Butler County Childrens Center

The file for staff person #1 lacked a disclosure statement at their start date and requires a current disclosure statement.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for toddlers and children with chronic medical conditions.

The file for staff person #2 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results of the examination.

The file for staff person #3 had emergency plan training that exceeded a year between trainings.

On the toddler play space, the right door to enter the building had the bottom of the doorframe that had broken pieces of cement with cracks and holes.

A portable space heater was observed in the director's office.

The file for child #5 enrolled more than 60 days at the facility, lacked documentation of the 1st Varicella vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #5 had a health assessment that did not include the professional title for the individual who conducted the assessment.

On the emergency drill log, the names of all of the facility persons that participated in the drill on 2-22-24 were not listed on the form as required.

The file for child #5 lacked an initial health assessment dated within 60 days of the child's first day of attendance at the facility.

The file for staff person #3 had fire safety training that exceeded a year between trainings.

Staff persons #1 and #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid and pediatric cardiopulmonary resuscitation. Staff persons have since completed pediatric first-aid and CPR. Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #2 has since completed the training.

Staff person #1 completed mandated reporter training on 1-14-24 that was over 90 days after their date of hire. (see LIS code sheet)

The file for child #5 had an emergency contact form that lacked the telephone number of the child's physician.

The file for child #3 had an emergency contact form that lacked the health insurance policy number.

The file for staff person #4 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The file for staff person #6 had a disclosure statement that lacked the date the form was signed.

The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

The emergency plan lacked a plan that provides for evacuation of children to a location away from the facility premises.

Staff person #5, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 1-5-23 that was not completed by 12-30-22 as required. (See LIS CODE SHEET)

The files for staff person #1, #3, and #4 had staff evaluations that exceeded 12 months between evaluations.

The disclosure statements signed and on file for Facility Persons #1, #5 and #6 were outdated disclosure statements upon hire of the staff. The disclosure statement signed and on file for Facility Persons #1 and #5 was not signed by a witness.

The current emergency plan training documented and on file for Facility Person #2 was completed more than 12 months after the prior emergency plan training documented and on file. There was no documentation of any emergency plan training within the last 12 months on file for Facility Person #4.

The current health assessment on file for Facility Person #4 was completed more than 24 months after the prior health assessment on file.

Documentation of pediatric first aid/CPR training on file for Facility Person #2 indicated the training was expired. The only pediatric first aid/CPR documented and on file for Facility Person #3 (employed at the facility prior to 12/19/20) indicates the training was completed on 8/27/21, after the required date of 6/17/21.

The most recent firesafety trainings completed and documented on file for Facility Persons #2, #3, and #4 were completed more than 12 months after the previous firesafety trainings documented and on file.

The file for Facility Person #1 did not have documentation of required pre-service pediatric first aid and CPR training within 90 days of hire (See LIS CODE SHEET). The required pre-service pediatric first aid and CPR training on file for staff person # 1 was dated 8/27/21. The file for Facility Person #5 did not have documentation of required pre-service health and safety training within 90 days of hire (See LIS CODE SHEET). There was no documentation of required pre-service health and safety training on file for staff person # 5.

Facility Person #1 was classified as an assistant group supervisor. Facility Person #6 was classified as an aide. There was not documentation on file for Facility Person #1 and #6 for the educational and/or experiential qualifications required to meet one of the applicable staff qualifications required for their respective classifications.

The most recent staff evaluation on fie for Facility Person #3 was completed more than 12 months after the prior evaluation on file.

The current emergency contact form on file for child #1 was not reviewed and updated by the parent in writing in the 6 months prior to 1/6/22, the date upon which the suspension of the regulation was lifted. The emergency contact form was reviewed and updated by a parent in writing on 5/13/21 and 1/20/22.

There was only one written nonfamily reference on file for Facility Person #1. There were no written nonfamily references on file for Facility Persons #5 and #6.

There was documentation of only 4 hours of child care training completed by Facility Person #2, employed at the facility prior to 12/19/20, between 12/19/20 and 12/19/21.