Best Friends Day Care LLC · Harrisburg

It was observed that there was not a written plan of daily activities and routines posted in the 2-year-old classroom.

It was observed that child #1 entered the preschool classroom (room 2) from the hallway without an accompanying adult. The Cert. Rep & Sup. questioned the where the child was or came from as he entered the room from the hallway without a parent or teacher. Staff person #1 stated that they did not know where child #1 came from. It was observed in the infant classroom (last room on the left in the right hallway) that staff #2 answered a call on a cell-phone while caring for children.

When first requested by the Cert. Rep., Staff #1, 3, 4, 5, did not know the names of the children in their assigned groups. Staff #3 and 7 sorted and handed the other staff person the name to face cards after the Cert. Rep. asked for the children in the groups to be identified.

It was observed that the staff room door was unlocked which makes the working stove, staff's personal bags, and an exit accessible to children.

It was observed that the staff person in the one-year-old classroom did not wash child's hands after diaper change, until Cert. Rep. directed staff to wash the child's hands.

It was observed in the one-year-old room that staff were not talking to the children, engaging and playing with them. There were 3 staff in the room with 8 children and Duplo Blocks were the only items provided for play.

Continued noncompliance previously cited on 6.4.24 & 9.13.24: During an unannounced monitoring visit on 11.7.24, the preschool classroom did not have documentation of the mandatory transition sheets as mandated on June 4, 2024, inspection summary (SIN00245709). Transition tracking sheets are not being updated after transition has completed.

During an unannounced monitoring visit, it was observed that the one year told classroom did not clean the changing table after each use.

During an unannounced monitoring visit, it was observed that outstanding inspection summaries (SIN-00250992 & SIN-00251614) were not posted. - Corrected on site

It was observed that a staff member in the PreK classroom was alone in the hallway with 12 children who were using the restroom.

During a complaint visit on 9.13.24, facility staff were not updating transition sheets during transitions in multiple classrooms as mandated on June 4, 2024 inspection summary (SIN00245709).

It was observed in the one-year-old classroom that the table seat straps were visibly dirty and there were food crumbs remaining on the table when breakfast was over. The children were placed in the table seats for lunch with the dirty straps and food crumbs still on the table.

During a complaint visit on 9/13/24, it was observed that a protective receptacle cover was missing from the 2-year-old and the preschool classroom. - Corrected on site.

During a complaint visit on 9/13/24, a hole in the drywall was observed in the 1-year-old classroom next to the table where children eat. A large hole in the drywall was observed in the 2-year-old classroom under the hanging cubbies. - Corrected on site.

During a complaint visit on 9/13/24, it was observed that children in the 1-year-old classroom did not wash their hands before lunch.

During a complaint visit on 9/13/24, facility person #1 had approximately 7 pages to the health paperwork on file and some pages had the facility person's name on them and some did not. The health assessment paperwork did not state that facility person #1 was suitable to work with children and it did not include information on medical problems that might threaten the health of the children.

During a complaint visit on 9/13/24, it was observed that an infant teacher used hand sanitizer between diaper changes.

During a complaint visit on 9/13/24, it was observed that chocolate milk, lunch meat, and cheese, were in lunch boxes on a table not refrigerated.

Documentation shows that the fire detection system was not tested every 30 days. 5/20/24 - 6/26/24

The director stated that a parent brought their dog into the facility and into the child's classroom. The children were petting the dog. There are no vaccination records on file at the facility for the dog.

During a complaint visit on 9/13/24, it was observed that outstanding inspection summaries (SIN-00245954, SIN-00245709, & SIN-00248731) were not posted. - Corrected on site

During a complaint visit on 9/13/24, facility person #2 has a pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file from a course that is not approved.

During a complaint visit on 9/13/24, it was observed that the infants did not go outside. The infant teachers stated that they did not know the last time they took the infants outside.

Child #1 eloped from the fenced in play space. The child was found unsupervised approx. 50ft from Linglestown Road by two funeral home employees. When the child was returned to the facility, staff were unaware he was missing. It was estimated that he was missing for approx. 4.5 minutes.

During a self-reported noncompliance visit on 6/4/24, it was observed that staff person #1, has not completed the following pre-service training required prior to caring for children. Staff #1 was observed caring for children unsupervised. Staff person one did not complete the health and safety basics training, pediatric first aid/CPR and mandated reporter training.

During a self-reported noncompliance visit on 6/4/24, Facility person #1 did not have an NSOR clearance on file at the facility and was observed caring for children unsupervised.

During a self-reported noncompliance visit on 6/4/24, the preschool classroom did not accurately name their primary care groups.

During a self-reported noncompliance visit on 6/4/24, Staff #3 was heard outside of the office door yelling at a child until the director walked out into the hallway to speak with her.

During a self-reported noncompliance visit on 6/4/24, mulch was observed in the outdoor play space where toddlers receive care.

During a self-reported noncompliance visit on 6/4/24, facility persons #4 was from a different facility under the same legal entity and did not have an employee file at this facility.

During a self-reported noncompliance visit on 6/4/24, Facility person #1 has documentation of one reference written by a family member on file. Facility person #2 has documentation of one reference on file.

On 5.17.24, the parent emergency letter did not include a method to inform parents emergency has ended and instructions for how to safely be reunited with their children.

It was observed in the infant room childcare space that the windows going from ceiling to floor did not have a visual strip or other visual identification placed on the glass.

In sunroom, the playmat was frayed along to the seams (Corrected on Site) In the outdoor preschool play space, the wall climber's center netting was torn on the center.

It was observed that staff did not use utensils as children served fruit on tables, and other snacks on tables. Children were eating directly from tabletops.

It was observed in the infant and toddler rooms that child's hands were not washed before meals and snacks, after toileting and after being diapered.

- On 05/17/2024, the center's emergency plan and parent emergency letter did not include accommodations of children with disabilities, and children with chronic medical conditions.

There was no record of completing an annual emergency drill within the last 12 months.

It was observed that fire drills were not conducted at least once every 60 days. The documented fire drills at the facility occurred on 5.3.23, 7.3.23, (61 DAYS) 9.1.23, 11.1.23, (61 DAYS) 1.3.24, (63 DAYS) 2.16.24, 4.4.24 which demonstrates that greater than 60 days elapsed between fire drills.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 1 hour update health and safety training. The current Health and Safety 10-hour training on file had a date of 3.31.22 without the 1-hour update.

Staff evaluations were not completed on a regular basis at a minimum annually. Staff person # 3 had an evaluation dated 4.3.24,

The emergency contacts and financial agreements on file for Child #1, was not updated once in a 6 month period. The emergency contacts on file were dated child #1 (6.18.23 & 1.28.24), The Financial agreements reviewed on file was dated 8.2.23 and 3.8.24.

The file for Facility Person #1 did not include Child Abuse clearance results. Facility Person #1 was observed caring for children. The file for Facility Person #3 did not include Child Abuse clearance results. Facility Person #3 was observed caring for children (corrected on site). The file for Facility Person # 4 included volunteer Child Abuse clearance results. Facility Person # 4 was observed caring for children.

It was observed in the infant classroom that the first aid kit did not contain soap.

It was observed in the sunroom that there was a loose, broken brick on the floor accessible to children and posing a potential hazard.

It was observed in the one-year-old classroom that there was a wall under construction with exposed plaster and missing paint accessible to the children in the space.

It was observed in the sunroom childcare space that the windows going from ceiling to floor did not have a visual strip or other visual identification placed on the glass.

The file for Child #1 and Child #2 did not contain a health assessment. (See code sheet for start date)

The emergency contacts on file and in the Pre-K classroom for Child #2, #5, #6, #7, #8 were not updated once in a 6 month period. The emergency contacts on file were dated (Child #2: 10/18/2021, Child #5: 6/10/2021, Child #6: 2/16/2022, Child #7: 1/20/2021, Child #8: 7/4/2021).

The file for Child #3 and #4 did not contain signed parental consent for emergency medical care.

The file for Child #3 and #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Facility Person #1 and #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Through teacher admission it is confirmed that children have been allowed to walk out of the classroom and down the hallway to the bathroom alone on several occasions.

Through teacher and director admission Facility Person #1 uses harsh language and tone with children in the 3-year-old classroom.

Facility Person #1 was observed in the preschool classroom caring for children. The file for Facility Person #1 did not include Child Abuse clearance results, NSOR verification results or a receipt or a disclosure statement. See staff code sheet for DOH.

Through teacher admission not all children's hands are washed prior to snack or mealtimes.

It was observed that the facility did not conduct fire drills at the facility every 60 days. The last fire drill was conducted on 7/19/2022.

It was observed that the facility Director did not document testing of the fire alarm system every 30 days.

The file of facility person #1 does not contain a completed NSOR verification.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR and Health and Safety training topics training. Staff person #2 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 topics [prior outdated version of Health and safety basics completed on 2.13.19 in file].

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Medication for Child #1 was observed to be present in the older toddler classroom in parent provided containers and no medication log or instructions were present.