Beulah Christian Preschool

The file for Staff Person #1 contained a National Sex Offender Registry clearance dated 9/10/24, after their date of hire (see LIS CODE SHEET), and lacked documentation of request for the National Sex Offender Registry application by date of hire. The file for Staff Person #3 contained an FBI clearance dated 8/29/24, after their date of hire (see LIS CODE SHEET)

The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations including information regarding how they will pay for repairs, pay staff, and pay bills during the aftermath of the disaster.

The facility's emergency plan does not provide for a method for informing parents that the emergency has ended and how they can reunite with their child(ren).

The file for Staff Person #2 contained documentation of annual Emergency Plan training on 8/11/23 and 9/18/24, more than 12 months apart.

The facility's parent letter explaining the emergency procedures lacked information concerning lockdown procedures as well as information regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The water temperature in the Girl's Bathroom (117 degrees), Indoor Play Area (117 degrees), Room 207 (122 degrees), Room 205 (120 degrees) and Room 203 (122 degrees) exceeded 110 degrees.

There were 6 windows in the Indoor Play Area above the ground floor that lacked screens and were not limited to opening 6 or fewer inches. There were 2 windows in Room 232 above the ground floor that were lacking screens and were not limited to opening 6 or fewer inches.

In the outdoor preschool and toddler play areas, the playground unitary protective surface had large cracks and holes in it creating a tripping hazard. In the outdoor infant play area, there is a sharp rock near the basketball hoop. In Rooms 232 and 234 the wall covering under the soap dispensers is damaged and the corners of the drawers/cabinets along the sink counter have rough, sharp edges.

In Room 204 there is peeling paint on the tall cabinet. In the outdoor play space, there is peeling paint on the metal car frame and the metal tunnel.

There is a wooden frame hanging on the fence of the outdoor play area that contains a sharp piece of tin and the frame is splintering. In Room 202, the board books are ripped on the corners. In Room 234, the plastic measuring basket for the scale is broken/cracked. In Room 203, there is a hole in the tall cabinet on the wall with the door which presents a pinching hazard.

Loose mulch, less than one inch in diameter was observed accessible to toddlers in the Outdoor Play Area. In the infant outdoor play area, there is a tarp under a plastic cube climbing unit that is beginning to shred into tiny plastic strips.

In Rooms 215 and 213, there are foam blocks with teeth marks in them. In Room 207, the vinyl is peeling on the foam climber.

The health report in the file for Child #2, a young toddler, was dated 2/14/24 which is more than 6 months since the previous health report dated 7/28/23.

The Epi-Pen, labeled for Child #6, had an expiration date of February 2024.

The file for Staff Person #1 contained an initial health assessment dated 9/1/24, after their date of hire (SEE LIS CODE SHEET). The file for Staff Person #4 (8/14/24) contained documentation of a TB screening dated after their date of hire (SEE LIS CODE SHEET). The two most recent health assessments on file for Staff Person #5 (4/1/22 and 9/1/24), Staff Person #6 (4/15/22 and 8/13/24), Staff Person #7 (2/20/22 & 9/26/24), and Staff Person #8 (11/30/21 & 2/1/24) were dated more than 24 months apart.

There was no written statement giving formula and feeding schedules for infants Child #7 and Child #8 from the parent.

The fire drill log recorded the same hypothetical location of the fire in consecutive drills (gym).

The fire alarm test log includes test dates more than 30 days apart: 1/3/24 and 2/8/24; 5/3/24 and 6/3/24

The file for Staff Person #2 contained documentation of fire safety training on 8/11/23 and 9/18/24, more than 12 months apart.

The file for Staff Person #2 contained evaluations dated 5/23/23 and 6/3/24, more than 12 months apart.

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contain the original fee agreement forms.

The Emergency Contact form for Child #2 lacked parental consent for the facility to obtain emergency medical care.

The Emergency Contact form for Child #2 lacked parental consent for the facility to administer minor first aid.

The file for Staff person #1 only contained one written letter of reference.

Loose crib sheets were observed on 4 cribs in Classroom 205 (Infants).

The file for Staff Person #3 lacked verification of a completed PA State Police or FBI Clearance or the requests for the clearances prior to starting in a child care taking position. The PA State Police Clearance on file was dated 27 days and the DHS FBI was dated 31 days after starting at the facility. The file for Staff Person #6 lacked an FBI Clearance that had been completed for DHS purposes. The FBI Clearance on file at the time of initial hire was completed for DOE purposes. A DHS FBI Clearance was not completed until 10.6.23. Staff person #6 exceeded 60 months between updating their mandated reporter training. This was evidenced by mandated reporter trainings dated 8.30.18 and 10.6.23.

At approximately 9:04am Staff Person #1 was observed to leave Classroom 213 to take a child's lunch to the refrigerator leaving Staff Person #2 with 11 preschool age children. The required staff:child ratio for preschool age children in 1:10.

One protective receptable cover was missing from a power strip near the sink in Classroom 215.

Peeling paint was observed along the ceiling beams in the indoor gymnasium. Pieces of peeling paint were observed to have fallen to the gym floor. A red bench in the outdoor Preschool Play space was observed to have peeling paint in several areas.

Signed parental consents were missing for an Infant Tylenol in Classroom 205 (Infants) and an Epipen in Classroom 213.

The updates to the health assessments on file for Staff Person #7 exceeded 24 months between examinations on 5.12.19 and 4.1.22. The updates to the health assessments on file for Staff Person #8 exceeded 24 months between examinations on 9.23.21 and 10.9.23.

The emergency plan lacked accommodations for infants and toddlers.

The facility exceeded 30 days between fire alarm testing between 11.3.22 and 12.9.22, 1.11.23 and 2.15.23, 2.15.23 and 3.30.23, 5,8,23 and 6.21.23, and 7.12.23 and 8.24.23.

The facility lacked verification that they had submitted their emergency plan to the local municipality and the county emergency management agency.

The updates to the fire safety training on file for Staff Person #5 exceeded 12 months between trainings on 2.21.22 and 8.11.23.

Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(1-9). The training on file was completed 378 days after starting at the facility. The initial 6-hour health and safety training on file for Staff Person #4 was completed on 9.16.16. This training was only acceptable between 9.30.16 and 6.30.18. The updated 10-hour Health and Safety training was not completed until 9.25.23. The file for Staff Person #6 lacked completion of the 1-hour health and safety training update prior to 12.30.22.

The file for Child #1 was observed to contain an original agreement.

The facility did not have information as to how parents can access the current regulations. The facility had a copy of the outdated regulations posted that did not include the updated regulations.

The file for Staff #3, contained FBI clearances dated 6.14.15 and 10.11.20, which exceeded the 60-month renewal requirement. The file for Staff #4, contained FBI clearances dated 1.22.15 and 3.12.20, which exceeded the 60-month renewal requirement. The file for Staff #8, contained State Police clearances dated 8.5.14 and 8.19.19, Child Abuse clearances dated 8.25.14 and 8.27.19, and FBI clearances dated 6.6.15 and 6.18.20, which exceeded the 60-month renewal requirement. The file for Staff #9, contained FBI clearances dated 9.16.15 and 10.8.20, which exceeded the 60-month renewal requirement. The file for Staff #16, contained FBI clearances dated 5.23.15 and 6.24.20, which exceeded the 60-month renewal requirement.

The Emergency Plan trainings, in the files for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6, Staff #7, Staff #8, Staff #9, Staff #10, Staff #11, Staff #13, Staff #14, and Staff #15, were completed on 8.12.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Emergency Plan trainings, in the file for Staff #16, were completed on 8.17.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Emergency Plan trainings, in the file for Staff #17, were completed on 3.4.21 and 8.24.22, which exceeded the 12-month renewal requirement.

A protective outlet cover was not located in the top outlet, next to the left window in Room 202, and was accessible to children 5 years of age or younger.

Bubbling/peeling paint, in various sections of the Nativity Wall in the gymnasium, was present throughout the white paint, and was accessible to children in care.

The Immunization Record, in the file for Child #4, did not contain verification of the Influenza vaccination in accordance with the schedule recommended by the ACIP.

The two most recent Health Assessments, in the file for Staff #3, Staff #10, and Staff #16, exceeded the 24-month renewal requirement.

The Fire Safety trainings, in the file for Staff #3, were conducted on 3.17.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #7, were conducted on 4.1.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #8, were conducted on 2.9.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #10, were conducted on 2.9.21 and 9.8.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #11, were conducted on 2.25.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #12, were conducted on 3.15.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #15, were conducted on 8.12.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #16, were conducted on 2.4.21 and 8.24.22, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #17, were conducted on…

The file for Staff #5, contained Mandated Reporter training on 2.15.15 and 3.28.20, which exceeded the 60-month renewal requirement. The file for Staff #6, contained Mandated Reporter training on 2.11.15 and 3.1.20, which exceeded the 60-month renewal requirement. The file for Staff #8, contained Mandated Reporter training on 2.13.15 and 6.10.20, which exceeded the 60-month renewal requirement. The file for Staff #9, contained Mandated Reporter training on 2.19.15 and 3.29.20, which exceeded the 60-month renewal requirement. The file for Staff #10, contained Mandated Reporter training on 6.9.15 and 7.14.20, which exceeded the 60-month renewal requirement. The file for Staff #12, contained Mandated Reporter training on 3.16.15 and 6.25.20, which exceeded the 60-month renewal requirement. The file for Staff #13, contained Mandated Reporter training on 2.11.15 and 2.15.20, which exceeded the 60-month renewal requirement. The file for Staff #16, contained Mandated Reporter training on 2.11.15 and 2.26.20, which exceeded the 60-month renewal requirement.

The Emergency Contact form, in the file for Child #2, did not contain the enrolling parent's work phone number.

The Emergency Contact form, in the file for Child #3, did not contain the health insurance coverage policy number.

The Emergency Contact form, in the file for Child #1, did not contain signed parental consent for emergency medical care or administration of minor first-aid.