present, and the child did not wash their hands after toileting. It was later stated by staff that the child was child #5.

It was observed in the main room that perishable food items requiring refrigeration were being stored in the children's cubbies.

It was observed that the facility did not have a menu posted, and it was stated that the facility does not provide families with a copy of a menu at least 1 week in advance. Facility was observed providing meals to the children during inspection.

It was observed and stated that the facility did not conduct or document at least one annual emergency drill.

It was observed that the facility did not maintain their proof of purchase from their fire alarms and did not document the testing of their fire alarms at least once every 30 days as required under section 1016(c) of the act (62 P.S. § 1016(c)).

File for child #2, see code sheet for enrollment date, contained a physical dated 1/28/22, and did not contain a review of the child's immunization status according to the recommendations of the ACIP. The initial physical and immunization records for child #2 were to be on file no later than 12/20/21 according to the child's documented enrollment date.

It was observed that the daily activities were not posted in the art room for the child care group observed in that room.

Agreement for child #4 was not signed by the operator.

Agreement for child #4 did not specify the fee amount that is to be charged by the facility or the arrival or departure times for the child.

Agreement for child #4 and #5 did not specify the child's admission date.

Emergency contact form for child #4 did not include the address of the child's physician.

Emergency contact form for child #1-#4 did not include the enrolling parent's work address. Emergency contact form for child #1-#3 did not include the enrolling parent's work telephone number.

Emergency contact form for child #1 did not include the child's health insurance policy number.

Emergency contact form for child #3 and #4 did not include the release person's address. Child #4 has since unenrolled.

It was observed that the emergency contact forms located in the child care spaces were not updated with the information from the children's master files, and there was not emergency contact forms present for every child receiving care in their classroom space.

It was observed that the facility's emergency transportation plan was not posted in the art room, and did not accompany staff who left facility property with a group of children on an excursion to the park.

It was observed that child #7 was present during the inspection but did not have an established individual record observed at the facility.

Agreement and emergency contact form for child #4 contained a dated signature verifying the forms were reviewed in November 2021, but no subsequent dated signature was obtained by the parent verifying that these forms were reviewed within the last 6-months as required.