Caterpillar Corner Daycare LLC

Room #3 at the facility was observed to have a set of wooden cubbies next to the black board that was not fastened to the wall or other surface and was unsteady and easily tipped over.

The file for child #2 was observed to lack a health report that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Room #3 at the facility was observed to lack a written plan of daily activities and routines, including a time for free play posted in the group space.

The file for child #1 was observed to contain an agreement form that lacked the operator's signature.

The files for children #1 and #5 were observed to contain financial agreement forms that did not specify the amount of the fee to be charged per day or per week

The file for child #1 was observed to contain a financial agreement that did not specify the services being provided.

The files for Children #2 and #5 were observed to contain financial agreement forms that did not specify the child's arrival and departure times.

The files for children #1, #5 and #6 were observed to contain agreement forms that did not specify the services which are to be considered as extra.

The file for child #5 was observed to contain and emergency contact form that lacked the address and telephone number of the child's physician or source of medical care.

The files for children #2 and #5 were observed to contain an emergency contact form that lacked the work address of the enrolling parent(s). The emergency contacts forms for children #2, #5 and #7 were observed to lack the work telephone number of the enrolling parent(s).

The files for children #2, #4, #5 and #7 were observed to contain emergency contact forms that did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation

The files for children #3, #4 and #6 were observed to contain Emergency contact forms and financial agreements that had not been updated in writing once in a 6-month period. This was evidenced by emergency contact forms dated 08/17/2024 present in the files.

The file for staff person #1 was observed to lack documentation of obtaining an annual minimum of 12 clock hours of child care training.

At approximately 11:15 AM Staff #1 was caring for a group of mixed age children which included 3 young school-age children and 2 older school-age children. When asked to name the children, Staff #1 named one of the five children.

2nd citation. Previously cited on 5/21/24. Observed a bottle labeled "bleach water" hanging on the shelf by the changing table in the Young Toddler Room which was accessible to children.

The file of Staff #2 lacked a valid FBI Clearance. Staff #2 had an FBI Clearance from the Department of Education.

At approximately 11:30 AM Certification Staff observed Staff #4 leave the Preschool Room to take a child to the bathroom while Staff #5 remained in the room with 12 preschoolers.

Observed 3 pair of adult scissors in a bin on the shelf at the bottom of the steps in the Preschool Room which were accessible to children.

The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures including accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed a bottle labeled "bleach water" hanging on the shelf by the changing table in the Young Toddler Room which was accessible to children.

Observed approximately a 3-inch tear on a gym mat in the Indoor Play Space. Observed a cracked bin containing LEGOS in the Older Toddler Room. Observed 5 cracked Magna Tiles in the Preschool Room. Observed a cracked bin containing puzzle pieces in the Preschool Room.

Observed rest equipment not labeled for the use of a specific child in the Toddler Room.

A veterinarian's certificate of current rabies immunization was not on file when a dog was present at the facility.

The file of Child #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #4 contained health reports dated 5/9/23, 6/21/23, and 1/3/24.

The file of Child #1, a 3-month-old, lacked Hepatitis B immunizations according to the recommendations of the ACIP. Child #1 had documentation of one Hepatitis B immunization.

Child #4's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed bottles not labeled with the child's name in the Infant Room.

Emergency drills were not conducted annually. The operator provided documentation of an emergency drill being conducted on 12/8/22 but no documentation for 2023.

The file of Child #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #5, with an admission date of 9/26/23, contained a health report dated 12/5/23.

The file of Staff #1, who was designated as an aide, lacked documentation of a minimum of an 8th grade education.

Children #3, #4, and #5 lacked child service reports completed at least every 6 months. Child #3 had child service reports completed on 3/13/23, in November of 2023, and in May of 2024. Child #4, with an admission date of 5/4/23, had a child service report completed on 4/24/24. Child #5, with an admission date of 9/26/23, had a child service report completed on 5/3/24.

Emergency contact information for Child #2 did not include the complete address of the child's physician or source of medical care.

Emergency contact information for Child #2 did not include the work address of the enrolling parent.

Emergency contact information for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.

When Child #6 left the facility on a walking excursion, emergency contact information for Child #6 did not accompany staff on the excursion.

The agreement for Child #2, with an admission date of 7/12/21, was not reviewed and updated at least once in a 6-month period. Child #2's agreement was reviewed on 8/21/23 and 2/20/24. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed and updated on 8/15/22, 8/24/23, and 2/14/24.

The file of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

2nd citation. Previously cited on 5/8/23. The emergency contact for Child #1 was not reviewed and updated at least once in a 6-month period. The emergency contact for Child #1 was reviewed on 2/10/22 and 8/15/22.

The file of Staff #4 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (SEE LIS Code Sheet). The file of Staff #4 contained a NSOR dated 3/24/21.

At approximately 12:30 PM on 5/8/23 Certification Staff observed 1 child lying on rest equipment behind a bookcase in the Toddler Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

At approximately 2:55 PM on 5/8/23 Certification Staff observed 2 preschool children alone in the bathroom which is not in the classroom.

The file of Staff #1 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of receiving emergency plan training on 11/30/21. The file of Staff #5 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #5 contained documentation of receiving training regarding the emergency plan on 10/10/22.

On 5/8/23 the sink located in the Toddler Classroom lacked a clean, lidded waste receptacle.

On 5/8/23 observed the diapering area in the Toddler Classroom lacked a source of running water for handwashing. The diapering areas was located in the middle of the classroom, and the sinks were located on each side of the classroom.

On 5/8/23 observed cracked Magna Tiles in the Preschool Classroom. On 5/8/23 observed a cracked bin containing musical instruments in the Young Toddler Classroom. On 5/8/23 observed rest mats with exposed foam in the Preschool and Young Toddler Classrooms. On 5/8/23 observed broken LEGOS in the indoor play space.

On 5/8/23 observed 3 foam peg boards with bite marks in the Preschool Classroom.

On 5/8/23 observed rest equipment not labeled for the use of a specific child in the Toddler Classroom.

The refrigerator temperature in the Infant Classroom was 48 degrees.

The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 2/8/22, 4/27/22, and 2/16/23.

The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a current health report dated 3/30/23 with a previous one dated 2/11/22.

The file of Child #2 contained a health report which was not written and signed by a physician, physician's assistant or CRNP.

The files of Children #1, #2, and #5 lacked a current influenza immunization in accordance with the recommendations of the ACIP. The file of Child #4, a 35 month old, lacked an influenza immunization and Hepatitis A immunizations in accordance with the recommendations of the ACIP. The file of Child #4 contained documentation of 1 Hepatitis A immunization.

The file of Child #2 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Child #2 contained a health report which did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file of Staff #3 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux read date of 8/31/22.

The facility created an emergency drill log, but it did not address the names of the facility persons and any other adults that participated in the drill, special accommodations the facility used for any category of children, total number of children participating in the drill, total number of adults and children participating in the drill, and problems encountered or observations during the drill.

The facility was unable to provide written documentation that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 6/1/22, 7/1/22, 7/29/22, 8/26/22, 9/23/22, 10/21/22, 11/18/22, 12/16/22, 1/15/23, 2/12/23, 3/14/23, 4/13/23.

The file of Child #1 lacked an initial health report no more than 60 days following the first date of attendance at the facility. Child #1, with an admission date of 1/3/22, contained an initial health report dated 10/31/22.

The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 prior to returning from a leave of absence. The file of Staff #1 contained documentation of leave from 9/23/22 through 4/6/23. The file of Staff #1 contained documentation of completing the health and safety update on 4/20/23.

The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained no documentation of fire safety training.

The files of Staff #1 and #5 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The files of Staff #1 and #5 contained no written evaluations.

The file of Staff #2, who was designated as a group supervisor, lacked documentation of an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

The files of Children #1, #2, #3, #4, #5, and #6 lacked child service reports with the reinstating of this regulation on 10/31/22. The file of Child #1 contained child service reports dated 8/24/22 and 3/25/23. The file of Child #2 contained child service reports dated 3/3/22 and 3/13/23. The file of Child #3, with an admission date of 6/10/22, contained a child service report dated 3/13/23. The file of Child #4, with an admission date of 8/22/22, contained a child service report dated 3/13/23. The file of Child #5, with an admission date of 8/20/21, contained no child service report. The file of Child #6, with an admission date of 8/23/21, contained a child service report dated 4/17/23.

Emergency contact information was not present for Child #7 in the Preschool Classroom when receiving care in that room.

The emergency contact and agreement for Children #1 and #2 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was signed on 1/3/22 and reviewed on 2/10/22 and 8/16/22. Child #1's agreement was signed on 1/3/22 and reviewed on 8/16/22 and 2/10/23. Child #2's emergency contact was signed on 8/17/21 and reviewed on 8/15/22 and 2/8/23. Child #2's agreement was signed on 8/20/21 and reviewed on 8/17/22 and 2/8/23. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. The emergency contact for Child #4 was reviewed on 2/10/22 and 8/15/22.

2nd citation. Previously cited on 5/11/22. The files of Children #1 and #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

2nd citation. Previously cited on 5/11/22. The file of Child #3, a 23 month old, lacked DTAP/DTP/TD, HIB, and Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #3 contained documentation of 3 DTAP/DTP/TD immunizations, 2 HIB immunizations, and 3 Pneumococcal immunizations.

The file of Staff #4 lacked documentation of application for the State Police Clearance, Child Abuse Clearance, and FBI fingerprint submitted receipt dated prior to providing initial service in a child care setting. (SEE LIS CODE SHEET) The file of Staff #4 contained a State Police Clearance dated 11/17/17, a Child Abuse Clearance dated 2/26/18, and a FBI Clearance dated 11/18/17. The file of Staff #7 lacked documentation of application for the National Sex Offender Registry Verification Certificate prior to providing initial service in a child care setting. (SEE LIS CODE SHEET) The file of Staff #7 contained a NSOR dated 12/26/19. The file of Staff #8 lacked documentation of application for the Child Abuse Clearance prior to providing initial service in a child care setting (SEE LIS CODE SHEET). The file of Staff #8 contained a Child Abuse Clearance dated 5/10/19. The file of Staff #9 lacked a valid FBI Clearance. The file of Staff #9 contained a Department of Education FBI Clearance.

At approximately 11:45 AM on 5/11/22 Certification Staff observed 2 children lying on rest equipment behind bookcases in the Preschool Room which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

On 5/11/22 observed approximately 1/2 inch hole in the bin containing connector beads in the Young Toddler/Older Toddler Room. On 5/11/22 observed rest mats with exposed foam in the Toddler Room. On 5/11/22 observed rest mats with exposed foam in the Young Toddler Room. On 5/11/22 observed a torn changing mat with exposed foam in the Young Toddler Room. On 5/11/22 observed a green step with exposed foam in the Indoor Play Space. On 5/11/22 observed a turtle mat with exposed foam in the Indoor Play Space. On 5/11/22 observed a red, blue, and purple mat with exposed foam in the Indoor Play Space.

On 5/11/22 observed foam peg boards with bite marks in the Preschool Room. On 5/11/22 observed foam road map pieces with bite marks in the Toddler Room. On 5/11/22 observed foam blocks with bite marks in the Young Toddler/Older Toddler Room and in the Young Toddler Room.

On 5/11/22 the rest equipment was not labeled for the use of a specific child in the following rooms: Preschool and Young Toddler/Older Toddler.

On 5/11/22 observed 3 children in the Toddler Room using only blankets as rest equipment.

The file of Child #6 lacked an updated health report at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #6 contained a current health report dated 2/922 with a previous one dated 4/26/21.

The file of Child #1 contained a health report which did not include a review of the child's immunized status according to recommendations of the ACIP. The file of Child #1 did not contain documentation of immunizations.

The files of Children #1 and #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Child #6, a 23 month old, lacked DTAP/DTP/TD, HIB, and Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #6 contained documentation of 3 DTAP/DTP/TD immunizations, 2 HIB immunizations, and 3 Pneumococcal immunizations. The file of Child #7, an 8 month old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations in accordance with the schedule recommended by the ACIP. The file of Child #7 contained documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. The file of Child #8, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

The files of Staff #4, #7, #8, and #9 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. (SEE LIS CODE SHEET) Staff #4 had a Mantoux test read date of 9/8/17. Staff #7 had a Mantoux test read date of 11/20/19. Staff #8 had a Mantoux test read date of 5/3/19. Staff #9 had a Mantoux test read date of 8/19/20 which was conducted more than 12 months prior to providing initial service in a child care setting.

On 5/11/22 the Infant Room lacked a written statement giving the formula and feeding schedule for each infant obtained from the parents

On 5/11/22 observed bottles which were not labeled with the child's name in the Infant Room.

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 3/2/21, 5/2/21, 7/1/21, 9/2/21, 11/1/21, 12/1/21, 1/31/22, 3/31/22, and 4/11/22.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The hypothetical location was the same for fire drills conducted on 11/1/21 and 12/1/21.

The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a record that the fire detection system was manually tested on 4/6/21, 6/2/21, 8/2/21, 10/1/21, 1/3/22, 2/3/22, and 4/1/22.

The files of Staff #1, #2, #3, #6 lacked valid health and safety training due to the fact that the training was completed prior to 9/30/16.

The file of Staff #5, who is designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

The file of Child #4 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #5 lacked the home and work address of the enrolling parent on the emergency contact form.

The file of Child #8 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the emergency contact form.

The file of Child #6 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

On 5/11/22 emergency contact information was not present for Child #9 while receiving care in the Toddler Room. Emergency contact information was not present for Child #10 while receiving care in the Infant Room.

The emergency contact and agreement for Children #1, #2, #3, #6, and #8 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. The emergency contact for Child #4 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. The agreement for Child #7 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's emergency contact was reviewed on 7/22/21 and then again on 3/4/22. Child #1's agreement was reviewed on 8/20/21 and then again on 3/4/22. Child #2's emergency contact form was reviewed on 7/14/21 and then again on 2/28/22. Child #2's agreement was reviewed on 7/21/21 and then again on 2/28/22. Child #3's emergency contact and agreement were reviewed on 7/20/21 and then again on 2/18/22. Child #4's emergency contact was reviewed on 7/21/21 and then again on 2/10/22. Child #6's emergency contact was reviewed on 8/13/21 and then again on 3/14/22. Child #6's agreement was reviewed on 8/20/21 and then again on 3/14/22. Child #7's agreement was reviewed on 7/25/21 and then again on 2/10/22. Child #8's emergency contact…

The files of Staff #7 and #8 lacked documentation of completing an annual minimum of 12 clock hours of child care training.