College Hill Day Care INC

Staff person #3's file contained an NSOR certificate dated 2/7/20, which is more than 60 months old.

The first aid kit in the toddler room was missing tape.

The tall black shelf in the toddler room was not attached to the wall making it unstable when touched.

The 2 most recent health assessments on file for Staff person #2 were dated 3/17/22 and 5/10/24, more than 24 months apart.

The most recent written documentation of an emergency drill on file at the facility is dated 2/28/23, more than 1 year ago.

The fire alarm testing log contained the following dates 10/1/24-11/4/24, 11/4/24-12/9/24, and 1/6/25-2/14/25 which are more than 30 days apart.

Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/28/19.

Child #2's financial agreement was not signed by the operator.

Child #2's financial agreement did not contain the fee amount.

The current child service reports on file for child #1,2, and 3 were dated 6/3/24 and 1/2/25 which are more than 6 months apart.

Child #2's financial agreement did not contain the child's arrival and departure times.

Child #2's financial agreement did not contain the persons designated by a parent to whom the child may be released.

Child #2's financial agreement did not contain the date of the child's admission.

At the time of inspection, one child was receiving care in the Toddler room without their emergency contact information being in the room where they were receiving care.

The files for child #1, 2, and 3 contained emergency contact 6-month review signatures dated 6/3/24 and 1/2/25 which are more than 6 months apart.

The files for child #1, 2, and 3 contained financial agreement 6-month review signatures dated 6/3/24 and 1/2/25 which are more than 6 months apart.

At approximately 930am at the park across the street from the facility when originally asked about supervisory groups Staff #1 and #2 did not know which children were assigned to them. Staff #1 then decided to take the preschoolers and she stated that she had 9 preschool age children. Staff #1 could only name 7 of the 9 children in her group saying that she did not know the names of 2 children because they were new. Staff #2 identified 13 School age children in their group which put her out of ratio. When given another opportunity to identify their groups again they refused. Upon reviewing the emergency contact forms it was determined that there were 12 preschoolers and 10 school age children again putting them out of ratio. Upon returning to the facility, it was observed that there were toddlers inside even though the staff #3 that answered the door both times (9:25am and 10am) had said there were no children in the facility when she originally answered the door. Staff #3 left the children alone in the classroom to answer the door both times. It was observed that Staff #3's granddaughter an older school age child was in the classroom with the 6 toddler age children. When asked…

Staff person #3 was the only facility person in the facility from approximately 9:25am- 10:15am with 4 young toddlers and 2 older toddlers.

Upon returning to the facility from the park, it was observed that there were toddlers inside even though staff #3 that answered the door both times (9:25am and 10am) had said there were no children in the facility when she originally answered the door. Staff #3 left 4 young toddlers, 2 older toddlers, 1 older school age child alone in the classroom to answer the door both times.

At approximately 930am at the park across the street from the facility when originally asked about supervisory groups Staff #1 and #2 did not know which children were assigned to them. Staff #1 then decided to take the preschoolers and stated that there were 9 preschool age children. Staff #1 could only name 7 of the 9 children in her group saying that she did not know the names of 2 children because they were new. Staff #2 identified 13 School age children in their group which put her out of ratio. When given another opportunity to identify their groups again they refused. Upon reviewing the emergency contact forms it was determined that there were 12 preschoolers and 10 school age children again putting them out of ratio. Upon returning to the facility, it was observed that there were toddlers inside even though the staff #3 that answered the door both times (9:25am and 10am) had said there were no children in the facility when she originally answered the door. Staff #3 left the children alone in the classroom to answer the door both times. It was observed that Staff #3's granddaughter an older school age child was in the classroom with the 6 toddler age children. When asked…

At approximately 930am it was observed that Staff #1 was yelling in a child's face.

The electrical outlet in the preschool room beside the teacher's desk was missing a protective receptacle cover.

In the preschool room on the teacher desk was hand sanitizer accessible to children that stated keep out of reach of children.

While on an excursion from the facility at the park across the street from the facility neither group, school age or preschool, had a first aid kit with them.

In the toddler room an outlet cover cracked causing sharp edges to be exposed. The front steps are crumbling causing a tripping hazard.

Styrofoam bowls which may not be used were observed in the eating area. When staff were asked what they use the Styrofoam bowls for they stated to feed the children.

The school age children did not wash their hands before lunch they just used hand sanitizer. A young toddler that could walk and climb was observed to not wash hands after being diapered.

While outside it was observed that the preschool age and school age children shared 2 water bottles with no individual cups to use. Teachers would spray the water into each child's mouth when they said they were thirsty.

The last fire drill documented was 2/1/24 more than 60 days prior.

The last fire test was documented 2/1/24 more than 30 days prior.

Emergency contact information was missing for 6 school age children in the school age classroom and the preschool classroom while they received care in both spaces.

While on an excursion from the facility at the park across the street from the facility neither group, school age or preschool, had a emergency contact information specific to each child on the excursion accompany a staff person on the excursion.

The file for Staff #1 contained an FBI clearance that was more than 60 months old. The file for Staff #2 contained an FBI clearance that was lacking the rap sheet that should have been attached to the clearance. The file for Staff #2 also contained a Mandated Reporter training that was not an approved curriculum.

The file for Child# 2, a preschool aged child, contained a Health Assessment that was more than 12 months old.

The file for Child #1 contained an immunization record that was lacking one dose of DTAP, i dose of HIB, one dose of Pneumococcal and one dose of Hepatitis A.

The facility was lacking a posted emergency plan.

The stalls in the boys restroom were lacking handwashing signs.

A plastic toy bin was observed in the school age classroom that was cracked with a sharp edge on it.

The file for Child #1 who is a young toddler age child contained a health assessment that was more than 6 months old.

The file for Child #1 and #2 contain immunization records that are lacking the annual influenza vaccine.

The emergency plan was lacking accommodations for infants and toddlers, children with special needs, and children with chronic medical conditions.

The facility was lacking a documented annual emergency drill.

The facility was lacking documentation that the emergency plan was sent to the local and county EMA.

The file for Staff #1 was lacking the 1 hour Health and Safety update. The file for Staff #2 was lacking the 10 hour Health and Safety training.

The facility did not provide parents with information on how to access the regulations electronically.

The file for facility person #3, with a start date of 5/15/21, lacked a state police clearance and national sex offender registry certificate. The file for facility person #5, with a start date of 9/29/21 lacked a national sex offender registry certificate. The file for facility person #6, with a start date of 1/14/22 lacked a signed disclosure statement and contained a state police clearance dated for 1/26/22, which is after the start date.

The file for facility person #3, facility person #4, facility person #5, and facility person #6 all lacked emergency plan training at initial hire, but had current emergency plan training on file.

Hand sanitizer was observed in the school age room on a shelf that was accessible to the children.

In the boys bathroom, it was observed that that stall walls were rusted and chipping.

It was observed in the toddler room that the door in the back of the room was blocked by a bin of balls.

It was observed that the facility had a space heater in the office.

In the toddler room, it was observed that there was a bumba seat that had been recalled.

The files for child #2 and child #3 lacked immunized status according to recommendations of the ACIP.

The file for facility person #1 and facility person #2 had health assessments completed more than 24 months since the previous health assessment. The file for facility person #3 lacked an initial health assessment.

Facility has not completed an emergency drill.

Facility lacked proof of purchase of the inter-connected smoke alarms.

The file for facility person #1 and facility person #2 completed pediatric first aid and CPR training on 8/29/19 and 9/30/21, which was after the previous training had expired.

The file for facility person #3 completed pediatric first aid and CPR on 9/30/21, which is more than 90 days after hire.

The file for facility person #3 lacked health and safety training.

The file for facility person #5, with a start date of 9/29/21 completed mandated reporter training on 1/16/22, which is more than 90 days from the start date.

The agreement for child #1 lacked the date on which the fee is to be paid.

The agreement for child #2 and child #5 lacked the persons designated by a parent to whom the child may be released.

The agreement for child #2 and child #5 lacked the date of the child's admission.

The emergency contact form for child #1, child #2, and child #4 lacked the enrolling parent's work address and work phone number. The emergency contact form for child #3 lacked the enrolling parent's home address.

The emergency contact form for child #5 lacked the release person's address.

The emergency contact form and financial agreement for child #3, child #4, and child #5 were signed on 6/8/21 and 1/5/22, which is more than 6 months apart.

The file for facility person #3 lacked 2 written references.