Cassies Cradle

The PA State Police, Child Abuse, FBI and NSOR Clearances in the files for staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET).

The two most recent Emergency Plan Trainings for Staff #3 were dated more than 12-months apart. (SEE LIS CODE SHEET)

The First Aid kit in the Infant Room on the first floor lacked sterile gauze pads.

In the basement (OT Room) the bottom of the steel door frame was rusted through which could pose a cutting or puncture hazard.

In the Toddler room, on the window ledge, which looks out to the side yard has chipping paint and plaster.

Two green, plastic chairs were obstructing the exit door from the Older Toddler Room to the outdoor play space.

The Updated Child Health Assessment for Child #3 (OT) lacked from the file. (SEE LIS CODE SHEET)

Mandated Reporter Training for staff #3 was dated more than 60 months ago. (SEE LIS CODE SHEET)

The Fee Agreement Form for Child File #3 lacked the "Release Person's Name." (SEE LIS CODE SHEET)

The Emergency Contact Form for child #1 lacked the "Release Person's Name," "Release Person's Address" and "Release Person's Phone Number."

At approximately 1:00 pm, upon entrance into the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room. Shortly after, staff #2, who was identified as in the infant staff since staff #3 was on break, was later standing in the doorway of the infant and toddler classrooms. Staff #2 identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to supervise and be present in 2 separate childcare spaces simultaneously. The infant sleeping in the toddler room without a staff physically present in the childcare space created a 0:1 staff to child ratio.

** At approximately 1:00 pm, staff #1 was in the front L shape room with 7 children, the oldest being 2 years and the youngest being 1 year of age. While 6 children were on their mats resting, 1 child was sitting at the table eating crackers. With a child at the table and not resting on a mat, nap ratios no longer apply. With a young toddler in the classroom, the 1:5 staff to child ratio was exceeded by 2 since 1 child was sitting at the table.

At approximately 1:00 pm, staff #1 was in the front L shape room with 7 children, the oldest being 2 years and the youngest being 1 year of age. While 6 children were on their mats resting, 1 child, was sitting at the table eating crackers. With a child at the table and not resting on a mat, nap ratios no longer apply. With a young toddler in the classroom, the 1:5 staff to child ratio was exceeded by 2 since 1 child was sitting at the table.

**At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

***At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

During naptime, 4 staff were on the facility premises with the napping children and one staff was on break running errands. Staff #5 identified the 6 older toddlers on their mats and 1 young toddler at the table in their primary group. Staff # 4 identified 3 infants and 1young toddler in their cribs in their primary supervisory group. Staff #3 identified 9 preschool children in their group and staff #2 identified 3 older toddlers and 3 preschool children in their supervisory groups. There were not enough staff on the premises to meet the ratio needs of the facility.

The file for Staff Person #1 (see LIS code sheet), a provisionally hired staff, lacked a request for the NSOR and a copy of the final NSOR. Additionally, Staff #1, who did not have all required clearances, was observed working alone unsupervised by a permanent employee.

The facility file lacked documentation of Emergency Plan Training for staff persons #1, #2, #3 and #4 being conducted within the last year and all staff were employed more than 90 days.

At approximately 0930 HRS, in the "Front 'L' Room," Staff person #1 (AIDE), was observed supervising seven (7) Older Toddlers without being supervised by a staff person qualified at minimum as an Assistant Group Supervisor.

On the 3rd Floor (PS) Room in an unlocked, child-height counter drawer, were two (2) pair of adult scissors and a red, packing tape dispenser with a metal, jagged cutting surface, which posed a cutting hazard which was accessible to children.

The outdoor walkway, on the right side of the building, leading to the third-floor entrance door, a patch of concrete was missing which was approximately six (6) inches wide and three (3) feet long was observed posing a tripping hazard.

In the basement, (OT Room), above the baseboard heater in the back right corner, is exposed corner beard (which is used for drywalling) had sharp protruding edges which poses a cutting hazard. In the outdoor play space in the back of the building, near the side entrance gate was a blue, broken, plastic funnel, which poses a cutting hazard.

Two "Little Tikes Cozy Coupe" plastic cars were obstructing the gate at the bottom of the stairs leading to the outdoor play space.

The Updated Child Health Assessment for Children #4 (OT) lacked from the child file.

During a diaper change, a staff member was observed placing a soiled diaper on the changing table for the remaining duration of the diaper change instead of immediately discarding it.

The facility's fire alarm test report documented testing of the fire alarm system between 05/01/2023 and 06/01/2023 (32 Days). The test conducted was more than 30 days apart.

The Initial Child Health Report for Child #1, enrolled for more than 60 days, was lacking from the child file.

The Fee Agreement Forms for Child Files #1 and #4 lacked the "Fee Amount."

The Emergency Contact Form for Child #3 lacked the Name, Address and Phone Number of the Physician or Medical Care Provider.

The Emergency Contact form for Child File #2 lacked the address of the listed release person.

The Older Toddler Room, in the basement, lacked the required emergency contact information for four (4) children receiving care in the space. The infant room lacked the required emergency contact information for one (1) child receiving care in the space.

Staff person #1 was observed supervising and interacting with children without being supervised by an AGS or higher.

The file for Staff Person #1 lacked documentation of education, making it unable to be determined if the individual qualified as a staff person.

The two most recent State Police and FBI Clearances for Staff #1 were dated more than 60 months apart.

First aid kits in the facility lacked gauze pads.

In the two-year-old room, in the upper right-hand corner, above the large glass block window was blue peeling paint.

The Initial Health Assessment for Child File #5 was lacking a signature from the physician, physician's assistant or a CRNP.

Child file #1 (OT) lacked updated written verification of ongoing administered vaccines: 2 doses of Rotavirus and lacked a yearly (2022) Influenza shot with no Letter of Exemption in the File. Child file #4 (OT) lacked a yearly (2022) Influenza shot with no Letter of Exemption in the File. Child file #5 (INFANT) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP and 1 Dose of Rotavirus.

The file for Staff #2 lacked a Health Assessment.

The file for Staff #2 on the health assessment dated 09/06/2022 did not indicate Staff #2 is "suitable for child-care."

During the inspection, the Hard wired, inter-connected fire detection system, (Model #9120 B) was tested and did not work properly. The facility file lacked proof of purchase for the hard-wired, inter-connected fire detection system. The fire extinguishers at the following areas had not been inspected since December 2020: Front Room by main door, backdoor, Pre-School Room and Kitchen.

The initial health assessment for Child File #5 was not present in the child file.

Staff person #4 who has worked at the facility for more than 90 days, had pediatric first aid and pediatric CPR training beyond 90 days.

The Emergency Contact form for child file #3 lacked the address of the listed release person.

The Infant and two-year-old rooms lacked the required emergency contact information for the children receiving care in the space.

The file for child #2 lacks verification of a flu vaccination.

Staff files #2 and #3 lack current health assessments.

The facility did not have proof of purchase for the fire detection system.

The facility did not log the testing of the fire detection system.

The facility did not have the liability insurance on file.

The file for staff #2 lacks general health and safety training that was due within 90 days of hire. Staff #2 does have current pediatric first and cpr.

Staff #1 through #4 lack mandated reporter training.

The file for staff #2 lacks verification of a HS diploma to qualify her as an AGS.

The file for child #1 lacks an updated parental signature on the emergency contact form and agreement.

The file for staff #2 lacks 2 non family reference letters.

Staff #1 lacks 6 of the 12 hours of annual child care training.