Calvary Preschool Center

The file for Staff Person #2 lacked a completed PA Child Abuse Clearance for employment purposes prior to starting in a child care position at the facility. The PA Child Abuse Clearance on file upon starting in a child care position was completed for Volunteer purposes. A PA Child Abuse Clearance for employment was not on file until 56 days after starting with children at the facility. The file for Staff Person #2 lacked a completed FBI Clearance and they have exceeded 45 days in a child care taking position. The FBI requests on file for Staff Person #2 were observed to have been completed for Department of Education and are not acceptable to work in a child care taking position. The file for Staff Person #3 lacked a request for their FBI Clearance prior to starting in a child care taking position. The FBI Clearance on file was completed 50 days after starting.

The file for Staff Person #3 lacked verification that they had received emergency plan training. Staff Person #3 has exceeded 90 days of employment at the facility.

The first aid kit in Classroom #7 was missing soap.

In Classroom 4/5 (Infant Classroom) the carpet along the back wall on the play area side was observed to be damp. It was reported that there have been issues with water coming in through the back wall when it rains which results in the children being moved to another classroom.

The garbage can in the Boys restroom, located across from Classroom #2, was missing a lid.

One cracked lid, creating a potential pinch point, was observed on a bin accessible to children in Classroom #6.

The current health report on file for Child #1 lacked information that the child had received all age-appropriate screenings recommended by the American Academy of Pediatrics.

An unlabeled Children's Acetaminophen was observed the medication bag in Classroom #6.

Written parental consents were missing for a Children's Acetaminophen and Nystatin ointment in Classroom #6.

The health assessment on file for Staff Person #3 was a student examination. The health assessment did not include information related to an examination for communicable diseases and the results of that examination or the physician's assessment of their suitability to provide child care.

The facility exceeded 30 days between monthly fire detection testing on 3.4.25, 4.8.25, 5.9.25 and 6.9.25.

The file for Child #4, a young toddler, lacked an initial health report. Child #4 has exceeded 60 days since the child's first day of attendance at the facility.

The facility lacked verification that they have provided written notification of their location and use of vehicular and pedestrian routes to the local traffic safety authorities in the last 12 months. The most recent notification was completed in September 2023.

A copy of the current insurance policy was not on file at the facility at the time of the inspection.

The current pediatric first aid and CPR training on file for Staff Person #1 was not completed prior to the expiration of the prior certificate. This is evidenced by the prior training expiring on 4.2025 and the current training being completed on 5.29.25.

The fire safety training on file for Staff Person #1 was not completed within 12 months of starting at the facility. The fire safety training on file was 28 days late. The file for Staff Person #3 lacked verification that they had completed annual fire safety training. Staff Person #3 has exceeded 12 months of employment at the facility.

Staff person #3 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #3 did not complete the required 1-hour health and safety update within 90 days of starting at the facility. The 1-hour health and safety update training was completed 230 days after starting at the facility.

The files for Staff Persons #1 and #3 lacked a written evaluation that had been completed within the last 12 months. The most recent written evaluation for Staff Person #1 was completed on 5.20.24.

The files for Children #1, #2, #3 and #4 lacked approved developmental assessments for the children. The children have been in care in excess of 6 months.

The agreement on file for Child #5 lacked the admission date for the child.

The emergency contact form for Child #1 lacked the complete address for the release persons listed.

Staff persons #4 and #5 were observed together to be caring for children unsupervised. Staff persons #4 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR training.

The file for Staff Person #1 lacked verification that they had received training in regards to the emergency plan within 90 days of starting at the facility.

A railroad tie behind the swing set area was observed to have split causing a screw to be exposed and accessible. A wooden board under the Green Slide Play structure was observed to be disconnected allowing a nail to be exposed and accessible.

A handwashing sign was missing from one of the toilet stalls in the restroom attached to classroom #7.

In the outdoor Preschool/School Age play space the platform on the tan climbing structure was observed to be in disrepair around the edges causing sharp edges and lifting at the corners. This posed a risk to children using the climbing structure.

The updates to the health reports for Child #5, a young toddler, exceeded 6 months between examinations on 5.25.23 and 6.21.24.

The updates to the health reports on file for Child #4, a preschool age child, exceeded 12 months between examinations on 7.25.23 and 8.13.24.

The file for Child #1 lacked verification that the child had received the immunizations recommended by the ACIP. A written exemption was not on file.

Physician's instructions were missing for an Auvi Q medication located in the medication bag in Classroom #3.

An unlabeled Allergy Relief medication was observed in the medication bag in Classroom #3. A medication log was not in place for the medication to determine who the medication belonged to.

The facility lacked verification that they have participated in an emergency drill within the last 12 months.

The files for Staff Persons #2, #3 and #6 lacked verification that they had completed annual fire safety training within 12 months prior to the current training on file. The current trainings were completed in September 2024.

The updates to the staff evaluations for Staff Person #2 exceeded 12 months between 4.25.23 and 5.17.24. The updates to the staff evaluations for Staff Person #3 exceeded 12 months between 4.26.23 and 5.31.24.

The most recent agreements on file for Children #1, #2 and #3 lacked the admission date for the child.

The current emergency contact form on file for Child #3 lacked the release person name, address and telephone number.

The written emergency transportation plan was not posted in a conspicuous location in Classroom #4/5 (Infant).

The disclosure statements on file for Staff Person's #1, #2, #3, #4 and #5 lacked a date of signature.

In classrooms #3 and #4 adult scissors were observed in cups on the desks in the classrooms. The cups were accessible to children who would receive care in the space.

The files for Staff Person's #1, #3 and #4 lacked verification that they had received emergency plan training upon the time of initial hire.

One electrical outlet in the vestibule leading to the outdoor play spaces was observed to be missing a protective receptacle cover.

In classroom #3 a bottle of hand sanitizer spray was observed in an unlocked drawer in the circle time area. Also in classroom #3, a bottle of hand sanitizer spray, white out and three sunscreens were observed in an unlocked desk drawer. A large bottle of hand sanitizer was also observed on the desk in classroom #3. In classroom #7 a bottle of sunscreen was observed in a bag on the floor. All items were labeled Keep Out of Reach of Children.

A hand washing sign was missing from one of the toilet stalls and a potty chair in the women's restroom.

The embedded equipment in the outdoor Preschool/School Age play space lacked 9 inches of loose mulch as required by the United States Consumer Product Safety Commission.

The facility lacked physician's instructions for an Albuterol Inhaler intended for a child in care in classroom #7.

An accessible lunch bag that contained two EpiPens, an Albuterol Inhaler and a prescription bottle of Zyrtec was observed on the floor in classroom #7. A separate bag was observed accessible on the floor in classroom #7 to contain a Baqsimi nasal powder for a diabetic child in care.

The garbage can in place at the changing table in classroom #2 (young toddlers) was not hands free to allow for appropriate disposal of soiled diapers.

The file for Staff Person #3 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment was completed 233 days and the tuberculosis 235 days after starting at the facility.

The facility exceeded 30 days between fire alarm system testing on 4.10.24 and 5.28.24.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

The file for Staff Person #3 lacked verification of education.

The file for Staff Person #3 lacked one of their two written, nonfamily references.

2nd CITATION: Previously citied on 8/8/23 **On 9/25/23 it was observed that the preschool classroom was out of ratio from approximately 8:53AM to 9:02AM. At 8:53AM the staff to child ratio was 1:11 then increased to 1:14 before an additional staff member arrived at 9:02AM. At approximately 9:05AM it was observed that the Pre-K classroom had a staff to child ratio of 1:15, while the primary teacher walked out of the classroom. Staff person #1, #2, #3, #4, #5, #6, and #7 did not complete the required 2 hours of training on maintaining staff:child ratios.

2nd CITATION: Previously cited on 8/8/23. Based on staff interviews it was reported that staff person #4 has used harsh tone and demeaning language directed to the children that they have cared for. Previous plan of correction for Staff person #4 to receive additional training was not completed by correction date.

The disclosure statement on file for Staff person #4 did not include a signature of the staff person. The state police clearance for Staff person #6 dated 9/27/23, which was after their hire date (see LIS code sheet).

It was observed in the LGR, in the hallway outside of the kindergarten room, and in Room #5 that there were multiple receptacles without protective covering. All of these spaces children under 5 are in care.

A bottle of Swiffer cleaner was observed in an unlocked closet in Room #5 making it accessible to the children in care.

It was observed in the LGR that there was garbage (un-eaten food, plates, napkins, etc.) in the garbage can that wasn't removed from the facility the day before.

It was observed in the kindergarten classroom that there was a lined garbage can with used Kleenex and other garbage that didn't have a lid.

There were no handwashing signs above the sink and changing table in Room #2 and in the 1st and 3rd stalls of the Ladies bathroom outside of the office.

On the outside preschool playground, the mulch around the embedded slide and swing set measured between 2 and 4 inches, which is under the recommendations of 9" by the United Stated Consumer Product Safety Commission.

It was observed that there were foam blocks with teeth marks with pieces missing in the toddler room #8.

The refrigerator in the infant room was lacking a thermometer.

The immunizations record for child #1, child #5, child #7, child #8 and child #9 does not include verification of an annual influenza vaccination as recommended by the ACIP.

It was observed in the cubbies outside of the preschool classroom #4, that there were lunch boxes that contained potentially hazardous foods such as yogurt, string cheese, and ham and cheese sandwiches that were not refrigerated.

The 1 hour Health and Safety professional development training update on file for Staff person #1 is dated 10/12/23, which is after the deadline date of 12/30/22.

The Toddler Room #2 and Room #5 lacked a posted daily activities schedule.

The files for Child #1 through Child #10 all contained the original signed agreement.

The emergency contact form for Child #7 does not include the enrolling parent's work phone number.

The emergency contact information for Child #3 and Child #7, does not contain the name, address, and telephone number of the individual designated by the parent to whom the child may be released.

In the Preschool Room #4, Child #11's emergency contact form was not present in the childcare space where the child was receiving care.

The file for Staff person #2, staff person #3, and staff person #6 contained one of the two nonfamily references. The file for staff person #5 and staff person #7 lacked the two written nonfamily references.

*On 9/25/23 it was observed that the preschool classroom was out of ratio from approximately 8:53AM to 9:02AM. At 8:53AM the staff to child ratio was 1:11 then increased to 1:14 before an additional staff member arrived at 9:02AM. At approximately 9:05AM it was observed that the Pre-K classroom had a staff to child ratio of 1:15, while the primary teacher walked out of the classroom.

**On 9/25/23 it was observed that the preschool classroom was out of ratio from approximately 8:53AM to 9:02AM. At 8:53AM the staff to child ratio was 1:11 then increased to 1:14 before an additional staff member arrived at 9:02AM. At approximately 9:05AM it was observed that the Pre-K classroom had a staff to child ratio of 1:15, while the primary teacher walked out of the classroom.

Based on staff interviews it was reported that staff person #4 has used harsh tone and demeaning language directed to the children that they have cared for.

The fire drill log contains dates of drills from 6-2-23 and 8-2-23, which is over 60 days in between.

The fire detection system testing log contained dates of 12-9-23 to 1-9-23 which is more than 30 days apart with the most current testing date of 5-4-23.

Staff person #1 and staff person #2, obtained the updated 1 hour health and safety training after the required date of 12/30/2022. Staff person #3's file lacked the 1 hour health and safety training update that was due by 12/30/22.

The file for staff person #1, staff person #5, and staff person #9 contains undated disclosure statements, making them invalid. The file for staff person #2 contains a state police clearance and a child abuse clearance obtained for volunteer purposes, making them invalid for employment. A review of the file for staff person #3 revealed that staff person #3 has resided out of state in the prior five years and that their file lacks clearances from the prior state. The file for staff person #9 contains a state police clearance and a child abuse clearance obtained for volunteer purposes, making them invalid for employment. A review of the file for staff person #9 revealed that staff person #9 has resided out of state in the prior five years and that their file lacks clearances from the prior state(s). The file for staff person #10 contains an incomplete state police clearance.

The facility's emergency plan was not updated by 7/1/22 to include volunteer emergency preparedness training, drills, and continuity of operations.

Observed 2 accessible bottles of hand sanitizer both labeled 'keep out of the reach of children" in the unlocked closet in Room 9/10. Observed an accessible bottle of hand lotion labeled 'keep out of the reach of children" in the unlocked upper left desk drawer in Room 9/10. Observed accessible hand sanitizer and White Out, both labeled 'keep out of the reach of children' in an unlocked cupboard behind the staff desk in Room 4.

The first aid kit in the multi-purpose room lacks gloves.

Observed a plastic toy bin with a cracked lid, creating a sharp corner in Room 9/10.

The most recent health report on file for child #4 is dated more than 12 months ago. Child #4 is a preschool-aged child.

The file for child #4 lacks verification of a current Influenza and a current Hepatitis A immunization administered in accordance with the schedule recommended by the ACIP. The file for child #5 lacks verification of a current Pneumococcal and a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #7 and child #8 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #9 lacks verification of a current Pneumococcal vaccine administered in accordance with the schedule recommended by the ACIP.

The file for staff person #4 and #6 contains a health assessment and the results of tuberculosis testing completed after staff persons #4 and #6 began in a childcare taking position. The initial health assessment on file for staff person #2 indicates that staff person #2 has a communicable disease.

The facility lacks a documented emergency drill conducted in 2021.

During the interval of 8/26/22-9/26/22, testing of the fire detection system occurred in an interval which exceeded 30 days.

The file for child #2 lacks a health report. Child #2 has been in attendance more than 60 days.

The file for staff person #1 lacks verification of a PQAS approved pediatric first aid and pediatric CPR training taught by a PQAS approved trainer completed by 4/29/22, the date it was required to be completed.

The file for staff person #7 lacks current mandated reporter training.

The file for staff person #5 lacks a written evaluation conducted within the first 12 months of employment at the facility.

The file for staff person #5 lacks verification of two years' childcare experience to qualify as a Group Supervisor, the role assigned to and being performed by staff person #5.

The file for staff person #6 lacks verification of education attained prior to service at the facility. Staff person #6 is identified as and serving as an aide at the facility.

The file child #1, #4, #6, #8 and #9 contains an agreement which lacks the date of the child's admission.

The file for child #3 and child #8 contains emergency contact information which lacks the address of the child's physician. The file for child #10 contains emergency contact information which lacks the phone number of the child's physician.

The file for child #2, child #3, child #5, child #6, child #8, and child #9 contains emergency contact information which lacks the enrolling parent's work address and work phone number.

The file for child #6, child #8, child #9, and child #10 contains emergency contact information which lacks the health insurer's name and policy number which the child is covered under.

The file child #4, child #5. and child #8 contains emergency contact information which lacks the complete address of the parent-designated release person(s).

Observed 3 school-aged children receiving care in Room 9/10 without their emergency contact information being present in the room.

The most recent update to the emergency contact form and agreement on file for child #2, child #3. and child #7 is dated more than 6 months ago.

The file for child #4 and child #10 lacks signed parental consent for emergency care and administration of minor first-aid procedures by staff.

The file for staff person #7 and #9 contains one written, non-family reference. The file for staff person #6 lacks two written, non-family references.

At the time of the investigation, staff persons #1, #2, and #3 who are serving in the role of staff persons, lack a child abuse clearance, a state police clearance, an FBI clearance, an NSOR, and a signed disclosure statement as required by current CPSL.

According to staff statement, three pastors were providing childcare during the month of June, creating a 0:1 staff:child ratio. There was not an available file for any of the three individuals and therefore it could not be determined if they qualify as staff person(s).

According to staff statement, three pastors were providing childcare during the month of June, creating a 0:1 staff:child ratio. There was not an available file for any of the three individuals and therefore it could not be determined if they qualify as staff person(s).

The file for staff person #1 lacks proof of application for or a completed state police clearance, a child abuse clearance, an FBI clearance, and a signed disclosure statement. Staff person #1 was observed serving in a child care taking role.

The last documented fire drill was 10/01/2020.

Fire detection system testing was unable to be determined because a testing log was not available for review.

Staff person #4 lacks qualifications to perform the role of assistant group supervisor.

There was not an available file for staff person #1, staff person #2, and staff person #3, who serve as staff persons.

The files for one Staff and two Children who were observed without a face coverings lacked information from their physician stating that a documented medical condition did not allow for them to wear a face covering.