Bubbles Bears to Books INC

At the time of inspection, the two most recent State Police clearances on file for Staff #1 were dated 1/28/19 and 3/25/24, more than 60 months apart. At the time of inspection, the two most recent Child Abuse clearances for Staff #1 were dated 3/6/19 and 3/25/24, more than 60 months apart. At the time of inspection, the two most recent FBI Fingerprint clearances on file for Staff #1 were dated 2/7/19 and 3/23/24, more than 60 months apart. The file for Staff #2 contained an FBI clearance issued by the Department of Education, which is not an acceptable format. Staff #2 may not work in a childcare position at the facility.

Disinfectant wipes labeled "keep out of the reach of children" were observed under the sink in the kitchen area in an unlocked cabinet.

In the School Age Room, the first aid kit lacked soap and tweezers.

In the Preschool Room, peeling paint was observed to the right of the school age door and to the right of the play washing machine. In the boy's bathroom, broken drywall was observed on the wall near the large bathroom stall. In the School Age Room, broken drywall was observed along the edge of the chalkboard bump out wall.

In the Preschool Room, a toy dryer contained ripped particle board on the handle and not in good repair.

At the time of inspection, the cribs in the infant space were not labeled for the use of a specific child.

The most recent health report form on file for Child #2, a young toddler, is dated 2/11/25, more than 6 months prior.

The two most recent staff health assessments on file for Staff #1 are dated 8/3/21 and 1/28/25, more than 24 months apart.

The health assessment on file for Staff #2 did not include information regarding communicable diseases.

The health assessment on file for Staff #2 lacked information regarding medical problems that would prohibit a staff person from providing adequate care to children.

The health assessment on file for Staff #2 lacked the physician's assessment of the person's suitability to provide childcare.

The most recent emergency drill documentation on file at the facility is dated 7/10/24, more than 12 months prior.

The facility's fire detection log contained dates 7/11/25-8/12/25, more than 30 days in between.

At the time of inspection, the initial health assessment on file for Child #3 is dated 3/20/25, more than 60 days after enrollment.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #1 are dated 9/28/21 and 5/7/24, exceeding the expiration date.

Staff #1 has completed the health and safety update course titled Pennsylvania Health and Safety Updated 2022 (1 hour) training but has not completed the required health and safety courses titled Health and Safety Basics: Requirements for Certification (6 hours) or Get Started with Center-Based Care: Building Blocks for Quality (10 hours).

At the time of inspection, the file for Child #3 lacked an agreement form.

The files for Child #1, Child #2, and Child #4 contained the original agreement form, not a copy.

At the time of inspection, the file for Staff #1 contained 0 out of 12 childcare training hours during the timeframe of 3/2024-3/2025.

At the time of inspection, the most recent documented date on the facility's fire drill log is 9/12/24, more than 60 days prior.

At the time of inspection, the most recent documented date on the facility's fire detection log is 9/12/24, more than 30 days prior.

The file for Staff Person #1 lacked an out-of-state (Ohio) Child Abuse clearance.

The facility's emergency plan did not contain a policy addressing continuity of operations, required as of 7/1/22 per Announcement C-22-04.

The facility lacked documentation that the emergency plan is reviewed annually.

The emergency plan training on file for Staff Person #3 was dated 6/23/23, more than 12 months prior.

In the preschool room, an Old Spice deodorant and BIC Correction Fluid were located in a plastic drawer behind the desk and accessible to children.

In the Toddler Room (right) peeling paint was observed to the right of the hanging bookbags.

In the Infant Room, the diapering area did not contain a handwashing sign.

The file for Staff Person #2 did not contain an initial health assessment. (See LIS Code Sheet)

The facility did not post the menu in a conspicuous location.

The facility's emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

At the time of inspection, the facility did not have documentation that the current emergency plan was sent to local municipality and to the county emergency management agency.

The file for Child #1, enrolled more than 60 days, lacked an initial health report. (See LIS Code Sheet)

At the time of inspection, the facility's annual written notification to local traffic safety authorities was dated 6/21/23, more than 12 months prior.

The fee agreement form for Child #2 did not contain a date for the fee to be paid.

The emergency contact form for Child #2 lacked an address for the release persons.

The emergency contact form for Child #3 exceeded the 6-month update period.

The file for Child #3 contained a financial agreement form that was updated more than 6 months apart.

The file for Staff Person #1 did not contain two written non-family references. The file for Staff Person #2 only contained one written non-family reference.

The file for Staff Person #3 (6 hours) lacked a minimum of 12 clock hours of childcare professional development training.

Based on staff interviews, on 3.5.24 for approximately 15 minutes, 1 staff person was alone in the facility with no other facility person present, with 13 children, including 7 preschool, 4 infants, and 2 young toddler.

Based on statements obtained from more than one staff person, the infant and preschool rooms have been operating out of ratio in the mornings for approximately 15 minutes on a recurring basis since January.

On 3/18/2024, a receptacle full of trash was observed in the school-age room and based on a conversation with staff, it had not been emptied at least once per day.

On 3/18/2024, observed pieces of rubbish on the floors in the kitchen and the hallway; an accumulation of leaves was observed on the floor in the foyer; and food particles were observed on the countertop under the microwave and by the sink in the kitchen.

Loose sheets were observed in two cribs in the infant room, which poses a potential suffocation risk to the children using the equipment.

The record for staff #1 lacked a signed disclosure statement. The record for staff #4, who resided outside of PA within the past 5 years, lacked a child abuse and neglect registry request or check from the state in which they resided.

Protective receptacle covers were not placed in an electrical on the wall outside of the office, accessible to children 5 years of age or younger.

A Bumbo seat, described as hazardous by the United States Consumer Product Safety Commission, was observed in the infant room.

The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as per Announcement C-22-03.

The record for staff #2 lacked verification of a minimum of a high school diploma or GED required to be qualified to work as an AGS. The record for staff #3 lacked verification of a high school diploma or GED and 2 years experience with children required to be qualified to work as an AGS.

The agreement for child #1, #2, #3 and #4 was not signed by the operator.

The agreement for child #2, #3 and #4 did not specify the amount of the fee to be charged per day or per week.

The agreement for child #1, #2 and #5 did not specify the date on which the fee is to be paid.

The agreement for child #5 did not specify the child's arrival and departure times.

The record for child #2-5 did not contain the child's date of admission.

The agreement for child #1-#5 did not specify the services which are to be considered as extra.

The record for child #5 contained the original agreement.

The emergency contact information for child #3 and #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #4 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The record for staff #2, #3 and #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

There were low-growing prickly weeds on the ground inside the preschool outdoor play space and directly outside the entrances to the infant/toddler and preschool outdoor play spaces; there were sharp bolts protruding from the inside of the fence surrounding the outdoor play spaces; there were wooden boards used to trim the bottom of the fence inside the outdoor play spaces that were decomposing and breaking apart, which created sharp pieces; and there were multiple layers of carpeting in the infant/toddler outdoor play space, which created an uneven surface and potential tripping hazard for children in care.

Handwashing signs were not posted at 4 of the sinks and 1 urinal in the bathrooms and a sink in the kitchen area.

The operator was unable to present the proof of purchase for the interconnected fire detection system installed at the facility.