Bubbles Bears to Books · 657 Morganza Rd, Canonsburg

Staff #1 has a pediatric first aid/CPR training on file that is not an approved curriculum within 90 days of hire.

Staff person #1 and Staff person #2 had CPR/First Aid on file that was not a PQAS approved Pediatric First Aid/CPR course taught by a PQAS approved instructor within 90 days of their hire date.

There was an uncovered electrical outlet accessible to children 5 years of age or younger in the YT room.

There was a bottle of hand sanitizer labeled " keep out of reach of children". accessible to children in the preschool room and in the pre-k room. There was a bag pack that contained Ofloxacin Otic Solution labeled " keep out of reach of children" accessible to children in the preschool room cubbies.

There was a Lysol and Neutral disinfection bottle on the top foot shelf in the kitchen.

Base on inspection observation there was a garbage can that contained garbage that was not removed the day before.

The fence in the toddler's playground contained sharp wire. There was a damaged sink cabinet in the infant room. There was a damaged sink cabinet in the pre-k room.

There were chipped paint spots on the dry wall in the OT room bathroom.

There was a cracked toolbox toy in the pre-k room. There was a green cracked basket in the OT room. There was a broken plastic drawer by the refrigerator in the OT room. There was a ridding car toy with and exposed bolt in the preschool playground. There was a ridding car toy with a broken piece creating a sharp edge in the preschool playground.

The OT room contained a thermometer that was not operable. The clear holder on the refrigerator door in the pre-k room was cracked.

Vehicle # 1 contained a registration form with an expiration date of 12/31/23.

The file for child # 1 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child # 2 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

A gallon container, of Sunproof Stain, which stated, "Keep out of reach of children," was located on the closet floor in the Toddler 2 Room, and was accessible to children in care.

The restroom, located in the Toddler 2 Room, had ceramic, floor tile, approximately 1/2" above the cut-in, floor drain, which created a tripping hazard for children in care.

The green and white play stove/oven, in the Toddler Room, had a broken oven door, which created a scraping/cutting hazard for children in care.

The file for Staff #1 contained Pediatric First-Aid/CPR trainings dated 9.26.19 and 9.28.21, which exceeded the expiration date of the previous training.

The regional office was not notified via telephone by the operator when Child #1 received emergency room treatment on 3/4/22 due to an illness identified while in care at the facility.

A written report was not submitted to the regional office after Child #1 received emergency room treatment on 3/4/22 due to an illness identified while in care at the facility.

An incident report was not written involving Child #1 nor provided to the parent, in which the child became ill with a fever at the facility.

The file for Staff #1 contained consecutive state police, child abuse and FBI clearances dated more than 60 months apart.

The observed emergency plan lacked a method for facility persons to contact parents in an emergency.

The observed emergency plan lacked a method for facility person to inform parents that the emergency has ended and how to be reunited with their children.

The files for Staff #2 and #4 contained consecutive emergency plan trainings dated more than a year apart.

The first-aid kit in the Pre-K Room was observed to be accessible to children.

Damaged and torn foam blocks were observed in the Gross Motor Room.

Small rocks with a diameter of less than 1 inch were observed on the ground of the playground around the spin equipment and along a small path, where infants and toddlers receive care.

The file for Child #1 contained consecutive health reports dated more than 6 months apart.

An Infant Motrin in the OT Room was observed to be expired.

The written parental consent for administration of medication for an Infant Motrin labeled for Child #3 in the OT Room was observed to be expired.

A toothbrush labeled and intended for a child's use was observed in a closed, zippered bag.

During an observed diaper change in the YT Room, a staff member placed a soiled diaper on the changing table until the change was complete and the child's hands were washed, before placing the diaper in a hands-free can.

The files for Staff #2 and #4 contained consecutive health assessments dated more than 24 months apart.

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

The observed smoke detector tests were documented as more than 30 days apart at different times during the inspection year.

The observed emergency plan lacked accommodations for shelter of children during a lock-down.

The files for Staff #2 and #4 contained consecutive fire safety trainings dated more than a year apart.

The file for Staff #3 was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for Staff # 3 was dated 1/27/22.

The file for Staff #1 contained documentation of consecutive child abuse mandated reporter trainings dated more than 60 months apart.

The files for Child #1 and #2 contained emergency contact forms which lacked complete addresses for release persons.

During the assessment of supervision and ratio at 9:30 AM on 1/5/22 in the Infant Room, Staff #1 named 1 Infant and Staff #2 named 2 Infants and 2 YT. There were 6 children in the room at that time. Cert rep asked again and Staff #1 again stated she was responsible for 1 child. Staff #2 then said Staff #1 should have responsibility of the unnamed child.

The SA room, measured as child care space, was observed being used as gross motor space for the toddlers.

Styrofoam boards were observed by the front door of the SA room, currently used by toddlers, accessible to children who are still placing objects in their mouths.