Children of Grace

The disclosure statement for staff person #1 lacked a date.

The current health assessment for child #1, an older toddler, is dated 4/15/25, which is more than 12 months after the previous health assessment dated 4/15/25.

The health assessment for staff person #1 is dated 8/15/24, which is after their date of hire (see LIS code sheet).

The tuberculosis screening for staff person #1 is dated 8/15/24, which is after the date of initial employment (see LIS code sheet).

The initial health assessment for child #1 is dated 7/14/22, which is more than 60 days after the first day of attendance at the facility (see LIS code sheet). The initial health assessment for child #2 is dated 7/22/24, which is more than 60 days after the first day of attendance at the facility (see LIS code sheet).

A first-aid kit in a classroom with older toddlers and preschoolers was accessible to children.

The health current health assessment for staff person #2 was dated more than 24 months after the previous assessment. The previous assessment was dated 9/20/21 and the current assessment was dated 7/22/24.

The records for child #2 and child #3 did not include an initial health report dated within 60 days of the first day of attendance at the facility.

Staff persons #1, #2, and #3 did not renew their certification in Pediatric First Aid and CPR before the expiration of the previous certification. The previous certifications were dated 11/17/21 and the current certifications are dated 7/24/24.

The agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

The emergency contact information for child #1 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

In Room 1 (Infant/Young Toddler Room), the bed sheet being used in a Pack N Play yard used by an infant in care was observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard.

The staff file for Staff person #2 contained a current DHS FBI clearance dated 8/15/23 which was not renewed within 60 months of the previously dated 6/15/18 DHS FBI clearance expiring. The staff file for Staff person #2 also lacked a valid State Police clearance and Child Abuse clearance; the State Police clearance on file is dated 6/13/18 and the Child Abuse clearance on file is dated 6/24/18 which are more than 60 months old. The staff file for Staff person #3 contained a current Child Abuse clearance and State Police clearance dated 7/14/23 both of which were not renewed within 60 months of the previously dated 5/16/18 Child Abuse clearance and 5/8/18 State Police clearance expiring. The staff file for Staff person #3 also lacked a valid DHS FBI clearance; the DHS FBI clearance on file is dated 5/15/18 which is more than 60 months old.

The portable sink in Room 1 (Infant/Toddler Room) and Room 2 (Older Toddler/Preschool Room), which is used by the toddlers in care, was observed to lack a platform or steps for the toddlers to use while washing their hands.

In Room 2 (Toddler/Preschool Room) a portable sink used in the toddler diapering area for handwashing was observed to not be working.

In Room 1 (Infant/Toddler Room), a bassinet used by an infant in care was observed to not be labeled for the use of that specific child. In Room 2 (Older Toddler/Preschool Room), the cots used for napping were observed not to be labeled for the use of specific children.

The child file for Child #4, who is a young toddler, was observed to contain updated health reports dated 3/7/23 and 7/19/23 which was conducted more than 6 months between dates.

The child file for Child #3 who is a preschool child. was observed to lack an updated health report; the most recent health report on file is dated 3/9/21. The child file for Child #5 who is an older toddler. was observed to lack an updated health report; the most recent health report on file is dated 7/5/21.

The child file for Child #3 lacked a flu shot for 2022 and the second dose of Hep A. The child file for Child #5 lacked a flu shot for 2022, two doses of Hep A vaccine, one dose of Varicella vaccine, the 3rd and/or 4th dose of HiB vaccine, and the fourth dose of DTAP vaccine.

The child file for Child #2 contained a current health report dated 2/24/23 that lacked a statement that the child is able to participate in childcare and is free from communicable disease.

Staff person #4 self-reported that after a diaper change the soiled diaper is placed in a plastic bag, tied shut, and then thrown away in the plastic-lined hands-free cover can.

The staff file for Staff person #1 contained a current health assessment dated 8/23/22 which was not conducted prior to providing initial service in a childcare setting.

The staff file for Staff person #1 contained a current tuberculosis screening and results dated 8/25/22 which was not conducted prior to providing initial service in a childcare setting.

Four lunchboxes that were brought in from the child's home and contained potentially hazardous foods with ice packs to keep them cold were observed being stored in the hallway and not in a refrigerator.

The facility has not conducted an annual emergency drill.

Staff person #1, Staff person #2, Staff person #3, Staff person #4, Staff person #5, and Staff person #6, have not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06.

The child file for Child #2 lacked a financial agreement form.

The child file for Child #4 contained a current financial agreement form that lacked the fee amount.

The child file for Child #1, Child #2, Child #3, Child #4 and child #5 lacked a child service report every 6 months.

The child file for Child #5 contained a financial agreement form that lacked their admission date.

The child file for Child #1 contained an emergency contact information form that lacked addresses for seven of the designated release persons listed.

The child file for Child #1, and Child #3 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review was 9/14/22 for Child #1 and 9/12/22 for Child #3 The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review was dated 5/25/22. The child file for Child #5 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review was dated 5/28/21. Child #4, and Child #5 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were x/xx/xx for the financial agreement and x/x/xx for the emergency contact information form.

Documentation of Staff person #2's completed emergency plan training and fire safety training for 2022, which have been previously viewed by the certification representative, were observed to not be in the file at the of inspection.

The staff file for Staff person #1 was observed to lack two non-family references.

The staff file for Staff person #3 and Staff person #5 lacked a disclosure statement and a DHS FBI clearance. Staff person #3 contained a National Sex Offender Registry (NSOR) certificate dated 4/19/22 and there was no proof of application of having applied for the NSOR certificate on file prior to working with children. The staff file for Staff person #5 contained a NSOR certificate dated 6/9/21 and there was no proof of application of having applied for the NSOR certificate on file prior to working with children. [See IS CODE SHEET]

In Room #2 (Toddler/PS Room) the teachers desk located on the toddler side of the room was observed to contain a pair of adult scissors and a stapler inside the top right drawer of the desk which was unlocked making the scissors accessible to the toddlers in care. On the preschool side of the room four adult scissors and two claw stapler removers were observed inside an unlocked second top drawer of a plastic white storage unit thus making them accessible to the preschool aged children in care.

In Room #2 (Toddler/PS Room) a 6 outlet surge protector located to the left of the teachers desk, and accessible to children under 5 years of age, was observed to be missing 4 protective receptacle covers.

In Room #2 (Toddler/PS Room) the teachers desk located on the toddler side of the room was observed to contain a 1oz. travel sized hand sanitizer inside the top right drawer of the desk which was unlocked making the hand sanitizer accessible to the toddlers in care. On the preschool side of the room, a bottle of hand sanitizer labeled 'Keep Out of Reach of Children' was observed on the teacher desk accessible to the preschool age children in the room. In the hallway a tube of Destin diaper crème labeled 'Keep Out of Reach of Children' was observed inside a red plastic bin located on the bottom right hand corner of a shelving unit to the right of the preschool room doorway causing the diaper crème to be accessible to the children in care.

In Room #2 (Toddler/PS Room) the rubber wall cove base located to the left of the exit door was observed to be detached from the wall causing it not to be in good repair. In Room #3 (PreK Room) the rubber wall cove base located underneath the white shelving unit was observed to be detached from the wall causing it not to be in good repair.

The metal chain link fence surrounding the outdoor play space was observed to have 4 exposed bolts facing inward; 2 exposed bolts were observed on the fence located to the left of the plastic toy play structure, 1 exposed bolt was observed to the left of the walk-thru chain link fence towards the back right corner of the fence, and 1 exposed bolt was observed on the bottom left corner of the chain link fence when facing the field.

The child file for Child #3, who is a young toddler [See IS CODE SHEET], was observed to lack an updated health report at least every 6 months; the most recent health report on file is dated 6/21/21. The child file for Child #4, who was a young toddler [See IS CODE SHEET], was observed to lack an updated health report at least every 6 months; the most recent health report on file is dated 8/13/21.

The child file for Child #2, who is a preschool aged child [See IS CODE SHEET], lacked an updated health assessment at least every 12 months; the most recent health report on file is dated 12/14/20. The child file for Child #5, who is a preschool aged child [See IS CODE SHEET], lacked an updated health assessment at least every 12 months; the most recent health report on file is dated 3/9/21.

The child file for Child #2, Child #3, and Child #5 lacked a flu shot for 2021.

The staff file for Staff person #1 lacked an updated health assessment; the most recent health assessment on file is dated 10/14/19 which is more than 24 months old.

The staff file for Staff person #5, was observed to contain a tuberculosis screening test results dated 9/9/21 which was not conducted prior to providing initial service in a child care setting (See IS CODE SHEET).

In the infant room one bottle used by an infant in care was observed to not be labeled with the child's name.

The facility has not conducted an annual emergency drill.

Upon review of the facility's 30 day fire alarm testing log the tests conducted on 6/17/22 and 7/18/22 were observed to be more than 30 days.

The facility lacked a handwritten policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Staff person #1 and Staff person #4 were observed to be caring for children unsupervised. Staff person #1, and Staff person #4 have not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training.

The staff file for Staff person #2 lacked fire safety training for 2021, the last documented fire safety training on file is dated 11/16/20.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

The staff file for Staff person #3 contained documentation of health and safety training dated 8/2/22 which was completed more than 90 days from date of hire (See IS CODE SHEET).

Staff person #1 and Staff person #4 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/28/16 for Staff person #2 and 3/8/17 for Staff person #4.

The staff file for Staff person #1, Staff person #2, Staff person #4, and Staff person #6 lacked a completed staff evaluation for 2021.

The staff file for Staff person #3, who is functioning as the director, lacked proof of education and documentation of 1 year of experience working with children.

The child file for Child #3 contained a financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released to.

The child file for Child #3, Child #4, Child #5 contained a financial agreement form that lacked the child's admission date.

The child file for Child #4 contained an emergency contact information form that lacked the health insurance name and policy number.

The child file for Child #2, Child #3, and Child #5 contained an emergency contact information form that lacked the addresses of the individuals designated by the parent to whom the child may be released to.

The child file for Child #1 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent update were 8/16/21 for the financial agreement and 8/17/21 for the emergency contact information form. The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent update were 3/14/21 for the financial agreement and 1/24/22 for the emergency contact information form. The child file for Child #5 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent update were 3/25/21 for the financial agreement and 12/3/21 for the emergency contact information form.

The child file for Child #4 and Child #5 contained an emergency contact information form that lacked signed parental consent for emergency medical care for the child.

The child file for Child #4 and Child #5 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The facility's certificate of compliance was observed to not be current as evidence by the date of expiration on the posted certificate of compliance was 11/11/21.

The staff file for Staff person #1 contained 6 of 12 clock hours of childcare training completed for 12/19/20 - 12/19/21. The staff file for Staff person #2, Staff person #4, and Staff person #6 lacked 12 clock hours of childcare training completed for 12/19/20 - 12/19/21.