Community Preschool and Nursery LLC

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 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 4-27-20. Staff person #2 was observed to be caring for children unsupervised. Staff person #1 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 5-12-20.

On the outdoor play space, there were multiple areas along the chain link fence that had holes at the bottom of the fence and loose bricks with uneven ground that were a visible hazard. In the lobby on the right wall, there was an electrical outlet with a wall plate that was loose exposing wires that were behind the outlet.

In the front toddler room, there was one area with peeling paint on the far blue wall near the front of the room. In the preschool room, there were multiple areas of peeling paint on the left wall in the back hallway near the bathrooms.

In the preschool room, there was a fabric climbing block that had a tear in the fabric that exposed the foam inside.

In the infant room, there was a Boppy Newborn Lounger that had been recalled by the United States Consumer Product Safety Commission.

In the kitchen, the second refrigerator from the right measured at 53° F and was observed to be storing food that staff said is served to children enrolled at the facility.

Staff person #1 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 4-27-20. Staff person #2 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 5-12-20.

The file for staff person #2 had emergency plan training that exceeded a year between trainings.

In the toddler room with young and older toddlers present in the room, the left outlet on the back wall that was accessible to the toddlers had a prong that was stuck in the top socket of the electrical outlet and was preventing the cover from sliding and covering the outlet.

In the bathroom in the toddler room, the toilet had two bolts on the base of the toilet that were protruding up and were a visible hazard.

In the infant room with a 1 year old that was walking and able to wash their hands, the sink near the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

In the preschool room, an easel was observed in front of the exit door leading to the front sidewalk.

On 1-14-25, a portable space heater was observed in use in the office.

In the lobby, there were multiple push pins in the wall/bulletin board that had sharp edges and a diameter of less than 1 inch and were accessible to children, including children who are still placing objects in their mouth.

The file for child #2 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

The file for staff person #2 had a health assessment that included a record of a positive tuberculin skin test and had the results of a chest x-ray that were dated after the staff person provided initial service in a child care setting at the facility.

The names of the facility persons who participated in the fire drill were not listed on the fire drill log for multiple drills within the last year.

The file for child #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) dated 5-1-22 but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

The file for staff person #3 lacked a current staff evaluation completed by the director within the last 12 months.

The file for child #3 lacked a current child service report updated within the last 6 months.

The file for child #2 had an emergency contact form that lacked the name of the health insurance and the policy number.

The water in the Infant room in the diaper changing area measured 128 degrees Fahrenheit; the water in the Preschool girls bathroom sink measured 125 degrees Fahrenheit.

Peeling paint was present in the Preschool room under the Whiteboard on the right wall.

The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 1/25/23, more than 6 months ago.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

The current emergency contact form on file for Child #3 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

The most recent 6-month review signature for the financial agreement on file for Child #1 is dated 12/7/22, more than 6 months ago. The most recent 6-month review signature for the financial agreement on file for Child #2 is dated 5/1/23, more than 6 months ago.

The filing cabinet where the child files are located was not locked at the time of inspection.

The file for Staff person #1 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, required as of 7/1/22, as per Announcement C-22-04.

The most recent health assessment on file for Child #1, who is a Young Toddler, is dated 4/21/22, more than 6 months ago.

The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 12/18/20, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 2 years old, is dated 9/17/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5, who is 3 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age.

The 2 most recent health assessments on file for Staff person #1 were dated 5/2/19 and 5/21/21, more than 24 months apart.

The fire alarm 30-day test log on file at the facility included documented 30-day tests on 4/1/22-5/2/22; 5/2/22-6/2/22; 7/1/22-8/1/22; and 8/1/22-9/1/22, all more than 30 days apart.

The initial health assessment on file for Child #2, with an enrollment date of 9/7/21, is dated 1/13/22, more than 60 days after enrollment. The initial health assessment on file for Child #4, with an enrollment date of 4/18/22, is dated 8/9/22, more than 60 days after enrollment.

The file for Staff person #1, #2, #3, and #4 did not include the 1-hour Pennsylvania Health and Safety update training, which was due by 12/30/22, as per Announcement c-22-06

The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

The emergency contact form on file for Child #1 does not include the complete home address for the enrolling parent.

The signed disclosure statement on file for Staff person #1 is not dated, making it invalid.

Staff person #1 did not ensure prescribed medication was administered to Child #1 on an unspecified date, as per the prescription on the medication.

The emergency plan on file does not include the updates required as of 7/1/22, as per Announcement C-22-04, regarding volunteer emergency preparedness, and a plan for continuity of operations.

The 30 day test log for the fire alarm system on file at the facility includes test dates 5/2/22-6/2/22; 7/1/22-8/1/22; and 8/1/22-9/1/22, all more than 30 days apart.

The Emergency Plan lacked a method for facility persons to contact parents when an emergency arises and ends.

In the outdoor play space the Little Tykes plastic outdoor castle's bridge had exposed bolts which posed a tripping and/or protrusion hazard.

The immunization record of Child #3 lacked a yearly Influenza shot for 2021 with no Letter of Exemption in File. Child file #1 lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A. Child file #2 lacked updated written verification of ongoing administered vaccines: 1 dose of Rotavirus. Child file #3 lacked updated written verification of ongoing administered vaccines: 3 doses of DTAP. Child file #4 lacked updated written verification of ongoing administered vaccines: 1 dose of HIB.

It was observed, during a diaper change, the staff member placed the soiled diaper on the changing table and not immediately into a plastic-lined, hands-free covered can.

It was observed that between diaper changes, a staff member did not clean or sanitize the diaper changing surface.

The two most recent Health Assessments for Staff #3 were dated more than 24-months apart.

The facility did not conduct an annual emergency drill.

The last two fire drills were conducted more than 60 days apart.

The facility's fire alarm test report documented testing of the fire alarm system on 02/22/2021, 04/21/2021, 05/24/2021, 06/21/2021, 07/22/2021, 08/25/2021, 09/27/2021, 11/30/2021, which are all more than 30 days apart. The following fire extinguishers were expired in the facility as of 12/31/2021: Next to Girl's Rest Rooms, Rooms 3 and 4, Next to Basement Door, Next to Main Entrance Door and Main Office.

The two most recent Mandated Reporter Trainings for staff #1 were dated more than 60 months apart.

The two most recent staff evaluations for Staff #2 were completed more than one year apart.

The Fee Agreement form for Child #4 lacked the amount of the fee to be charged.

The Fee Agreement Form for Child File #4 lacked the Date of Admission.

The operator had outdated regulations posted and had not provided parents with the information on how to access the regulations electronically.