Broad Street Kids INC

The files for staff person #1, #2, and #3 lacked verification of current fire safety training completed within the last year.

The file for child #2 had an emergency contact form that lacked the address and telephone number of the child's physician. The file for child #3 had an emergency contact form that lacked the telephone number of the child's physician.

The files for child #1 and #2 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first-aid/CPR training, Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first-aid/CPR training, Health and Safety Training in the topics of 3270.31(f)(1-9), Mandated Reporter Training.

The file for staff person #4 had an FBI clearance with a rap sheet that lacked the required disposition. (See LIS CODE SHEET) At the time of hire, the file for staff person #5 had a volunteer child abuse clearance dated 12-19-23 and lacked a child abuse clearance for employment at their start date. A child abuse clearance for employment was completed on 7-8-24. (See LIS CODE SHEET) The file for staff person #6, hired provisionally, had an FBI clearance and NSOR verification certificate dated after their start date and lacked verification of being fingerprinted for the FBI clearance or verification of application for the NSOR verification certificate at their start date to be a provisional hire. (See LIS CODE SHEET) The file for staff person #7 had a child abuse clearance that was dated after their start date. (See LIS CODE SHEET) The file for staff person #8 had a state police clearance that was dated after their start date. (See LIS CODE SHEET)

The files for staff person #1 and #2 had emergency plan training that exceeded a year between trainings.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

In the older toddler area in the main room, the changing table had an unlocked cabinet with multiple toxics, including disinfectant sprays and wipes, labeled "Keep out of reach of children" and were accessible to children.

The first-aid kit in the infant room lacked tweezers.

In the basement, there was one area of peeling paint/damaged plaster on the left wall.

In the infant room with young and older toddlers that were walking and able to wash their hands, the sink next to the changing table lacked a platform or steps and was unable to be reached by the children after diapering to wash their hands.

In the main room, the exit door from the room leading to the front main road was obstructed by chairs in the lobby area outside the exit door from the room.

In the infant room, the refrigerator that was observed storing bottles of milk for children in the room lacked a thermometer.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

The file for child #3, a 2 year old enrolled more than 60 days at the facility, lacked documentation of the 2nd Hepatitis A vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

At approximately 2:06 p.m., staff person #9 changed a 3 year old child's diaper, and it was observed that the child did not wash their hands afterwards.

The files for staff person #9 and #10 had a tuberculosis screening by the Mantoux method that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and require a current tuberculosis screening by the Mantoux method.

The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

The file for staff person #10 had a health assessment that lacked an examination for communicable diseases and the results of that examination.

The files for staff person #4 and #10 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

The files for staff person #2 and #3 had current pediatric first-aid/CPR training with a completion date of 6-7-24 that was after the May 2024 expiration of the prior training.

The files for staff person #1 and #2 had fire safety training that exceeded a year between trainings.

Staff person #6 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 in the topics of 3270.31(f)(1-9).

The file for staff person #5, functioning as an aide, lacked verification of education to qualify as an aide. The file for staff person #4, functioning as an aide, lacked verification of experience to qualify as an aide. The file for staff person #2, functioning as an assistant group supervisor, lacked verification of experience to qualify as an assistant group supervisor.

A daily activity schedule was not posted in the infant room.

The file for child #2 had an agreement that lacked the persons designated by a parent to whom the child may be released.

In the infant room, the emergency contact forms were not present in the room for the 3 children receiving care in the room.

An emergency transportation plan was not posted in the infant room.

The file for staff person #9 lacked two written, nonfamily references.

The file for Staff person #5 contained a Dept of Education FBI clearance dated 3/15/21 which is not an acceptable DHS FBI clearance. The file for Staff person #5 was observed to not contain documentation of application of an NSOR certificate prior to date of hire (See IS Code sheet). The file for Staff person #8 contained a State Police Clearance dated 1/25/23 which was after hire date (See IS Code sheet).

At approximately 9:45 AM it was observed that Staff person #1 was in the upstairs preschool room with 10 preschool children. When interviewed Staff person #1 named and identified all 10 children as being in their designated group. Then at approximately 9:50 AM it was observed that Staff person #2 was in the downstairs gross motor room with 11 preschool children. When interviewed Staff person #2 named and identified all 11 children as being in their designated group. Certification rep pointed out that they named 11 preschoolers and Staff person #2 quickly identified child #4 that was supposed to be in Staff person #1's group upstairs. Staff person #1 stated that child #4 must have gone downstairs when another child was using the restroom. Child #4 was not under supervision of any staff person when child #4 left the upstairs preschool room and walked downstairs to the gross motor room.

At approximately 9:45 AM it was observed that Staff person #1 was in the upstairs preschool room with 10 preschool children. When interviewed Staff person #1 named and identified all 10 children as being in their designated group. Then at approximately 9:50 AM it was observed that Staff person #2 was in the downstairs gross motor room with 11 preschool children. When interviewed Staff person #2 named and identified all 11 children as being in their designated group. Certification rep pointed out that they named 11 preschoolers and Staff person #2 quickly identified child #4 that was supposed to be in Staff person #1's group upstairs. Staff person #1 stated that child #4 must have gone downstairs when another child was using the restroom. Child #4 was not under supervision of any staff person when child #4 left the upstairs preschool room and walked downstairs to the gross motor room.

At approximately 9:45 AM it was observed that Staff person #1 was in the upstairs preschool room with 10 preschool children. When interviewed Staff person #1 named and identified all 10 children as being in their designated group. Then at approximately 9:50 AM it was observed that Staff person #2 was in the downstairs gross motor room with 11 preschool children. When interviewed Staff person #2 named and identified all 11 children as being in their designated group. Certification rep pointed out that they named 11 preschoolers and Staff person #2 quickly identified child #4 that was supposed to be in Staff person #1's group upstairs. Staff person #1 stated that child #4 must have gone downstairs when another child was using the restroom. Child #4 was not under supervision of any staff person when child #4 left the upstairs preschool room and walked downstairs to the gross motor room.

It was observed in the furnace room that there were flammable paints and rags close to the gas hot water tank. A pair of adult's scissors were on the desk accessible to children in the infant room that which was being used for preschoolers.

It was observed in the downstairs gross motor room that two outlet receptacles lacked protective receptacle covers that were accessible to children under the age of 5.

It was observed that the gate that was leading into the kitchen was not secure which made the stove accessible to the children in care.

It was observed in the basement gross motor space that in the corner by the restroom a piece of baseboard trim is loose. The radiator cover in the basement gross motor space and in the infant room were loose and have exposed screws. It was observed that the push bar on the door exiting the facility was loose and had pinch points. It was observed in the basement hallway leading out to the outside exit that there was unidentified black substance on the wall.

It was observed that there was chipping and peeling paint around the side exit door. There was a sign on the exit ramp that had peeling paint that was accessible to the children. There was a shelving unit at the front entrance that has peeling paint.

It was observed that the sink that the toddler children use to wash their hands does not have a stool for the children to be able to reach the sink independently.

In the preschool room there was a grey bin that contained blocks, and a dustpan that was accessible to the children that were cracked with sharp edges. In the toddler room there was a black lid of the train container, green bin with dinosaurs, a container of blocks, that were all cracked and had sharp edges.

It was observed that in the basement gross motor space that there were folding chairs stacked against the wall that contained sharp points on the bottom of the chairs, also since the chairs were stacked against the wall and not used appropriately, they could fall over on a child which causes a hazard.

It was observed during naptime that the cots of the preschool school class were not two feet apart on three sides while in use.

The immunization records for child #1, child #2 and child #3, lacked a current influenza vaccination.

It was observed that the children in the toddler room did not wash their hands before lunch. It was observed that staff used wipes to wash the hands of children who are not infants.

It was observed in the infant and toddler diapering areas that there isn't a working hands-free covered garbage can in which to dispose of diapers.

The two most recent health assessments on file for Staff person #1 were dated 9/17/20 and 2/3/23 are more than 24 months apart.

It was observed in the cubbies of toddler classroom and preschool classroom that there were lunch boxes that contained potentially hazardous foods such as yogurt, string cheese, and ham and cheese sandwiches that were not refrigerated.

Staff persons #6, and #7's files lacked the updated health and safety training which was required by12/30/2022.

The file for Staff person #2 did not contain a yearly evaluation. The file for staff person #3, and staff person #4 contained staff evaluations dated more than 12 months after hire.

The file for staff person #2 contains an application for a state police clearance which is dated after staff person #2 began in a childcare taking position (See IS CODE SHEET). The file for staff person #3 lacks verification of application for an NSOR prior to beginning in a childcare taking position (see IS code sheet) required for provisional hiring under the CPSL. The file for staff person #4 contains an expired state police clearance, an expired child abuse clearance, and lacks proof of application for an NSOR (SEE IS CODE SHEET). The file for staff person #5 contains verification of FBI fingerprinting dated after staff person #5 began in a childcare taking position (SEE IS CODE SHEET) as required for provisional hiring under the CPSL.

Observed an infant sleeping in an incline rocker.

The emergency plan lacks the following updates which were required by 7/01/22: Volunteer training, a plan for practice drills, and a plan for continuity of operations. The emergency plan also lacks accommodations for infants, toddlers, and children with chronic medical conditions.

Observed two young toddlers eating at a feeding table without the safety straps being engaged.

Observed an accessible uncovered electrical outlet in the infant area of the main child care room.

Observed accessible Clorox dish soap labeled 'keep out of the reach of children" at the right handwashing sink in the main child care room.

The hot water temperature at both bathroom sinks which are used by children measured at 112° F.

Observed chipping paint on the lower part of the exterior doorframe surrounding the entrance door to the facility.

Observed the waste receptacle in the main bathroom lacks a lid.

Observed 4 Pack n Plays blocking the front exit of the building.

The health report on file for child #1 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #3 lacks verification of a current DTAP, Pneumococcal, Influenza. MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #4 and #5 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

The health assessment on file for staff person #1 lacks documentation of a physical examination and an examination for communicable diseases and the results of that examination.

The health assessment on file for staff person #1 lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

Observed an infant child being fed from a bottle which was not labeled with the child's name.

During the following intervals, testing of the fire detection system occurred more than 30 days apart:5/11/22-6/13/22, 7/5/22-8/5/22, 8/5/22-9/7/22.

The mandated reporter training on file for staff person #4 is an unacceptable version of the training, making it invalid.

The file for staff person #3 lacks verification of college major to qualify as a group supervisor, the role assigned to and being performed by staff person #3.

The file for staff person #2 lacks proof of education to qualify for the role of aide, the role assigned to and being performed by staff person #2.

The file for child #2 and #4 contains emergency contact information which lacks the complete work address of the enrolling parent.

The file for child #1 contains emergency contact information which lacks the name of the child's health insurance. The file for child #3 contains emergency contact information which lacks the name and policy number of the child's health insurance.

The file for child #1, #2, #3, #4, and #5 contains emergency contact information which lacks the address(es) of the parent-designated release person(s).

Observed children receiving care in the gross motor space without emergency contact information being present.

The gross motor space lacks an emergency transportation plan posting.

At the time of inspection, the facility lacked a proof of purchase for one of the smoke detectors installed and currently in use at the facility.

The file for staff person #1 lacks verification of 2 year's child care experience to qualify for the position of assistant group supervisor.