Building Blocks Learning Center · Johnstown

2nd citation. Previously cited on 1/23/25. Observed Orajel and Tylenol which did not identify the name of the child for whom the medication is intended.

On 1/23/25 the telephone number of the nearest hospital, police department, fire department, and ambulance were not posted by each telephone in the facility.

The file of Child #5, a 7-month-old, lacked DTAP/DTP/TD immunizations according to the recommendations of the ACIP. Child #5 had documentation of 2 DTAP/DTP/TD immunizations.

On 1/23/25 observed Orajel which did not identify the name of the child for whom the medication is intended.

On 1/23/25 staff did not ensure a child's hands were washed before meals and after being diapered.

The file of Staff #6 contained an adult health assessment dated 12/12/24 which did not include documentation of a physical examination.

The file of Staff #6 contained an adult health assessment dated 12/12/24 which did not include an examination for communicable diseases and the results of that examination.

The file of Staff #6 contained an adult health assessment dated 12/12/24 which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

On 1/23/25 Staff #1 did not wash his hands after diapering a child.

On 1/23/25 observed bottles which were not labeled with the child's name.

The facility was unable to provide documentation that the fire detection system was inspected by a fire safety professional annually. The facility provided documentation that the fire detection system was inspected on 7/2/24 and 7/12/22 by a fire safety professional but did not provide documentation for 2023.

The files of Staff #1, #2, and #5 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing the health and safety update on 8/3/23. The file of Staff #2 contained documentation of completing the health and safety update on 1/30/23. The file of Staff #5 contained documentation of completing the health and safety update on 3/15/23.

The file of Staff #4, who was designated as an aide, lacked documentation the curriculum included, at minimum, a total of 600 clock hours including a minimum of 400 clock hours of classroom training and a minimum of 200 clock hours of supervised training in a child care facility.

The agreements for Children #1, #2, #3, #4, and #5 did not specify the date on which the fee is to be paid.

Emergency contact information for Children #2 and #4 did not include the complete address of the child's physician or source of medical care.

Emergency contact information for Child #2 did not include the complete home and work addresses and work telephone number of the enrolling parent. Emergency contact information for Child #3 did not include the home address of the enrolling parent. Emergency contact information for Child #4 did not include the complete work address and home telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work telephone number of the enrolling parent.

Emergency contact information for Child #1 did not include written consent signed by a parent for emergency medical care.

Emergency contact information for Children #2 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

The file of Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The legal entity did not have a certificate of occupancy.

The file of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training required from September 2023 to September 2024. The file of Staff #3 contained documentation of 4 training hours dated 12/20/23.

The agreement forms on file for Child #1 and Child #2 were observed to have the original agreement form on file.

The emergency contact form on file for Child #2 was observed not to include the birth date of the child.

The emergency contact form on file for Child #1 was observed not to contain the address and telephone number of the child's physician.

The emergency contact form on file for Child #2 was observed not to contain the health insurance policy number for the child.

Based on interviews it was determined that facility person #1 told child #1 they had nappy hair.

On the day of inspection it was observed that cleaners were located in a cubby in the bathroom that was accessible to children.

There were sample packets of first aid ointment medication in the first aid kit that were not labeled for individual use.

The most up to date health assessment on file for staff person #1 was observed to be greater than 24 months. This is evidenced by the previously dated health assessment on file being dated 12/4/2019 and the most recent dated health assessment on file being dated 1/4/2022.

It was observed that the infant bottles located on the infant feeding station were not labeled with the name of the child it is intended for.

The first-aid kit lacked tape.

The facility contained card board blocks that were ripped and not in good repair.

The Agreement in the file for Child #1 was not signed by the operator.

The facility's current certificate of compliance was not posted. The facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.