Creative Kids of Downingtown

During the renewal inspection on 6/11/26, the operator did not have verification on file that a copy of the emergency plan was sent to the local municipality and to the county emergency management agency.

During the renewal inspection on 6/11/26, staff person #1 did not have a health assessment on file that was completed within the last 2 years.

During the renewal inspection on 5/22/25: 1. Staff person # 1 did not have Child abuse for Maryland. 2. Staff person #2 did not have NSOR.

During the renewal inspection on 5/22/25: 1. The fence in the rear off the outside play area was in poor repair. 2. There was green grime accumulated on the play equipment in the outside play area. 3. The door to Younger Toddler 2 (YT2) was in poor repair and would not open/close properly.

During the complaint investigation on 10/10/24, there was video footage showing Staff person #1 aggressively grabbed the arm of child #1 and forcibly sat him down and then aggressively pull his hood of off his head.

During the complaint investigation on 10/10/24, video footage from the facility dated 9/23/24, showed Staff person #1 aggressively rubbing Child #1's face while excessively leaning across child #1's body while the child was sleeping and confining the child to one resting position. When Child #1 attempted to move, Staff person #1 forcefully pulled the child's hand down when he moved.

During the complaint investigation on 8/15/24, staff person #1 reported that the provider agreed to place a child in a highchair as a resolution for an issue of ongoing biting.

During the renewal inspection on 5/22/24, the basketball backboards in the outside play area had excess green growth/residue that could pose a hazard to the children.

During the renewal inspection on 5/22/24, the cubby in Room 9 was not secured and posed as a tipping hazard.

During the renewal inspection on 5/22/24, there was no daily activity sheet posted in Room 11 and Room 12.

At the time of renewal inspection, file of staff person #3 did not include NSOR certificate. Staff person #3 is not a provisional hire.

At the time of the inspection, there was peeling paint above the sink in the bathroom in Room 11.

At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink in the bathrooms in Room 11.

At the time of renewal inspection observed that bottles were not labeled with the child's name in Room #4, #2 and #6.

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

At the time of renewal inspection, file of staff person #1 did not include verification of education required for the position of an aide prior to service at the facility.

At the time of the inspection, emergency contact information of child #1, #2, #3, #4, #5, #6, #7, #8, and #9 did not include the address of the individual designated by the parent to whom the child may be released.

At the time of renewal inspection, file of staff person #1 included only one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection, staff person #2 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation from a PQAS approved trainer and a PQAS approved curriculum.

DURING THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY DRILL FILES, THE FILE DID NOT CONTAIN EMERGENCY DRILLS.

DURING THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WERE NO LOCK DOWN PLAN AND NO ACCOMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR CHILDREN WITH CHRONIC MEDICAL CONDITIONS.