Childrens Learning Ladder

Staff Person #2 was alone with a group of children while Staff Person #3 came to the first floor of the facility. Staff Person #2 lacked verification of 2500 hours of experience allowing them to be considered an AGS and to be unsupervised. Without the verification of experience Staff Person #2 is an Aide and must be supervised at all times.

One window in Classroom 3 was observed to be unrestricted allowing the window to open more than 6 inches.

The file for Staff Person #1 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting in a child care taking position at the facility. The initial health assessment was dated 551 days prior to started. A current health report was not on file until 149 days after starting at the facility. The tuberculosis screening on file was completed 825 days prior to starting. A current tuberculosis screening was not on file at the time of the inspection.

The most recent health reports on file for Children #1 and #3, young school agers, were completed when the children were 4 years of age. These health reports would not be acceptable by a school as documentation for a school age child. Acceptable school health reports are completed at ages 5 and 11.

The file for Staff Person #1 lacked completion of the updated 1-hour Health and Safety Training within 90 days of starting at the facility (refer to LIS code sheet).

The file for Staff Person #2 lacked verification of 2500 hours to qualify them for the position they were observed to be performing. The file only contained verification of 1,558.8 hours. Without verification of experience signed by a representative of the experiential entity, Staff Person #2 qualifies as an Aide.

The most recent emergency contact form for Child #2 lacked the policy number for the child's health insurance.

The file for Staff Person #2 lacked an FBI Clearance that had been completed for DHS purposes. The FBI Clearance on file was completed for DOE purposes and is not acceptable for employment in a child care facility.

The first aid kit in Classroom #3 was missing tweezers.

The refrigerator in Classroom #5 (Downstairs Preschool) was observed to be missing an operable thermometer.

The most recent immunization record on file for Child #3 lacked verification that the child had received their Hepatitis A vaccination as recommended by the ACIP. A written exemption was not on file for the missing immunization.

The facility exceeded 30 days between fire alarm testing on 1.4.23 and 2.7.23. At the time of the inspection on 5.11.23 the last documented testing was 4.3.23.

The facility lacked documentation that they had submitted their emergency plan to the County Emergency Management Agency.

The written staff evaluations on file for Staff Person #1 exceeded 12 months between evaluations dated 2.3.22 and 3.21.23.

The files for Children #1, #2, #3 and #4 lacked current approved developmental assessments that had been completed within the last 6 months. The most recent child service reports on file were completed in October 2022.

The updates to the emergency contact form for Child #4 exceeded 6 months between updates on 5.19.22 and 2.27.23. The agreements on file for Children #1, #2, #3 and #4 have exceeded 6 months since their last review. The last reviews for Children #1, #3 and #4 was in 8.2022 and the last review for Child #2 was 6.2022.

The updates to the State Police and Child Abuse Clearances on file for Facility Person #1 exceeded 60 months between update.

In the Toddler Classroom empty plastic bags were observed in a fabric bin in a low cube shelf which made them accessible to children receiving care in the space.

The initial health assessment provided for Child #2 was completed in excess of 1 year prior to starting at the facility.

Bars of soap were observed in the upstairs restroom used by children and staff at the facility. The regulation requires liquid or powdered soap for handwashing.

The health assessments on file for Facility Person's #3 and #6 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

The facility exceeded 60 days between fire drills documented 1/19/22 and 4/8/22.

The facility lacked proof of purchase of the interconnected fire alarm system in the facility. The last documentation on monthly testing of the alarm system was completed in November 2021.

The initial health assessment on file for Child #1 was completed 189 days after starting at the facility.

Facility Person's #2, #3, #4, #5 and #6 were observed to be caring for children alone at the facility. The Facility Person's did not have the required pediatric first aid and CPR training or completion of the required health and safety training. Without the required trainings Facility Person's are required to be supervised by a person competent in the trainings.

At the time of the inspection none of the Facility Person's on staff were determined to be competent in pediatric first aid and pediatric CPR as they had not completed training in an approved curriculum or with an approved PQAS trainer.

The 6 hour Health and Safety trainings on file for Facility Person's #2 and #5 were not acceptable as they were completed after 7/1/18. They were required to complete the 10 hour Building Blocks to Quality Child Care training. The files for Facility Person #3 lacked completion of the required Health and Safety training within 90 days of starting at the facility.

The emergency contact form for Child #2 lacked the complete addresses for the release persons listed.

The files for Facility Person's #3 and #6 lacked verification of experience for the positions that they were observed to be performing.

The file for Facility Person #6 lacked two written nonfamily references attesting to their suitability to serve as a facility person.

Information as to how parents may access the current regulations was not posted in a conspicuous location.