Childrens Aid Society of Mercer Co Child Care CTR

The file for Staff #1 was lacking Pediatric First Aid/CPR within 90 days of hire.

Peeling paint was observed in the toddler room under the window.

The medication log in the preschool room for Child #1 was lacking the parent signature.

The file for staff #1 contained 2 Health Assessments that were more than 24 moths apart.

On 1.5.24-2.5-24, 2.5.24-3.6.24, and 5.3.24-6.3.24 all documented more than 30 days in between testing of the fire detection system.

On 1.5.24-2.5-24, 2.5.24-3.6.24, and 5.3.24-6.3.24 all documented more than 30 days in between testing of the fire detection system.

The file for Child #2 contained an emergency contact form that was lacking the address of the child's physician.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid and pediatric CPR and health and safety topics under 3270.31(f)(1-9).

The file of facility person #1 was observed to be caring for the infants in the morning and the toddlers at rest time unsupervised without a completed NSOR verification certificate.

The contingency plan or contingency fund which can help strategize how repairs will be paid for, how staff will be paid and continue to run the business after a disaster or emergency was not presented at the time of the inspection.

An AUVI-Q epinephrine injection, which expired 9/21/2023, was observed in the medication box in the toddler classroom.

At the time of the inspection, the emergency plan did not contain documentation of the evacuation route to the designated off-site location if the facility needs to evacuate due to an emergency.

The files of facility persons #4, #5, #6 and #7, all of whom had taken the required health and safety topics under regulation 3270.31(f)(1-9) on the "Better Kid Care - Penn State Extension" between 9/30/2016 and 10/4/2022 or began the training before 10/4/2022 and completed it prior to 10/30/2022, did not have documentation of completion of the 1 hour "Pennsylvania Health and Safety Update 2022" through the same organization. Facility person #3 contained the 1 hour training dated 9/19/2023 which was after the requirement of 12/30/2022 for completion.

The file of facility person #3 did not contain documentation of fire safety training being completed at least every 12 months as the last fire safety training was documented as being completed on 5/10/2022.

The file of facility person #2, identified as an aide, did not have verification of education or experience to document their qualifications for the position.

The emergency contact information of child #1 and #2 did not contain the enrolling parent's work telephone number.

The emergency contact form of child #1 did not contain the address of one of the designated persons to pick up the child.

The file of facility persons #1, identified as an assistant group supervisor, did not contain documentation of at least 2 years (2500 hours) of experience with children to qualify as an assistant group supervisor.

The file of facility person #1 contained a disclosure statement which was not dated and an FBI clearance dated 6/1/2022, after their start date (see coded LIS sheet), and did not contain documentation of submission. The file of facility person #2 and 8 contained a disclosure statement which was not dated.

In the preschool room, 2 pairs of adult scissors were accessible to children in an unlocked drawer of the staff desk. The scissors could cause lacerations or injury,

Emergency plan training for facility person #4, 5, 6, and 7 was dated 3/8/2021 and facility did not have documentation of current emergency plan training within the last 12 months and facility person #8 did not have documentation of emergency plan training within the past 12 months.

In the downstairs school age room, 3 containers of laundry detergent and 2 cans of Barbasol, all labeled "keep out of the reach of children," were accessible to children on shelves.

Based on conversation with the director, 2 cans of Barbasol, labeled "keep out of the reach of children," were used for art activities with children.

The school age room downstairs did not contain a first aid kit.

The diapering are in the toddler room did not have a source of running water for handwashing.

The health assessment of child #3 did not include a statement that the child is able to participate in child care and appears to be from contagious or communicable disease.

In the toddler classroom, the hands of an able child were not washed at the sink with soap and water after a diaper change.

The file of facility person #4 contained health assessments dated 8/13/2020 and 9/15/2022, facility person #7's file contained health assessments dated 1/8/2020 and 4/13/2022, and facility person #8 had health assessments dated 11/26/2019 and 3/10/2022, all exceeding 24 months.

The tuberculosis screening of facility person #2 was documented as being read on 1/6/2022, which is after their start date with children (see coded LIS sheet).

Based on observation and discussion with additional facility persons, it was evident the downstairs space was being used as measured child care space for school-age care prior to it being added to the license.

The facility did not have documentation of an annual emergency drill.

The last fire drill documented on the fire drill log was dated 7/21/2022, which was more than 60 days from the date of the renewal inspection (9/27/2022).

Documentation of the testing of the fire detection system exceeded 30 days: 9/30/2021 to 11/24/2021 to 1/4/2022 to 2/21/2022 to 4/6/2022 to 5/26/2022 to 7/21/2022.

The facility did not have documentation of the emergency plan being sent to the local and county emergency management agency since the plan was "redone" in 9/2022.

Fire safety training for facility person #3, 4, 5, 6, and 7 was dated 3/8/2021 and facility did not have documentation of current fire safety training within the last 12 months and facility person #8 did not have documentation of fire safety training within the past 12 months.

Staff person #1 and 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR. Staff person #5, 6 and 7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): required health and safety topics after 9/30/2016.

The school age room downstairs did not have a written plan of daily activities posted.

The emergency contact form of child #1 did not contain the address of the child's physician or source of medical care.

The emergency contact form of child #3 did not include the enrolling parent's work address or work telephone number.

The emergency contact form of child #1, 2, 3 and 4 did not contain information of any special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or acceptable documentation this is not applicable to the child.

The emergency contact information of child #1did not contain the address of the release persons designated by the parent to whom the child may be released.

Documentation of the review and/or update of the emergency contact information and financial agreement of child #3 exceeded 6 months (dated 5/26/2021 and 2/9/2022).

The posted certificate of compliance expired 12/4/2017. The facility did not have evidence of providing parents of enrolled children with information on how to access the regulations electronically.

The file of facility person #5 contained 4 annual training hours between 12/2020 and 12/2021 and additional training hours after the required timeframe (6 hours on 1/22/2022, and 2 hours on 2/6/2022). The file of facility person #7 contained 7 annual training hours between 12/2020 and 12/2021, and additional training hours after the required timeframe (6 hours on 1/22/2022).