Country Kidz Daycare

Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

A loose crib sheet was observed in a pack and play in the Tigger Room, which could cause suffocation.

A container of Clorox Disinfectant Wipes, labeled 'Keep out of reach of children', were observed on the floor of the bathroom and were accessible to children. An unlidded garbage can in the Kitchen, which is accessible to children when walking to the bathroom, was observed containing used Clorox Bleach Wipes and could be harmful to children.

An unlidded garbage can was observed containing used tissues in the kitchen area of the Tinkerbell Room.

A cracked green bin with a pinch point was observed in the Nemo Room and could cause injury to children.

Infant Mylicon, in the medication drawer in the Kitchen for Child #1, contained an expiration date of 6/2025 and was therefore not in accordance with the manufacturer's original label.

During a diaper change in the Tigger Room, the soiled diaper was observed being dropped into a plastic-lined uncovered garbage can. A plastic lined uncovered garbage can was observed containing soiled diapers in the bathroom.

The fire alarm 30-day test long includes test dates 7/18/25-8/25/25, more than 30 days apart.

Staff #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 5/5/2020

The file for Staff #3 lacked two written nonfamily reference letters attesting to the person's suitability to service as a facility person.

The facility's Emergency Plan lacked the following policies: Continuity of Operations and Emergency Plan Training for Volunteers. Staff #11 was observed to be caring for children unsupervised. Staff #11 has not completed the following pre-service trainings required prior to caring for children unsupervised: Mandated Reporter Training and PA Required Health and Safety for Centers-Group Part 1. The file for Facility Person #10 lacked training on the emergency plan.

The two most recent State Police clearances (10/29/19 & 1/22/25), Child Abuse clearances (10/29/19 & 1/22/25), FBI clearances (10/30/19-1/23/25), and NSOR certificates (11/8/19 & 1/28/25) on file for Staff #4 are dated more than 60 months apart. The file for Staff #7 included an NSOR certificate dated 7/24/24, more than 45 days after hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL.

The facility's Emergency Plan lacked documentation that the plan is reviewed and updated annually by the operator.

The Emergency Plan training on file for Staff #1 (3/15/23), Staff #2 (6/5/23), Staff #3 (5/8/23), Staff #4 (3/15/23), Staff #5 (3/20/23), and Staff #6 (3/16/23) is dated more than 12 months prior.

At the time of inspection, the facility's emergency plan was not posted in a conspicuous location.

The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

In the Willow Room, a can of paint was observed in the bottom of the unlocked metal cabinet, making it accessible to children. In the Nemo Room, a container of Clorox wipes was observed on the teacher's desk and accessible to children. In the rear bathroom, a bottle of Microban Bathroom cleaner was observed on the shelf next to the toilet, making it accessible to children.

In the rear bathroom, a hot water tank and pipes were observed accessible to children in an unlocked closet.

In the Tinkerbell Room, a broken light switch plate was observed to the right of the side door. In the Kitchen, a broken light switch plate was observed to the left of the stove.

Peeling paint and plaster was observed in the Kitchen at the bottom of the wall to the left of the stove and at the bottom of the wall to the left of the pantry door.

In the rear bathroom, a handwashing sign was not posted at every sink and toilet.

In the Willow Room, a chair was observed in front of an exit door leading outdoors, making the exit obstructed.

In the Nemo Room, a blue plastic toy bin was observed with broken edges and could cause injury to children. In the Tinkerbell Room, a green plastic tote on the floor near the side door was accessible to children and observed with multiple broken pieces, which could cause injury.

The most recent health assessment on file for Child #1 (Young Toddler) is dated 5/3/24, more than 6 months prior. The two most recent health assessments on file for Child #2 (Younger Toddler at the time) are dated 11/3/23 and 1/23/25, more than 6 months apart.

The most recent health assessment on file for Child #4 is dated 1/3/24, more than 12 months prior.

The file for Child #1 (Young Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of HiB, 1 dose of Pneumococcal, 1 dose of MMR, 1 dose of Varicella, and 1 dose of Hepatitis A without a letter of exemption in the file. Child #1 must be dismissed from care by close of business on 2/26/25 and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter.

The facility's fire drill log contained multiple consecutive locations of the hypothetical fire.

The facility's 30 day fire alarm test log contained dates 5/17/24-6/18/24, 8/9/24-9/12/24, 9/12/24-10/18/24,10/18/24-11/20/24, and 11/20/24-12/23/24, more than 30 days apart.

The initial health assessment on file for Child #3 is dated 1/18/24, more than 60 days beyond Child #3's date of enrollment (SEE IS CODE SHEET).

At the time of inspection, the facility lacked annual written notification to local traffic safety authorities of location of the facility and program's use of pedestrian and vehicular routes around the facility.

The two most recent Pediatric First Aid/CPR training on file for Staff #2 are dated 5/17/22 & 7/24/24, more than 24 months apart.

Staff #9 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Part 1 & Part 2

The two most recent mandated reporter trainings on file for Staff #3 are dated 10/29/19 and 1/26/25, more than 60 months apart.

The two most recent staff evaluations on file for Staff #1 (3/3/23 and 1/31/25), Staff #4 (3/3/23 and 1/31/25), and Staff #6 (2/8/22 and 1/31/25) are dated more than 12 months apart. The only staff evaluation on file for Staff #3 is dated 1/31/25, more than 12 months from their date of hire (SEE IS CODE SHEET).

The file for Staff #9, classified as a Group Supervisor, contained documentation of a bachelor's degree with 30 acceptable credit hours but lacked documentation of 1 year of child care experience.

The file for Staff #8, classified as an Assistant Group Supervisor, lacked documentation of a high school diploma or GED and documentation of 2 years of experience with children. The file for Staff #11, classified as an Assistant Group Supervisor, contained documentation of 2 years of child care experience but lacked documentation of a high school diploma or GED.

The file for Staff #6, classified as an Aide, lacked acceptable documentation of completion of an 8th grade education and written documentation of 2 years of child care experience.

The files for Child #1, Child #2, and Child #4, who have been enrolled for more than 6 months, did not contain any child service reports (SEE IS CODE SHEET).

The Emergency Contact form on file for Child #4 and Child #5 lacked the address and phone number of the child's physician or source of medical care.

The Emergency Contact forms on file for Child #1, Child #2, Child #4, and Child #5 lacked the enrolling parent's work address and work telephone number.

The Emergency Contact form on file for Child #4 lacked a parent signature giving consent for the facility to provide emergency medical care.

The Emergency Contact form on file for Child #3 and Child #5 lacked the child's health insurance coverage and health insurance policy number.

The Emergency Contact forms for Child #1, Child #2, and Child #3 lacked complete addresses for all listed release persons.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not displayed in the Tinkerbell Room

The two most recent 6-month parent reviews and updates for the emergency contact forms on file for Child #1 are dated 5/2/24-1/17/25, more than 6 months apart. The most recent 6-month parent review and update for the emergency contact form on file for Child #3 is dated 1/18/24, more than 6 months prior.

The two most recent 6-month parent reviews and updates for the financial agreement forms on file for Child #1 are dated 5/29/24 & 1/17/25, more than 6 months apart. The most recent 6-month parent review and update for the financial agreement form on file for Child #3 is dated 1/18/24, more than 6 months prior.

The Emergency Contact form on file for Child #4 lacked a parent signature giving consent for the facility to administer minor first aid.

The file for Staff #1 contained 3 of 12 annual child care training house in the training timeframe of 12/19/23-12/19/24.

The file for staff #5. 6, and 8 did not contain the correct disclosure required under the CPSL and the file for staff #8 lacked the correct PA State Police clearance required under the CPSL. The correct State Police clearance was obtained on the day of inspection. The file for staff #11, who was a provisional hire, lacked an NSOR within 45 days of hire and a disclosure on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 2/12/24. There is now a disclosure statement on file and dated 3/22/23.

In the Tinkerbell Room, observed two bottles of hand sanitizer that were in reach of children.

In the Tinkerbell Room, observed that the first aid kit was accessible to the children in care.

The diaper changing area in the Doodle Bug room lacked a hand washing sign.

There was more than six months between the previous and most current and updated health assessment on file or child #3, who is an infant. Dates are as follows: 5/5/23 and 12/13/23.

The current health report on file for child #2 lacks the signature of a physician, physician's assistant or CRNP.

The most current health report on file for child #2 lacks a statement that the child is able to participate in child care and papers to be free from contagious or communicable disease.

The diaper changing area in the Infant room lacked a hands free can.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #1 and 12. There are current health assessments now on file.

The most current health assessment on file for staff #5 lacks an examination for communicable disease and the results of that examination and the physician's assessment of the person's suitability to provide child care.

The facility file lacked documentation of the proof of purchase of the interconnected fire detectors.

The files for staff #1 and 5 lacked the one hour health and safety training which was to be completed by 12/30/22. There are now one hour trainings on file for staff #1 and 5. The files for staff #10 and 12 lack the one hour health and safety training which was due 12/30/2022.

The file for staff #7, who is 17 years of age and holds the title of aide, lacks verification that the staff is enrolled in a approved training curriculum.

The files for staff #2, 4, 9, and 11 lacked the 10 hour health and safety training within 90 days of hire. There are now current health and safety trainings on file. The files for staff #4, 5, 6 and 11 lacked Pediatric CPR and First Aid within 90 days of hire. There are now current Pediatric CPR/FA trainings on file.

The file for staff #4 lacked mandated reporter training within 90 days of hire. There is current mandated reporter training now on file. There was more than 60 months between mandated reporter trainings on file for staff #12 which were dated 12/2/17 and 2/13/24.

The file for staff #5 who holds the title of an AGS, lacks verification of 2500 hours of child care experience. There is a high school diploma on file.

The emergency contact information on file for child #1 lacks the telephone number of the child's physician.

In the Willow Room, observed child #4 present in the space and emergency contact information was not present.

The file for staff #8 lacks two written nonfamily references.

The file for staff #12 lacks 12 annual hours of child care training.

The file for Staff #1, who has been employed in a childcare position for more than 45 days, did not contain National Sex Offender Registry Verification or an FBI Criminal History Criminal History Clearance. Staff #1 may not work at the facility until proper clearances are obtained and on file at the facility. The file for Staff #5 contained a current FBI Criminal History Clearance and DHS Child Abuse Clearance; however, the previously completed clearances were process more than 60 months ago.

An approximately 1" pointed Phillips screw was observed in an area accessible to children in an unsecured drawer of a cupboard located in the Preschool Room located at the rear of the facility. Contact with said screw could cause puncture or laceration injuries.

The files for Staff #1, #2, #4, #6, and #7 did not contain documentation of the completion of mandated reporter training in the past 12 months.

Two loose wooden trim pieces at the base of the egress door at the rear of the front childcare space were observed to have exposed brad nails that could cause laceration or puncture injuries.

Two upwardly facing, exposed bolts were observed protruding from either side of the base of the toilet used by children in care in Bathroom #2. Contact with said bolts could cause puncture or laceration injuries.

A direct egress from/to the facility in the front childcare space was observed to be blocked by an approximately 6' activity table.

A thermometer was not present in a refrigerator used by children in care located in the Preschool Room located at the rear of the facility.

The files for Child #3, a preschool-aged child, and Child #5, an older toddler, each contained health assessments that were completed more than 12 months ago.

The file for Child #2 did not contain documentation of an influenza vaccine administered in the past 12 months.

The file for Staff #7 contained a health assessment that was completed more than 24 months ago.

Documentation of an annual emergency drill was not on file at the facility.

Documentation establishing that the facility's smoke detectors were tested for functionality every 30 days was not available at the facility.

The file for Staff #4, who has been employed in a childcare position for more than 90 days, did not contain documentation of the completion of health and safety training.

The files for Staff #2, #6, and #7 did not contain written evaluations completed over the past 12 months.

The file for Child #1 did not contain an agreement document.

The file for Child #1 contained an emergency contact form that did not include the child's health insurance provider or health insurance policy number.

The files for Child #2, #4, and #5 each contained emergency contact forms that did not include the addresses of two persons to whom each child can be released.

The file for Staff #1 did not contain two written, nonfamily references. The file for Staff #3 contained only one written, nonfamily reference.

In the Infant Room, a looped strand of yarn was observed hanging from a hook near a window. The yarn was hanging down into an area that was accessible to children in care presenting a strangulation hazard.

The files for Staff #1 through #5 did not include documentation of the completion of emergency plan training in the past 12 months.

In the hallway bathroom, in an area accessible to children under the age of six, an unused, uncovered electrical outlet was observed.

A spray bottle containing disinfectant was observed being stored atop a metal storage cabinet. Food items to be consumed by children in care were observed on a shelf underneath said disinfectant. If the disinfectant were to leak it could potentially wick along the underside of the top of the cabinet and come into contact with food intended for consumption by children in care.

An approximately 2"x2" area of peeling paint was observed on the window sill in an area accessible to children in the child care space located at the front of the facility.

The files for Child #1 through #4 contained immunization records that did not include documentation of an influenza vaccine during the past 12 months as recommended by the ACIP.

The files for Child #1 and #3 contained current health assessments; however, said assessments did not include a physician's statement that each child is able to participate in child care; nor did each assessment include a statement indicating that each child appears to be free from contagious or communicable disease.

The file for Staff #3 contained a current health assessment; however, said assessment did not include the results of an examination for communicable diseases.

The file for Staff #3 included a current health assessment; however, said assessment did not include a written attestation confirming suitability to provide child care.

The facility's emergency plan did not include provisions for accommodations for infants, toddlers, or children with disabilities/chronic medical conditions.

The operator was unable to provide a proof of purchase for the smoke detectors that are in use at the facility.

Written notification of the location of the facility and use of pedestrian and vehicular routes that is required to be provided to local traffic authorities was not available at the facility.

The file for Staff #3 did not contain documentation of the completion of mandated reporter training in the past 60 months.

The file for Child #3 contained an emergency contact form that did not include the policy number of the child's health insurance provider.

The files for Child #3 and #4 included emergency contact forms that did not include the addresses of listed persons to whom each child can be released.

The files for Child #1 through #5 contained agreements and emergency contact forms that did not include review or updates within the past six months as indicated by a parent's or guardian's signature.