Burketts Watch Me Grow Day Care

Observed in the cherries preschool room, a water play table which was not in use on the day of inspection, and had water still in it due to not being thoroughly emptied after it was last used.

Observed an electrical outlet in the cherries preschool room which did not have a protective cover.

Observed in the older infant room, there was not 2 feet of space on three sides of the pack n plays which were in use. The pack n plays had bags of toys on the sides.

Observed there was no medication log established for a prescription diaper cream or an epi pen in the older infant room.

Observed Clorox disinfecting wipes accessible to children, on a table in the school age room.

Observed in the Pre-K4 room, Pre-3 room, and the older toddler room, the windows where the air conditioner is vented were not restricted to 6 or fewer inches.

Observed the first-aid kit in the apples room did not contain tape.

Observed a damaged wall with rough edges in the second-floor boys' bathroom. Observed a broken urinal in the downstairs bathroom. Observed several fence slats which had damaged or missing covers. Observed a detached blue wall covering in the school-age room.

Observed the emergency exit steps from the school-age room, were partially blocked by a rewards cart.

Observed a narrow cubby which was not securely anchored in the Pre-K4 room. Observed a toy cart in the school-age area which was missing a support screw nut. Observed a detached anchoring strap on a cubby in the school-age room.

Observed the fire alarm testing log revealed one time in the previous 12 month (9/15/23-10/16/23) the fire alarms were tested more than 30 days apart.

Observed child file #1, contained an initial health assessment which was dated (7/23/24) more than 60 days following the first day of attendance at the facility (4/22/24).

Observed staff file #1, who was listed as an assistant group supervisor, did not contain documentation of a high school diploma or GED.

Observed the emergency contact information for child file #1, did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed the emergency contact form for child file #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Based on the information obtained in the course of the inspection, it was determined that the facility did not inform the parents of enrolled children of a suspected outbreak of a communicable disease (RSV).

On 8/1/23, observed one staff member present with a group of 14 preschool children in the process of starting nap. Thirteen children were on their rest equipment, while the fourteenth child was sitting at a nearby table eating lunch. Because the child was eating lunch and not going to or coming from the bathroom, nap ratios were not in compliance and there would need to be 2 staff with the group of 14 preschool children until the child finished eating.

On 8/1/23, observed a broken electrical cover plate in the older toddler room.

Observed on 8/1/23, a boppy pillow with a hole and exposed lining in the young infant room. Observed in the pre k room, loose tops to the wooden chairs and loose legs on the lego table. Observed in the young preschool room on the second floor, green and yellow mat with a peeling cover and exposed foam. Observed in the outdoor play area, metal anchor stakes with exposed heads. Observed a bounce house with anchoring tethers which were not being used to anchor the bounce house.

On 8/1/23, observed plastic bags accessible to toddlers in the older toddler room. Observed a small piece of plastic, less than 1 inch in diameter, accessible to older toddlers in the upstairs young preschool room.

Observed on 8/1/23, toddlers sleeping on their rest equipment, which did not have 2 feet of space on three sides. Observed infants sleeping in pack n plays which did not have 2 feet of space on three sides in the older infant room.

On 8/1/23, observed child file #5 contained an updated health assessment which was dated more than 12 months after the previous valid health assessment.

On 8/1/23, observed child file #6 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed on 8/3/23, staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

Observed on 8/1/23, child file #6 contained an initial health assessment which was dated more than 60 days following the first day of attendance at the facility.

On 8/3/23, observed staff file #1 contained updated certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) which was dated after the expiration date of the previous valid certification.

On 8/1/23, observed the file for child #1, 3, and 4 contained most recent child service reports which were completed in 2022. Most recent child service report for child #1 and #3 were completed in 9/2022 and child #4 child service report was completed in 11/2022.

On 8/1/23, observed the emergency contact form for child #5 did not contain the address of the individual designated by the parent to whom the child may be released.

On 8/1/23, observed child file #1 contained documentation of parental review of the emergency contact information and the financial agreement which was completed more than 6 months after the previous parental review. Observed child file #2 contained did not contain documentation of parental review of the emergency contact information and the financial agreement within the previous 6 months.

Observed staff file #1, who had resided outside of Pennsylvania within the previous 5 years, did not contain the CPSL required North Carolina Child Abuse clearance and did not contain verification the staff was not on the North Carolina sex offender registry.

Observed a church first aid kit on a low shelf in the pre k room, which contained aspirin, triple antibiotic cream, and sting relief, which are all labeled keep out of the reach of children. Observed in the older toddler room, sunscreen which was labeled keep out of the reach of children, accessible to children in their low cubbies.

Observed a poke weed plant in the outdoor play area.

Observed shaving cream and dabo inc bingo markers which were both labeled keep out of the reach of children and did not contain the non toxic symbol.

Observed in the outdoor play area a missing fence panel with exposed nail heads. Observed 2 exposed screw heads sticking out of the wall by the entrance door.

Observed paint flakes on the floor by the rocker in the young three's room.

Observed a staff in the young toddler room did not wash an able child's hands after completing a diaper change. Observed the upstairs girl's restroom was missing a handwashing sign by one of the toilets.

Observed in the upstairs preschool room, wooden chairs with loose backs creating pinch points and a sand table which was missing support screws, nuts, and had exposed bolts. Observed a torn diaper changing pad in the older toddler room.

Observed in the pre k room, a cheese sandwich in a lunch bag, which was not refrigerated.

Observed a bottle in the older toddler room which was not labeled with the child's name.

Staff person # 2, 3, 4, 5, 6, and 7 has not completed the following required pre-service training within 90 days of their date of hire(see LIS code sheet): 3270.31(f)(10).

Observed the emergency contact information for child file #1 did not contain the enrolling parents home address.

Observed the emergency contact information for child file #1 did not contain written consent signed by a parent for emergency medical care and did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Observed original incident reports in the facilities incident report file.

At approximately 9:45 AM Certification Staff observed Staff #1 feeding a bottle to an infant 6 months of age or younger while strapped in a baby swing.