C & C Childcare

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 6/2026.

The electronic staff files, presented for review during the inspection, lacked the following items; The file for facility person #1 did not contain any PA clearances or a signed disclosure statement. Out of state clearances required for facility person #1 were not on file. The file for staff #2 did not contain the most current version of the disclosure statement, therefore it is invalid. The file for staff #3, observed caring for children unsupervised, did not include any clearances. The disclosure statement on file for staff #3 was not the most current version and is therefore invalid.

The file for staff #3, employed over 90 days, does not include documentation of completing emergency plan training.

Electrical outlets in the following locations, accessible to children 5 years of age or younger, lacked protective covers; two in the infant room, 3 in Room 3 (yellow room) including one under a protective box, but the box itself was not closed and latched, 1 in room 4 (purple room), and 4 in room 6 (school age downstairs room) including one on the end of an orange extension cord that was plugged into the wall,

A can of spray disinfectant was observed to be accessible on a table in Room 6. An insect glue trap was also accessible in Room 6 in the gap between the wall and the back of the fridge.

A monstera plant was observed in Room 5. Monsteras are considered toxic.

Damaged plaster was observed on the ceilings in the infant room, room 3 and room 6, with plaster debris observed on the floors underneath the damaged areas.

Debris build up was observed on the faucet and sink bowl of the downstairs restroom. In the restroom at the end of the main hall, smears of a brown substances which appeared to be feces was observed on one stall wall and a sink top was not fully attached to the sink cabinet creating a pinch point. A toilet seat was not securely attached to the toilet and was hanging over one side. A toilet in the restroom was taped off with plastic and is not functional.

In room 2 a hinged metal hasp, meant to lock two sides of a toy shelf together when closed, was observed to be protruding where children were playing near the shelving unit creating a trip-and-fall injury risk. The lip of the wooden changing table was cracked. Splintering wood was observed on one support leg of a swing-set frame in the fenced outdoor play space.

Small items, including a pen cap and a bead, were observed on the changing table in room 2, in the gap between the changing pad and the side of the changing table.

In room 3, the teacher's desk has a broken drawer exposing sharp particle board.

The files for facility person #1 and staff #2 and #3 did not include health assessments.

The files for staff #2 and #3, observed caring for children alone and designated by the operator as assistant group supervisors, did not contain documentation of the qualifications required for the position. The files lacked documentation of education and experience with children.

The files for facility person #1 and staff #3 did not include written references.

The facility does have a menu that operates on a two-week rotating schedule. None of the staff present on this day could identify which week they were on. Per the Director, this menu is typically followed; however, if they are out of items they will substitute with whatever they have. This does occur frequently. Staff corroborated the fact that this happens frequently.

In the main hallway, a bottle of Family Guard Disinfectant Spray, marked Keep Out of Reach of Children, was observed to be left out on a desk in reach of children.

Child #1, an infant, was observed sleeping in an inclined seat which was placed on a raised mattress inside a portable crib.

Child #2 was observed sleeping in a crib which lacked 2 feet of space on 3 sides. One side was obstructed by another crib approximately 12 inches away.

Inspection summary SIN-00279458 was not posted at the facility. The summary includes regulatory noncompliance that has not yet been verified as corrected.

Staff persons #1 and #3 were observed to be caring for children unsupervised. Staff persons #1 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid & CPR. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: PA Required Health and Safety for Centers-Group Child Care Part 1.

The file for staff #6 contained an expired NSOR dated 9/22/20. Staff #6 was observed caring for children unsupervised. Staff #6 may not work in a child care position at the facility. The file for staff #4 contained an FBI clearance which was not updated by the expiration of the previous clearance. The previous FBI clearance was dated 10/05/20 and was renewed on 12/22/25. The file for staff #7 contained 3 clearances which were not renewed by the expiration of the previous clearances. The dates were as follows; previous child abuse dated 9/25/20 and renewed on 10/09/25, previous FBI dated 9/20/20 and renewed on 9/26/25, previous NSOR dated 9/22/20 and renewed on 9/26/25.

The file for staff #3, employed over 90 days, did not include documentation of completing emergency plan training. The files for staff #1, #2, and #7 contained documentation of completing emergency plan training more than 12 months apart, in October of 2024 and again in December 2025.

The following items labeled keep out of reach of children were accessible in Room 6; hand sanitizer on a table, decorative spray snow and disinfectant on a low shelf.

An unlabeled spray bottle was observed in Room 4. Based on statements made by staff, the bottle contained a water and Lysol mix.

A soiled pull up was observed in an open top trash can in the PS restroom beside the sink. Used food service items and left over food were observed in an open top trash can in room 5. Lids for the trash cans were present, but not attached or in use.

Second floor windows in Room 4 and Room 5 were not restricted to open 6 inches or less. The windows were accessible to the preschool and school age children who receive care in the rooms.

Rooms 3 and 6 did not have first aid kits present during the inspection.

The first aid kit in room 4 lacked an assortment of bandages.

Staining on the ceiling was observed in Room 3. Based on statements made by staff, the area has water damage and is currently under repair. Crumbling plaster was also observed on the floor under the damaged area.

Debris from damaged plaster/drywall was observed on the floor in Room 3 in the corner, and room 6 near the stage.

The diapering area in Room 1, the infant room, lacked a posted handwashing sign.

Two restrooms off the main hall lacked lidded waste receptacles.

One plastic trash bag was observed to be accessible in an unlocked cabinet under a sink in the PS restroom.

The file for child #2, and older toddler, lacked a current health report. The report on file was dated over 12 months ago.

The file for staff #2 contained consecutive health assessments dated more than 24 months apart but are now current. The file for staff #5 contained an initial health assessment and TB screening dated after their start in a child care position. The file for staff #4 contained results of a TB screening dated after their start in a child care position.

Safe crossways, routes, and pick up/drop off procedures were not posted at the facility.

An emergency drill was not conducted within 12 months of beginning operation on 10/07/24. A drill was conducted and documented on 11/13/25.

The files for children #3 and #5, enrolled over 60 days, did not include health reports or immunization records. Children #3 and #5 will be dismissed from care by close of business 1/07/26 until either the immunization record is updated or a parent provides a written, signed exemption letter.

The files for children #1, #4, and #7, all enrolled for over 60 days, did not contain health reports.

Staff person #4 has completed the health and safety course titled Health and Safety Basics: Requirements for Certification (6 hours but does not have documentation of completing the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

A stapler sitting on a teacher's desk was observed to be accessible to PS age children in room 4.

Staff #2 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the previous certification. The training dates were 2/01/23 and 3/31/25. Current training documentation is now on file.

The file for staff #2 does not include acceptable fire safety training documentation. The certificate on file dated 2/25/25 is not a preapproved course and does not list the topics covered by the training. The files for staff #1 and #7 contained documentation of consecutive fire safety trainings completed more than 12 months apart but are now current. The trainings for both staff were dated 9/15/24 and 1/05/26.

Staff #6 did not renew mandated reporter training within 60 months. This is evidenced by the previous mandated reporter training on file being dated 10/02/19 and the most recent certificate being dated 1/07/25.

A written plan of daily activities was not posted in Room 6, designated as the school age room.

The agreements for children #1, #4, and #7 were not signed by the operator.

The agreements for children #1, #4, and #7 did not specify the amount of the fee to be charged

The agreements for children #1, #4, and #7 did not specify the date on which the fee is to be paid.

The agreements for children, #1, #2, #3, #4, #5, and #7 did not include the services to be provided to the family and child. Additionally, the files for children #2, #3, #4, and #5 did not include documentation of sharing a child service report with the parents.

The agreements for children #1, #4, and #7 did not specify the child's arrival and departure times.

The agreements for children #4 and #7 did not specify the persons designated by a parent to whom the child may be released.

The agreements for children #1, #4, and #7 did not specify the date of the child's admission.

The file for child #6 did not include emergency contact information.

The emergency contact information for children #1, #2, #3, #5, and #7 did not include complete contact information for the child's physician or source of medical care.

The emergency contact information for children #1, #2, and #3 lacked complete work addresses for the enrolling parent. For child #1, the enrolling parent's home address was also incomplete.

The emergency contact information for children #1, #2, #3, #5, and #7 did not include information on the child's special needs or disabilities. The boxes on the form were left blank.

The emergency contact information for children #1, #2, #3, and #5 did not include the health insurance name and/or policy number for the child.

The emergency contact forms for children #1 through #5 and #7 lacked complete contact information for the individuals the children may be released to. Addresses were incomplete, missing, or the boxes were left blank.

The file for child #6 did not include emergency contact information. The child was present in Room 4, the preschool room.

The emergency contact information and the agreements for children #1 through #5 have not been reviewed and updated by the parents in over 6 months.

The record for child #6 did not contain signed parental consent for emergency medical care for the child and did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The file for child #6 did not include an agreement.

The file for staff #7 did not include documentation of completing 12 hours of annual training between 9/04/24 and 9/04/25.

Child #1 was placed in a high chair for approximately 30 to 45 minutes. Child #1s movement was restricted.

Staff person #1 & #2 were observed to be caring for children unsupervised in the Toddler room. Staff person #1 & #2 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/cpr training.

Staff #3 was observed to be caring for children in the OT classroom alone. Staff #3 is classified as an aide.

Child #1 was placed in a high chair for approximately 30 to 45 minutes.