Child Development Center

During a renewal inspection on 5/21/25 Cert rep observed 13 preschool children in the Ocean lobby. This child care space has a capacity of 11. This exceeding of capacity was not designated on the facility's schedule of daily activities.

During a renewal inspection on 5/21/25 Cert rep noted more than 60 days between fire drills one time: 6/7/24-8/29/24.

During a renewal inspection on 5/21/25 Staff 1 and 2 had more than 60 months between mandated reporter trainings. This is evidenced by Staff 1's trainings dated 1/15/2020, and 2/20/25, and Staff 2's trainings dated 1/9/2020, and 2/20/25 in their respective files. It was confirmed these staff continued to work as staff persons between 1/15/25-2/20/25, and 1/9/25-2/20/25 respectively.

During a renewal inspection on 5/21/25 Cert rep observed emergency contact forms for the children receiving care were not present with them in the Ocean lobby.

During renewal inspection, the following children's files did not reflect that they were immunized according to the recommendations of the ACIP: Child #2: Received 2 of 3 doses each of Rotavirus, DTAP, HIB, and Pneumococcal vaccines. There is not an acceptable exemption on file. Child #2 is an infant (see LIS code sheet for date of birth). Child #3: Received 1 of 2 doses of Hep A vaccine. There is not an acceptable exemption on file. Child #3 is an older toddler (see LIS code sheet for date of birth).

During renewal inspection, an address of a release person was missing from child #1's emergency contact form.

File for staff person #2, see code sheet for hire date, showed documentation that they have lived outside of PA within the last 5 years, but documentation of the requested or completed out of state clearances were not observed on file at the time of inspection.

It was observed during rest time in the Cactus Room that staff person #3 had left the classroom space for several seconds leaving some of the children unsupervised. Staff person #3 was not in the same physical space as their primary care group and was using napping ratios.

It was observed in the Pine Room that a mouse glue trap was stored under the sink in a cabinet accessible to the children in care, and in the Oak Room the metal door frame, located on the door leading to the outside, contained a rusted sharp section in the lower right corner; both of these areas created a visible hazard to the children receiving care in those spaces.

It was observed in the preschool outdoor play space that the wooden climber contained areas of splintered wood and peeling paint.

It was observed in the Sand Pebble Room that there was not at least 2 feet of space on at least 3 sides of a crib that was in use.

It was observed in the refrigerator used by the Oak Room that something spilled at the bottom of the appliance which therefore caused the refrigerator to be unclean at the time of inspection.

File for child #1 and #2 did not contain documentation of the review of all immunizations recommended by the ACIP; neither file contained verification of the influenza vaccine at the time of inspection. However, adequate documentation was obtained and placed on file during inspection.

It was observed and stated by the facility that staff person #1 was working in an assistant group supervisor position. The file for staff person #1 contained a high school diploma but did not contain documentation verifying at least 2 years experience working with children.

It was observed in Room 169, the Wave Room, that staff person #1 was the only staff person present with 16 preschool aged children. Although children were preparing for rest time, they were not all observed on their rest equipment. Staff person #1 had positioned themselves in the room so that they could not see all 16 children, therefore could not adequately supervise all 16 children in that space.

It was observed in Room 189, the Evergreen room, that disinfectant wipes were stored in a lower level cabinet allowing them to be accessible to children in care.

It was observed in Room 185, the Pine room, that one cabinet door under the counter and one cabinet door over the counter had loose hinges; therefore leaving those cabinet doors not in good repair at the time of inspection.

In the infant and toddler outdoor play space peeling paint was observed on the white paint on the lower concrete baseboard near an entry door, and peeling paint was also observed on the red paint on a piece of play equipment.

It was observed in the preschool outdoor play space that the railing on the stairs of the climbing equipment contained a sharp pointed object pushing out from under a taped area of that railing.

It was observed that wooden mulch, with a diameter of less than 1 inch, was scattered around the one side of the toddler outdoor play space allowing for that mulch to be accessible to those toddlers in care.

It was observed in Room 198, the Oak room, that bags were stored under the changing table in a lower level cabinet allowing for those bags to be accessible to mouthing children in care.

It was observed in Room 198, the Oak room, that a staff person changed a child's diaper but did not ensure that the child's hands were washed after diapering.

It was observed in Room 189, the Evergreen room, that the garbage can being used to discard diapers was broken at the time of inspection and therefore the cover could not opened hands-free.

It was observed in Room 109, the Desert Flower room, that the facility's emergency transportation plan was not posted.

It was observed during a complaint investigation that the facility sent a written electronic report to the parent of child #1 stating that a medication was administered to child #1 on 11/9/21, at 10:50am and again at 2pm. The signed parental consent of administration of this medication was written as "every 4 hours as needed". This medication was administered less than 4 hours apart, therefore written consent for this administered dosage was not provided. The medication log for child #2 showed staff logged 3.5ml of medication administered to the child during 2/8-2/10/22, but the amount the parent had consented to was 2.5ml.

It was observed and stated during a complaint investigation that medication was present for child #1 and child #2 and medication logs were initially established for each child's medications, but the facility failed to maintain these medication logs adequately and accurately. Written documentation, in the form of an electronic daily report, was provided to the parents of child #1 stating that at least one dose of medication was administered to child #1 on 9/28/21, 11/9/21, 11/11/21, 11/24/21, 1/18/22, and 1/19/22, but these administered doses were not written on the facility's medication log, and the dose administered on 3/1/22, documented it was given at 11am on the medication log but was communicated to the parent in writing electronically as being given at 2pm that day. The medication present for child #2 was admittedly administered between 2/8-2/10/22, but staff stated it was inaccurately written on the medication log for child #1.

It was observed during a complaint investigation on the medication log established for child #1 that a medication was administered on 9/15/21, but staff did not include the time of administration or the initials of the staff person who administered the medication.