Creative Minds Learning Center LLC

There was a crib in the infant room labeled for use by Child #6 with a loose crib sheet that poses a suffocation hazard.

The file for Staff person #2 includes FBI clearances dated 6.20.15 and 2.16.21, more than 60 months apart. The file for Staff person #3 includes criminal history clearances dated 3.26.19 and 11.26.24 and child abuse clearances dated 4.3.19 and 11.26.24; more than 60 months apart. The file for staff person #5 did not to include documentation of application of an FBI clearance and fingerprinting prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the FBI clearance is dated 6.24.24.

There was no lidded trash can in Room 6 (Intermediate) or Room 7 (Pre-K) for the disposal of items containing human secretions and which contained paper towels from handwashing and food remains/waste.

There was peeling paint in the Young Toddler room on the wall above the tail of the airplane activity wall panel; above the second section of the mounted airplane activity wall panel; and on the corner of the radiator.

There were broken Zoob connecting toys located in Room 6 (Intermediate).

The thermometer in the refrigerator in the infant room where infant bottles are stored, measured 50 degrees Fahrenheit.

The two most recent health assessments on file for Child #3, who is a Young Toddler, are dated 2.23.24 and 11.18.24, more than 6 months apart.

There was Ibuprofen in Room 3 (Primary), labeled for use by a specific child which did not have written parental permission to administer.

The 2 most recent health assessments on file for Staff person #1 were dated 9.25.20 and 6.8.23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 8.11.19 and 9.11.23, more than 24 months apart.

The health assessment on file for Staff person #5 does not include the physician or health care professional's assessment of the person's suitability to provide childcare.

The fire drill log on file included fire drills conducted 3.12.24-5.20.24 and 7.18.24-9/18/24, 9.18.24-12.16.24, more than 60 days apart.

The most recent annual fire detection system inspection reports is 3.20.23, more than 1 year ago and is required annually as the provider is unable to test the alarm every 30 days

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

Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health & Safety Update 2022; Get Started with Center-based Care: Building Blocks for Quality (Revised) was completed on 12.1.24. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 11.24.24.

Staff person #2 completed mandated reporter training on 12.16.21, more than 60 months after the previous training dated 1.9.15. Staff person #10 completed mandated reporter training on 11.20.24 more than 60 months after the previous training dated 8.23.19

The agreement on file for Child #2, #4 does not include the amount of the fee to be paid by the parent/guardian.

The agreement on file for Child #2 does not include the date that the fee is to be paid by the parent/guardian.

The emergency contact form on file for Child #5 does not include the work address and telephone number for the enrolling parent.

The emergency contact form on file for Child #5 does not include a complete address for all listed release persons.

The most recent 6-month review signature for the emergency contact form on file for Child #2 and #4 is dated 11.4.24, more than 6 months after the previous 6-month review signature from 4/2024.

The files for the following staff obtained or updated clearances late: #1 FBI due 10/2023 and obtained 11/2023; #2 criminal due 9/2023 and obtained 11/2023; #3 NSOR due 5/2023 and obtained 11/2023; #5 criminal, FBI and child abuse due 6/2023 and obtained 11/2023; #6 criminal, FBI and child abuse due 3/2022 and obtained 11/2023; #9 criminal, NSOR and child abuse due 4/2023 and obtained 11/2023; #12 criminal and child abuse due 7/2023 and obtained 11/2023; #15 NSOR due 2020 and obtained 12/2023.

The following staff files contain emergency plan training that was either updated late or completed late (after 90 days) at initial hire: #3, 4, 6, 7, 8, 9, 11 and 13. All staff participated in updated emergency plan training in 11/2023.

Observed exposed bolts on the gate that separates the playgrounds outside that are accessible to children.

The files for children #1, #2, and #4 contain health assessments that were updated late (exceeding 12 months): #1 due 8/2022 and obtained 2/2023, #2 due 11/2021 and obtained 2/2023, #4 due 11/2021 and obtained 5/2023.

The following staff obtained health assessment late (either after initial employment or renewed late): #1 due 1/2023 and obtained 12/2023; #4 due 6/2023 and obtained 11/2023; #6 due 3/2022 and obtained 12/2023; #13 due 10/2023 and obtained 12/2023; #15 due 3/2020 and obtained 3/2023.

The files for the following staff obtained TB tests late: #4 due 6/2023 and obtained 11/2023; #6 due 3/2022 and obtained 12/2023.

The files for staff # 6, 7, 8 and 13 contain fire safety training that was obtained late (exceeded 12 months). All staff completed training 11/2023.

Staff persons #3, 4, 9, 10 and 11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): general health and safety training.

Staff persons #1,14, and 15 had not completed the following required pre-service training by 12/2022. (see LIS code sheet): health and safety update.

The following staff persons had not completed the following required pre-service training within 90 days of their date of hire or renewed the training after it expired (see LIS code sheet): pediatirc first aid and cpr: #1 due 8/2023 and obtained 11/2023; #3 due 8/2023 and obtained 11/2023; #6 due 6/2022 and obtained 3/2023; #9 due 7/2023 and obtained 11/2023; #11 due 8/2023 and obtained 11/2023; #13 due 1/2020 and obtained 3/2023; #14 due 2/2022 and obtained 11/2023; #1 due 8/2023 and obtained 11/2023.

Staff #6 completed mandated reporter training late. it was due 6/2022 and completed 11/2023; staff #1 completed mandated reporter training late. It was due 1/2020 and completed 3/2023.

The files for staff # 7, 8, and 13 contain evaluations that were completed late (beyond a 12 month period).

The files for children #1, #2, and #4 contain agreements and emergency contact forms that were updated late (exceeding 6 months): All 3 files were due for updates in 2021 and were obtained 10/2023.

The files for children #1 through #14 lack a current/updated review of the child's immunized status according to recommendations of the ACIP.

The facility has not implemented dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for children #4 and #6 were updated late. The health assessment for child #4 was due 1/2022 and obtained 7/2022.The health assessment for child #6 was due 8/2022 and obtained 1/2023.

The files for children #1, #2, #3 and #6 lack verification of the flu vaccination for the 2022 year. The files for children #1, #2, #3, and #6 have been updated with verification of flu vaccination for the 2022 year. Moving forward, we will be sure to implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77. Anyone without verification or exempt will not be allowed to received child care services.

The operator lacks a copy of the annual inspection of the fire safety system for the building.

Staff persons #1 through #11 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The file for staff #1 contains 12 hours of training, however, 7 of the 12 hours did not fall within the annual review period (12/2021 - 12/2022). They were obtained in 1/2023. Therefore, 7 hours were obtained late.

The file for staff #2, with a start date of 8/26/19, lacked a completed NSOR certificate. The file for staff #14, with a start date of 9/27/21, lacked a disclosure statement. The file for staff #8 contained clearances which were not updated within 60 months as required; the previous state police clearance was obtained on 8/02/16 and was updated on 8/11/21. The previous child abuse clearance was obtained on 8/02/16 and was updated on 8/12/21. The clearances for staff #8 are now current. The file for staff #10 contained expired clearances which have not been updated; the most recent completed child abuse clearance on file was obtained on 4/19/15. The most recent FBI clearance on file was obtained on 4/13/15.

The file for staff #2 contained documentation of receiving emergency plan training more than 12 months apart. Staff #2 was trained on 8/02/20 and again on 12/20/21. The training is now current.

Three bottles of Clorox were accessible to children in an unlocked cabinet under the sink in the school age restroom.

The telephone in the school age room lacked a posting with the required emergency numbers.

A plastic shelving unit in the older toddler restroom was not anchored and created a tipping hazard.

The file for child #1 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #2 contained an immunization record which lacked documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

The medication box in Toddler room 1B contained expired Epi Pens. The medication intended for child #6 expired in October 2020 and the medication intended for child #7 expired in September 2020.

An Epi Pen in Toddler Room 1B, intended for child #8, lacked written parental consent for administration.

In Toddler Room 1A, three successive diaper changes were observed where children did not wash their hands afterward. Each child sat at a table preparing to eat after the diaper changes.

In Toddler Room 1A, three successive diaper changes were observed where the diapering surface was not sanitized between changes.

The files for staff #3 and #12 did not contain health assessments completed within the last 24 months. The last health assessment on file for staff #3 was dated 3/27/19. The last health assessment for staff #12 was dated 6/16/19. The file for staff #14 did not contain a health assessment. The file for staff #7 contained a health assessment which was not updated within 24 months. The most recent health assessment on file for staff #7 is now current.

In Toddler Room 1A, three successive diaper changes were observed where the staff person did not wash hands between the changes.

The facility's emergency plan lacked accommodations for infants and toddlers.

The operator did not provide proof of purchase or proof of installation of the interconnected fire detection system on the day of the inspection.

The files for children #2, #3, and #5, all enrolled for over the 90 days allowable under the suspension of the regulation due to COVID 19, did not contain health reports.

The files for staff #1, #2, #3, #6 through #13, and #15 and #16 lacked documentation of current certification in pediatric CPR and pediatric first aid. Most staff have completed the online portion of a hybrid class, but the face to face portion has not yet been completed.

Based on documentation at the facility, staff #9 did not update mandated reporter training within 60 months as required. Staff #9 completed the training on 8/25/16 and again on 9/05/21. The training is now current.

The files for staff #2 and #12 lacked evaluations completed in the last 12 months.

The files for children #2 and #3 contained agreements which were not signed by the operator.

The files for children #1 and #3 contained agreements which did not specify the amount of the fee to be charged per day or per week.

The files for children #1, #2, and #3 contained agreements which did not specify the date on which the fee is to be paid.

The file for child #2 contained an agreement which did not specify the date of the child's admission.

The file for child #5 did not contain emergency contact information.

The files for staff #5 and #14 contained only 1 written reference.

The files for staff #4, #5, and #14, all newly hired for over 90 days, lacked documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation.

At the time of the inspection, no facility persons present had current pediatric CPR and pediatric first aid training.