Creative Kids Day Care

Upon review of children's files submitted for inspection, it was found that the health assessment on file for Child #5 was dated 8.12.25 [expired 8.31.26].

Upon review of facility personnel records submitted for inspection, it was found that the health assessment for Staff Person #1 dated 9.6.24 did not have the necessary demographic information [i.e., name, date of birth] on the form to clearly identify it as Staff Person #1.

Upon inspection of the facility's required posted information, notification of safe pedestrian crossways, pick-up and drop-off points and bike routes was missing.

Upon inspection of the facility written shaken baby/abusive head trauma/child maltreatment policy, it was found to be missing specific information related to the prevention and identification of child maltreatment.

Upon review of children's files submitted for inspection, it was found that the last Child Services Report completed for Child #5 was completed on 2.25.26 [expired 8.31.26].

Upon review of children's files submitted for inspection, it was found that designated area specifying extra services was left blank for Child #1, #2, #3, #5, #6 and #7.

Upon review of children's files submitted for inspection, it was found that the agreements on file for Child #1, #2, #3, #4, #5, #6 and #7 were original copies.

Based on an inspection of the facility emergency plans submitted for inspection, it was found to be lacking a plan for the continuity of operations/care.

Upon inspection of each childcare space, it was observed that there was a can of aerosol disinfectant spray labeled 'keep out of reach of children' on a cubby shelf accessible to children in care as demonstrated. Product was immediately removed during inspection.

Facility Person #1 has been named as a perpetrator in a founded/indicated report of child abuse.

Upon investigation, Staff Person #1 directly stated that they did not know the exact whereabouts of Child #1 in the approximately one minute prior to the injury accident. Further, Staff Person #2 stated that Staff Person #1 had their back to the child at the moment of the injury accident and did not immediately know what had happened to the child until Staff Person #2 told Staff Person #1 what had happened.

Upon investigation of the specific device model instructions available online [provider did not retain those documents on file after purchase of the device, per their statements], it was found that the provider did not follow the specific safeguards listed in that document prior to the injury accident. The failure to follow manufacturer's instructions coupled with poor supervision resulted in serious injuries to a child in care at this facility.

On 10/22/24, child #1 climbed into the stalls and played in the toilet as staff #1 had 6 Older Toddlers next to her on the floor while she changed diapers. The changing table faces the wall, and staff #1 was unable to supervise (see, hear, assess, and direct) the children sitting next to the changing table or the child playing in the toilet. Staff #1 did not ask for assistance in the bathroom with supervision. During the complaint investigation on 11/6/24, 6 Older Toddlers were observed in the bathroom. Staff #1 had taken the children to the bathroom and did not request assistance with supervision. Staff #1 was facing the wall and changing children and was unable to supervise (see, hear, assess, and direct) all of the children in their group.

The file for staff #1 did not contain documentation of completed Health and Safety Training. Staff #1 has not completed pediatric First Aid and CPR. Staff #1 has exceeded the 90-day requirement where all Pre-service trainings are required to be completed.

Staff #1 had on file a volunteer PA State Police clearance. Staff #1 file did not contain a request for a PA State Police criminal clearance for employment or a copy of a request for the criminal clearance.

The complaint investigation revealed staff #1 had to change a child's diaper. Staff #1 had taken all of the children to the bathroom, which were a total of 10 young toddlers. As staff #1 was changing a child on the changing table, the 9 other children were in the toilets, crawling under the stalls to the adult bathroom. Some of the toilets were flushed and there were bowel movements in the other toilet in which children could access.

The fire detection system was not tested every 30 days.

In the Young Toddler room, the shelf underneath the TV was observed to be dusty and the toy shelves were observed to be dusty.

In the Young Toddler room, the wall underneath the outlet near the changing table was observed to be indented, causing paint and drywall to be chipping.