Bubbles Bears to Books · 2500 Washington Rd, Canonsburg

On 8/5/25 at 11:25 am, Certification Representative (CR) observed 5 children, 4 preschool age and 1 younger school age, playing in the front of the preschool room. Staff #2, who was responsible for the 5 children, could not be seen. When the CR asked who was supervising the children, another staff went to the back corner of the room and retrieved Staff #2. Staff #2 had been in the back of the room prepping for naptime. Staff #2 was unable to supervise the 5 children from her position in the back corner of the room. Later, Staff #2 left the 5 children, and went to the far side of the room and leaned out the door to speak to another staff located in the outdoor play space.

On 8/5/25 at 11:25 am, Certification Representative (CR) observed 5 children, 4 preschool age and 1 younger school age, playing in the front of the preschool room. Staff #2, who was responsible for the 5 children, could not be seen. When the CR asked who was supervising the children, another staff went to the back corner of the room and retrieved Staff #2. Staff #2 had been in the back of the room prepping for naptime. Staff #2 was unable to supervise the 5 children from her position in the back corner of the room. Later, Staff #2 left the 5 children, and went to the far side of the room and leaned out the door to speak to another staff located in the outdoor play space.

There was peeling paint on the supply shelf in the infant room.

The thermometer in the refrigerator in the infant room was broken.

The bottle on top of the microwave in the infant room was not labeled with the child's name.

The facility's emergency plan did not address accessing program files and financials in an emergency situation.

The facility's parent letter explaining the emergency procedures did not contain information regarding a method to contact parents, a method to inform parents that the emergency has ended, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical care.

Various cans of paint, labeled keep out of the reach of children, were accessible to children in an unlocked closet in the bathroom located in the Toddler Room. In the School Age Room, Purell hand sanitizer and Disinfex Multipurpose Wipes, labeled keep out of the reach of children, were accessible to children in an unlocked desk drawer.

The diapering area in the Infant Room and the Toddler Room lacked handwashing signs.

The two most recent health reports on file for Child #2, a young toddler, are dated 3/12/24 and 12/12/24, more than 6 months apart.

The initial health report on file for Child #3 was not dated by the physician, making the health report invalid.

The record of the required education on file for Staff Person #1 to be classified as an aide was an international diploma, not evaluated by an approved evaluator, with no equivalency on file.

The emergency contact form for Child #5 lacked an address for the child's physician.

The emergency contact form for Child #1, Child #4, and Child #5 lacked information regarding the child's special needs, specified by the parent.

The emergency contact form for Child #3 lacked the child's insurance policy number.

The file for Child #5 did not contain signed parental consent for transportation.

The file for Staff Person #1, does not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06. The emergency plan on site does not include continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Staff person #1 and staff person #2 were both missing emergency plan training at the time of initial employment.

There was a bag of Dab o ink bingo dabbers in the craft bin in the preschool room labeled "keep out of reach of children".

In the Toddler 2 room there were two cracked plastic bins that contain pinch points that could cause injury,

Eczema cream was observed in the locked medication bin in the Toddler 2 room which had expired 3/24 and was therefore not in accordance with the manufacturer's original label.

A child's lunch box was observed in the School Age room unrefrigerated, and a yogurt was observed inside of the lunchbox.

The insurance card in both transportation vehicles was expired.

The facilities emergency plan did not provide for children with disabilities or children with chronic medical conditions.

The file for Staff person #1 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare, as one of the references is from a family member.

At approximately 8:30am, staff #2 and #3 were observed with 11 total children in T2. When asked to identify the children in their assigned groups, Staff #2 identified 6 older toddlers. Staff #3 identified 4 older toddlers and 1 preschooler. 1 child in each group were later determined to be young toddlers resulting in staff #2 being assigned to supervise 6 children; 5 older toddlers and 1 young toddler.

At approximately 1:15PM, staff #4 was observed in T2 with 11 napping children; 2 children in the group were determined to be young toddlers.

The facility's handbook, used to inform parents about emergency procedures, did not include details regarding accommodations for infants or toddlers during an emergency.

The folding door in the toddler restroom was not secured in the track, allowing it to open freely, which resulted in several cans of paint being accessible to children. The paint cans were stacked on the floor beside the washing machine.

A loose section of wire, approximately 15 inches long and which created a loop, was observed near the base of the wall in the gym in the area where the ride-on and push toys were located.

The arms of a white child size rocking chair in the preschool room were not securely attached to the frame. One of the arms was able to be completely removed leaving a sharp screw exposed.

A loose screw lacking a washer to hold it in place was observed in the hinge of the red play kitchen set in the rear unused portion of the infant room.

A door on the diapering table in T1 was missing screws and was not fully attached to the table at the hinge which created a pinch point. The legs on the science table in the school age room were observed to be loose creating a pinch point. Missing screws were observed on the back rest of a folding futon/sofa in the school age room. The missing screws resulted in the back rest being unstable and a safety hazard.

The file for child #2, a young toddler, lacked a health report conducted in the past 12 months.

The file for child #2, 14 months old, contained an immunization record which indicated they have received only 1 dose of vaccines for rotavirus, DTAP, HIB, and pneumococcal. A written exemptions was not on file for child #2.

Staff #3 was observed diapering a child in T2. When the diapering was complete, the child returned to the group of children sitting on the floor without washing their hands.

The file for staff #1 contained consecutive health assessments dated more than 12 months apart. The most recent health assessment on file is now current.

Staff #3 was observed diapering a child in T2. Staff #3 did not wash their hands when the diapering was complete.

The file for staff #1 contained state police and child abuse clearances which were not renewed within 60 months. The documented dates were as follows; previous state police clearance 3/28/17, renewed 4/05/22, previous child abuse clearance 3/2/17, renewed 4/12/22. The file for staff #3 contained state police and child abuse clearances obtained for the purpose of volunteering instead of employment.

At approximately 8:30am, staff #5 and staff 6 were observed in T1 with 9 children; 3 young toddlers and 6 older toddlers. When asked to identify the children in their primary care groups, staff #6 named the 3 young toddlers. Staff #5 named 5 of the older toddlers, leaving 1 child unidentified. When asked a second time, staff # named the same 3 young toddlers and staff #5 again named 5 older toddlers leaving the same child unidentified.

The most recent emergency plan training documentation on file for staff #4 was dated 2/09/22.

An open bag of ice melt, labeled keep out of reach of children, was observed in the entry area. Though the area is gated, staff escort children through this area when transporting.

Torn linoleum, which created a tripping hazard, was observed near the rear door of the PS room. The gate in the side outdoor play space had two metal frame pieces which were not secured in place causing them to slide down past the bottom of the gate creating the risk of catching children's feet on the metal.

Peeling paint was observed on the outdoor play structure in the following areas; stairs, platform, and swing support beam. Chips of paint were also observed on the ground around the structure.

The base of the toilet in the PS boys restroom was observed to be heavily soiled.

Foam padding and/or filling was exposed and accessible on the following items: the seat of an infant activity center where the fabric was torn, nap mat #12 in the toddler area, a black adult chair in the gym, a purple foam ball in the storage bin in the side outdoor play space.

The following equipment issues were observed; a fabric Spiderman toy bin with the metal frame protruding in T1, a broken blue storage basket in T2, loose legs which created pinch points on a blue table in the front SA room, a protruding screw on cabinet in the boys SA restroom, an infant activity center fabric seat with a split seam, in the rear outdoor play space the rear corner of the blue storage bin was broken, a boat shaped sand/water table had broken piece with sharp edges, and a large crack on the side of the red plastic slide was observed. In the mulched area a maroon chair with a broken back was observed.

The file for child #1 contained an immunization record which lacked documentation of receiving the influenza vaccine in 2022. A written exemption was not on file.

The file for staff #2 contained a health assessment which did not include the professional title of the individual who conducted the assessment.

The same hypothetical location was documented for 2 consecutive fire drills occurring 3/03/22 and 4/20/22. The location was listed as "front pull station".

Staff person #5 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The file for staff #2, designated as a group supervisor on the staff data sheet, did not include documentation of the qualifications required for the position.

The file for child #1 contained 2 child service reports completed more than 6 months apart. The reports were dated 1/05/22 and 8/09/22 and are now current.

Staff #3 did not complete training in pediatric first aid and pediatric CPR within 90 days of hire. The training was dated 12/28/22. (SEE LIS CODE SHEET)

At the time of the inspection, the operator could not provide documentation of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

The file for Staff #1 contained documentation of out of state residence within the last 5 years, yet lacked clearances for that state.

Toxic paint was observed to be accessible to children in an unlocked closet in the bathroom of the toddler room. A toxic hand sanitizer was observed to be accessible to children on a shelf in the indoor gym.

Peeling paint was observed on the climbing structure of the playground in the following areas: swing beam, railing bottoms, steps and platform floor.

The file for Child #1, DOB 1/9/20, contained consecutive health reports dated 4/20/21 and 1/10/22.

The file for Child #3, age 4, contained consecutive health reports dated 7/9/20 and 1/5/22.

The files for Child #2 and #4 contained documentation of immunization histories which lacked current influenza vaccinations.

During an observed diaper change, a staff member placed the soiled diaper and wipes on the changer while completing the change before placing them in the plastic-lined, hands-free covered can.

The files for Staff #2, #3 and #5 contained consecutive health assessments dated more than 24 months apart.

Documentation of a completed emergency drill was not available at the time of the inspection.

The observed fire drill log contained hypothetical locations of fires in drills conducted 7/21 and 8/21 which were in the same location.

Proof of purchase for the observed interconnected fire detection system was not available at the time of inspection.

The file for Staff #4 contained documentation of consecutive mandated child abuse reporter trainings dated more than 60 months apart.

The file for Child #5 contained an emergency contact form which lacked the complete addresses for release persons.

The file for Staff #6, a new hire, contained documentation of certification in pediatric first-aid and CPR dated more than 90 days after the first day of employment in a child care position.

The file for Staff #1 contained documentation of 11 of the 12 required hours of annual child care training.