Bullfrogs & Butterflies

A smoke detector in the facility was chirping showing that the batteries needed replaced.

Staff #1 was observed providing direct care to children in the classroom while lacking their child abuse clearance.

The file for Staff #1 contained a child abuse clearance and an FBI clearance that were both more than 60 months old. The file for Staff #2 is lacking a signed disclosure statement.

The file for Staff #1 shows the last emergency plan training on 1.5.23 which is more than a year ago.

The file for Staff #1 contained two health assessments that were more than 24 months apart.

The file for Staff #2 was lacking two non-family reference letters.

Upon entering the facility at 10:30 am, all the children were in the Preschool side of the facility. One young toddler age child was in a pack in play area that was restricting his movement by enclosing him in a confined space. The child was in that enclosed area up until lunch time, approximately 11:30am, leaving the child in there for a total of one hour. Upon first arrival the child cried non-stop in the enclosed area with no stimulation for 20 minutes until a staff got into the play area with the child until the child calmed down and then got out again.

There was a window screen in the outdoor play area which has sharp points on it that should have been in the window.

In the outdoor play space the frog water fountain, baby basketball hoop, and the kitchen playset were all dirty. The treehouse had foam that was peeling on it.

Upon entering the facility at 10:30 am, all the children were in the Preschool side of the facility. One young toddler age child was in a pack in play area that was restricting his movement by enclosing him in a confined space. The child was in that enclosed area up until lunch time, approximately 11:30am, leaving the child in there for a total of one hour. Upon first arrival the child cried non-stop in the enclosed area with no stimulation for 20 minutes until a staff got into the play area with the child until the child calmed down and then got out again.

The door in the preschool room that leads to the room with the pool table that has an exit outdoors was sticking to the point of being very hard to open causing the means of egress to be obstructed.

Observed toxic sanitizers in bins hanging on the wall in the PS/SA that were in reach of the tallest school age child who were receiving care in that space. Observed toxic sanitizer on an accessible bin in the bathroom. While the bathroom has a gate, the older children are allowed to enter the bathroom without a staff and thus, the toxic was accessible to them.

In the toddler play area, observed a toy bin with a cracked blue lid.

In the PS/SA room, emergency contact information was not present for child #1 who was receiving care in that space.

In the Preschool/School Age room, observed five nails that were protruding from a pallet used to hang the children's art work. On the outside school age porch area, observed that part of the porch railing had come off exposing a sharp corner that was accessible to the children. At the front entrance to the facility, observed a glass frame on an easel. The glass was broken and had sharp points.

Observed that there was a large wooden pallet in front of the school age room entrance which leads to a room which is no longer in use but has an exit door.

In the preschool bathroom, observed an exposed bolt at the base of the toilet.

In the preschool room, observed a pair of sharp scissors located in an unlocked drawer that was accessible to the children in care.

In the back room of the facility which is not on a ground floor, observed that two of the windows were unlocked and the six-inch modifier was not pulled out to limit the opening to 6 or fewer inches.

In the toddler room, observed a wooden stick which was approximately five feet long and located in the corner of the room and accessible to the children who could pull the stick over on themselves. In the toddler room, observed two dime size holes in the top area of the walls near the side emergency exit door. In the Preschool Room, observed a puppet stage which was being used as a gate but was not secured to the wall and could be pulled over by the children in care. On the outside porch school age play area, observed a bucket filled with building materials that were accessible to the children in care.

In the toddler room, observed that the blue chest of drawers had sharp wooden edges on the bottom of it which were accessible to the children and the two toilets in the preschool bathroom had two exposed bolts at the base of the toilets.

There was an extension cord hanging in the traffic area below a TV mounted on the wall in the preschool/schoolage room.

There were two uncovered outlets in reach of children on an extension cord hanging in the traffic area below a TV mounted on the wall in the preschool/schoolage room.

A child arrived at the facility during lunch time, and sat at the table and began to eat without washing their hands.

The facility persons' records were stored in a cabinet that was not locked.

On 10-11-23, 14 children were observed in the Preschool/School Age room. Staff #1 named 9 children in their supervisory group. Staff #2 named 4 children in their supervisory group. 13 out of 14 children were named in a group, resulting in one child not being named in a supervisory group.

On 10/11/23, observed that the large mats on the floor of the back preschool/school age room were coming apart causing a tripping hazard to the children in care.

In the back preschool/school age room, observed a bin of Orbees on a desk and drill bits on a table by the bathroom. These all had a diameter of less than 1 inch and were accessible to toddlers who were observed in the preschool/school age room.

Observed that the buffet in the toddler room and cabinet on the side of the diaper changing area in the toddler room, wobbled when touched and could be pulled over or fall on the children.

The facility file lacks a rabies vaccination for Finley, the dog, who lives in the upstairs of the facility.

The file for staff #1 lacks a DHS FBI clearance. Facility person #2, observed to be functioning as a facility person lacked a file which included a disclosure statement, DHS FBI, PA State Police, Child Abuse and NSOR clearances.

On 8/8/23, observed child #1 alone in the preschool room for approximately 30 seconds.

Staff person #1 was observed (via facility video footage) to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/FA.

On video footage from 8/2, 8/3 or 8/ 4/2023, (unsure of exact date) observed staff #3 walk from the school age/preschool room, through the entrance hallway and to the toddler room and bring the toddlers their lunch time snack. This left the preschool room with 1 staff and 14 children with a young toddler being the youngest child in the group.

On 8/8/23, observed Staff #4 with 5 children in the infant/toddler room. An infant was the youngest child in her group. One of the children in the group was staff #3's child.

On 8/8/23, observed child #1 alone in the preschool room for approximately 30 seconds.

On 8/8/23, observed child #1 alone in the preschool room for approximately 30 seconds.

The children were taken to the children's museum via the facility's white omni bus in July of 2023 - exact day is unknown. The bus does not have a current inspection sticker and has not had an inspection sticker since at least 2022. The omni bus is missing part of the driver side mirror and the driver side door is damaged. This poses a threat to the health and safety of the children.

Facility person #2, observed to be functioning as a facility person lacked a file which included a health assessment conducted within the past 12 month prior to providing initial service in a childcare setting.

Facility person #2, observed to be functioning as a facility person lacked a file which included a TB screening by the Mantoux method at initial employment.

Facility person #2, observed to be functioning as a facility person lacked a record.

Facility person #2, observed to be functioning as a facility person lacked a file which included the name, address and telephone number of the facility person.

Facility person #2, observed to be functioning as a facility person lacked a file which included verification of age.

Facility person #2, observed to be functioning as a facility person lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Second citation previously cited on 5/23/23. On 5/23/23, staff #1 had 10 preschool age children in his supervisory group in the Preschool Age room. a child, upon coming out of the bathroom, went behind the tall cubbies which are located in the middle of the preschool room, and proceeded to lay down to nap. Staff #1 was unable to see and assess the child as staff #1 was standing on the opposite side of the tall cubbies with the other 9 children in his supervisory group. Additionally, on 7/20/23, staff #2 had 3 infants and 1 young toddler in her supervisory group in the infant/toddler room. Staff #2 was in the front of the room helping another staff and unable to appropriately supervise the toddler/infants that were in the back of the room sleeping in their pack n plays and cribs as there was a tall cubby between the area where staff #2 was standing and the back area where the children were sleeping.

Second citation previously cited on 5/23/23. The facility's telephone was disconnected, and the new number provided by the operator is not operable.

On 7/14/23, there was a gas can which was located in a locked utility closet which is located in the infant/toddler room. A strong smell of gas was present and the children were evacuated. Fire Department came and found the gas can which was causing the strong odor.

Staff #1 stated that she said the "F" word in front of the children, and they could have heard. Staff #2 stated that she jokingly told a child to "Get out of her butt." Staff #3 stated that she sometimes jokingly calls the children "Buttholes."

Staff #1 placed child #1 in the bathroom for time out. There were no staff present in the bathroom. Ratio 0:1.

Staff #1 placed child #1 in the bathroom for time out. There were no other staff present in the bathroom with child #1.

The file for staff #2 and 4 lacked a disclosure statement on or before initial start date in a child care position. There is now a disclosure statement on file for staff #4. There is no disclosure statement on file for staff #2.

On 5/23/23, staff #4 had 10 preschool age children in his supervisory group in the Preschool Age room. Child #5, upon coming out of the bathroom, went behind the tall cubbies which are located in the middle of the preschool room, and proceeded to lay down to nap. Staff #4 was unable to see and assess child #5 as staff #4 was standing on the opposite side of the tall cubbies with the other 9 children in his supervisory group.

The facility's emergency plan lacks a continuity of operations plan for the aftermath of a disaster.

At the bottom of the steps which lead to the front entrance of the facility, observed standing water in a cooler. In the Preschool Room, observed a large Modem on top of a shelf which was not secured and could be pulled over by the children.

The parent letter lacked the update explaining accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's telephone was disconnected, and the new number provided by the operator was not operable on 5/23/23.

The School Age area's bathroom door had a hole in it which was approximately the size of a door knob. On the outside of the facility, which leads to the front door used by the children in care, observed three rusted sharp poles, two rusted tire rims and a car battery.

In the Preschool/School Age room, observed that the children's play elliptical equipment and children's play exercise bike had ripping foam handles which were coming off of the equipment. On the front porch outside play space, observed that the children's play tree had a six-inch crack on the base of the tree causing pinch and crush points and a play kitchen which was dirty.

In the Infant/Toddler bathroom, observed a 5 tiered shelf which wobbled when touched and could be pulled over by the children.

The refrigerator's thermometer in the Preschool Age room was observed to be 49 degrees Fahrenheit.

The file for child #3, who is of preschool age, lacks an updated health report within the past 12 months Last health report on file is dated 5/26/21.

The file for child #3 has 1 Hep A vaccination when 2 are recommended by the ACIP and a flu shot withing the past 12 months according to recommendations of the ACIP.

The file for staff #4 lacked a health assessment which was completed within 12 months prior to providing service in a child care setting. There is now a health assessment on file.

The files for staff #4 and 5 lacked a TB screening by the mantoux method within 12 months prior to providing service in a child care setting. There is now a current TB screening on file for staff #4. There is no TB screening on file for staff #5.

The Subaru at the facility, used to transport children, lacked manufacturers' instructions for use of safety restraints.

The Subaru at the facility, which is used to transport children, contained a first aid kit which lacked tweezers and scissors.

The file for child #1 lacks an initial health report within 60 days following the first day of attendance at the facility. (SEE IS CODE SHEET)

The file for staff #1 and #2 lacked the one hour health and safety update which was due by 12/30/22. Staff #1's one hour update is now on file and dated 4/20/23. Staff #2 does not yet have the one hour update on file.

Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/FA by an approved PQUA instructor and approved curriculum. There is now current training on file and dated 7/18/22.

The file for staff #2 lacked mandated reporter training within 90 days of hire. SEE IS CODE SHEET. There is now mandated reporter training on file and dated 5/16/23.

The files for children #1 and 2 lack a fee agreement.

The emergency contact information on file for child #2 lacks the address of all persons designated by the parent to whom the child may be released.

Emergency contact information was not present in the preschool room for child #4 who was receiving care in the child care space.

The file for staff #3 lacks 5 of the required 12 annual hours of childcare training.

On 5/3/23, observed 19 children present. in the Main Room Staff #1 named 5 children with the youngest being an older toddler in his supervisory group. Staff #2 named 4 children with the youngest being an older toddler in his supervisory group. Staff #3 named 10 preschool age children in her supervisory group. The same child was named in both staff #2 and 3's supervisory group. This left one child who was not named in any supervisory group.

Staff # 6 transports child #1 home from child care. Child #1 is a young toddler. There is not always another staff present in the vehicle.

The fire drill log on file at the facility contained a fire drill date 3/1/23, which was not completed within the past 60 days.

There was not a check of the fire detection system within the past 30 days. The last 30 day fire detection system check on file was completed on 3/1/23.

Staff # 1, 2, 3, 4 and 6 did not complete the one hour health and safety update training by 12/30/22. The one hour update is now on file for staff #1, 2, 3, 4 and 6.

Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see IS code sheet): Health and Safety Training. The revised health and safety training is now on file and dated 5/1/23.

Staff persons #1 and 2 were observed to be caring for children unsupervised. Staff persons #1 and 2 have not completed the following pre-service training required prior to caring for children unsupervised: Both staff 1 and 2's files are lacking: Getting Started with Center Base Care: Building Blocks for Quality. 3270.31(f) (1-9). Staff #1's file was lacking Pediatric CPR/FA. 3270. 31(f)(10).

The last documented check of the fire detection system was not completed within the past 30 days. Check was completed on 6/8/22.

There was more than 60 months between FBI clearances on file for staff #2. Dates are as follows: 1/20/17 and 5/11/22.

In the school age room, observed a dual basketball hoop with empty basins at the bottom of the hoop. Thus, the hoop is able to be pulled over by the children. In the school age room, observed a tv on a stand. The tv was not secured to the stand and could be pulled over by the children.

There was more than 12 months between emergency plan trainings on file for staff # 5. Emergency plan training was completed on 1/30/21 and 3/3022.

The front porch, which is being added as an outdoor play space, has an entrance which did not have a barrier restricting all of the children from the front of the child care facility which cars travel thru when dropping off children in care.

In the infant/toddler room, observed Aquaphor diaper cream underneath the diaper changing table which was accessible to the children in care. In the preschool room, observed an unlocked door which leads to the basement where a toxic car battery was sitting at the top of the steps. In the School age room, observed 6 C batteries and 1 D batteries which are toxic in an unlocked drawer of the tv stand and accessible to the children. In the S/A room and in an unlocked drawer, observed toxic E6000 Industrial adhesive.

In the preschool room, observed a toxic Aloe Vera plant.

In the infant room, observed two electrical outlets in reach of children which were cracked around the edges and in the SA room, observed an electrical outlet in reach of children which was cracked around the edges. Observed that the door which leads from the SA room into the office, had a hole in it approximately two inches wide.

On the outside porch which is being added as outdoor gross motor space, observed a large toy caterpillar, treehouse, fort, yellow car slide, blue slide, water table, infant jumper and kitchen playset which were dirty.

In the infant/toddler room, observed a child's fish tank which did not contain water but did contain aquarium gravel in the bottom. The fish tank aquarium gravel had a diameter of less than an inch and was accessible to infant/toddlers in care.

On the floor of the infant/toddler room, observed a recalled infant Boppy newborn lounger and a recalled Bumbo infant floor seat which did not have straps attached or a tray which could be attached.

In the infant/toddler room, observed a blue child's couch which was starting to rip and foam was exposed on the right side of the couch.

In the infant toddler room, observed an infant crib which lacked a label with the child's name. In the school age room, observed the children's sleeping bags were each in a bin with the child's name but the sleeping bags were not labeled with the child's name.

There was more than six months between the previous and most current health assessment on file for child #3, who was a young toddler when the updated health assessment was due. There is now a current health assessment on file.

The file for child #3 lacks verification of a flu shot within the past year.

There was more than 24 months between the previous and most current and updated health assessment on file for staff #6.

The most current health assessment on file for staff #3 was not signed by a physician, physician's assistant or CRNP.

The file for staff #3 lacks a TB screening at initial employment. There is no TB screening on file.

Observed two infant bottles which lacked a label with the child's name.

The facility lacked documentation of an emergency plan drill between 12/19/20 and 12/19/21. There is now a current emergency plan drill on file and dated 5/11/22.

The fire drill record for the months of June, 2021 thru April of 2022 lacked the evacuation time. The fire drill completed on 5/2/22, now contains the evacuation time.

At renewal inspection on 5/23/22, observed that the interconnected smoke detector located in the kitchen was not hung on the wall as the battery was being replaced and thus, was inoperable. Proof of purchase of the interconnected smoke detectors was not on file. There was more than 30 days between manual tests of the fire detection devices and dated 1/12/22 and 2/16/22.

The files for staff 1, 2, 3, 5, 6 and 7 lacked Pediatric CPR/FA with an approved curriculum and PQUA instructor by 4/29/22. Staff #1, 2, 3, 6 and 7 now have Pediatric CPR/FA with an approved curriculum and PQUA instructor. Staff #5 does not have current Pediatric CPR/FA with an approved curriculum and PQUA instructor and may not work unsupervised. The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment.

There was more than one year between fire safety trainings on fie for staff #2, 4 and 5. Dates are as follows: Staff #2 and #4 - 1/10/21 and 1/16/22 and Staff #5- 1/10/21 and 3/30/22.

There was more than 12 months between staff evaluations on file for staff #5. Dates are as follows: 1/30/21 and 3/30/22.

The fee agreements on file for children #1 and 2 lacked the date of the child's admission.

The emergency contact information on file for child #1 lacks the address and telephone of all individuals designated by the parent to whom the child may be released.