COMMUNITY PRESCHOOL AND NURSERY of NORTH SIDE

Based on staff interviews, on July 3, 2025, Staff Person #1 raised their voice, used profanity, and argued aggressively in the presence of six children in Room 3 (OLT). During the argument, Staff Person #1 stated that they "work their a** off."

On July 8, 2025, at approximately 9:30 AM, 15 preschool age children were observed receiving care in Room 4 (PRE) that has a total capacity of 12.

Based on staff statements and video recording, Staff Person #2 recorded a ten second video of 11 toddler-aged children walking to the park and then posted the video recording on their personal social media.

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 March 16, 2020.

The fire drill log for the facility conducted fire drills on 11/20/24 and 2/26/25 (96) which is over the required 60 days.

The fire alarm 30-day test log includes test dates 10/22/24-11/20/24 and 11/20/24-2/26/25, which are all more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

The file of staff #1 contained documentation of emergency plan training dated 7/14/2023 but did not contain documentation of current training within the last 12 months.

The metal on the front of a space heater being used in the infant classroom exceeded 110 degrees Fahrenheit and was placed in an area which was accessible to the children in the lap of staff #2. The hot water in the young toddler room also exceeded 110 degrees Fahrenheit.

In the outdoor play space, an area approximately 6 inches by 6 inches of the wooden retaining wall was damaged and appeared to be disintegrating.

The portable sink in the young toddler classroom did not have a posted handwashing sign,

A portable space heater was in use in the infant classroom on the day of the inspection.

In the infant room, a cabinet was open and googly eyes which are less than an inch in diameter, were accessible to children on a lower shelf.

In the infant room, 2 children were observed to be in highchairs, but they were not strapped in with the high chair's safety strap.

The file of facility person #5 did not contain documentation of a health assessment.

The file of facility person #5 did not contain documentation of a tuberculosis screening and the results of that screening.

The file of staff #3 contained a health assessment which did not contain documentation of an examination for communicable diseases and the results of that examination.

The file of child #1 contained an initial health report dated 10/14/2024, which was more than 60 days from their start date at the facility (see LIS code sheet).

The file of staff #2 contained documentation of pediatric first aid and pediatric CPR updated on 10/11/2024, which was after the expiration of the prior training dated 3/26/2022.

The mandated reporter training on file for staff #3 was not conducted by an approved training organization for mandated reporters working in child care.

The annual evaluations exceeded 12 months for staff #1 (dated 6/3/2023 and 7/17/2024).

The financial agreement of child #2 was not signed by the operator.

The financial agreement of child #5 did not have the amount of the fee to be charged per day or week.

Documentation on the Department's approved form (child service report) to provide information to the family about the child's growth and development was dated more than 6 months prior to the inspection for child #2, #3, and #4.

The financial agreement of child #2 did not contain the admission date of the child.

The file of child #3 and #4 contained the original financial agreements.

The emergency contact form of child #2 did not contain the addresses of the release persons designated by the parent.

Documentation of the reviews and/or updated to the financial agreement of child #2, #3 and #4 exceeded 6 months.

The file of staff #4 did not have a second written nonfamily reference and the file of facility person #5 did not contain 2 written references.

The file of facility person #1 contained documentation of 8 training hours in their annual training year of 12/19/2022 to 12/19/2023 (see LIS code sheet). Documentation of an additional 3 hours of training taken was dated 2/19/2024, after their training year. Facility person #1 still lacked 1 additional training hour to meet the 12 annual hour requirement.

Child #1 was observed to be restricted in a highchair for at least 22 minutes between approximately 10:20 am and 10:42 am. Based on a statement of staff #1, child #1 was placed in the highchair for biting another child. The biting incident occurred at 9:28 am based on the incident report.

The base of the faucet at the sink in the young toddler classroom was leaking onto the counter when the water was turned on.

At approximately 10:00 -10:15 am, facility person #5 was observed to have 11 children in the preschool classroom. When asked to identify the children in their supervisory group, facility person #5 identified 10 preschool age children and quickly realized there was an additional child exceeded the 1 staff to 10 children ratio.

**In the older toddler classroom, when each facility person was asked to identify their respective supervisory groups, facility person #2 identified 4 older toddlers while facility person #7 identified 3 older toddlers. Facility person #6 identified 4 young toddlers and 1 infant which exceeded the staff to child ratio of 1:4 since the youngest child in their group was an infant.

In the older toddler classroom, when each facility person was asked to identify their respective supervisory groups, facility person #2 identified 4 older toddlers while facility person #7 identified 3 older toddlers. Facility person #6 identified 4 young toddlers and 1 infant which exceeded the staff to child ratio of 1:4 since the youngest child in their group was an infant.

Documentation of the review and/or update of the emergency plan was dated more than 12 months apart (8/1/2022 and 9/30/2023).

The young toddler classroom did not contain a step stool for able children to wash their hands at the sink.

In the infant classroom, the exit door was obstructed by an infant activity center.

A plastic leg on a small plastic chair in the school age classroom was broken exposing sharp rough edges. A wooden toy shelf containing blocks in the older toddler classroom had 4 exposed bolts. Two of the bolts were located on the inside top shelf and 2 addition were directly below.

In the young toddler classroom, while facility person #6 was at the diaper changing table, the certification representative observed something on the right cheek/chin area of child #6, an infant, in a baby saucer. As she approached, what appeared to be a small piece of paper was removed from the child's cheek. The child was then observed to be chewing on something. The certification representative immediately began to remove the item from the child's mouth while informing facility person #6. A red Tootsie Pop wrapper was removed from the mouth of the child.

The file of child #4, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 10/19/2022 but did not contain a health assessment within the past 6 months.

The file of child #1, now identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 1/17/2020, but did not contain a health assessment within the past 12 months. The file of child #3, now identified as a school age child (see coded LIS sheet), contained a health assessment dated 8/17/2021 and an incomplete health assessment dated 11/4/2022 which was missing 3/6 pages.

The immunizations documented on the immunization records of child #1 and #4 are not in accordance with the recommendations of the ACIP.

The medication box in the young toddler classroom contained Tylenol which was not labeled with the name of the child for which the medication was intended.

The facility did not contain written parental consent for administration of Tylenol and prescription "Pittsburgh Butt Paste" which was in the medication box in the young toddler classroom.

The health assessment of facility person #1 was dated 7/26/2023 which was after their start date with children (see coded LIS sheet). The current health assessment of facility person #3 was dated more than 24 months from the prior (8/10/2021 and 9/22/2023).

The initial health assessment of facility person #2, dated 7/16/2022, did not include documentation an examination for communicable disease and the results of that examination.

The health assessment of facility person #2, dated 7/16/2022, did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of the inspection, facility did not have documentation of emergency drills conducted at least annually at the facility.

The file of child #4 contains an initial health assessment dated more than 60 days from their start date at the facility.

The financial agreement of child #1and #3 were not signed by the operator.

The financial agreement of child #1 did not specify the amount of the fee to be charged per day or week.

The file of child #1 and #4, who has been enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of information provided to the family about the child's growth and development in the context of the services being provided on a Department approved form in the past 12 months.

The financial agreement of child #1 did not include the arrival and departure dates of the child.

The financial agreement of child #1 did not contain the persons designated by the parent to whom the child may be released.

The financial agreement of child #1, #2, #4 and #5 did not contain the date of the child's admission.

The files of child #1, #2, #3, #4 and #5 contained the original financial agreement.

The emergency contact form of child #3 did not include the name of the child's physician.

The emergency contact form of child #3 did not contain the work address and #4 and #5 did not cotnain the work address and work telephone number of the enrolling parent.

The emergency contact form of child #3 did not contain 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 or documentation this is not applicable to the child.

The emergency contact form of child #3 and #4 did not contain the addresses and the emergency contact form of child #5 did not include the addresses and telephone numbers of the persons designated by the parent to whom the child may be released.

Of the 10 children receiving care in the preschool classroom, seven had emergency contact forms in the child care space while 3 did not. In the older toddler classroom, 6 of the 9 children had emergency contact forms in the child care space while 3 did not.

The file of child #1 and #2 contained documentation of review and/or updates to the emergency contact form and financial agreement exceeding 6 months.

The file of child #4 did not contain signed parental consent for emergency medical care for the child.

The file of child #4 did not contain signed parental consent for administration of minor first aid procedures by facility staff.

At approximately 8:30 am, facility person #1 was alone in the older toddler classroom with 10 children. Facility person #1 identified all 10 children in their supervisory group which contained older toddlers and preschool age children.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training topics.

The file of facility person #5 did not contain the completed NSOR verification certificate and as the director, may not be a provisional hire. The file of facility person #4 did not contain a completed NSOR verification certificate and has been employed for more than 45 days and was observed to be working alone with children. The file of facility person #6 contained a disclosure statement which was not dated. Based on conversation with the director, facility person #7 has been assisting the director in an administrative capacity but does not have clearances or the NSOR verification certificate to be at the facility.

Documentation of testing the fire detection system exceeded 30 days (4/5/2023 to 5/8/2023).

The files of facility person #1, #2 and #3 who took the 6- or 10-hour health and safety training prior to 10/4/2022, did not contain documentation of the required one-hour updated health and safety training course, "Pennsylvania Health and Safety Update."

The file of facility person #6, identified as an aide, did not contain documentation of at least an 8th grade education.

The facility did not have a plan for the continuity of services in the event of a disaster.

The kitchenette area off the older toddler room contained a flat head screwdriver, which could cause puncture wounds, in an unlocked drawer accessible to children passing through this space to use the restroom. The school age classroom contained a large box fan on the table which, based on conversation with the director, was used when children are in care. Children's fingers could be injured if placed in the grate covering the actual fan.

One outlet by the cordless phone in the young toddler room did not have a protective receptacle cover and was accessible to children under 5 years of age.

Hand sanitizer labeled "keep out of the reach of children" was accessible to children at the sign-in table by the entrance to the facility. Clorox wipes labeled "keep out of the reach of children" were accessible to children in the preschool room on a lower book shelf by the circle time area.

A container of Oxivir TB wipes for cleaning, and labeled "keep out of the reach of children," were being stored in a cabinet on a shelf with cans of Similac in the infant room. A spray bottle of Fantastik for cleaning, and labeled "keep out of the reach of children," was being stored in a lower cabinet with 6 cans of of ravioli and vegetable oil in the kitchenette area.

The upper right area of the food warmer (by the hinge), in the kitchenette area, which is accessible to children as they go to the bathroom, exceeds 110 degrees F. Though it was not able to be assessed with the thermometer, certification representative was unable to hold their hand in the area for more than a second or two and was agreed upon with the the director of the facility at the time of the inspection.

A drawstring backpack containing a first aid kit was accessible to children on the bottom shelf of the sign-in table at the front entrance to the facility.

Directly off the preschool room is a small storage area for excess play equipment. The ceiling surfacing in this space had 2 damaged areas (one approx. 1.5 feet by 1 foot and the other by a light was approx. 6 inches by 6 inches) where the ceiling surfacing was peeling from possible water damage.

The bathroom off the kitchenette area did not contain a handwashing sign at the urinal.

The file of child #2, identified as an older toddler, contained a health assessment dated 9/16/2021 and did not contain an updated assessment within 12 months. The file of child #5, now identified as an older toddler, contained a health assessment dated 7/9/2020 lacked updated health assessments every 12 months.

The file of child #4, who has been enrolled more than 60 days (see coded LIS sheet), did not contain written verification of immunizations from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The immunization record of child #2 did not contain documentation of a current influenza vaccination and the immunization record of child #5 lacked documentation of 1 Hep B, 2 Rotavirus, 3 DTAP, 2 Pneumococcal, 2 Polio, 2 Hep A and an influenza vaccination as recommended by the ACIP or acceptable documentation of exemption.

The file of facility person #3 contained health assessments dated 5/15/2020 and 8/22/2022 exceeding 24 months.

The facility did not have documentation of an annual emergency drill being conducted at the time of the inspection.

The file of child #4 did not have documentation of an initial health assessment within 60 days of their first day of attendance at the facility (see coded LIS sheet).

The file of facility person #1, 3 and 4 contained documentation of fire safety training which exceeded 12 months.

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see coded LIS sheet): Pediatric first aid and Pediatric CRP and health and safety topics. Documentation of the health and safety topics and pediatric first aid and CPR listed in subsection (f)1-10 for facility person #2 were dated 3/18/2022 (PFA/PCPR) and 5/1/2022 (H/S) exceeding 90 days from their start date at the facility (see coded LIS sheet).

The file of facility person #2 and 6 contained documentation of completed mandated reporter training more than 90 days from their start dates with children (see coded LIS sheet).

The financial agreement of child #1 did not contain the fee to be charged per day or week.

The original financial agreement was in the file of child #1.

The emergency contact form of child #2 did not contain the name of the child's physician or source of medical care.

The emergency contact form of child #2 and 3 did not contain 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 or acceptable documentation this is not applicable to the child.

The emergency contact form of child #1 did not contain all of the addresses and telephone numbers of the persons designated by the parent to whom the child may be released.

At approximately 9:10 am, staff person #1 was observed walking 5-6 school-agers to school and did not have a first-aid kit.

At approximately 9:10 am, staff person #1 was observed walking 6 school-agers to school and did not have emergency contact information for those children.