Building Blocks Child Care Center LLC

The file of Staff #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #1 contained a NSOR dated 3/7/25 with a previous one dated 1/23/20.

The sink in the bathroom in the toddler section of the classroom lacked platforms or steps to be easily approached by children using it.

Observed embedded equipment in the outdoor play space with approximately 2 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering.

The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #4 contained a current health report dated 4/15/25 with a previous one dated 10/16/23.

Child #1, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.

The facility lacked documentation of conducting emergency drills annually. The facility provided documentation of an emergency drill being conducted on 5/13/25 with a previous one conducted on 4/22/24.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 6/17/24, 7/5/24, 8/12/24, 9/9/24, 10/2/24, 10/10/24, 11/1/24, 11/27/24, 12/27/24, 1/24/25, 2/20/25, 3/21/25, 4/7/25, 5/5/25, and 5/30/25.

Emergency contact information for Children #2 and #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

2nd citation. Previously cited on 6/26/24. Observed embedded equipment in the outdoor play space with approximately 1 to 4 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering.

The file of Staff #3 lacked a Child Abuse Clearance and DHS FBI Clearance updated every 60 months. The file of Staff #3 contained a Child Abuse Clearance dated 5/24/24 with a previous one dated 8/9/18. The file of Staff #3 contained a DHS FBI Clearance dated 5/22/24 with a previous one dated 8/30/18.

The letter provided to the parent explaining the emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed toxic shrubs in the outdoor play space which were accessible to children.

Observed Claire Disinfectant Spray and Fantastik which indicated "keep out of the reach of children" in the top drawer of the changing table which were accessible to children in the Infant Section of the room.

Observed rust on 3rd and 4th poles from the gate beside the parking lot in the outdoor play space. Observed rust on the 1st, 3rd, and 5th sections of the fence from the gate beside the parking lot in the outdoor play space. Observed rust on the 2nd post from the corner behind the swing set in the outdoor play space. Observed loose trim on the bump out in the bathroom of the Toddler Section of the room.

Observed peeling paint on the posts and boards of the swing set in the outdoor play space.

Observed embedded equipment in the outdoor play space with approximately 2 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering.

Observed a #3 peg board with bite marks in the Preschool/School-Age Room.

Observed a Step 2 tool bench, Fisher Price tool bench, Little Tykes Kitchen, and a Step 2 Kitchen which were not anchored creating a potential tipping hazard in the Toddler Section of the room.

The file of Child #5 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #5 contained health reports dated 9/27/23 and 6/6/24.

The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained health reports dated 3/27/23 and 5/15/24.

The file of Staff #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained documentation of fire safety training completed on 5/15/24 with a previous one completed on 10/10/22.

The file of Child #3 lacked child service reports completed at least every 6 months. The file of Child #3 contained child service reports dated 5/22/23 and 1/17/24.

The files of Children #1, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Emergency contact information for Child #4 did not contain the work address and work telephone number of the enrolling parent.

The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were reviewed on 3/6/23, 9/3/23, and 4/4/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact and agreement were signed on 9/12/23 and reviewed on 4/3/24.

The files of Staff #1 and #2 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/18/23. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 5/14/24.

The file of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Observed in the infant space, 6 plastic baskets stacked on one another causing crush hazard.

The file of staff #1 lacked health assessments timely due to the fact they were more than 2 years apart.

Based on documentation, fire drills were conducted more than 60 days apart due to the fact they were done on 4-5-23 and 6-28-23.

Based on documentation, testing of the smoke detectors was not done every 30 days due to the fact testing occurred on 5-1-23 and 6-1-23 which is 31 days.

At the time of the inspection, there was not a Shaken Baby, Abusive Heah Trauma, and Child Maltreatment policy. At the time of the inspection, the Emergency Plan lacked continuity of operations.

Observed loose fitted sheets in the 3 brown pack and plays used by infants.

The file of child #2 lacked child service reports every 6 months.

The file of child #1 lacked an emergency contact form with the address of the child's physician or source of medical care.

The file for staff person #2 was observed not to contain documentation of application of a National Sex Offender Registry prior to date of hire and not to contain a National Sex Offender Registry report prior to date of hire (See IS CODE SHEET) At the time of reviewing files, the file of staff #3 was observed to have a PA State Police Clearance and PA Child Abuse clearance for the purpose of volunteer rather than employment See IS CODE SHEET)

Observed expired diaper creams as follows: child #1 Equate Petroleum Jelly expiration 4-2022; child #2 Desitin expiration date 10-2020; child #3 Dollar General Baby Healing Ointment expiration 12-20-20; and child #4 Desitin expiration 10-2021.

The file of staff #4 was observed to contain late Mandated Reporter trainings due to the fact they were dated 5-6-15 and 8-3-20. Therefore, more than 60 months apart.

The file of staff #1 lacked documentation to support the position of Assistant Group Supervisor due to the fact 2 years' experience was not on file.